RHTP Activities and Initiatives Chart
Program Overview
Vermont's Rural Health Transformation Program, funded by CMS and administered by the Agency of Human Services, has completed Year 1 funding cycles and is preparing for Year 2 opportunities. The program implements 35 activities within five strategic initiatives focused on strengthening the rural workforce, increasing timely care access, leveraging innovative strategies, and enhancing quality and cost-effectiveness for underserved and high-need populations. Current implementation reflects executed agreements targeting facility improvements, workforce development, health IT, and clinical transformation, with all Year 1 RFP opportunities now closed and Year 2 opportunities forthcoming. The structured plan continues to track key initiatives and strategic goals. Current structured plan tracks 16 key initiatives and 9 strategic goals.
Updated
County-level estimates averaged across Vermont — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (14)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Chittenden County | 169,758 | 9.7% | 3.9% |
| Rutland County | 60,425 | 11.8% | 7.2% |
| Washington County | 60,017 | 8.7% | 5.7% |
| Windsor County | 57,990 | 9.2% | 5.2% |
| Franklin County | 50,638 | 10.3% | 7.7% |
| Windham County | 45,923 | 11.6% | 6.0% |
| Addison County | 37,664 | 7.6% | 4.4% |
| Bennington County | 37,269 | 11.3% | 7.3% |
| Caledonia County | 30,475 | 11.7% | 7.5% |
| Orange County | 29,761 | 9.3% | 5.9% |
| Orleans County | 27,606 | 11.7% | 8.3% |
| Lamoille County | 26,148 | 8.5% | 5.1% |
417,515 rural residents
AI source: VT - 2027 - Green Mountain Care Board Approves FY27 Hospital Budgets
AI auto-updated Sep 19, 2026
API refreshed May 13, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
10 related documents
VT - 2026 - Health Care Workforce | Office of Health Care Reform - RHTP Announcements and Workforce Strategy
Auto-grouped context match (37%)
Vermont has executed 87 agreements totaling nearly $63 million under its Rural Health Transformation Program, spanning subgrants to rural health providers, support for workforce development, and major contracts for program administration and evaluation. All Year 1 RFPs and NOFOs have closed, and Year 2 provider solicitations are planned but not yet posted. Program implementation includes active rural service expansion and health data infrastructure modernization. Additional project launches and subrecipient activities are anticipated as the program progresses toward Fall 2026 milestones. State opportunities: 1 active (1 upcoming, 28 past/closed), $2.3M listed funding. Key opportunities: Rural Health Transformation Program - Transform, Innovate, and Regionalize Care; VDH Mobile Integrated Health Consulting & Project Management RFP; Evaluation of Vermont’s Rural Healthcare Transformation (RHT) Program. Strategy alignment: supports workforce, ems priorities.
Vermont’s Rural Health Transformation Program (RHTP) leverages CMS AHEAD model funding to advance regionalized rural care, clinically integrated services, targeted workforce development, and innovative models responsive to rural needs. RHTP builds on Vermont's tradition of health care reform and stakeholder engagement, implementing 35 activities across five strategic initiatives that address workforce, access, quality, and cost. The program maintains a milestone-driven grant structure and emphasizes expanded access, sustainability, and rigorous performance monitoring for rural communities.
Model
AHEAD (Achieving Healthcare Efficiency through Accountable Design) Model
Key Initiatives (16)
Timeline: Performance period: December 29, 2025–October 30, 2030. Year 1 subrecipient grant execution (August 2026–September 2027) with up to two competitive rounds. Year 1 grants may be extended for up to four additional years pending approval. All Year 1 funds must be fully spent by September 30, 2027. The overall program aligns with a five-year CMS performance period.
Developing urgent care access for mental health needs in rural regions, such as Rutland County.
Addressing rural health workforce shortages through training, clinical champions, and collaborative learning approaches.
Improving access to dialysis and ventilator care for nursing facility residents to address high acuity care needs in rural areas.
VT - 2026 - Bi-Weekly Updates: Vermont Health Care Transformation (April 2026)
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VT - 2026 - RHTP Overview and Vermont Application Guidance
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VT - 2026 - H.R.1 Documents and Resources | Health Care Reform
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VT - 2026 - CMS-RHT-26-001 RHTP Application Submission from the State of Vermont
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VT - 2026 - RHTP Application Summary
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VT - 2026 - Vermont’s RHT Program Activity Details
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VT - 2026 - CCMMSS--RRHHTT--2266--000011 RRuurraall HHeeaalltthh TTrraannssffoorrmmaattiioonn PPrrooggrraamm A pplication Submission from the State of Vermont Judith Morse Financial Manager (802) 279-2319 Judith.Morse@vermont.gov 2-11-2026
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VT - 2024 - RHTP Vermont Hospital Transformation Plan
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VT - 2025 - Award Information
Official HHS TAGGS award detail page (RHTCMS332047) -- authoritative federal award tracking system
Vermont Agency of Human Services
Due Aug 17, 2026
6 related documents
VT - 2026 - Questions and Answers: RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care (NOFO RHT_AHSCO_0008_FY26)
008 Care Transformation_Q&A.pdf
VT - 2026 - RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care
VT - 2026 - RHTP Transform, Innovate, and Regionalize Care NOFO (RHT_AHSCO_0008_FY26)
VT - 2026 - RHTP Appendix A Budget Template (BidIDs 73876 and 73877)
VT - 2026 - RHTP Transform, Innovate, and Regionalize Care Appendix A Budget Template
VT - 2026 - Appendix A RHTP Subrecipient Grant Budget Template
Appendix A RHTP Subrecipient Grant Budget Template.pdf
VT - 2026 - ADDENDUM 1 RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care Subrecipient activities #4 and #19 RHT –…
RHT_AHSCO_0008_FY26 Addendum 1.pdf
VT - 2026 - RHT Year 1 Executed Agreements and Contracts
VT RHT Year 1 Executed Agreements and Contracts (award recipients)
State of Vermont Agency of Human Services
Due Aug 17, 2026
6 related documents
VT - 2026 - RHT _AHSCO_0009_FY26 Facility Upgrades to Support Regionalization Questions and Answers
0009 Facility Upgrades_Q&A.pdf
Vermont Department of Mental Health
Due Aug 7, 2026
5 related documents
VT - 2026 - Mental Health Urgent Care- Rutland County
Source listing page
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2027 | Mt. Ascutney Hospital & Health Ctr Approved budget controls rural hospital net revenue and reimbursement rate for transformation. | $74.7M | Flex Fund | |
| 2027 | Grace Cottage Hospital FY27 hospital budget aims at affordability and sustainability for rural hospital operations. | $30.8M | Flex Fund | |
| 2026 | Vermont Student Assistance Corporation Provides tuition benefits to students in nursing, dentistry, and other healthcare fields who commit to working in Vermont for at least five years. | $9.0M | Workforce | |
| 2026 | St. Johnsbury Center for Living and Rehabilitation Selected to build out a new ventilator unit with federal funds, improving facility capacity. | $532K | Quality Improvement | |
| 2026 | Agate Software, Inc. AHS Rural Health Transformation (RHT) Program Grants Solution — a grant management system to support administration of Vermont's RHT Program grants. Awarded via sealed-bid RFP (Agency of Digital Services, on behalf of AHS). | $324K | Health IT | |
| 2026 | Hartford Town School District Awarded part of the $2.7 million for establishing a regional LNA Training Hub for licensed nursing assistants in long-term care. | $297K | Workforce | |
| 2026 | Springfield Center for Living and Rehabilitation Funds awarded for creation of a dialysis den so patients can receive local dialysis instead of traveling elsewhere. | $287K | Quality Improvement | |
| 2026 | Northeastern Vermont Regional Hospital Awarded part of the $2.7 million for establishing a regional LNA Training Hub for licensed nursing assistants in long-term care. | $210K | Workforce | |
| 2026 | Brattleboro Development Credit Corporation Awarded part of the $2.7 million for establishing a regional LNA Training Hub for licensed nursing assistants in long-term care. | $150K | Workforce | |
| 2026 | Community Colleges of Vermont Awarded funding to develop a statewide licensed nursing assistants training hub program. | Not disclosed | Workforce |
The Trump Administration announced $11.7 million under RHTP to expand access, improve patient care facilities, and strengthen rural health. Vermont is dedicating $9 million specifically for tuition benefits to healthcare professionals in underserved areas.
The GMCB approved FY27 hospital budgets for 14 Vermont community hospitals, imposing statewide reductions in commercial rates and net patient revenue to improve affordability. A new working group will increase transparency for medical education funding. FY27 decisions support rural hospital transformation and system sustainability. Key contacts: Kristen LaJeunesse kristen.lajeunesse@vermont.gov Event schedule: - Budget Decisions Completed - 09/14/2026 - Green Mountain Care Board - Hospital FY27 Budgets Begin - 10/01/2026 - All Vermont Community Hospitals
Event Schedule
Contacts
Core Initiatives
Vermont is soliciting applications under CMS Notice of Award #RHTCMS332047-01-00 to expand Licensed Nursing Assistant (LNA) training in rural areas. Applicants must submit a risk assessment and detailed work plan, including sustainability and performance targets. This program aims to address rural healthcare workforce shortages and improve care quality. Event schedule: - Application Due - 04/10/2026 - 4:30 PM ET
Event Schedule
Core Initiatives
This addendum updates the timeline for Vermont's Rural Health Transformation Program subrecipient grant competition, establishing two application rounds for rural healthcare provider transformation funding. The grant periods range from 10 to 11 months, starting in September or October 2026 and ending July 30, 2027. Extensions beyond Year 1 are possible with AHS and CMS approval. Event schedule: - Application Posted (Round 1) - June 19, 2026 - Deadline for Questions (Round 1) - June 26, 2026 - Application Deadline (Round 1) - July 17, 2026 - Commencement of Grant Agreement (Round 1) - September 1, 2026 - Application Deadline (Round 2) - August 17, 2026 - Commencement of Grant Agreement (Round 2) - October 1, 2026
Event Schedule
Vermont's application details an ambitious transformation of rural health care through 30 proposed initiatives and grant programs targeting regionalization, integrated shared service platforms, stronger primary care, and major investments in rural provider and workforce development. The state will fund both service delivery reforms and physical facility and IT modernization, emphasizing EMS/paramedicine, mobile units, analytics, telehealth, housing, workforce pipelines, and more. Large-scale system assessment, independent evaluation, and insurance competition/transparency strategies ensure a data-driven, accountable transformation.
Event Schedule
Core Initiatives
Vermont submitted its Rural Health Transformation Fund application for federal funding covering 2026-2030. The application focuses on strengthening rural health networks through coordination, technology sharing, workforce support, and affordability. Exact award amounts are yet to be determined by federal review.
Summary document linking to Vermont RHTP application and related resources, no explicit award details provided.
This progress report details significant organizational restructuring at University of Vermont Health Network, resulting in $8.1 million in annual savings, as well as the commissioning of two consultant studies to optimize clinical operations and forecast fiscal sustainability. It also recounts ongoing negotiations to implement value-based care contracts with BCBS VT and the state's effort to address affordability, quality, and population health. The Liaison Team continues to oversee progress, aiming to inform and guide Vermont's rural health transformation strategy. Event schedule: - Consultant studies begin - 01/01/2026 - Consultant studies complete - 03/31/2026 - Liaison Team project completion estimated - Fall 2026
Event Schedule
Core Initiatives
Vermont is advancing a statewide rural health transformation strategy under Act 68 of 2025, building on prior community engagement and legislative mandates. Fourteen hospitals are engaged in shared services, care shifts to appropriate settings, analytics, and service line optimization. The state is broadening efforts to include primary care and community provider transformation, aiming for a sustainable, equitable rural health system.
Core Initiatives
The program is awarded $195 million over a five-year period and administered by the Vermont Agency of Human Services. It focuses on implementing systemic changes to improve rural health outcomes across the state, leveraging federal discretionary funding.
Event Schedule
This reference file lists executed agreements and contracts related to the Vermont Rural Health Transformation Program's year-one procurements and grants, each targeted to improvement, innovation, and modernization in rural health care. The included opportunities indicate robust activity spanning facility upgrades, workforce development, health IT, telehealth, and clinical transformation projects. It serves as an audit trail and contextual backbone for awarded RHTP initiatives but does not announce awards or funding totals directly. Event schedule: - Vermont Rural Health Transformation (RHT) Program -- Year 1 Executed Agreements and Contracts. Updated as of , 2026. - September 11 - This is a partial and ongoing list and does not represent the full Year 1 awards or...
Event Schedule
Core Initiatives
This document is an addendum to the Vermont Rural Health Transformation Program subrecipient grant regarding telehealth technology adoption, specifying corrections and compliance updates.
RHTP Activities and Initiatives Chart
VT RHTP site updated — 1 new, 0 existing source(s) refreshed
VT RHTP site updated — 1 new, 1 existing source(s) refreshed
VT - 2026 - Trump Administration Announces $11.7 Million to Expand Access, Improve Patient Care Facilities, Strengthen Rural Health
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
MN - 2005 - Assistance Listings Summary Report
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VT - 2026 - We have a number of annual reports received and prepared by the Green Mountain Care Board (GMCB). Please visit our Data Reports and Analyses, Legislative Report page, or our Press Release page for the most recent updates.
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MN - 2026 - Award Summary Report
2026 · HTML
VT - 2027 - GMCB Cuts Proposed 2027 Health Insurance Rate Increases
2026 · PDF
VT - 2026 - Vermont Health Care Association High-Quality LNA Study
2025 · PDF
VT - 2026 - DAIL Advisory Board Meeting Schedule
2022 · PDF
VT - 2022 - MFP Update DAIL ADV Nov 2022
2021-2022 · PDF
VT - 2024 - Standard State Provisions for Contracts and Grants
VT - 2026 - RHTP Appendix A Subrecipient Grant Budget Template
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Vermont Financial Health Indicators Flex Program 2018 Almanac Of Hospital Financial And Operating Medians 2016 Indicators (Optum) 2016 Northeast Metric US CAHs CAH 25-99 Beds 100-1
VT - 2026 - NMC FY23 Quarterly Actuals - 1
2023 · PDF
VT - 2026 - Jurisdictional Determination
2022 · PDF
VT - 2026 - AFT-VT Interested Party Statement
FY2020 Hospital Budget Guidance Final As Of 2019 03 27 Updated 4 8 19
VT - 2026 - Physician Transfer Schedules A & B
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VT - 2026 - Appendices A&B ACO Provider Network and Other Arrangements.xlsx
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VT - 2026 - Appendix A Budget Template.xlsx
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Q&A for Activity 18 .pdf
RHT Subrecipient Grant Budget Template 3.12.26.xlsx
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2025 Vermont Household Health Insurance Survey
2025 · PDF
Vermont H E A L T H P O L I C Y Marketplace Premiums In 2025 Insurer And Provider Concentration Contributes To Wide Variation In Rates John Holahan, Noah Kennedy, And Michael Simps
2025 · PDF
VT - 2030 - UVM Health 2030 Strategy Final Report
2026 · PDF
VT - 2026 - an order
2027 · PDF
VT - 2026 - an order
2026-2027 · PDF
VT - 2026 - MIH RFP Responses to Questions
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VT - 2026 - Addendum 2
VT - 2026 - Addendum
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VT - 2026 - Vermont Landing Page (updated: June 3, 2026)
2026 · XLSX
VT - 2026 - Vermont Business Registry and Bid System - Home
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VT - 2026 - AHEAD (Achieving Healthcare Efficiency through Accountable Design) Model | Health Care Reform
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VT - 2026 - H.R.1 Documents and Resources | Health Care Reform
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VT - 2026 - Health Care Workforce Development | Health Care Reform
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VT - 2021 - Health Care Workforce Data Center | Health Care Reform
2021-2024 · HTML
VT - 2026 - Translate | Health Care Reform
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VT - 2026 - RHTP Subrecipient Grant to Healthcare Providers for Facility Upgrades to Support Regionalization
VT - 2026 - RHTP Facility Upgrades to Support Regionalization NOFO (RHT_AHSCO_009_FY26)
VT - 2026 - RHTP Appendix A Budget Template (BidIDs 73876 and 73877)
VT - 2026 - RHTP Facility Upgrades Appendix A Budget Template
VT - 2026 - Appendix A RHTP Subrecipient Grant Budget Template
Appendix A RHTP Subrecipient Grant Budget Template.pdf
VT - 2026 - RHT_AHSCO_009_FY26 Addendum 1
RHT_AHSCO_009_FY26 Addendum 1.pdf
VT - 2026 - RHT Year 1 Executed Agreements and Contracts
VT RHT Year 1 Executed Agreements and Contracts (award recipients)
VT - 2026 - RFP 142 Mental Health Urgent Care- Rutland County
RFP142_MHUC_Rutland.pdf
VT - 2026 - RFP 142 MHUC-Rutland Q&A Addendum
RFP142 MHUC-Rutland Q&A Addendum.pdf
VT - 2026 - RFP #142 Mental Health Urgent Care- Rutland County Questions and Answers
RFP 142 MHUC-Rutland Q&A.pdf
VT - 2026 - RFP # 142 Mental Health Urgent Care- Rutland County
RFP 142 Bidders conference 7-10-26.pdf
GMCB approved FY27 budgets for 14 VT hospitals totaling $3.8B, setting maximum NPRs and reducing commercial pricing. Oversight on UVMMC-Larner College relationship strengthened. Hospital affordability and transparency prioritized. Key contacts: Kristen LaJeunesse kristen.lajeunesse@vermont.gov Event schedule: - Board public deliberations - 09/02/2026 - Montpelier, VT - Board budget decisions complete - 09/14/2026 - Montpelier, VT - Budget orders issued - 10/01/2026 - Montpelier, VT
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Contacts
Core Initiatives
Vermont awarded its first $11.7 million tranche of federal rural health funds, with $9 million directed to tuition benefits for health workforce education and $2.7 million distributed among nursing homes and teaching institutions for LNA training and facility improvements. This allocation supports workforce development, creation of regional LNA training hubs, and investment in specialized care resources like ventilator units and a dialysis den. The funds are part of a larger $195 million federal award to Vermont under new legislation responding to Medicaid cuts and rural hospital financial challenges. Event schedule: - Award Announcement - 09/10/2026 - 7:03 PM ET - Vermont
Event Schedule
Core Initiatives
This application solicits proposals to expand dialysis and ventilator services in licensed Vermont nursing facilities, targeting unmet rural health needs. Applicants must demonstrate risk management, internal controls, and sustainability planning. The program prioritizes improving access to specialized care for rural populations. Key contacts: AHS.DAILRHTGrant@Vermont.gov Event schedule: - Application Due Date - 04/10/2026 - 4:30 PM
Event Schedule
Contacts
Core Initiatives
The Vermont Rural Health Transformation Program is soliciting applications to expand dialysis and ventilator services in rural skilled nursing facilities. Proposals must include partnerships with ESRD providers (for dialysis) and Acute Care or Critical Access Hospitals (for ventilator services). Awards will be based on alignment with program narrative, qualifications, and sustainability of plans. Key contacts: AHS.DAILRHTGrant@Vermont.gov; ahs.rht@vermont.gov Event schedule: - Grant Application Due - 04/10/2026 - 4:30 PM ET - Review Team Determines Awards - 04/10/2026 - 04/30/2026 - ET - Grantees Notified of Awards - 05/01/2026 - ET - Grant Execution Deadline - 08/01/2026 - ET - Year-1 Funds Fully Spent - 09/30/2027 - ET
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Contacts
Core Initiatives
This addendum updates the award timeline and clarifies grant periods for facility upgrades supporting rural health regionalization in Vermont. Two application rounds are available, with grant periods ranging from 10 to 11 months and potential for up to four option-year extensions pending approval. Year 1 funds must be spent by July 30, 2027. Event schedule: - Application Posted - 06/19/2026 - ET - Deadline for Questions (Round 1) - 06/26/2026 - ET - Application Deadline (Round 1) - 07/17/2026 - ET - Commencement of Grant Agreement (Round 1) - 09/01/2026 - ET - Application Deadline (Round 2) - 08/17/2026 - ET - Commencement of Grant Agreement (Round 2) - 10/01/2026 - ET - Year 1 Funds Must Be Fully Spent By - 07/30/2027 - ET
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Core Initiatives
This Q&A document clarifies applicant eligibility, allowable uses, and facility upgrade scope for Vermont's Rural Health Transformation Program Facility Upgrades RFP. Eligible providers include hospitals, clinics, home health, hospice, FQHCs, mental health, substance use disorder providers, and community pharmacies. Upgrades must support regionalization and integrated care delivery, with a focus on minor renovations, accessibility, and clinical infrastructure. Event schedule: - Questions Deadline - 06/26/2026 - Application Deadline - 07/17/2026 - Grant Commencement Date - 09/01/2026 - Year 1 Funds Must Be Expended By - 07/30/2027
Event Schedule
Core Initiatives
Core Initiatives
Vermont's rural hospitals are pursuing multifaceted transformation strategies tailored to local needs, with emphasis on cost containment, specialist access, interoperability, and population health. Collaborative purchasing and network approaches are used to help achieve financial sustainability. No explicit funding allocations or award amounts are identified in this strategy document.
Core Initiatives
This document provides detailed answers and clarifications regarding the RFP for establishing Mental Health Urgent Care services in Rutland County, Vermont. The Q&A emphasizes the program's aim to fill service gaps in rural areas and clarifies eligibility, budgeting, and scope of expected services. Final program cost and pricing remain fully proposer-determined with no fixed-state or federal ceiling. Event schedule: - RFP Issue Date - 7/10/2026 - ET - Questions Due - 7/17/2026 - 4:00 PM ET - Answers Posted - 7/20/2026 - ET - Addendum Answers Posted - 8/5/2026 - ET - RFP Responses Due - 8/7/2026 - 4:00 PM ET - via VTBuys
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Core Initiatives
This document provides applicant guidance for Vermont's Rural Health Transformation Pharmacy Test-to-Treat grant RFP. It confirms a 14-month grant period, multiple anticipated awards, and includes FAQ on budget categories, eligible expenses, required documents, and program scope. Award amounts will be determined by proposal quality; technology integration with primary care and uninsured access are allowable if justified. Event schedule: - Application Deadline (Extended) - 05/08/2026
Event Schedule
Core Initiatives