Alabama

ADECA is announcing a competitive funding opportunity under Alabama's Rural Health Transformation Program to address critical workforce shortages in rural communities. Approximately $33 million in federal funds will be distributed via subawards to support innovative and practical workforce development, recruitment, incentive, and training projects in rural healthcare. Projects must serve rural Alabama and align with defined strategy categories including GME expansion, EMS workforce development, workforce education, recruitment incentives, and Certified Nurse Midwife training. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - ARHTP website - Application Deadline - 06/26/2026 - 5:00 PM CT - ARHTP portal - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027

In the 2026 round, Alabama awarded nearly $55 million in RHTP grants to healthcare providers, with six major Maternal and Fetal Health Initiative awards supporting rural hospitals, EMS agencies, and health systems. Projects across the state will equip rural hospitals with readiness resources, upgrade telehealth, expand specialty networks, and improve training for obstetric and neonatal emergencies. The initiative will impact at least 20 rural hospitals and provide advanced care capacities state-wide.

Governor Ivey announced 138 ARHTP grants totaling over $144 million to healthcare providers and institutions statewide. The awards span 11 initiatives, with five funded in this round, including EHR/IT/Cybersecurity, Rural Health, Workforce, Mental Health, and Practice. Projects reach every Alabama county, addressing access, quality, care coordination, technology modernization, chronic disease, and behavioral health priorities.

Event schedule: - , 2026 M E M O R A N D U M TO: All Interested Parties FROM: Kenneth W. Boswell Director RE: Alabama Rural Health Transformation Program (ARHTP) Application Workshops The Alabama Department of Economic and Community Affairs (ADECA) will host in-person application workshops for the first five of the approved ARHTP initiatives. The workshops will also be accessible via Microsoft Teams at the same dates/times identified below. The one-hour workshop sessions will provide participants with a comprehensive overview of the Notice of Funding Opportunity (NOFO) and application process for each of the below initiatives. Each session will begin with a review of the key components of the NOFO, including the initiative’s goals and objectives, eligibility criteria, funding levels, subaward structure, and reporting requirements. The session will then transition to the application process and will include a walkthrough of important submission details such as navigating the online application portal, understanding required documentation, and preparing a complete and competitive application. Additionally, we will outline the application review process, highlight important dates in the award timeline, and discuss what applicants can expect during the post-selection phase. Each workshop will conclude with an opportunity for participants to ask questions during a live Q&A session. June 9, 2026 • 10:00 AM – Collaborative EHR, IT and Cybersecurity Initiative • 1:00 PM – Rural Health Initiative • 3:00 PM – Rural Workforce Initiative - June 4 - 10:00 AM - M E M O R A N D U M Page 2 , 2026 June 10, 2026 • 10:00 AM – Mental Health Initiative • 1:00 PM – Rural Health Practice Initiative Sessions will be held at: Alabama Center for Commerce 401 Adams Avenue, Montgomery, AL 36104 th 7 Floor Auditorium The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 988648. All individuals who will be attending a workshop in-person must pre-register at https://app.smartsheet.com/b/form/019e8addd36e7023bd945ae81c6de538 . The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration. Due to space constraints, live participation will be capped at approximately 100 participants, so individuals who wish to attend in-person are encouraged to register as soon as possible. Individuals joining a workshop virtually must register for each at the sites identified below. A link to the workshop will be emailed to the registrant when registration is completed. • Collaborative EHR, IT, and Cybersecurity Initiative - https://bit.ly/RHTP_EHR_9June_Workshop_2026 • Rural Health Initiative - https://bit.ly/RHTP_RHI_9June_Workshop_2026 • Rural Workforce Initiative - https://bit.ly/RHTP_RWI_9June_Workshop_2026 • Mental Health Initiative - https://bit.ly/RHTP_MHI_10JuneWorkshop_2026 • Rural Health Practice Initiative - https://bit.ly/RHTP_RHPI_10June_Workshop_2026 Please submit any questions concerning this notice to info@alabamarhtp.com. Thank you for your attention to this matter. KWB:CGT:km - June 4

Alabama has awarded 138 grants totaling over $144 million in the first round of its Rural Health Transformation Program (RHTP), covering five of the state’s eleven planned initiatives. The grants support projects related to rural health, rural workforce, practice support, mental health, and collaborative EHR/IT and cybersecurity, benefiting providers and organizations in every county. Funding is backed by the federal Centers for Medicare & Medicaid Services (CMS) as part of a five-year, $50 billion national initiative. Grants for remaining initiatives are in progress and will be announced later.

This FAQ provides detailed guidance on the Alabama Rural Health Transformation Program's structure, eligibility, application process, allowable costs, and initiative-specific considerations. It outlines $203.4 million in Year 1 federal funding to be distributed through 11 major initiatives and clarifies compliance and sustainability requirements. The document emphasizes a focus on multi-year planning, measurable progress, and the transformation of rural health delivery through technology, workforce, clinical care, and infrastructure. Event schedule: - First Round NOFO Initiatives Released - 06/03/2026 - First Round Application Deadline - 06/26/2026 - Second Round NOFO Initiatives Released - 07/17/2026 - Second Round Application Deadline - 08/07/2026 - Subrecipient Period of Performance End Date (Year 1) - 07/31/2027 - Federal Period of Performance End Date (Year 1) - 09/30/2027 - Year 2 Program Start - 10/01/2026