map-arkansas-projects
Program Overview
Arkansas’s Rural Health Transformation Program is in active implementation, with applications open for initiative funding through HEART, RISE, PACT, and THRIVE. The program targets high-need rural populations, focusing on improving access, population health, telehealth integration, workforce development, and emergency services modernization, guided by ongoing stakeholder input. Behavioral health transition services and community partnership networks remain priority focus areas. Current structured plan tracks 11 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across Arkansas — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (75)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Pulaski County | 399,818 | 16.7% | 12.7% |
| Benton County | 303,632 | 7.6% | 5.4% |
| Washington County | 256,765 | 14.6% | 8.5% |
| Sebastian County | 128,900 | 16.0% | 11.0% |
| Faulkner County | 127,717 | 14.5% | 9.9% |
| Saline County | 127,479 | 8.8% | 6.2% |
| Craighead County | 113,249 | 20.1% | 14.5% |
| Garland County | 100,035 | 15.8% | 11.0% |
| White County | 77,838 | 17.5% | 14.1% |
| Lonoke County | 75,272 | 10.4% | 7.6% |
| Jefferson County | 64,802 | 18.6% | 14.8% |
| Pope County | 64,131 | 16.9% | 12.3% |
AI source: AR - 2026 - $50B RHTP Needs More Transparency, Groups Say
AI auto-updated Aug 30, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Oct 31, 2025
5 related documents
AR - 2026 - Arkansas RHTP Resources and FAQs
Auto-grouped context match (38%)
1,191,671 rural residents
Arkansas has awarded nearly $150 million in Rural Health Transformation Program funds to multiple rural health entities, including Mercy Fort Smith, with public winners and project areas announced. Local implementation is underway, focused on launching initiatives for Medicaid and hospital capacity. Awarded amounts and project lists are publicly available, and sub-awarded organizations are moving into project startup and reporting phases. The program continues to advance on concrete provider-level initiatives supporting care access and system transformation. State opportunities: 4 total (4 past/closed), $149.3M listed funding. Key opportunities: Promoting Access, Coordination, and Transformation (PACT); THRIVE - Telehealth, Health Monitoring, and Response Innovation for Vital Expansion (LIFELINE); Healthy Eating, Active Recreation, and Transformation (HEART). Strategy alignment: supports workforce, telehealth, care access priorities.
Arkansas’s RHTP strategy prioritizes integrated, results-driven rural health improvement for Medicaid members and at-risk populations. The state implements phased, grant-supported investments in facility infrastructure, supported housing, behavioral health, prevention, and technology—coordinated through major initiatives such as HEART, PACT, RISE, and THRIVE. Each program leverages multi-sector partnerships, data-driven monitoring, and robust evaluation to ensure measurable and sustainable health improvements for rural communities.
Model
A statewide, grant-funded model that requires rural-serving organizations to demonstrate operational readiness and experience in behavioral health, substance abuse, supported housing, prevention, rural health delivery, and health technology. Service delivery depends on coordinated partnerships—including schools, providers, community groups, and faith organizations—and targets infrastructure, telehealth, workforce, and population health needs, supported by rigorous compliance protocols for long-term impact.
Key Initiatives (11)
Timeline: Major RHTP facility construction, renovation, and milestone-based initiative launches—including HEART, PACT, RISE, and THRIVE—are staged 2024 through at least September 2027. Application and funding cycles align with annual NOFO schedules (2024–2026), state and CMS award dates, project deadlines (e.g., Youth Substance Abuse Facilities/Supported Housing by September 2026), and continuous evaluation and compliance. Recipients of RHTP infrastructure grants generally have one year from award to use funds, with initial rounds running through at least September 2027.
Highest needs are found in the Delta, Ozarks, and southwest regions of rural Arkansas.
This document highlights concerns about lack of transparency in a $50 billion rural health program, emphasizing the need for transparent reporting to track funds, outcomes, and program sustainability. It calls for consistent measurement across states to enable comparison and replication of successful models.
Mercy Fort Smith is announced to receive over $19 million under the Arkansas Rural Health Transformation Program. This announcement highlights a significant funding allocation to support rural health transformation in Arkansas.
AR - 2026 - Accessibility Statement for Arkansas RHTP
Auto-grouped context match (38%)
AR - 2026 - Newsroom - Arkansas Governor - Sarah Huckabee Sanders
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AR - 2026 - Sanders Announces Applications are Open for $209 Million in RHT Funds
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AR - 2026 - Sanders Announces Nearly $150 Million Awarded in RHT Funds (2026-08-28-listserv-RHTP News Digest)
Sanders Announces Nearly 150M Awarded in RHT Funds
Arkansas Department of Finance and Administration (DF&A)
Due Aug 7, 2026
1 related document
AR - 2026 - Healthy Eating, Active Recreation, and Transformation (HEART) Notice of Funding Opportunity
Primary source
Arkansas Department of Finance and Administration (DF&A)
Due Jul 24, 2026
2 related documents
AR - 2026 - Recruitment, Innovation, Skills, and Education for Arkansas (RISE AR) Notice of Funding Opportunity
Primary source
Arkansas Department of Finance and Administration (DF&A)
Due Jul 10, 2026
7 related documents
AR - 2025 - Sanders Announces Arkansas’ Application for Rural Health Funding
Auto-grouped context match (43%)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Baxter Health Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $19.7M | THRIVE/PACT | |
| 2026 | Mercy Health Fort Smith Communities Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $19.1M | THRIVE/PACT | |
| 2026 | Mercy Fort Smith Funds to support rural health initiatives at Mercy Fort Smith hospital. | $19.0M | Other | |
| 2026 | Arkansas Rural Health Partnership Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $18.8M | THRIVE/PACT | |
| 2026 | Baptist Health Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $16.9M | THRIVE/PACT | |
| 2026 | St. Bernards Development Foundation Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $14.6M | THRIVE/PACT | |
| 2026 | University of Arkansas for Medical Sciences Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $12.0M | THRIVE/PACT | |
| 2026 | Arkansas Ambulance Association Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $10.0M | THRIVE/PACT | |
| 2026 | Mississippi County Hospital System Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $9.6M | THRIVE/PACT | |
| 2026 | River Valley Wellness Arkansas Rural Health Transformation Program Year 1 THRIVE and PACT award | $3.5M | THRIVE/PACT |
Mercy Fort Smith is announced to receive over $19 million under the Arkansas Rural Health Transformation Program. This announcement highlights a significant funding allocation to support rural health transformation in Arkansas.
This announcement marks one year since the launch of the Rural Health Transformation Fund and signals an ongoing conversation about the program’s impact and next steps. Maya Sandalow, associate director, is featured in the discussion. No additional program specifics or funding details are included.
The Trump Administration awarded $93.3 million under RHTP to support 87 rural hospitals in Georgia. This funding will enable the deployment of advanced clinical technologies, workforce training, and readiness for value-based care payment models under CMS’s AHEAD program.
Core Initiatives
Mercy Fort Smith has received over $19 million under the Rural Health Transformation Program to support rural health initiatives in Arkansas. The funding addresses challenges including Medicaid reductions and aims to enhance rural hospital services.
Arkansas has awarded an initial $55.7 million in Rural Health Transformation funds. Mercy Fort Smith hospital received over $19 million for rural health initiatives, highlighting specific investment in infrastructure and services.
This application narrative requires organizations to detail their structure, leadership, Medicaid provider status, operational experience, populations served, services offered, and staffing. Special emphasis is placed on behavioral health transition services and community partnership networks.
Core Initiatives
This document outlines required attestation statements for organizations applying to a grant aimed at increasing services for Arkansas Medicaid members. Applicants must agree not to use funds for existing costs or Medicaid-reimbursable services and ensure compliance with reporting and grant requirements. Authorized signatories must provide a signed cover letter detailing their mission and grant objectives.
This document is a grant application narrative template soliciting eligible organizations to apply for up to $3,000,000 in funding. It requires applicants to detail their organizational structure, experience providing behavioral health and transition services, populations served, and outcomes achieved. Emphasis is placed on serving children and young adults with behavioral health needs in rural Medicaid settings.
Applicants must provide a cover letter summarizing their mission and anticipated outcomes. The attestation section requires fiscal authority signoff and compliance with grant rules, including prohibitions on supplanting funds and lobbying expenses. Commitment to serving Arkansas Medicaid members is required.
Core Initiatives
This document outlines required content for applicants submitting a cover letter and attestation form as part of a grant application, including compliance statements and fiscal authority confirmation. It includes required assurances about use of funds and eligibility for Arkansas Medicaid Members.
Arkansas’s RHT Program addresses urgent rural health challenges including high rates of chronic disease, maternal mortality, and hospital closure risk. The plan utilizes evidence-based preventive interventions, modernizes technology infrastructure, expands telehealth and workforce, and launches community-driven initiatives such as the HEART and PACT programs. Over five years, Arkansas aims to reduce health disparities in rural regions, strengthen provider networks, and ensure sustainable access to care. Event schedule: - Version 6 document update - 03/31/2026 - Presidential Fitness Test implementation target - 12/31/2028 - Arkansas public schools - Pharmacist scope of practice legislative enactment target - 12/31/2027 - Arkansas State Legislature - HEART Initiative Stage 0 - FY26 Q1 - HEART Initiative Stage 1 - FY27 Q1 - HEART Initiative Stage 2 - FY28 Q3 - HEART Initiative Stage 3 - FY30 Q1 - HEART Initiative Stage 4 - FY31 Q1
Core Initiatives
Event schedule: - , 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation - , 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis - , 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care - , 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers - , 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program - , 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill - , 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill - , 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
Event Schedule
The program targets rural residents in high-need counties, particularly in the Delta, Ozarks, and southwest regions, addressing hospital vulnerability, poverty, and chronic disease. It supports all rural hospitals, rural health clinics, federally qualified health centers, and behavioral or community health organizations operating in rural areas statewide. Key initiatives include HEART, RISE Arkansas, PACT, and THRIVE to improve preventive care, recruitment, coordination, and telehealth.
Event Schedule
Core Initiatives
Reference: Mercy Fort Smith to Receive Over 19 Million AS Part of Arkansas Rural Health Transformation Program Link: https://www.nwahomepage.com/river-valley-news/mercy-fort-smith-to-receive-over-19-million-as-part-of-arkansas-rural-health-transformation-program/
Reference: 91 Cfbac919 C9f3 4e98 A0aa 268a579dec23 Link: https://www.thv11.com/article/news/local/150k-awarded-rural-health-transformation-arkansas/91-cfbac919-c9f3-4e98-a0aa-268a579dec23
This document summarizes Arkansas RHTP funding totaling approximately $149 million, splitting between federal and match funding, with multiple sub-awards to hospitals, rural health organizations, and community groups. It provides a snapshot of resource distribution among diverse Arkansas rural health entities.
This document highlights concerns about lack of transparency in a $50 billion rural health program, emphasizing the need for transparent reporting to track funds, outcomes, and program sustainability. It calls for consistent measurement across states to enable comparison and replication of successful models.
The program aims to enhance rural health delivery and access through targeted initiatives and partnerships. It is overseen at the state level with a focus on improving outcomes at Critical Access Hospitals and other rural facilities. Arkansas is committed to implementing strategic goals to transform rural health infrastructure and services.
map-arkansas-projects
US - 2026 - Trump Administration Announces $120 Million to Expand Maternal and Infant Health
Sep 4, 2026 16:02
·EmailAR - 2026 - Mercy Fort Smith Receives More Than 19 Million for Rural Health Initiatives
AR - 2026 - Arkansas Awards $149.3 Million Rural Health Grants
AR - 2026 - Rural Arkansas to See $149.3M in New Healthcare Funding
AR - 2026 - Sanders Announces Nearly $150 Million Awarded in RHT Funds
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
AR - 2026 - Budget Plan
XLSX
AR - 2026 - news feed
HTML
AR - 2027 - procurement announcements
HTML
AR - 2026 - RISE AR Recruitment, Innovation, Skills, & Education for Arkansas Healthcare NOFO Announcement
Program page
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Notice of Funding Opportunity: Promoting Access, Coordination, and Transformation (PACT)
AR - 2026 - View the PACT NOFO document here.
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Budget Template - PACT
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Facility Information Template - PACT
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Financial Information Template - PACT
AR - 2026 - Project Plan Template.xlsx
Project Plan Template - PACT
The AHA urges CMS to prioritize and streamline state applications for the Rural Health Transformation Program, emphasizing the importance of hospital payments, workforce investments, infrastructure modernization, and telehealth expansion. The letter advocates for flexible application deadlines, transparency in fund allocation, and the removal of pre-funding requirements to help financially vulnerable hospitals. The AHA stresses the need for targeted, timely support to sustain access to care in rural communities. Key contacts: Joanna Hiatt Kim jkim@aha.org Event schedule: - AHA Letter to CMS submission - 08/11/2025
Contacts
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
This comprehensive applicant guide details the full Rural Health Transformation Program (RHTP) application process for Arkansas, including eligibility, required documentation, application navigation, and budget templates. It outlines sub-initiatives under HEART, RISE AR, PACT, and THRIVE that applicants may align with, covering a wide range of activities from clinical integration to EMS modernization and workforce development. The guide provides detailed instructions for completing each section of the application and emphasizes alignment with rural health priorities.
Core Initiatives
Arkansas's RHTP budget narrative organizes $208M across four major initiatives addressing nutrition, care access, workforce, and telehealth/infrastructure. BDO GS is the third-party administrator for contracting and oversight; all subawards will be competitively issued under CMS guidance. The strategy emphasizes transparent processes, measurable outcomes, and programmatic alignment with federal rural health priorities. Key contacts: Brad Nye Event schedule: - BDO GS Hiring Deadline - 03/21/2026
Contacts
Core Initiatives
Arkansas’s Rural Health Transformation Program (RHTP) addresses dire rural health access, hospital sustainability, and chronic disease, aiming to transform systems over five years with $150 million in coordinated state and federal funding. Major goals include improving maternal, chronic, and behavioral health, deploying new telehealth and information technology, building integrated care networks, and expanding the rural health workforce. Selected initiatives include large-scale prevention efforts (nutrition, activity, chronic disease), transportation and EMS upgrades, workforce education, and facility improvement strategies.
Event Schedule
Core Initiatives
AR - 2026 - Mercy Fort Smith to Receive Over 19 Million AS Part of Arkansas Rural Health Transformation Program
AR - 2026 - 91 Cfbac919 C9f3 4e98 A0aa 268a579dec23
AR - 2026 - ARPA Grants - Arkansas Department of Human Services
HTML
AR - 2026 - 15 Community Action Agencies
DOCX
Arkansas April 29, 2026 The Honorable Shelley Moore Capito Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S.
2027 · PDF
Arkansas April 29, 2026 The Honorable Robert Aderholt Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S. House
2027 · PDF
Arkansas AHA Submits Requests To Senate For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference
2027 · HTML
AR - 2026 - Arkansas Comprehensive Unwinding Plan
2023 · PDF
AR - 2026 - Handbook
2022 · PDF
Google Alert - rural health transformation