HHS Region 1 · Connecticut Department of Social Services
Program Overview
Connecticut's Rural Health Transformation Program (RHTP), led by the Department of Social Services in coordination with the Office of Health Strategy and partner agencies, is actively implementing initiatives across four focus areas: population health outcomes, workforce development, data and technology modernization, and care transformation and stability. The program features extensive stakeholder involvement through a Rural Health Advisory Council, provider-led care coordination projects, rural hospital modernization, and technology-enabled care models integrated with the state health information exchange. Current structured plan tracks 4 key initiatives and 10 strategic goals.
Updated
County-level estimates averaged across Connecticut — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (9)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Capitol Planning Region | 977,290 | 10.3% | 7.1% |
| Western Connecticut Planning Region | 627,071 | 7.5% | 5.1% |
| South Central Connecticut Planning Region | 570,598 | 11.4% | 7.1% |
| Naugatuck Valley Planning Region | 454,969 | 11.2% | 8.7% |
| Greater Bridgeport Planning Region | 329,259 | 12.4% | 8.6% |
| Southeastern Connecticut Planning Region | 279,971 | 10.7% | 7.8% |
| Lower Connecticut River Valley Planning Region | 175,822 | 6.8% | 3.9% |
| Northwest Hills Planning Region | 113,216 | 8.8% | 5.9% |
| Northeastern Connecticut Planning Region | 96,312 | 7.5% | 5.1% |
207,851 rural residents
AI source: CT - 2026 - Notice of Award RHTCMS332073-02-01
AI auto-updated Nov 11, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in Connecticut?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $307,901,183.16 (Year 1 $154.2M + Year 2 $153.7M)
Initiatives (4)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). Complete In progress Not started
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
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No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
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3 related documents
Connecticut has received a $154 million federal award and launched its Rural Health Transformation Program. DSS finalized $50 million in grant agreements to four rural hospitals and an additional $3.98 million to Mathematica for technical assistance in September 2026. Additional sub-initiative funding is still under state and CMS review, and most program funds have not been fully allocated. State-level procurements are ongoing, with broader subgrants in development and program launch activities underway. State opportunities: 1 active (1 open, 1 past/closed), $1.0M listed funding. Key opportunities: CT - 2026 - Connecticut PACE Request for Applications (RFA) and Information Session Details; Connecticut RHTP – Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence (NOFO #26OHS001). Strategy alignment: supports workforce, telehealth, prevention priorities.
Connecticut’s RHTP advances rural health transformation via a coordinated, multi-agency framework and provider-led, competitive grants, with continued emphasis on AI-enabled remote patient monitoring, care coordination, technology modernization, digital inclusion, and rural hospital upgrades. The four core initiatives structure projects to strengthen healthcare delivery, address rural hospital stability, grow the workforce pipeline, and integrate advanced data and technology, with annual renewals tied to measurable outcomes and CMS approval.
Model
Multi-agency and initiative-based transformation built around integrated rural care delivery, rapid adoption of AI health technology, statewide health information exchange integration, workforce pipeline development, rural hospital and facility modernization, and continuous stakeholder and public engagement, using phased, provider-led, performance-based funding.
Key Initiatives (4)CMS official list ↗
Supporting activities (10)
• Provider-led implementation of AI-enabled remote patient monitoring and strengthened care coordination for chronic disease management in rural communities
• Integrate care delivery and coordination models with the statewide health information exchange (Connie)
Timeline: Implementation includes an initial $154 million phase (Dec 2025 – Oct 2026); anticipated five-year program through 2031, with annual grant cycles and project renewals contingent on performance or CMS approval. Federal period of performance: Dec 2025 – Oct 2030.
Care Transformation and Stability
Data and Technology
Population Health Outcomes
Workforce
State Policy Action commitments (2 of 19)
The program focuses on leveraging technology to enhance management of chronic diseases for rural populations.
Reducing avoidable hospital stays and improving outcomes through remote monitoring and coordinated care is a central goal.
Rural Connecticut faces unique challenges in access and quality which the program aims to address through mobile clinics and expanded services.
CT - 2026 - Notice of Award for Connecticut RHTP
Official CMS Notice of Award (NOA)
CT - 2027 - Governor Lamont's 2026 Legislative Proposals
Auto-grouped context match (37%)
CT - 2025 - Connecticut (CT) RHT Project Summaries
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Connecticut Office of Health Strategy (transferring to Office of Policy and Management, July 1, 2026)
Due Jul 7, 2026
7 related documents
CT - 2026 - Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence – Grant Application (#26OHS001)
CT - 2026 - Connecticut RHTP – Health Care Coordination and Remote Patient Monitoring Using AI (NOFO #26OHS001)
CT - 2026 - Quick-Start Guide: RHTP Grantee Budget Template
CT - 2026 - Notice of Funding Opportunity RHTP
CT NOFO Press Release Page
CT - 2026 - Notice Of Funding Opportunity #26Ohs001 RHTP Health Care Coordination And Remote Patient Monitoring Using Artificial Intelligence
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Connecticut NOTICE RHTP Application
Auto-linked by identifier (package file)
Connecticut Notice Of Funding Opportunity RHTP Webpages Notice Of Funding Opportunity RHTP --> -->
CT NOFO Press Release Page (language variant)
Connecticut Department of Social Services (DSS)
Grouped files
2 related documents
CT - 2026 - Connecticut PACE Request for Applications (RFA) and Information Session Details
Primary source
Connecticut received a federal award totaling $153.65 million to support its Rural Health Transformation Program focusing on modernizing rural health delivery through technology and telehealth expansions. The award is part of a multi-year budget period starting late 2025 through 2030, emphasizing infrastructure upgrades and predictive analytics. Key contacts: Mr. Daniel Mize Sinclair daniel.sinclair@ct.gov; Julie Vigil julie.vigil@ct.gov; Ms. Dominique S Hodge dominique.hodge@cms.hhs.gov; Marline Vignier marline.vignier@cms.hhs.gov Event schedule: - Federal Award Date - 11/06/2026
Event Schedule
Contacts
Core Initiatives
Connecticut plans to launch its first PACE program with funding from the Rural Health Transformation Program. An RFA information session is scheduled for November 17, 2026, to engage community and providers about program requirements. Event schedule: - PACE RFA Information Session - 11/17/2026 - 9:00 AM ET - 55 Farmington Ave, Hartford
Event Schedule
Core Initiatives
Connecticut’s Rural Health Transformation Program aims to address healthcare delivery gaps through technology-driven models, performance-based payments, and targeted investments in workforce and telehealth capacity. The plan responds to documented shortages of primary care, behavioral health, and specialty providers in rural regions, where residents face higher rates of chronic disease, limited transportation, and significant financial strain. By 2031, Connecticut intends to reshape the rural health landscape with integrated care and sustainable facility access points for rural communities. Event schedule: - Updated Project Narrative Date - 2026-03-16 - Connecticut - Spring 2026 Legislative Session - 2026-03-01 - Connecticut - FFY 2031 Performance Target Deadline - 2031-09-30 - Connecticut - Completion of required policy and regulatory actions - 2027-12-31 - Connecticut - Finalization of technical updates for implementation - 2028-12-31 - Connecticut
Core Initiatives
No state-specific items extracted for CT.
Connecticut's Rural Health Transformation Program includes 25+ initiatives targeting aging, behavioral health, technology access, care coordination, and rural workforce infrastructure. Projects include crisis stabilization, digital equity, provider incentives, school-based supports, hospital transformation, shared HIT infrastructure, and coordinated population health outreach in partnership with CT Tribal Nations. The program utilizes both new models (e.g., AI-powered care) and scaling of proven pilots, prioritizing sustainable, scalable transformation.
Core Initiatives
Connecticut's RHTP funds a $154.2 million statewide rural transformation initiative across aging, behavioral health, IT modernization, hospital transformation, and workforce. Major investments include PACE expansion, hospital right-sizing, HIE, crisis stabilization, rural care pilots, and health workforce. Direct recipient/contractor awards include named health systems, tech, behavioral health, and education entities under competitive or designated assignments.
Connecticut's total RHTP allocation exceeds $154 million for FY 2026-2027, with funds supporting a diverse portfolio: rural hospital transformation and infrastructure, mobile health pilots, mental health expansions, workforce incentives, universal nurse visits, and major investment in health information technology and data analytics. The state's plan emphasizes direct investments to critical access points such as rural hospitals, primary and maternal health, behavioral healthcare, and telehealth capability, along with concerted workforce training, engagement in value-based payment, and addressing the digital divide through modern IT infrastructure. Oversight by DSS is supported by OHS and DMHAS as key state partners. Key contacts: Mehul Dalal Event schedule: - Budget Period 1: Performance Start - 12/29/2025 - Budget Period 1: Performance End - 10/30/2026 - Permissible Spending End - 09/30/2027 - Connecticut Department of Social Services - RHT Budget Narrative Updated - 2026-04-07 - Connecticut
Contacts
Core Initiatives
CT DSS is piloting a bundled maternity payment model for Medicaid births, with health equity as a central focus. The bundle will include doulas, payment parity for Certified Nurse Midwives, and strive for improved maternal health outcomes tracked by race and ethnicity. The strategy aims to remedy disparities and incentivize value-based care.
Core Initiatives
The program focuses on dozens of projects spanning healthcare delivery, workforce development, technology integration, and community support across rural communities. This federal funding will enable Connecticut to advance rural health transformation initiatives comprehensively.
Event Schedule
Connecticut received a $154 million federal grant for the first year of the RHTP, with a potential total of approximately $750 million over five years. The program focuses on population health outcomes, workforce development, data and technology, and care transformation and stability. The program was developed through extensive public engagement and includes ongoing stakeholder involvement throughout implementation. Event schedule: - On , 2025, the Department submitted the State’s application for the Centers for Medicare and Medicaid Services’ Rural Health Transformation Program, including a required endorsement letter from Governor Lamont. Applic...
Connecticut’s Rural Health Transformation Program includes 4 initiatives, 31 sub-initiatives, and 1 gate organization, funded by a $154.2 million award for fiscal year 2026.
The Centers for Medicare & Medicaid Services (CMS) announced a $50 million federal investment through the Rural Health Transformation Program (RHTP) to improve rural hospital infrastructure in Connecticut. This funding will help four rural hospital systems modernize facilities, expand services, and support sustainable healthcare for rural communities. Key focus areas include technology upgrades, workforce development, prevention efforts, and payment reform to improve local access to high-quality care.
The document provides a link to Connecticut's Rural Health Transformation and Telehealth Innovation highlights on the RHTP Navigator site.
Connecticut's RHTP funds a comprehensive statewide transformation—including rural hospital stabilization, mobile health pilots, technology modernization, crisis stabilization units, and rural workforce expansion. Programs target care delivery, technology upgrades, integration of behavioral/physical health, value-based payments, and direct support to rural providers, EMS, and critical access hospitals. The program emphasizes cross-agency collaboration and robust oversight with substantial investment in direct provider, IT, and workforce capacity.
Event Schedule
Core Initiatives
2030-10-30
Period of performance ends
Period of performance ends.
2028
Begin PACE Enrollment
PACE enrollment will begin in 2028.
Early 2027
Select PACE Organization
PACE Organization will be selected in Early 2027.
2027
PACE Organization and State Preparations
PACE Organization and State preparations will take place in 2027.
2027
Applications and Approvals from CMS
Applications and approvals from CMS will occur in 2027.
Quarterly: Jan. 10; Apr. 12; Jul. 12; Oct. 11, 2027
Performance Reporting
Quarterly reporting, or more frequently if needed, will be required.
September 10, 2026 – August 30, 2027
Period of Performance (Year 1)
This is the Year 1 performance timeframe.
2026-08-18
CMS-approved PACE FAQ posted
DSS posted a CMS-approved Connecticut PACE FAQ under the RHTP documents page.
August 17, 2026
Grant Awards Announced
Once all negotiation is completed and contracts signed, awards will be announced.
2026-07-08
First-year population-health funding awarded
$7,165,955 in first-year population-health funding for the Air Line State Park Trail (DEEP and DSS).
Late 2026- Early 2027
Issue RFP for PACE Organization
An RFP for PACE Organization will be issued in Late 2026- Early 2027.
May 22,2026
NOFO Announced
NOFO publication date.
CT RHTP site updated — 2 new, 2 existing source(s) refreshed
CT - 2026 - Connecticut RHT Plan
CT RHTP site updated — 1 new, 0 existing source(s) refreshed
CT state summary updated: transformationStrategy initiatives: 11 -> 4
Connecticut’s RHTP advances rural health transformation through coordinated multi-agency action, extensive stakeholder engagement, and a com…
CT RHTP site updated — 1 new, 1 existing source(s) refreshed
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 139.
CT - 2026 - Minutes
2026 · PDF
Accountability Working Session #2 - September 22, 2026
2026-2027 · PDF
CT - 2026 - Minutes
2026 · PDF
CT - 2026 - $50M Federal Investment to Modernize Connecticut Rural Hospitals
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CT - 2026 - Connecticut Invests $50 Million in Rural Hospital Transformation
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CT - 2026 - Connecticut's Air Line State Park Trail Receives $7 Million RHTP Grant
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CT - 2026 - Connecticut Launches $40M RHTP Project to Improve Rural Outdoor Recreation Access
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CT - 2026 - Connecticut RHTP NOFO Q&A Round 2 Released
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Connecticut Special Education Expansion And Development (SEED) Grant RHTP 2025 Guidance
2025 · PDF
Choice Working Session - September 16, 2026
2025-2026 · PDF
Special Education Working Session #1 - September 3, 2026
2026-2027 · PDF
CT - 2026 - Minutes
2026 · PDF
CT - 2026 - Minutes
2026 · PDF
CT - 2026 - Minutes
2026 · PDF
CT - 2026 - Stakeholder Engagement (Phase 1) Memorandum
2026 · PDF
Full Commission Meeting - August 20, 2026
2026-2027 · PDF
An Evaluation of the Effectiveness of Home Visits for Re-Engaging Students Who Were Chronically Absent in the Era of Covid-19
2022 · PDF
Prevention And Intervention Guide
Full Commission Meeting - July 16, 2026 Virtual - Zoom
2026-2027 · PDF
Leap And Hdt Policy Brief
CT - 2026 - evaluation of effect of high dosage tutoring following covid 19
Blue-Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 25, 2026
2026-2027 · PDF
Blue Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 4, 2026
2026 · PDF
Connecticut Every Student Prepared For Learning, Life, And Work Beyond School The Comprehensive Plan For Education 2023–2028 Connecticut State Board Of Education
2023-2028 · PDF
Connecticut EDUCATION FUNDING 101 ECS Grant And Choice Schools RHTP 2023 Slide Deck
2023 · PDF
Connecticut 50-State Comparison: K-12 Funding - Education Commission Of The States Tools State Education Policy Tracking Resources By State Governors' State Of The State Addresses
2024 · HTML
McKinneyVentoAct2015
Blue Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 4, 2026
2026 · PDF
BizNet webpages overview - State of Connecticut
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State of Connecticut State Contracting Portal Overview (CTsource)
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Return of Organization Exempt From Income Tax (Form 990), 2025
2025 · PDF
Connecticut Education & Science, Technology, Engineering, Arts, Mathematics (STEAM) Subcommittee RHTP 2021 Meeting Minutes
2021 · PDF
Connecticut SUMMARY REPORT Subcommittee Tri-Chair: Commissioner RHTP 2021 Meeting Minutes
2021 · PDF
Connecticut Governor’s Council On Women And Girls Full Council Meeting RHTP 2021 Meeting Minutes
2021 · PDF
Connecticut Governor’s Council On Women And Girls Full Council Meeting RHTP 2021 Slide Deck
2021 · PDF
Connecticut Governor’s Council On Women And Girls Full Council Meeting RHTP 2021 Meeting Minutes
2021 · PDF
Connecticut Governor’s Council On Women And Girls Full Council Meeting RHTP 2021 Meeting Minutes
2021 · PDF
Connecticut Paid Leave Presentation To Governor’s Council On Women And Girls RHTP 2021 Webinar
2021 · PDF
Common Cause Connecticut
Connecticut Governor Ned Lamont State Of Connecticut RHTP 2020 Document
CT - 2025 - Connecticut RHTP PACE Program: FAQ and Guidance for Providers and Stakeholders
FAQ (detected 2026-11-12): Connecticut PACE Frequently Asked Questions (FAQ) - 8/2026
Connecticut was awarded $154.2 million in federal Rural Health Transformation Program funds for FY26 to support rural hospitals, population health, workforce, technology, and care transformation initiatives. Funds were rapidly allocated to rural hospitals and technical assistance, with multimillion-dollar sub-initiative budgets now in design for rollout in 2026 and beyond. Population health and mental health access are among the top priorities. Key contacts: Andrea Barton Reeves; Manisha Juthani, MD Event schedule: - FY26 award announced - 12/29/2025 - DSS finalized RHTP grant agreements - 09/16/2026 - DEEP and DSS Air Line State Park Trail funding awarded - 07/08/2026 - Period of performance ends - 10/30/2030
Event Schedule
Contacts
Core Initiatives
Connecticut was awarded $100 million in federal funds for Budget Period 2 of the Rural Health Transformation Program, supporting the continued implementation of its rural health modernization plan. The award focuses on technology, analytics, facility upgrades, digital inclusion, and telehealth expansion. Restrictions on some funds are in place pending CMS approval of a revised budget, with reporting and compliance milestones detailed in the award Terms and Conditions. Key contacts: Daniel Mize Sinclair daniel.sinclair@ct.gov; Julie Vigil julie.vigil@ct.gov; Dominique S Hodge dominique.hodge@cms.hhs.gov; Marline Vignier marline.vignier@cms.hhs.gov Event schedule: - Budget Period 2 Start - 10/31/2026 - Budget Period 2 End - 10/30/2027 - Deadline: Revised Budget Submission - 11/30/2026 - COB - Annual Progress Report Due - 08/30/2027 - Failure to finalize State policy actions - 2027-12-31 - Deadline to enact B.2. “Health and lifestyle” and B.4. “Nutrition Continuing Medical Education” policies - 2028-12-31 - Budget period 1 start - 2025-12-29 - Budget period 1 end - 2026-10-30
Event Schedule
Contacts
Core Initiatives
Connecticut's Department of Social Services (DSS) is launching a PACE pilot in Northwest Hills as part of its multi-pronged Rural Health Transformation Program, with a final report and stakeholder engagement preceding an RFP for a PACE Organization. The initiative aims to expand aging-in-place options, reduce hospital and nursing home utilization, and improve population health in rural areas. Application and implementation milestones extend from 2026 through prospective enrollment in 2028. Key contacts: Carrie Amero carrie.amero@ct.gov Event schedule: - Public Informational Webinar - 07/21/2026
Event Schedule
Contacts
Core Initiatives
Event schedule: - Notice of Funding Opportunity Rural Health Transformation Program webpages Notice of Funding Opportunity Rural Health Transformation Program --> --> Skip to Content Skip to Chat Report an accessibility issue. State of Connecticut × search Search Language Arabic Chinese (Simplified) Chinese (Traditional) English French German Haitian Creole Hindi Italian Korean Pashto Polish Portuguese (Brazil) Russian Spanish Filipino Ukrainian Vietnamese Office of Health Strategy Office of Health Strategy Office of Health Strategy ☰ Office of Health Strategy Main Menu Close ⮐ Back ⮐ Back Home Programs & Initiatives Councils & Committees Resources & Publications About FAQ You are about to Logout Are you sure you want to log out of your account? If you do want to logout, please click Logout . Cancel Logout Press Release Homepage Notice of Funding Opportunity Rural Health Transformation Information Technology Program 5/22/2026 The Office of Health Strategy (OHS) announces a Notice of Funding Opportunity (NOFO) for grants supporting AI-enabled healthcare and remote patient monitoring in Connecticut s rural communities. This NOFO invites provider led initiatives aimed at improving healthcare access and outcomes through the implementation of AI-enabled remote patient monitoring and strengthened care coordination. Funded by the Centers for Medicare Medicaid Services (CMS) under the Rural Health Transformation Program (RHTP), this opportunity focuses on: Reducing avoidable hospital utilization Enhancing chronic disease management Supporting sustainable, technology enabled care models that fully integrate with Connecticut s health information exchange, Connie A total of $1.8 million is available in Year 1. Applicants may request funding for up to five years through a phased, performance-based model. Awards will be made annually based on demonstrated progress, measurable outcomes, and available federal funding. Individual awards will range from $100,000 to $1,000,000 and OHS anticipates making up to 5 grant awards for year 1. All funds must be fully expended within the applicable funding period; carryover is not permitted . Eligible applicants include (non-exhaustive): Hospitals and health systems, federally qualified health centers (FQHCs), behavioral health providers, independent medical practices, municipal and state health departments, academic medical centers, and multi-entity consortia with a clinical lead. Note: Technology vendors may participate only as subcontractors and are not eligible to serve as lead applicants. All questions must be submitted to RHTP@ct.gov no later than , 2026 using Subject Line : CT RHTP Q A . Applications must be submitted by July 7, 2026, 2:00 PM ET. Access the NOFO and all application materials below: Notice of Funding Opportunity RHTP - Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence (PDF) Notice of Funding Opportunity RHTP Application - Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence (MSWord) Notice of Funding Opportunity RHTP Grantee Budget Workbook - Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence (Excel) These documents will also available on the CTSource Contracting Portal and the OPM RFP/RFA/RFI/RFQ webpage . This project is supported by the Centers for Medicare Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $154,249,105.53 in Budget Period 1 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, not an endorsement, by CMS/HHS, or the U.S. Government. Media Contact: Questions specific to this notice of funding opportunity from prospective applicants should be directed to RHTP@ct.gov All inquiries from media should be directed to: Wendy Fuchs, MBA, FACHE Director of Communications Wendy.Fuchs@ct.gov 860-969-7228 Office of Health Strategy (OHS) P.O. Box 340308
 450 Capitol Ave MS#51OHS
 Hartford, CT 06134-0308 PHONE: 860-418-7001 EMAIL: ohs@ct.gov News and Meetings Press Room Public Meetings Sign Up for OHS News About OHS Acting Commissioner Porter Internship Job Openings FAQ About CT Policies Accessibility Directories Social Media For State Employees United States Mast: (Full) Connecticut Mast: (Full) 2026 CT.gov - Connecticut's Official State Website - June 9
Core Initiatives
Connecticut received over $154M for comprehensive rural health transformation. Major investment areas include outdoor recreation for healthy aging, major advancements in mobile health and telehealth infrastructure, significant behavioral and mental health expansions, workforce incentives, and hospital right-sizing. Implementation led by DSS with sub-agencies supporting HIT, workforce, behavioral health, and hospital transformation. Key contacts: Mehul Dalal Event schedule: - Budget Period 1 Start - 12/29/2025 - Budget Period 1 End (performance period) - 10/30/2026 - Permissible Spending Deadline - 9/30/2027 - Document Update - 2026-04-07 - Connecticut Department of Social Services
Contacts
Core Initiatives
Event Schedule
Core Initiatives
Connecticut has finalized $50 million in Rural Health Transformation Project (RHTP) grant agreements, with $46 million awarded to four rural hospitals and nearly $4 million to Mathematica for technical assistance. Funding will support facility modernization, service expansion, and workforce stabilization over five years. Year 1 grants target immediate infrastructure and operational improvements to enhance care access for rural residents. The program is part of a broader CMS-funded initiative, with partnerships involving community organizations and the Connecticut Office of Rural Health.