Delaware’s Rural Health Transformation Program is actively implementing a comprehensive, multi-year strategy, with initial RFPs released to establish the state's first four-year medical school, expand school-based health centers in rural Sussex County, develop Food Is Medicine infrastructure, and deploy rural health hubs such as mobile health unit networks. The program prioritizes addressing rural care disparities through projects focused on access, prevention, nutrition-integrated care, workforce development, and telehealth, emphasizing sustainability, measurable outcomes, and partnership-driven capacity building. Current structured plan tracks 16 key initiatives and 9 strategic goals.
County-level estimates averaged across Delaware — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
9.5%
-1.9pp
Uninsured (18–64)
12.3%
-0.1pp
Diabetes
37%
-0.5pp
Obesity
13.2%
-2.9pp
Current smoking
36.5%
+0.4pp
High blood pressure
27.6%
-0.1pp
Physical inactivity
6.3%
-0.6pp
Heart disease
3.5%
-0.2pp
Stroke
pp = percentage points vs US county average
County Drilldown (3)
County
Pop
Poverty
Uninsured
New Castle County
577,961
10.1%
6.7%
Sussex County
255,626
10.9%
7.5%
Kent County
187,604
10.6%
7.9%
Rural population24.0%
237,378 rural residents
Demographics
Total population
1.0MCensus ACS5 2024
Rural population
237KUSDA ERS RUCC 2023
Rural population %
24.0%USDA ERS RUCC 2023
Poverty rate
10.4%Census ACS5 2024
Median household income
$84,954Census ACS5 2024
Uninsured rate
7.2%Census ACS5 2024
CAH count
0AI extracted
Rural hospital facilities
0AI extracted
Primary care HPSA
3HRSA Data Warehouse (GIS)
Dental HPSA
3HRSA Data Warehouse (GIS)
Mental health HPSA
3HRSA Data Warehouse (GIS)
MUA count
7HRSA Data Warehouse (GIS)
MUP count
1HRSA Data Warehouse (GIS)
FQHC facilities
13HRSA Data Warehouse (GIS)
AI source: DE - 2026 - state of delaware opens initial rfps to transform rural health care
AI auto-updated Sep 5, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Expand and integrate rural access points for preventive, primary, behavioral, and specialty care
2Build and retain a sustainable rural healthcare workforce through targeted education, training, and placement
3Modernize rural facility infrastructure, health IT, and delivery models
4Lower rural healthcare costs and improve population health outcomes
5Advance chronic disease, diabetes, and maternal and child health management, prevention, and equity, in alignment with the State Health Improvement Plan
6Reduce health disparities and address social determinants of health in rural Kent and Sussex Counties
7Expand health information exchange access and real-time insurance verification for payers and providers
8Increase stakeholder awareness of RHTP funding and resources
9Ensure program-wide coordination, monitoring, and reporting for all RHTP initiatives
Worth to Notice / Recent Updates (36)
Key signals are summarized here. Open the source for the supporting detail.
DE - 2025 - Delaware RHTP Executive Budget Summary (Final-RHTP-Revised-Budget-1.30.26)
Auto-grouped context match (37%)
Current Progress
Implementing
Delaware has awarded funds to four organizations to establish new school-based health centers in Sussex County as part of its rural health transformation effort. The state has opened and maintains multiple Requests for Proposals to competitively solicit applications for program initiatives, with active opportunities and ongoing provider engagement. Local project activities are underway, supported by open public funding opportunities extending through September 2026. The program is advancing implementation with procurements addressing infrastructure, service delivery, and rural care priorities. State opportunities: 10 total (10 past/closed), $197.7M listed funding. Key opportunities: Delaware Medical School Partnership – Rural Health Transformation Program; Delaware Rural 'Hope Center' Initiative; School-Based Health Center Expansion Initiative – Kent and Sussex Counties. Strategy alignment: supports workforce, care access priorities.
RHTP Strategy
Delaware’s RHTP advances rural health transformation by expanding access through integrated Hope Centers, new school-based health centers in Sussex and Kent, and the state’s first four-year medical school to grow the rural care pipeline. The strategy leverages competitive funding opportunities, technology investments, and workforce-focused initiatives to enhance community capacity and address rural health disparities, especially in Sussex County. Initiatives emphasize chronic disease management, behavioral health, and service delivery through mobile and integrated health hubs.
Model
An integrated rural health system anchored by Hope Centers, community health hubs and mobile units, a four-year medical school, expanded school-based care (including new Sussex County centers), Food Is Medicine infrastructure, health IT and HIE upgrades, competitive telehealth/remote monitoring grants, maternal and child health initiatives, targeted chronic disease management, and expanded workforce recruitment, training, and support.
Key Initiatives (16)
1Establish Hope Centers in Sussex and Kent Counties for integrated health, behavioral health, housing, and employment services
2Open Delaware's first four-year medical school to build the rural primary care pipeline
3Launch Rural Community Health Hubs and deploy mobile health units to deliver preventive, primary, behavioral, and specialty care in rural communities
Timeline: Initial RFPs released February 2026; Hope Center needs assessments and site selection by Q2 2026; four new Sussex school-based health centers announced July 2026; first Hope Center launch by September 2026; medical school steering committee and dean appointment by end of 2026; school-based health and clinical support pathway program contracts by Q3 2027; rural library access point rollout begins late 2026; community health hub and mobile unit expansion ongoing through 2030; HIT modernization rollouts and HIE/payer access upgrades 2026-2028; program coordination and reporting monthly and quarterly per contract requirements.
Health Priority
Access to Care
Nearly 40% of Delawareans live in rural communities with limited healthcare access, especially in Kent and Sussex counties.
Kent CountySussex County
Sep 5, 2026
Health Priority
Workforce Development
Delaware is one of three states without an in-state medical school and aims to build a sustainable pipeline of primary care physicians committed to rural practice.
Statewide
Sep 5, 2026
Health Priority
Chronic Disease Management and Nutrition
Integrating Food Is Medicine initiatives into rural health care delivery to improve outcomes and support reimbursement strategies.
Funds to establish a school-based health center at Georgetown Middle School to improve access to health care services for rural students in Sussex County.
Not disclosed
Population Health
2026
Beebe Healthcare – Sussex Central Middle School
Funds to establish a school-based health center at Sussex Central Middle School, increasing care access and supporting health outcomes for rural students.
Not disclosed
Population Health
2026
Nemours Children’s Health – Seaford Middle School
Funds to establish a school-based health center at Seaford Middle School to expand access to preventive, primary and behavioral health services for rural students in Sussex County.
Not disclosed
Population Health
2026
TidalHealth – Selbyville Middle School
Funds to establish a school-based health center at Selbyville Middle School to provide preventive, primary and behavioral health care for rural Sussex County students.
Not disclosed
Population Health
2025
Delaware Department of Health and Social Services
Fund competitive procurement for FQHCs and organizations to deploy mobile health units in rural Sussex and Kent Counties, expanding preventive, chronic disease, behavioral, and specialty care access where local provider shortages persist.
$20.0M
Population Health
2025
Delaware DHSS / Mobile Health Hubs Grantee Pool
Competitive grants to FQHCs and qualified organizations to deploy at least 8 new mobile health units for preventive and chronic disease care, behavioral health, and specialty services to high-need rural communities across Sussex and Kent counties.
$20.0M
EMS Development
2025
Delaware Division of Public Health
Competitive procurement to establish four new School-Based Health Centers in rural Sussex and Kent Counties, providing preventive, behavioral, and chronic care to students and families, including minor facility renovations and staffing.
$10.0M
Population Health
2025
Delaware Division of Public Health / School-Based Health Centers Initiative
Funds four new elementary/middle SBHCs in rural Sussex and Kent counties, covering clinical build-out, staffing, and service expansion to increase rural access to physical, behavioral, and preventive health for youth.
$10.0M
Population Health
2025
Rural Community Health Hubs (Mobile Health Units)
Funding for deployment of a network of mobile health units throughout rural Sussex and Kent Counties to deliver preventive, chronic disease, behavioral health, and specialty care services directly to underserved residents.
$10.0M
Quality Improvement
2025
School-Based Health Centers Expansion Initiative
Funds to support the competitive procurement of four new school-based health centers in Sussex and Kent County elementary and middle schools, providing physical, behavioral, and preventive healthcare to students and families.
Delaware announced the launch of a statewide initiative to upgrade its health information technology infrastructure. The program aims to provide real-time insurance verification and prior authorization capabilities for providers, with a focus on improving access and reducing administrative burden in rural areas. This announcement introduces technical enhancements relevant to Medicaid and rural hospital transformation.
HEALTH_INFORMATION_TECHNOLOGY
Core Initiatives
Enhance statewide HIT infrastructure
Enable real-time insurance verification and prior authorizations for providers
Increase efficiency and reduce barriers in rural health delivery
✉️
AnnouncementJul 14, 2026TXT
Delaware is expanding access to health information exchange platforms under RHTP, enabling providers and payers to collaborate more effectively. The initiative is intended to improve care coordination and benefit rural hospitals and Medicaid beneficiaries.
HEALTH_INFORMATION_TECHNOLOGY
🌐
AnnouncementMay 13, 2026HTML2026
Award Announcement Documents (3)
📄
Award AnnouncementJun 17, 2026PDF2025-2026
Delaware received a federal award of $157,394,963.86 through the Rural Health Transformation Program to advance major rural health improvements targeting underserved populations in Sussex and Kent Counties. Funds are temporarily restricted pending CMS approval of a revised budget; once lifted, Delaware will implement an ambitious transformation plan across policy, administration, and rural facility support. The cooperative agreement details reporting, compliance, and milestone requirements to sustain progress for up to five years. Key contacts: Ms. Katherine Hughes Katherine.Hughes@delaware.gov; Mr. Steven Blessing steven.blessing@delaware.gov; Ms. Jennifer Herndon jennifer.herndon1@cms.hhs.gov; Katherine Sapra katherine.sapra@cms.hhs.gov
Event schedule:
- Federal Award Start Date - 12/29/2025 - ET
- Budget Period 1 End Date - 10/30/2026 - ET
- NCC Application Due (Budget Period 2) - 08/30/2026 - ET - GrantSolutions
- Annual Progress Report #1 Due - 08/30/2026 - ET - GrantSolutions
- Budget Period 1 Start - 2025-12-29
- Budget Period 1 End - 2026-10-30
- Budget Periods 2-5 Start - 2026-10-31
- Budget Periods 2-5 End - 2030-10-30
Award: $157.4MPOPULATION_HEALTH · FINANCE · QUALITY_IMPROVEMENT · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Event Schedule
Federal Award Start Date - 12/29/2025 - ET
Budget Period 1 End Date - 10/30/2026 - ET
NCC Application Due (Budget Period 2) - 08/30/2026 - ET - GrantSolutions
Show all schedule items (9)
Federal Award Start Date - 12/29/2025 - ET
Budget Period 1 End Date - 10/30/2026 - ET
NCC Application Due (Budget Period 2) - 08/30/2026 - ET - GrantSolutions
Annual Progress Report #1 Due - 08/30/2026 - ET - GrantSolutions
Katherine Sapra - <katherine.sapra@cms.hhs.gov> - Acting Deputy Director - CMS/HHS
Core Initiatives
Advance comprehensive rural health transformation across Delaware
Reduce healthcare access and outcome disparities for rural populations
Implement state policy actions and innovative care models
Show all initiatives (4)
Advance comprehensive rural health transformation across Delaware
Reduce healthcare access and outcome disparities for rural populations
Implement state policy actions and innovative care models
Monitor progress through regular reporting and CMS collaboration
📄
Award AnnouncementMay 31, 2026PDF2026Federal
📄
Award AnnouncementMay 25, 2026PDF2025
The document announces approximately $1.2 million awarded by HRSA to Delaware to enhance rural healthcare access, opioid response programs, and outreach. Four key sub-awards support behavioral health, overdose response, outreach services, and rural health office initiatives.
This RFP solicits proposals to develop and implement evidence- and practice-based interventions to improve health equity among Delawareans with or at risk for diabetes, in alignment with Delaware’s chronic disease prevention strategies. Applicants must propose comprehensive approaches addressing prevention and management of diabetes, guided by data showing high prevalence, racial disparities, and comorbidities such as obesity and disability. Funding ties to RHTP transformation objectives and CDC strategies for equity in diabetes and chronic disease. Key contacts: Maurica Sampson Maurica.sampson@delaware.gov; Eddie Mui DHSS_DMS_dmsprocure@delaware.gov; Maurica Sampson Maurica.sampson@delaware.gov; Shebra Hall Shebra.hall@delaware.gov
Event schedule:
- Public Notice - 02/09/2026 - ET
- Deadline for Questions - 03/02/2026 - 4:30 PM ET
- Response to Questions Posted - 03/16/2026 - ET
- Deadline for Receipt of Proposals - 03/30/2026 - 1:00 PM ET - https://dhss.bonfirehub.com/
- Estimated Notification of Award - 05/29/2026 - ET
- Estimated Project Begin Date - 08/01/2026 - ET
- Contract Notice Contact - Division of Public Health, 417 Federal Street Dover, DE 19901
Shebra Hall - <Shebra.hall@delaware.gov> - Contract Officer/Usage Report Contact - State of Delaware
Core Initiatives
Advance health equity for populations with or at risk for diabetes.
Implement evidence-based and innovative strategies for diabetes prevention and management.
Support and align with statewide chronic disease mitigation plans including diabetes, hypertension, cardiovascular disease, cancer, obesity, and asthma.
Show all initiatives (10)
Advance health equity for populations with or at risk for diabetes.
Implement evidence-based and innovative strategies for diabetes prevention and management.
Support and align with statewide chronic disease mitigation plans including diabetes, hypertension, cardiovascular disease, cancer, obesity, and asthma.
Facilitate Delaware's vision to become the healthiest state in the nation.
Strengthen self-care practices by improving access, appropriateness, and feasibility of diabetes self-management education and support (DSMES) services for priority populations
Increase access to and participation in complementary diabetes support programs and services.
Expand availability of ADA-recognized and ADCES-accredited DSMES services as a covered health benefit for Medicaid beneficiaries and employees with diabetes.
Improve acceptability and quality of care for priority populations with diabetes.
Increase enrollment and retention of priority populations in the National Diabetes Prevention Program (National DPP) lifestyle intervention and the MDPP by improving access, appropriateness, and feasibility of the programs.
Expand availability of the National DPP lifestyle intervention as a covered health benefit for Medicaid beneficiaries and/or employees and covered dependents at high risk for type 2 diabetes.
The State of Delaware has issued an open solicitation for the Rural Library-Based Health Access program, aiming to leverage libraries to improve health access in rural areas. Applications are due in April 2026, and contact details are provided for further information. Key contacts: Ricky Williamson ricky.williamson@delaware.gov
Event schedule:
- Solicitation Ad Date - 02/12/2026
- Deadline for Bid Responses - 04/17/2026 - 1:00 PM ET
This document provides a standardized template to guide applicants in preparing a workplan for the Delaware Rural Health Transformation Program Support Services RFP. It outlines required elements such as objectives, monitoring approach, targets, and responsible parties to ensure structured responses. No award or budget information is included.
Strategy Documents (2)
📄
StrategyJun 21, 2026PDF2026
This House Joint Resolution directs a state-led study on creating a healthcare apprenticeship degree program with paid clinical placements to tackle rural workforce shortages. The initiative aims to leverage and align with the Rural Health Transformation Program award and future competitive DHSS subawards. The study's report and recommendations are due to state leadership by May 1, 2027.
Event schedule:
- Report Due Date - 05/01/2027 - Governor's Office, Delaware General Assembly
WORKFORCE
Event Schedule
Report Due Date - 05/01/2027 - Governor's Office, Delaware General Assembly
Core Initiatives
Address rural healthcare workforce shortages through development of apprenticeship pathways.
Align apprenticeship and credentialing programs with high school and postsecondary pathways.
Leverage federal Rural Health Transformation Program funds for healthcare workforce initiatives.
The Delaware RHTP unites 15 integrated initiatives focused on access, workforce, technology modernization, and population health, directly serving 400,000 rural residents across Sussex and Kent Counties. Major investments include renovation of state-owned buildings for Hope Centers, workforce expansion, telehealth infrastructure, and community hub services. The total program cost is $786,970,081.95, with a 9.1% indirect rate to ensure statewide administrative and compliance oversight. Key contacts: Delaware Division of Libraries; Delaware Health Care Commission; Delaware Health Care Commission (DHCC) Program Manager
Event schedule:
- CMS Rural Health Transformation Summit - 03/18/2026 - ET - Hilton Baltimore Inner Harbor, Baltimore, MD
- Initiative Period of Performance Start - 2025-12-29
- Initiative Period of Performance End - 2026-10-30
- Period of Performance Start - 2025-12-29 - America/New_York - Delaware
- Period of Performance End - 2026-10-30 - America/New_York - Delaware
- Rural Medical Residency Recruitment Program Period of Performance - 2025-12-29 - Eastern Time - Delaware
- Rural Medical Residency Recruitment Program End Date - 2026-10-30 - Eastern Time - Delaware
- Training Programs for Clinical Support Roles in Rural Areas Period of Performance - 2025-12-29 - Eastern Time - Delaware
The Delaware Department of Health and Social Services hosts several open public funding opportunities related to health services, including electronic visit verification, groundwater treatment, health programs, and tobacco cessation services. These opportunities have defined closing dates extending into late 2026, with structured submission timelines.
Delaware is establishing four new school-based health centers in rural Sussex County through the Rural Health Transformation Program. This increases access to care for students in under-resourced areas, supporting both physical and mental health and aiming to close historic gaps in rural health and educational outcomes. Nearly three-quarters of Delaware's existing centers are in New Castle County, so this expansion addresses geographic disparities.
Event schedule:
- Award Announcement - 07/29/2026 - New Castle, DE
POPULATION_HEALTH
Event Schedule
Award Announcement - 07/29/2026 - New Castle, DE
Core Initiatives
Expand access to preventive, primary and behavioral health services for rural students
Improve health outcomes and educational success in Sussex County
Strengthen partnerships among schools, providers and community organizations
🌐
ReferenceJul 14, 2026OTHER
Reference: Delaware Expands Payer and Provider HIE Access Under Rhtp
Link: https://www.healthcareitnews.com/news/delaware-expands-payer-and-provider-hie-access-under-rhtp
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 118.
DE - 2026 - HSS26075 CPPCLINSUPP AppE
XLSX
DE - 2026 - HSS26075 CPPCLINSUPP AppC
XLSX
Raymond et al-Comparative Safety.pdf
PDF
Source Checks
Last checked
Last changed
No amount extracted
DE - 2026 - Hss-26-075 - Career Pathway Programs For Clinical Support Roles Addendum #1 – Public Q&a
Addendum #1 (Public Q&A)
SupportingXLSXNo amount extracted
DE - 2026 - HSS26075 CPPCLINSUPP AppC
Vendor Forms (Appendix C)
SupportingPDFNo amount extracted
DE - 2026 - APPENDIX D Templates/Sample Agreements These Templates/Sample Agreements will be used to negotiate the final version of the Contract between Vendor and the State of Delaware. These are ONLY Samples and as Placeholders
Agreement Template (Appendix D)
SupportingXLSXNo amount extracted
DE - 2026 - HSS26075 CPPCLINSUPP AppE
Project Cost Template (Appendix E)
SupportingPDF2026No amount extracted
DE - 2026 - Appendix F Domain and Permissible Uses Template
Permissible Uses (Appendix F)
SupportingXLSXNo amount extracted
DE - 2026 - HSS26075 CPPCLINSUPP pba
Pre-bid Attendance
Core Initiatives
Expand health information exchange access for payers and providers
Governor Meyer announced two major healthcare bills: one expanding comprehensive hospital charity care statewide, and another prohibiting for-profit acquisitions of non-profit acute care hospitals through July 2028. The administration is also promoting multi-payer value-based care with Rural Health Transformation Program funds to bend the cost curve. These measures are designed to make care more affordable, accessible, and protective for all Delawareans.
Event schedule:
- Announcement Date - May 12, 2026 - Dover
FINANCE · POPULATION_HEALTH · OTHER
Core Initiatives
Lower healthcare costs for Delawareans
Increase access to affordable healthcare
Strengthen patient protections
Show all initiatives (4)
Lower healthcare costs for Delawareans
Increase access to affordable healthcare
Strengthen patient protections
Advance multi-payer value-based care
This Notice of Award grants $157 million in federal funding to Delaware for rural health transformation under the Big Beautiful Bill Act of 2025. The initiative targets improved access and outcomes for rural Sussex and Kent Counties, affecting approximately 400,000 residents. Major focus is on contractual projects supporting the state's rural health system. Key contacts: Ms. Katherine Hughes Katherine.Hughes@delaware.gov; Mr. Steven Blessing steven.blessing@delaware.gov
Event schedule:
- Federal Award Date - 02/04/2026
- Budget Period Start - 12/29/2025
- Budget Period End - 10/30/2026
- Period of Performance End - 10/30/2030
Award: $157.4MOTHER
Contacts
Ms. Katherine Hughes - <Katherine.Hughes@delaware.gov> - Project Director or Principal Investigator - Delaware
Mr. Steven Blessing - <steven.blessing@delaware.gov> - Director - Delaware
Core Initiatives
Reduce healthcare access disparities in rural Delaware.
Improve health outcomes for rural residents in Sussex and Kent Counties.
Award: $1.2MPOPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER
Core Initiatives
Increase access to healthcare in rural communities
Strengthen health networks for rural providers
Improve quality of care at Critical Access Hospitals and small rural hospitals
Show all initiatives (4)
Increase access to healthcare in rural communities
Strengthen health networks for rural providers
Improve quality of care at Critical Access Hospitals and small rural hospitals
Support workforce training to enhance health service delivery
POPULATION_HEALTH · NETWORK_DEVELOPMENT · OTHER
Event Schedule
Solicitation Ad Date - 02/12/2026
Deadline for Bid Responses - 04/17/2026 - 1:00 PM ET
Expand access to health services in rural communities
Leverage local libraries as health access hubs
Foster partnerships between libraries, providers, and rural Medicaid stakeholders
Delaware's RHTP tackles severe rural health disparities and workforce shortage by establishing new Hope Centers, deploying mobile health units, and expanding school-based health centers in Sussex and Kent Counties. The plan is backed by unified legislative and provider support, prioritizes technological innovation, value-based care, and robust data tracking, and includes concrete policy commitments to reform certificate of need, scope of practice, and telehealth reimbursement. Target outcomes include reductions in ED visits, expanded preventive care, increased rural provider access, and improved chronic disease management. Key contacts: Dr. Kara Odom Walker; Kate Brookins; William A. Bowser; Delaware DHSS
Event schedule:
- Executive Order for School Fitness Test - 12/31/2028
- Nutrition CME regulation amendments drafted - 03/31/2028
- Board approval for Nutrition CME - 09/30/2028
- Certificate of Need reform legislation brought to vote - 06/30/2027
- Scope of Practice legislation brought to vote - 06/30/2027
- Annual Licensure Compact Report publication - 12/31/2027
- Medical school enrollment begins (Fall) - 2028-09-01 - America/New_York - Delaware Medical School (to be determined)
- Establish governance structure, stakeholder engagement plan, pilot site selection and baseline assessment - 2026-09-30
Medical school enrollment begins (Fall) - 2028-09-01 - America/New_York - Delaware Medical School (to be determined)
Establish governance structure, stakeholder engagement plan, pilot site selection and baseline assessment - 2026-09-30
Deploy core infrastructure, engage 5 hospital pilot, and integrate with Medicaid - 2027-03-30
Connect 10 facilities, process 10,000 prior authorizations, and engage 25,000 patients - 2027-09-30
Connect Sussex and Kent County rural facilities, connect all commercial payers, and launch patient portal - 2028-03-31
Connect rural facilities and integrate all payers, with 95% provider adoption and self-sustained operations - 2029-12-31
Contacts
Dr. Kara Odom Walker - Secretary, DHSS - Delaware Statewide
Kate Brookins - Director, Division of Public Health - Sussex County
William A. Bowser - Director, Division of Social Services - Kent County
Show all contacts (9)
Dr. Kara Odom Walker - Secretary, DHSS - Delaware Statewide
Kate Brookins - Director, Division of Public Health - Sussex County
William A. Bowser - Director, Division of Social Services - Kent County
Delaware DHSS - Lead for Food is Medicine Infrastructure Initiative, Rural Provider/FQHC Value-Based Care Readiness, Catalyst Fund for Telehealth and Remote Monitoring - Kent County, Sussex County
Division of Public Health (DPH) - Key stakeholder partnership - Kent County, Sussex County
Delaware Health Information Network (DHIN) - Lead for Diabetes Wellness Pilot Program - Sussex County
DE Division of Libraries - Lead for Rural Libraries Health Access Initiative - Kent County, Sussex County
Delaware Health Care Commission - Medical School Rural Workforce Development Program, Delaware Medical School - Kent County, Sussex County
Governor’s Office - Oversight/partner in Delaware Medical School establishment - Kent County, Sussex County
Core Initiatives
Expand equitable access to care for rural Delawareans
Strengthen the rural health workforce pipeline
Modernize facility operations and payment models
Show all initiatives (22)
Expand equitable access to care for rural Delawareans
Strengthen the rural health workforce pipeline
Modernize facility operations and payment models
Improve population health and chronic disease outcomes
Foster technology adoption to support value-based care
Reduce preventable ED utilization
Eliminate regulatory barriers for new provider facilities
Advance rural health equity by addressing social determinants
Make America Healthy Again
Make Rural America Healthy Again
Innovative Care
Tech Innovation
Sustainable Access
Workforce Development
Establish governance structure
Stakeholder engagement plan
Pilot site selection and baseline assessment
Deploy core infrastructure
Engage hospital pilot and integrate with Medicaid
Connect facilities and expand prior authorizations and patient engagement
Connect rural facilities, all commercial payers, and launch patient portal
Integrate all payers with rural facilities and achieve provider adoption and self-sustained operations
Recruit and retain medical residents and clinical support staff to practice in Delaware's rural areas.
Support education, housing, and relocation to incentivize rural healthcare workforce expansion.
Expand training capacity and apprenticeship opportunities for non-physician practitioners and clinical support roles.
The Delaware Rural Health Transformation strategy unites 15 initiatives to expand access, strengthen the workforce, modernize technology, and improve population health in rural Sussex and Kent Counties. Over $786 million is budgeted, with direct investments in clinical infrastructure, technology, and new models like Rural Hope Centers. The plan features robust performance tracking, stakeholder partnerships, and an emphasis on sustainable capacity building. Key contacts: Katherine Hughes; Chelsea Kammermeier; Christopher Masten; Lakeesha Johns
Event schedule:
- CMS Rural Health Transformation Summit - March 18, 2026 - Hilton Baltimore Inner Harbor, Baltimore, MD
- Period of Performance for Community Health Hubs - 2025-12-29 to 2026-10-30 - Rural communities in Kent and Sussex Counties
- Period of Performance for Program Marketing - 2025-12-29 to 2026-10-30 - Kent and Sussex Counties
- Period of Performance for Technical Assistance & Training - 2025-12-29 to 2026-10-30 - Kent and Sussex Counties
- Period of Performance for External Evaluation & Reporting - 2025-12-29 to 2026-10-30 - Kent and Sussex Counties
- Period of Performance for EMR System Implementation & Integration - 2025-12-29 to 2026-10-30 - Kent and Sussex Counties
- Period of Performance for School-Based Health Center Vendor - Rural Sussex and Kent elementary and middle schools
- Period of Performance for Food is Medicine Infrastructure Initiative - 2025-12-29 to 2026-10-30 - Kent and Sussex Counties
Katherine Hughes - Project Director/Principal Investigator, Public Health Administrator I - Statewide
Chelsea Kammermeier - Program Administrator, Public Health Treatment Administrator - Statewide
Christopher Masten - Fiscal Analyst, Management Analyst III - Statewide
Show all contacts (5)
Katherine Hughes - Project Director/Principal Investigator, Public Health Administrator I - Statewide
Chelsea Kammermeier - Program Administrator, Public Health Treatment Administrator - Statewide
Christopher Masten - Fiscal Analyst, Management Analyst III - Statewide
Lakeesha Johns - Clinic Manager - Statewide
Susan Watson Holloway - Program Director, Public Health Administrator II - Statewide
Core Initiatives
Expand access to comprehensive rural healthcare and behavioral health services.
Develop a sustainable workforce pipeline through new medical and clinical education programs.
Leverage technology for telehealth, data integration, and care coordination.
Show all initiatives (13)
Expand access to comprehensive rural healthcare and behavioral health services.
Develop a sustainable workforce pipeline through new medical and clinical education programs.
Leverage technology for telehealth, data integration, and care coordination.
Reduce chronic disease and improve population health in rural Delaware.
Deploy mobile health units throughout rural areas to deliver preventive care, chronic disease management, and specialty services directly to underserved communities
Expand the network of school-based health centers in rural Sussex and Kent elementary and middle schools to provide comprehensive physical, behavioral, and preventive health services
Develop sustainable payment mechanisms, deploy integrated technology platforms, and train rural healthcare practitioners to deliver evidence-based nutrition interventions
Expand health services at nine rural libraries by adding staff and extending hours to provide telehealth support, health navigation, and benefits enrollment assistance
Support rural providers and FQHCs with cost-based, allowable infrastructure investments, including technology investments, expanded care teams, and strategic planning activities to transition to value-based payment models
Create a competitive fund to support health technology vendors in developing and deploying consumer-facing remote monitoring and digital health solutions for rural populations
Launch a three-year pilot providing continuous glucose monitors and intensive care management to 500 rural diabetes patients to improve health outcomes
Establish Delaware's first medical school with a Primary Care-Rural Health track to train physicians committed to serving rural communities
Provide comprehensive financial awards to medical students who commit to five years of rural practice in Delaware after graduation
House Bill 305 proposes a three-year diabetes wellness pilot program within the Delaware Department of Health and Social Services, funded by the Federal Rural Health Transformation Program. The pilot aims to improve diabetes management by shifting from reactive sick care to proactive well care, leveraging technology and incentives. Outcomes will be tracked via data analysis to determine the pilot's effectiveness and inform potential renewal or expansion.
Event schedule:
- Introduced in House - 03/05/2026
- Assigned to Senate Health & Social Services - 06/16/2026
POPULATION_HEALTH · HEALTH_INFORMATION_TECHNOLOGY
Event Schedule
Introduced in House - 03/05/2026
Assigned to Senate Health & Social Services - 06/16/2026
Core Initiatives
Improve health outcomes for Delawareans with diabetes
Change standard healthcare from reactive sick care to proactive well care
Reduce healthcare costs through improved chronic disease management
The program has launched four initial Requests for Proposals targeting the establishment of a four-year medical school, new school-based health centers, Food Is Medicine infrastructure, and Rural Community Health Hubs to expand rural healthcare access. It prioritizes sustainable, long-term capacity building including mobile health units, telehealth innovations, and integrated Hope Center-style facilities. Additional RFPs will be released on a rolling basis to support these transformations.
Event schedule:
- Date Posted: , 2026 - September 4 - Delaware Announces 2027 Marketplace Health Insurance Rates
- Date Posted: , 2026 - September 4 - Join us at the Archives for September’s First Saturday Program: Prisoners of Fort Delaware
- Date Posted: , 2026 - September 3 - Mezzanine Gallery Presents Alan B. Tuttle’s “Passing through…”
- Date Posted: , 2026 - September 3 - Lighting Strikes Cause House Fires
- Date Posted: , 2026 - September 3 - Delaware Division of the Arts Announces New Appointments to the Delaware State Arts Council
- Date Posted: , 2026 - September 3 - Governor Meyer Signed Gun Safety Bill Package
- Date Posted: , 2026 - September 3 - Governor Meyer Signs Expansive Bill Package to Protect Immigrant Communities in Delaware
- Date Posted: , 2026 - September 3 - Governor Meyer Signed Public Education Funding Commission Bill, Funding $100 Million to Delaware Public Schools
Event Schedule
Date Posted: , 2026 - September 4 - Delaware Announces 2027 Marketplace Health Insurance Rates
Date Posted: , 2026 - September 4 - Join us at the Archives for September’s First Saturday Program: Prisoners of Fort Delaware
Date Posted: , 2026 - September 3 - Mezzanine Gallery Presents Alan B. Tuttle’s “Passing through…”
Show all schedule items (8)
Date Posted: , 2026 - September 4 - Delaware Announces 2027 Marketplace Health Insurance Rates
Date Posted: , 2026 - September 4 - Join us at the Archives for September’s First Saturday Program: Prisoners of Fort Delaware
Date Posted: , 2026 - September 3 - Mezzanine Gallery Presents Alan B. Tuttle’s “Passing through…”
Date Posted: , 2026 - September 3 - Lighting Strikes Cause House Fires
Date Posted: , 2026 - September 3 - Delaware Division of the Arts Announces New Appointments to the Delaware State Arts Council
Date Posted: , 2026 - September 3 - Governor Meyer Signed Gun Safety Bill Package
Date Posted: , 2026 - September 3 - Governor Meyer Signs Expansive Bill Package to Protect Immigrant Communities in Delaware
Date Posted: , 2026 - September 3 - Governor Meyer Signed Public Education Funding Commission Bill, Funding $100 Million to Delaware Public Schools
Core Initiatives
Expand access to healthcare in rural communities
Lower healthcare costs
Grow the medical workforce
Show all initiatives (5)
Expand access to healthcare in rural communities
Lower healthcare costs
Grow the medical workforce
Build sustainable healthcare infrastructure
Improve health outcomes through prevention and chronic disease management
Key contacts: Rick Williamson Ricky.Williamson@delaware.gov; Katherine Hughes Katherine.Hughes@delaware.gov
Event schedule:
- Notice to State of Delaware under the contract - Rick Williamson, Management Analyst III, Ricky.Williamson@delaware.gov
- Monthly Usage Report due - monthly by 15th - Eastern Time - Submit electronically to Katherine.Hughes@delaware.gov
- Quarterly Subcontracting 2nd Tier Report due - quarterly by 15th after quarter end - Eastern Time - Submit electronically to osd@delaware.gov