The Kentucky Rural Health Transformation Program is actively advancing initiatives in community health worker training, EMS transformation, behavioral health crisis response, rural dental access, chronic care (with a statewide, phased rollout of regional community hubs focused on diabetes and obesity), maternal health, and regional health hub development. Multiple funding opportunities and structured applications are available for health departments, EMS agencies, behavioral health organizations, and educational institutions, with major focus on technology-enabled care and multisector collaboration. Current structured plan tracks 10 key initiatives and 5 strategic goals.
County-level estimates averaged across Kentucky — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
7%
-4.4pp
Uninsured (18–64)
13.7%
+1.3pp
Diabetes
40.2%
+2.7pp
Obesity
21.2%
+5.1pp
Current smoking
39.1%
+3pp
High blood pressure
29.2%
+1.5pp
Physical inactivity
8.4%
+1.5pp
Heart disease
4.2%
+0.5pp
Stroke
pp = percentage points vs US county average
County Drilldown (120)
County
Pop
Poverty
Uninsured
Jefferson County
783,022
14.3%
10.5%
Fayette County
323,725
14.9%
9.1%
Kenton County
171,288
11.8%
7.7%
Warren County
140,918
17.0%
11.2%
Boone County
139,841
6.3%
4.0%
Hardin County
111,942
13.1%
10.4%
Daviess County
103,648
14.7%
11.5%
Madison County
95,769
15.1%
12.2%
Campbell County
93,426
11.1%
7.0%
Bullitt County
84,027
9.7%
7.4%
Christian County
72,069
17.1%
12.2%
Oldham County
69,257
4.3%
3.2%
Demographics
Total population
4.5MCensus ACS5 2024
Rural population
1.7MUSDA ERS RUCC 2023
Rural population %
38.2%USDA ERS RUCC 2023
Poverty rate
16.1%Census ACS5 2024
Median household income
$63,726Census ACS5 2024
Uninsured rate
11.9%Census ACS5 2024
CAH count
29HRSA GIS (live)
Rural hospital facilities
0AI extracted
Primary care HPSA
111HRSA Data Warehouse (GIS)
Dental HPSA
114HRSA Data Warehouse (GIS)
Mental health HPSA
77HRSA Data Warehouse (GIS)
MUA count
108HRSA Data Warehouse (GIS)
MUP count
4HRSA Data Warehouse (GIS)
FQHC facilities
505HRSA Data Warehouse (GIS)
RHC facilities
429HRSA Data Warehouse (GIS)
AI source: KY - 2026 - Kentucky awarded $213 million for RHTP
AI auto-updated Oct 11, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Establish and expand Rural Community Hubs in every Area Development District to coordinate multisectoral chronic disease initiatives.
2Strengthen cross-sector partnerships and stakeholder engagement for locally adapted, evidence-based prevention and management of diabetes and obesity.
3Develop sustainable local infrastructure for data sharing, governance, and quality improvement, aligned with state and federal requirements.
4Increase rural access to chronic care, behavioral health, and dental services through workforce development, technology deployment, and care model innovation.
5Build resilient, integrated health systems by aligning health, social services, and community resources to advance long-term rural population health.
Worth to Notice / Recent Updates (17)
Key signals are summarized here. Open the source for the supporting detail.
Kentucky has received CMS funding and officially launched the Rural Health Transformation Program. Multiple RFAs and applications are open or underway across EMS, dental, behavioral health, and the new Rural Community Hubs for Chronic Care Innovation. Implementation is progressing with hub launches in several Area Development Districts and a statewide solicitation for additional Hub Lead Organizations. Rolling application deadlines and continued stakeholder engagement underline the program's active expansion. State opportunities: 1 active (1 open, 10 past/closed), $3.8M listed funding. Key opportunities: 2026 Request for Applications: Rural Community Hub Lead Organization (BP1: Rural Community Hub Launch; March 1, 2027 – September 30, 2027); Kentucky RHT Funding Opportunity to Develop Community Health Worker Specialized Certificates; Crisis to Care: Establish or Expand Community Paramedicine Program. Strategy alignment: supports prevention, workforce, telehealth priorities.
RHTP Strategy
Kentucky’s RHTP maintains its phased, community-driven transformation anchored in Rural Community Hubs for Chronic Care Innovation in each Area Development District. Hub Lead Organizations, competitively selected, convene multisector partners to co-design and implement evidence-based chronic disease interventions—initially prioritizing diabetes and obesity—while establishing infrastructure for governance, data sharing, and quality improvement. The Foundation for a Healthy Kentucky and Hub Lead Organizations provide operational assistance, sub-award administration, and progress monitoring; CMS funding remains performance-tied, supporting phased expansion and milestone-driven outcomes.
Model
Integrated hub-and-spoke network led by Rural Community Hub Lead Organizations, supported by district Liaisons, digital infrastructure, phased pilot-to-scale deployment, technical assistance, and robust multisector coordination. Telehealth, EMS modernization, targeted dental initiatives, workforce development, and cross-sector collaboration underpin rural health transformation.
Key Initiatives (10)
1Phased rollout and establishment of Rural Community Hubs for Chronic Care Innovation in all Area Development Districts, initially focusing on diabetes and obesity, with competitive selection and onboarding of Hub Lead Organizations.
2Engage and formally convene multisector core partners (minimum 10) and network participant organizations (minimum 20) per Hub to co-design, launch, and evaluate evidence-based obesity and diabetes initiatives; establish shared governance and operational infrastructure.
3Develop and implement interoperable data sharing, technology, and performance management systems across hubs; align common outcome measures responsive to community need.
Timeline: Primary implementation FY2026–FY2030, with phased Hub and Liaison launches beginning July 1, 2026; district Rural Community Hub establishment by 2027; annual workforce and service expansion; initial subaward cycles and reporting milestones from March 1, 2027; five grant periods aligned to federal fiscal years and CMS performance-tied funding.
Health Priority
Chronic Condition Management
The program prioritizes addressing diabetes and obesity through community engagement and rural hubs.
Big Sandy ADDLake Cumberland ADDPurchase ADD
Oct 16, 2026
Health Priority
Chronic condition prevention and management
Initial focus is on diabetes and obesity with targeted community engagement and multisector collaboration.
Big Sandy ADDLake Cumberland ADDPurchase ADD
Oct 16, 2026
Health Priority
Behavioral Health
Kentucky RHT is investing in strengthening the behavioral health crisis system and expanding telebehavioral health access.
Kentucky Cabinet for Health and Family Services (CHFS)
Due Jul 6, 2026
1 related document
Related documents1
PrimaryPDF2026No amount extracted
KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – CMHC Support
RFA Announcement
Announcement Documents (7)
📄
AnnouncementOct 8, 2026PDF
The Foundation for a Healthy Kentucky is hiring for an operational support role to facilitate the Rural Community Hubs for Chronic Care Innovation under the KY Rural Health Transformation program. This position will coordinate with hub lead organizations, assist with reporting, technical assistance, and compliance, and help support implementation in the Lake Cumberland region. The job emphasizes relationship- and data-driven support for rural health transformation in Kentucky.
NETWORK_DEVELOPMENT · QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Core Initiatives
Support locally led rural health transformation initiatives
Improve operational effectiveness and partner engagement in rural community hubs
Ensure accurate metric tracking and reporting to meet federal grant requirements
📄
AnnouncementOct 8, 2026PDF
The announcement describes the role and responsibilities for an Operations Support staff member connecting the Foundation for a Healthy Kentucky and the Rural Community Hub Lead Organization in the Purchase Area District. The position supports local implementation, partner engagement, federal grant reporting, and data documentation to advance Kentucky's Rural Health Transformation program priorities. Key contacts: RCH Director of Collective Impact Initiatives; Deputy Director of Collective Impact
📄
AnnouncementSep 5, 2026PDF
This announcement describes a key Liaison role with FHKY to support implementation of the RHT-RCH initiative in Big Sandy ADD, focused on building rural systems for collective impact in chronic care. Responsibilities span district strategy coordination, network building, data reporting, and program support. The role is community-facing, emphasizing population health and rural transformation.
Award Announcement Documents (1)
🌐
Award AnnouncementSep 5, 2026HTMLFederal
Kentucky was awarded $213 million to improve rural healthcare access and outcomes. The funding encourages innovative and creative approaches to transform rural health care delivery. State officials are held accountable to meet specific goals tied to the funding.
Award: $213.0MOTHER
Core Initiatives
Improve access to care in rural Kentucky
Improve health outcomes for individuals
Encourage innovation and creative approaches to rural healthcare
This RFA invites eligible organizations to apply as Rural Community Hub Lead Organizations in Kentucky’s Area Development Districts to launch and coordinate multisector partnerships for chronic disease prevention. Funding is estimated at up to $500,000 per ADD for BP1 to support network launch and operations, with a potential total of up to $10 million per ADD through FY 2030 pending successful performance and funding continuations. The initiative’s initial priority is obesity and diabetes prevention/management, emphasizing quality improvement, data sharing, cross-sector collaboration, and sustainable local capacity-building. Key contacts: Not listed in this document
Event schedule:
- RFA released - October 13, 2026 - https://healthy-ky.org/rch
- Informational webinar - October 23, 2026
- Questions about RFA due - October 28, 2026
- Letter of Intent to Apply due - November 6, 2026 - rchgrant@healthy-ky.org
- Online application portal released - November 16, 2026 - https://healthy-ky.org/rch
- FAQs published - December 1, 2026
- Applications due - December 18, 2026 - 6:00 PM EDT - https://healthy-ky.org/rch
- Anticipated notification of awards - January 29, 2027
Purchase District Health Department has been selected as the Hub Lead Organization for the Purchase region, supported by KY RHT through a competitive application process. The Hub is dedicated to addressing obesity and diabetes in eight counties with cross-sector partnerships and will be eligible to receive up to $10 million in federal funding. The state program is a five-year initiative to reshape rural health in Kentucky through interconnected programs and improved care coordination. Key contacts: Kaitlyn Krolikowski
Event schedule:
- Hub Lead Organization Announcement - 10/07/2026 - Paducah, KY
Budget: $10.0MPOPULATION_HEALTH · QUALITY_IMPROVEMENT · NETWORK_DEVELOPMENT · OTHER
Event Schedule
Hub Lead Organization Announcement - 10/07/2026 - Paducah, KY
Contacts
Kaitlyn Krolikowski - Public Health Director - Purchase District Health Department
Core Initiatives
Reduce obesity and diabetes rates in rural Kentucky
Improve care coordination among health providers and partners
Expand access to preventive and chronic care across rural communities
Show all initiatives (4)
Reduce obesity and diabetes rates in rural Kentucky
Improve care coordination among health providers and partners
Expand access to preventive and chronic care across rural communities
Strengthen rural healthcare workforce and infrastructure
Kentucky's rural health strategy centers on Rural Community Hubs to coordinate resources and organizations to address chronic conditions like diabetes and obesity. The initiative seeks to bring together local partners to improve health outcomes, reduce duplication of services, and better connect community health workers. Kentucky faces particularly severe challenges with diabetes, with mortality rates significantly above the national average.
POPULATION_HEALTH · NETWORK_DEVELOPMENT
Core Initiatives
Coordinate rural organizations and health care providers to prevent and manage chronic disease
Reduce duplication of services and improve connection among community health workers
📄
StrategyJul 9, 2026PDF
Rooted in Health is focused on expanding access to dental care in rural Kentucky by training and placing more dental hygienists, bringing teledental and mobile services, and enhancing surgical training for general dentists. The initiative aims to reduce emergency room visits for dental issues and provide comprehensive care locally.
📄
StrategyJul 9, 2026PDF
Summary Documents (1)
📄
SummaryJul 9, 2026PDF2024
The program establishes EmPATH units and a centralized tele-behavioral health hub to ensure prompt, appropriate care for those in behavioral health crisis. It decreases repeated crises, supports first responders, and connects individuals to community-based recovery resources. Kentucky faces high rates of mental illness or substance use disorder diagnoses in emergency departments.
POPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER
Core Initiatives
Enhance crisis care for behavioral health emergencies
Reduce hospitalizations and ED strain
Improve care continuity and access for rural populations
This document is a federal award announcement for the Kentucky Rural Health Transformation Plan, funded under the Rural Health Transformation Program (RHTP) of the One Big Beautiful Bill Act of 2025. The award, totaling $212,905,590.56, is managed as a cooperative agreement with CMS, with required milestones, reporting, and revised budget submission for the first budget period. The period of performance spans December 29, 2025, to October 30, 2030, and includes fiscal and progress report requirements tied to CMS oversight.
This document is a budget template for applicants seeking Rural Health Transformation Program Hub Leadership grants in Kentucky. It delineates budget categories, limits (such as salary caps and indirect cost limits), and narratives required for justification of expenditures. The project period specified is March 1, 2027 to September 30, 2027.
Event schedule:
- ,"Project Period: , 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Pe...
,"Project Period: , 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Period: March 1, 2027 - September 30, 2027","Project Pe...
Core Initiatives
Enhance access to chronic care services in rural communities
Support leadership development for rural community health hubs
Promote non-supplantation of existing programs
📄
ReferenceNEWOct 14, 2026PDF2027
📄
ReferenceOct 8, 2026PDF
This document announces a new operations support position for Kentucky's Rural Community Hubs for Chronic Care Innovation, linking local lead organizations with statewide resources and technical assistance. The role focuses on operational coordination, deployment of tools and training, and support for grant reporting and documentation. The initiative serves as a key connector in Kentucky's broader Rural Health Transformation efforts.
Other Documents (1)
✉️
OtherSep 5, 2026TXT
Kentucky has received a $213 million federal Rural Health Transformation Program grant to improve healthcare in rural communities.
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KY - 2026 - Federal Rural Health Funds Insufficient to Offset Kentucky Medicaid Cuts
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KY - 2026 - Federal RHTP Funding Confirmed for KY Rural Hospitals
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Kentucky Community Health Worker Certification Manual, 2026 38 RHTP Guidance
2026 · PDF
KY - 2026 - RHT - Community Health Worker - Attachment A - Budget Template
XLSX
KY - 2026 - RHT Community Paramedicine - Attachment B - Budget Template
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KY - 1982 - agency.aspx
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202 KAR 7:601. Training, education, and continuing education (Amendment)
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14A.1-070 Definitions for chapter (KY business entity definitions statute, effective July 15, 2020)
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Attachment A Approved Risk Adjustment Model.docx
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NETWORK_DEVELOPMENT · QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Contacts
RCH Director of Collective Impact Initiatives - Director - Purchase Area Development District
Deputy Director of Collective Impact - Deputy Director - Purchase Area Development District
Core Initiatives
Transform community approaches to health and wellbeing
Enable locally led priorities through statewide support
Support operational communication and coordination between hub organizations and program leads
NETWORK_DEVELOPMENT · POPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER
Contacts
FHKY Liaison - Big Sandy Area Development District
Core Initiatives
Improve health outcomes and quality of life for rural Kentuckians
Increase coordination between health, social, and community sectors
Drive measurable population health improvements through collective impact
The program engages local multisectoral partners to collaboratively improve rural health outcomes through coordinated strategies and shared resources. A phased rollout has begun in several districts and now continues statewide with Rural Community Hub Lead Organizations receiving funding and technical assistance through a Request for Applications. The initiative focuses on diabetes and obesity prevention and chronic disease management with strong community involvement.
Event schedule:
- Virtual Information Session for RFA Applicants - October 23, 2023 - 12:00 PM ET - webinar
- RFA Submission Deadline - December 18, 2026 - 6:00 PM EDT
Event Schedule
Virtual Information Session for RFA Applicants - October 23, 2023 - 12:00 PM ET - webinar
Engage community organizations to prevent and manage chronic conditions
Establish Rural Community Hubs that align strategies and outcome measures
Support coordinated implementation and continuous quality improvement
Kentucky is issuing an RFA for $800,000 in total available funding to develop Community Health Worker specialized certificates aligned with four key rural health priorities: healthy lifestyle management, perinatal/infant health, mental/behavioral health, and oral/dental health. The funding seeks to support non-profit training organizations in designing, developing, and delivering asynchronous certificate programs statewide that expand the skills and impact of Kentucky's rural CHW workforce. Selected training organizations must offer training at no cost to CHWs and ensure meaningful involvement of CHWs in curriculum design.
Event schedule:
- RFA Release - July 15, 2026
- CHW Specialized Certificate Information Session - July 16, 2026
- RFA Office Hours - July 21, 2026
- RFA Submission Deadline - August 5, 2026 - 5:00 PM ET
- RFA Notification of Awards - August 26, 2026
- Funding Period - October 7, 2026 - June 30, 2027
Budget: $800KWORKFORCE · QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Event Schedule
RFA Release - July 15, 2026
CHW Specialized Certificate Information Session - July 16, 2026
RFA Office Hours - July 21, 2026
Show all schedule items (6)
RFA Release - July 15, 2026
CHW Specialized Certificate Information Session - July 16, 2026
RFA Office Hours - July 21, 2026
RFA Submission Deadline - August 5, 2026 - 5:00 PM ET
RFA Notification of Awards - August 26, 2026
Funding Period - October 7, 2026 - June 30, 2027
Core Initiatives
Expand and strengthen Kentucky's rural community health workforce.
Enable evidence-based, innovative system transformation in rural health.
Address priority health needs in rural Kentucky including maternal health, diabetes, behavioral health, and oral health.
This Kentucky RHTP guidance offers $212.9 million in Year 1 funding to modernize EMS education and training for rural and underserved communities, with a structured, multi-year pathway for program enhancement and mobile simulation units. It supports both centralized and mobile training, expands the EMS workforce, and strengthens the integration between EMS providers and behavioral health crisis response networks. Technical support, data requirements, and compliance guidance are built into the process to ensure agency readiness and impact. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Bob Andrew bob.andrew@ky.gov
Event schedule:
- Application Submission Deadline - 06/12/2026 - 5:00 PM ET - Submit by email (Jimmie Hampton <jimmie.hampton@ky.gov>)
Jimmie Hampton - <jimmie.hampton@ky.gov> - Workforce Development Specialist for Crisis to Care - Kentucky (Statewide/Crisis to Care EMS)
Bob Andrew - <bob.andrew@ky.gov> - TEI Application and Certification Contact - Kentucky (Statewide/TEI Certification)
Core Initiatives
Improve rural health access, quality, and outcomes for Kentuckians.
Strengthen EMS and pre-hospital workforce capacity.
Expand preventative and community-based EMS services.
Show all initiatives (4)
Improve rural health access, quality, and outcomes for Kentuckians.
Strengthen EMS and pre-hospital workforce capacity.
Expand preventative and community-based EMS services.
Support crisis response and integration with behavioral health services.
Kentucky’s RHTP received $212.9 million for year 1 to transform rural health, with a major focus on developing EMS through community paramedicine. The program funds both new and expanding paramedicine models, emphasizes crisis response, technical assistance, required behavioral health training, and robust evaluation. EMS agencies may apply for up to $650,000 in start-up funding; additional support targets integration of workforce, technology, and community partnerships to close gaps in rural care. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Behavioral Health Champion
Event schedule:
- Application Deadline - 06/12/2026 - 5:00 PM ET - Submit to jimmie.hampton@ky.gov
- Information Session Webinar - TBD (document refers to an upcoming webinar)
- Months 1-2: Program Planning & CHW Model Design - Month 1-2
- Months 3-6: Training & Certification Launch - Month 3-6
- Months 7-8: Infrastructural Setup and Supply Readiness - Month 7-8
- Month 9: Soft Launch of CHW Program - Month 9
- Month 10: Program Stabilization - Month 10
Increase access to dental care for rural Kentuckians
Expand dental workforce and workforce training
Reduce emergency department visits for dental needs
Show all initiatives (4)
Increase access to dental care for rural Kentuckians
Expand dental workforce and workforce training
Reduce emergency department visits for dental needs
Improve quality and coordination of oral health services
The Crisis to Care program aims to strengthen the EMS workforce and improve coordination between responders and hospitals in rural Kentucky. Innovative uses of technology connect care teams in real time, and community paramedicine is integrated to ensure continuity of care after emergencies. Nearly half Kentucky’s paramedics are concentrated in five metro counties, highlighting the need for service expansion in rural areas.
Strengthen emergency medical services response for rural Kentucky
Expand workforce of skilled EMS and paramedic professionals in rural areas
Improve technology-enabled real-time coordination between responders and hospitals
Show all initiatives (4)
Strengthen emergency medical services response for rural Kentucky
Expand workforce of skilled EMS and paramedic professionals in rural areas
Improve technology-enabled real-time coordination between responders and hospitals
Extend care beyond immediate emergencies via integrated community health teams
This is a comprehensive application intake form for Kentucky organizations seeking to lead a Rural Community Hub under BP1 (March 2027–September 2027). The document collects detailed information on operational footprint by county and Area Development District, workforce and facilities, quality improvement, technology, partnerships, grant management, strategic planning, and budget. Applicants are required to submit a workplan, budget narrative, and letters of commitment from multi-sector partners.
Event schedule:
- BP1 Launch Period Start - 03/01/2027
- BP1 Launch Period End - 09/30/2027