HHS Region 5 · Michigan Department of Health and Human Services
Program Overview
The Michigan Rural Health Transformation Program is currently in pre-implementation, overseen by MDHHS with guidance from an advisory council and interdepartmental coordination teams. Major focus areas include improving rural health delivery and advancing coordinated services, with an emphasis on transparency, stakeholder engagement, and management of subrecipient awards. The program supports structured regional engagement initiatives and tracks multiple key initiatives and strategic goals in the planning phase. Current structured plan tracks 8 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Michigan — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (83)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Wayne County | 1,772,259 | 20.8% | 15.9% |
| Oakland County | 1,279,825 | 7.7% | 5.0% |
| Macomb County | 879,853 | 10.4% | 7.8% |
| Kent County | 663,150 | 10.1% | 6.4% |
| Genesee County | 403,305 | 16.4% | 11.6% |
| Washtenaw County | 369,822 | 14.2% | 6.8% |
| Ottawa County | 301,203 | 8.3% | 4.0% |
| Ingham County | 283,913 | 16.7% | 9.0% |
| Kalamazoo County | 262,375 | 12.7% | 7.7% |
| Livingston County | 195,833 | 5.1% | 3.2% |
| Saginaw County | 188,665 | 18.2% | 13.9% |
| Muskegon County | 175,961 | 14.1% | 10.4% |
AI source: MI - 2026 - Michigan awarded more than $173 million in federal funding to strengthen rural health
AI auto-updated Jun 9, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
6 related documents
MI - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Michigan
1,659,797 rural residents
Michigan received a $173 million federal award in June 2026 to support its Rural Health Transformation Program. A pre-implementation timeline has been established, and the state is engaging local and regional partners, but specific procurement opportunities to subrecipients have not yet been formally issued. The majority of subrecipient allocations remain in preparatory or early contracting stages, with some partners still to be determined via competitive processes.
Michigan’s RHTP utilizes a four-initiative model focused on regional partnership hubs, rural workforce development, advanced health IT interoperability, and community-driven care delivery. Implementation is guided by a cross-departmental coordination team and the RHT Advisory Council, with funding prioritized for high-need rural areas and transparent public reporting. The strategy targets gaps in chronic disease, maternal, and behavioral health, leveraging technical innovation and person-centered care models. Readiness is ensured through a pre-implementation planning phase and continuous technical support.
Model
A hub-and-spoke structure integrating regional partnerships, sustaining rural health workforce pipelines, modernizing digital infrastructure, and expanding home- and community-based care for person-centered delivery.
Key Initiatives
Timeline: Funding is allocated over five years (2026–2030), with a pre-implementation planning period beginning in 2026.
Healthcare Access: Rural communities face systemic barriers to receiving timely care, which can lead to delays or skipped treatments. The program aims to address these inequities and bring care closer to rural residents. (Regions: Rural Michigan, Northern Michigan, Mid-Michigan)
Workforce Development: The state emphasizes workforce wellness and rural service commitments to strengthen the rural health workforce and improve provider sustainability. (Regions: Statewide, Rural regions)
Technology & Modernization: Interoperability and modernizing rural health facilities are prioritized to ensure dependable, high-quality care. (Regions: Statewide, Rural communities)
MI - 2025 - Read Michigan’s Full RHT Project Narrative
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MI - 2026 - Michigan’s RHT Application
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MI - 2026 - View the Michigan RHT Project summary
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MI - 2026 - Subscription Change Confirmation
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MI - 2026 - Michigan awarded more than $173 million in federal funding to strengthen rural health
Auto-grouped context match (37%)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Michigan Center for Rural Health (MCRH) Received funds for rural interoperability and governance. | $400K | Health IT | |
| 2026 | Michigan Center for Rural Health (MCRH) Received substantial funding for rural data integration and infrastructure to advance interoperability. | $3.0M | Health IT | |
| 2026 | Michigan Center for Rural Health Expand primary and preventive care access, coordinate funds distribution, and support rural providers. | $2.6M | Population Health | |
| 2026 | Michigan Hospital Association Act as centralized partner to engage rural hospitals and streamline award fund implementation. | $2.6M | Flex Fund | |
| 2026 | Michigan Health Information Network (MiHIN) Funds data integration and infrastructure for rural health data exchange expansion. | $1.4M | Health IT | |
| 2026 | Michigan Health Information Network (MiHIN) Award supports rural interoperability and governance through RHTP. | $850K | Health IT | |
| 2026 | Michigan Primary Care Association (MPCA) Michigan Primary Care Association (MPCA) – Data Integration and Infrastructure Fund (RHTP Subrecipient) | $2.0M | Data Integration and Infrastructure Fund | |
| 2026 | Upper Peninsula Health Care Solutions Provide technical assistance for Community Information Exchange (CIE) integration in the Upper Peninsula. | $2.0M | Health IT | |
| 2026 | Michigan 211 Expand and maintain a rural resource directory and rural call center infrastructure. | $1.5M | Health IT | |
| 2026 | Michigan Health Improvement Alliance (MiHIA) Michigan Health Improvement Alliance (MiHIA) – Chronic Disease Collaborative Care Fund (RHTP Subrecipient) | $1.5M | Chronic Disease Collaborative Care Fund |
This announcement highlights a new nationwide focus on rural healthcare, relevant to Michigan. Specific details or award information are not provided.
This document announces specific RHTP subrecipient awardees and amounts across all regions of Michigan as of June 4, 2026. It details funding for rural health IT, workforce, partnerships, care delivery, and tribal health. All awards are pending final CMS approval, and the initiatives span chronic disease, behavioral health, aging, and interoperability priorities. Event schedule: - Award notices as of , 2026. Subrecipients are categorized by initiative and fund and listed alphabetically. - June 4 - Interoperability in Action Initiative
Event Schedule
Core Initiatives
Michigan Medicaid covers one in four state residents, including over one-third of rural Michiganders. Medicaid sustainability is critical for rural hospitals, which are at increased risk due to provider tax and payment changes. New benefit and eligibility provisions taking effect in 2026-2027 may cause significant coverage loss, administrative burden, and risk to rural and underserved populations.
Core Initiatives
This document is a daily RHTP update summarizing news items, including a NGA brief on rural health workforce policy actions, a Governor Morrisey announcement about nearly $4M in workforce investments, and appointment of an RHTP advisory council member in Michigan. Event schedule: - RHTP Daily update ⋅ May 15, 2026 NEWS Governors' Policy Actions in Rural Health Workforce National Governors Association This brief, part of NGA's RHTP memo action series, outlines key policy actions across several areas: career pathways, education and training, ... Flag as irrelevant Governor Morrisey Announces New Investments Totaling Nearly $4M to Expand Workforce ... WV Office of the Governor Patrick Morrisey - WV.gov ... ( RHTP ) to strengthen healthcare workforce recruitment efforts and expand ... The latest rollout brings total funding opportunities announced through the ... Flag as irrelevant Bur Selected for RHTP Advisory Council - Northern Today Northern Today - Northern Michigan University ... ( RHTP ) Advisory Council. The group will provide insight on rural health priorities, review program progress and offer recommendations to Michigan ... Flag as irrelevant See more results | Edit this alert You have received this email because you have subscribed to Google Alerts . Unsubscribe | View all your alerts Receive this alert as RSS feed Send Feedback
This document summarizes the FY26 RHTP state applications for 18 states, detailing each state's federal award amount and high-level strategies. Common initiatives include telehealth, health workforce expansion, digital infrastructure, behavioral/maternal health, and technologies for rural hospital stabilization and value-based care. No individual sub-awards or recipient-level funding lines are listed.
This executive and fiscal analysis by the State of Michigan details the potential impact of proposed major federal Medicaid cuts, including risks to coverage for over 2.6 million Michiganders, particularly in rural communities. It outlines effects on the rural hospital system, state budget, uncompensated care, employment, and critical health services. Report highlights the Medicaid program's cost-effectiveness and vital support for Michigan's rural and safety net healthcare infrastructure.
Michigan's application for CMS' Rural Health Transformation Program proposes a $1 billion budget to enhance rural provider sustainability and growth. The plan focuses on regional partnerships, workforce development, technology adoption, and care coordination to improve rural health access and outcomes.
Core Initiatives
This document provides detailed guidance on allowable and unallowable uses of RHTP funds in Michigan. It clarifies restrictions on using funds for operating expenses, existing EMRs, and capital projects, emphasizing support for measurable care transformation activities.
Core Initiatives
Michigan received $173 million through the Rural Health Transformation Program, one of the lower awards among states but significant for its large rural population. The Michigan Department of Health and Human Services manages these funds with input from a rural health task force convened by the Michigan Health Association. Access and workforce shortages remain critical challenges in rural Michigan, especially in the Upper Peninsula and Northern regions. Key contacts: MHA Policy Team
Michigan was awarded $173 million through RHTP for FY 2026, with the Michigan Department of Health and Human Services (MDHHS) leading implementation across the state. The program is structured around four major initiatives and focuses on statewide and regional efforts to improve care for rural residents, emphasizing system change rather than day-to-day hospital operations. MDHHS will administer a series of grant programs once final budget approval is secured. Event schedule: - Michigan Opioid Treatment Access Internship Program Application Deadline - 06/15/2026
Event Schedule
Core Initiatives
MI strategy refreshed: transformationStrategy updated
MI progress refreshed: implementationPhase: LAUNCHED · progressSummary updated
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MI strategy refreshed: transformationStrategy updated · strategicGoals: 7
MI progress refreshed: implementationPhase: LAUNCHED · progressSummary updated
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MI - 2026 - Request to Attend a Hearing (for Media Professionals)
Michigan Nursing Home Innovations Grant Board | Colorado Department Of Public Health And Environment Skip To Main Content Search Search Menu Home About CDPHE Toggle About CDPHE Sub
2026 · HTML
Michigan received a $173.1 million award from CMS under the Rural Health Transformation Program for FY 2026. The funding will launch initiatives to build rural care partnerships, expand rural technology and digital health tools, and strengthen the rural health workforce. The proposal was shaped by community input sessions and online surveys. Key contacts: Lynn Sutfin Event schedule: - Award Announcement Date - 12/30/2025 - LANSING, Mich.
Event Schedule
Contacts
Core Initiatives
Michigan's RHTP supports comprehensive initiatives for rural health system transformation. Funding is directed to high-need rural areas and specific subrecipients, focusing on chronic disease management, workforce development, information technology, and improved access. Awards are made based on rural population needs and involve partnerships across public health, care delivery, and technical support organizations.
Core Initiatives
Core Initiatives
Core Initiatives
This is Michigan's CMS Rural Health Transformation Program application outlining a statewide plan to transform rural health care systems. The proposed strategy includes four major initiatives: cross-sector partnership hubs, rural workforce development, advancing health IT interoperability, and bringing care closer to home via innovative models. A dedicated 5% resource carve-out supports tribal governments’ health system capacity.
Core Initiatives
Contacts
Core Initiatives
This proposed policy expands Medicaid Fee-for-Service coverage and reimbursement for Licensed Midwives (LMs), particularly in rural and community-based settings. The policy aims to increase maternity care options and access for beneficiaries, with a focus on low-risk pregnancies and out-of-hospital births. Rural Health Clinics and Federally Qualified Health Centers are included as eligible billing institutions. Key contacts: Janell Troutman troutmanj2@michigan.gov Event schedule: - Comments Due - 05/13/2026 - Proposed Effective Date - 10/01/2026
Contacts
Core Initiatives
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2016 · PDF
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2013 · PDF
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2012 · PDF
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