Michigan

This proposed policy transitions Medicaid Health Plan reimbursement for Federally Qualified Health Centers, Rural Health Clinics, and Tribal Health Centers in Michigan to standardized Prospective Payment System and All-Inclusive Rate methodologies. It provides detailed billing and eligibility guidance and clarifies excluded services and reconciliation requirements. The policy change aims to improve consistency, support rural and tribal access, and streamline provider payment procedures. Key contacts: Cinthya Herrera herrerac3@michigan.gov Event schedule: - Policy Public Comment Due Date - 11/18/2026 - Policy Effective Date - 04/01/2027 - Policy Issued (Proposed) - 03/01/2027

Michigan proposes a supplemental payment program for Medicaid-enrolled ambulance providers owned/operated by governmental entities such as counties, cities, and tribal governments. The program allows providers to receive reimbursement capped at actual allowable costs for emergency medical transports, calculated via state-approved cost reports. Participation is voluntary and contingent on CMS SPA approval, with payments reconciled annually based on submitted cost and claims data. Key contacts: John Klever kleverj@michigan.gov Event schedule: - Public Comment Due Date - 10/26/2026 - Proposed Policy Issuance - December 1, 2026 - Program Services Eligible Start Date - October 1, 2025

Michigan received a $173 million federal award for FY 2026 through the Rural Health Transformation Program to strengthen rural health care access and provider sustainability. The funding supports technology improvements, workforce development, and expanded care coordination across rural communities. Key contacts: Lynn Sutfin Event schedule: - Award announcement date - 12/30/2025 - Lansing, MI

Michigan was awarded $173 million for the first budget period of the Rural Health Transformation Program starting in December 2025. The initiative focuses on building regional partnerships, strengthening the rural healthcare workforce, improving data and technology infrastructure, expanding access to care, and supporting Tribal solutions. Priority is given to high-need rural areas, utilizing census and health indicator data to target investments. Key contacts: MDHHS-RHTP@michigan.gov Event schedule: - Notice of Funding Opportunity released by CMS - 09/15/2025 - Michigan proposal submitted - 11/03/2025 - CMS awards released for all 50 states - 12/29/2025 - BP1 begins - 12/31/2025 - BP1 ends - 10/30/2026 - BP2 begins - 10/31/2026 - BP2 ends - 10/30/2027

This document provides a comprehensive status update on state-level engagement and planning for the Rural Health Transformation Program (RHTP) for FY2025. It tracks requests for information, public comment periods, strategic priorities, and stakeholder engagement initiatives across all states, detailing the lead agencies and points of contact. No award amounts or recipient allocations are announced; the focus is on statewide application preparation and resource gathering. Key contacts: NRHA Government Affairs Team advocacy@ruralhealth.us; Zil Joyce Dixon Romero zjdromero@ruralhealth.us Event schedule: - Information update - October 23, 2025

The federal government authorized $50 billion for the Rural Health Transformation Program aimed at helping states address rural health coverage losses due to Medicaid cuts. CMS released a NOFO with applications due November 2025 and awards expected by the end of 2025. Event schedule: - NOFO Release - 09/15/2025 - Application Due Date - 11/05/2025 - Award Date by CMS - 12/31/2025

CMS clarified RHTP will provide $50 billion federal funding to states via a single application, split between baseline and workload-based distribution. Applications must address workforce, IT upgrades, care access, mental health, and value-based models, with explicit budget ties and sustainability plans. Webinar emphasized formatting, governance, and long-term impact for competitive scoring. Key contacts: MAHARural@cms.hhs.gov Event schedule: - Optional Letter of Intent Due - 09/30/2025 - 11:59 PM ET - NRHA RHTP Office Hours - 10/02/2025 - 1:00 PM ET - Webinar - NRHA RHTP Office Hours - 10/17/2025 - 1:00 PM ET - Webinar - Award Announcement - 12/31/2025

This document provides a comprehensive interactive tracker listing the Rural Health Transformation Program (RHTP) funding opportunities across all 50 states for 2026. It allows users to monitor the procurement stages, deadlines, and awarded projects but does not announce any specific award.

CMS announced the new Rural Health Transformation Program (RHTP), a $50 billion investment from FY 2026-2030, to reimagine rural America's healthcare. The National Rural Health Association (NRHA) and partners urge states to integrate age-friendly care for older adults as a key part of their RHTP implementation. RHTP’s strategic goals align with advancing prevention, workforce development, access, innovation, and digital health in rural communities. Key contacts: Laura Hudson Lhudson@ruralhealth.us; Rebecca (Becky) Yeboah ryeboah@ruralhealth.us; Carrie Cochran-McClain ccochran@ruralhealth.us; Marguerite Peterseim mpeterseim@ruralhealth.us

The Rural Health Transformation Program (RHTP) is a $50 billion federal investment (FY 2026–2030) supporting all 50 states in modernizing and sustaining rural health systems. A key opportunity identified by NRHA and Stratis Health is the integration of age-friendly care strategies into state RHTP implementation, as rural populations are rapidly aging and face disproportionate barriers to health care. Convenings with state leaders revealed growing interest in embedding components such as workforce expansion, telehealth, transportation, and community health worker models to address older adults’ health and social needs. Key contacts: Carrie Cochran-McClain; Marguerite Peterseim; Rebecca Yeboah; Laura Hudson Event schedule: - RHTP Application Submission Deadline - 11/30/2025 - NRHA/Stratis Health Age-Friendly Discussion 1 - 12/04/2025 - NRHA/Stratis Health Age-Friendly Discussion 2 - 12/08/2025 - Nationwide RHTP Award Announcement - 12/31/2025

Michigan received $173M in RHTP funding for Budget Period 1, with five major initiatives and a 5% Tribal carve-out. Distribution will reach 236 subrecipients, across all rural counties, via both grant and interagency agreement processes. The program's Advisory Council spans multiple organizations and regions, guiding strategic direction and program refinement. Key contacts: Chardaé Burton BurtonC5@michigan.gov Event schedule: - CMS notifies BP 1 states of awards - 10/15/2026 - All funds for BP 1 must be obligated - 10/30/2026 - Beginning of BP 2 - 10/31/2026 - All funds for BP 1 must be spent - 09/30/2027

The Michigan Department of Health and Human Services engaged with rural stakeholders to develop a funding prioritization framework targeting rural areas with high health needs and socioeconomic vulnerabilities. The program emphasizes regional partnerships, workforce development, health information exchange, care closer to home models, and Tribal government partnerships. Budget Period 1 runs from December 31, 2025 through October 30, 2026, with Budget Period 2 starting October 31, 2026. Event schedule: - Notice of Funding Opportunity Released - September 15, 2025 - Michigan Proposal Submission - November 3, 2025 - CMS Awards Released - December 29, 2025 - Budget Period 1 Start - December 31, 2025 - Budget Period 1 End - October 30, 2026 - Budget Period 2 Start - October 31, 2026 - Budget Period 2 End - October 30, 2027