Program Overview
The Minnesota Rural Health Transformation Program, administered by the Department of Health's Office of Rural Health and Primary Care, began implementation in December 2025 with milestones through October 2030. The current structured plan supports workforce retention and expansion—including clinical fellowships, loan repayment, and child/adolescent mental health—as well as technology adoption, provider collaboration, and targeted improvements in chronic disease, maternal, and behavioral health outcomes for rural and Tribal communities. The program actively engages Tribal partners and rural care sites through structured RFPs for hospitals, clinics, health centers, and clinicians, overseeing initiatives aligned with strategic goals. Ongoing implementation efforts focus on telehealth access (including statewide tele-buprenorphine), technical assistance, Project ECHO, and targeted rural maternity care system analysis and design for rural telehealth services. Current structured plan tracks 15 key initiatives and 13 strategic goals.
Updated
County-level estimates averaged across Minnesota — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (87)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Hennepin County | 1,269,496 | 10.0% | 5.4% |
| Ramsey County | 542,945 | 12.3% | 8.3% |
| Dakota County | 445,771 | 5.8% | 3.6% |
| Anoka County | 370,349 | 7.0% | 4.8% |
| Washington County | 276,238 | 5.1% | 3.5% |
| St. Louis County | 200,123 | 13.2% | 6.6% |
| Olmsted County | 164,498 | 7.5% | 4.7% |
| Stearns County | 160,865 | 12.9% | 7.6% |
| Scott County | 154,557 | 4.6% | 2.8% |
| Wright County | 148,269 | 5.2% | 3.9% |
| Carver County | 110,041 | 4.4% | 3.0% |
| Sherburne County | 100,560 | 5.1% | 3.1% |
AI source: MN - 2026 - Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages Request for Proposals (FAQ/Clarifications)
AI auto-updated Aug 5, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
5 related documents
MN - 2025 - RHT Plan - Public Comments
Auto-grouped context match (38%)
1,260,920 rural residents
Minnesota is actively implementing the Rural Health Transformation Program, with open Requests for Proposals for a rural telehealth needs assessment and rural maternity care system analysis. Competitive procurements are underway to support infrastructure planning, workforce retention, behavioral health, and telehealth expansion. Subaward agreements are being administered under explicit federal compliance requirements, reflecting ongoing engagement with rural health stakeholders and formal distribution of funds and contracts. Multiple targeted procurement opportunities remain open as of early September 2026. State opportunities: 4 active (1 open, 3 closing soon, 16 past/closed), $393.6M listed funding. Key opportunities: Minnesota FY2027 Community Clinic Grant; Analysis of the Rural Maternity Care System; Minnesota State Loan Repayment Program. Strategy alignment: supports care access, maternal health priorities.
Minnesota's RHTP maintains a regional, partnership-based strategy focused on strengthening workforce, financial sustainability, and access, with recent emphasis on participatory stakeholder co-design in rural maternity care and telehealth needs assessment. Iterative recommendations, pilots, and technical assistance for rural and Tribal providers remain central, alongside comprehensive compliance and targeted community-driven planning. The program increasingly leverages data-driven analyses to inform sustainable financing and infrastructure expansion.
Model
Regional, partnership-driven transformation prioritizing rural workforce expansion through clinical fellowships, retention and loan forgiveness; innovations in access via telehealth, mobile clinics, and health hubs; collaborative, value-based, and financially sustainable models for maternal and broader health services; enhanced health IT and technical assistance; rigorous compliance and reporting; and piloting sustainable care models grounded in multi-sector stakeholder input, needs assessments, and evaluation frameworks.
Key Initiatives (15)
Timeline: 12/29/2025 to 10/30/2030
Focused efforts on maternal and child mental health and broad tele-buprenorphine access aim to address rural behavioral health access gaps.
Retention programs target rural clinicians and advanced practice providers to stabilize and grow the rural health workforce.
Expansion of telehealth access points and technology support improves rural residents' access to care.
MN - 2026 - Minnesota Department of Health RHTP Technical Advisory Services for Health Information Technology (HIT) Purchases Request for Proposals
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MN - 2026 - Minnesota awarded $193 million for first year of RHTP
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MN - 2025 - RHTP Project ECHO for Maternal and Behavioral Health RFP
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MN - 2026 - Request for Proposal: RHTP: Project ECHO for Maternal and Behavioral Health
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Minnesota Department of Health
Due Sep 14, 2026· ⏰ 6 days left
5 related documents
MN - 2025 - Open Request for Proposal: Rural Telehealth Services Center Needs Assessment and Design Proposal
Primary source
MN - 2026 - Request for Proposals: Needs Assessment and Design Proposal for a Potential Rural Telehealth Services Center (RTSC) in Minnesota
Rural Telehealth Services Center Needs Assessment RFP
MN - 2026 - RFP Attachments: Rural Telehealth Services
Rural Telehealth Services RFP Attachments
MN - 2026 - Cost Proposal: Rural Telehealth Services
Rural Telehealth Services Cost Proposal
MN - 2026 - Sample Contract: Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages (PDF)
Minnesota RHTP Sample Contract
Minnesota Department of Health (MDH)
Due Sep 11, 2026· ⏰ 3 days left
5 related documents
MN - 2026 - Request For Proposal RHTP: Analysis Of The Rural Maternity Care System
RFP: Analysis of the Rural Maternity Care System
Minnesota Department of Health – Office of Rural Health and Primary Care
Due Sep 10, 2026· ⏰ 2 days left
2 related documents
MN - 2026 - Minnesota Health Care Loan Forgiveness Program: Frequently Asked Questions
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| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026-2027 | Leech Lake Band of Ojibwe Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $808K | Other | |
| 2026-2027 | White Earth Nation Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $651K | Other | |
| 2026-2027 | Red Lake Nation Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $637K | Other | |
| 2026-2027 | Fond du Lac Band of Lake Superior Chippewa Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $567K | Other | |
| 2026-2027 | Mille Lacs Band of Ojibwe Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $318K | Other | |
| 2026-2027 | Bois Forte Band of Chippewa Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $252K | Other | |
| 2026-2027 | Grand Portage Band of Lake Superior Chippewa Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $178K | Other | |
| 2026-2027 | Lower Sioux Indian Community Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $150K | Other | |
| 2026-2027 | Upper Sioux Community Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $150K | Other | |
| 2026-2027 | Prairie Island Indian Community Supports tribal nations in carrying out new or expanded initiatives under RHTP to improve rural health access, workforce, and delivery infrastructure in Minnesota. | $150K | Other |
This practical guide aims to assist rural health programs, practitioners, and partners in understanding and advancing innovation within rural health systems. It provides strategies, tools, and examples for designing, implementing, and scaling innovative approaches tailored to rural realities. Focus areas include community-centered design, workforce development, appropriate technology adoption, care models, partnerships, evaluation, financing, and leadership. Key contacts: Britta Anderson; Alycia Bayne; Alana Knudson; Luciana Rocha
Contacts
Core Initiatives
Minnesota has been awarded over $193 million for the first year of the CMS Rural Health Transformation Program, recognizing its plan to strengthen rural health. Funding targets technological innovation, workforce expansion, and improving outcomes for chronic diseases. The strategic plan was developed through broad stakeholder input and supports sustainable rural health delivery. Key contacts: Andrea Ahneman andrea.ahneman@state.mn.us Event schedule: - MDH application submitted - 11/04/2025 - News Release Date - 12/30/2025 - Implementation begins - Early 2026
Contacts
Core Initiatives
This document defines mandatory CMS/HHS compliance standards, financial management rules, civil rights requirements, reporting protocols, and award conditions for entities receiving RHTP funds from the State of Minnesota. It emphasizes transparency, anti-discrimination, proper fund management, conflict of interest disclosures, and federal audit responsibilities. It outlines HIPAA and interoperability expectations for subrecipients and provides explicit triggers and remedies for noncompliance. Key contacts: Compliance.MDHR@state.mn.us
Contacts
Core Initiatives
This solicitation aims to engage a vendor with experience in rural health, health services research, and hospital finance to develop recommendations for sustainable rural maternal care delivery models. The process will include stakeholder engagement, technical assistance, financial analysis, and scenario modeling to inform future pilot funding with RHTP dollars. Community and provider perspectives are prioritized, and the engagement strategy expects evidence-based frameworks and quarterly reporting. Key contacts: Emma Distel rural.transformation.MDH@state.mn.us Event schedule: - Application Deadline - 09/11/2026 - 12:00 PM CT - SWIFT Supplier Portal - Q&A Deadline - 08/31/2026 - 12:00 PM CT - Email to rural.transformation.MDH@state.mn.us - Anticipated Contract Start - September 2026 - CT - Anticipated Award Selection - 09/30/2026 - CT
Event Schedule
Contacts
Core Initiatives
Minnesota is soliciting public input to inform the state’s Rural Health Transformation Program, seeking ideas to sustainably improve rural health care delivery. Focus areas include emergency, primary, chronic, mental, and maternal health, as well as workforce and technology solutions. The document provides structured prompts for input on evidence-based interventions, innovative care models, workforce development, and technology use.
Core Initiatives
Minnesota seeks $1 billion over five years (2026-2030) from RHTP. The plan focuses on rural health workforce, new access points via telehealth and regional models, supporting financial sustainability, and expanding services. The application was shaped by over 40 stakeholder meetings and nearly 350 public comments.
The Rural Health Transformation Program (CFDA 93.798) is allocated $10 billion in federal discretionary funding for FY 2026. This is one of the largest competitive health grants in the HHS portfolio, focusing on rural hospital and Medicaid transformation.
The program is funded with over $193 million allocated for the period from December 29, 2025, to October 30, 2030. Minnesota's Department of Health serves as the administering agency overseeing the implementation of the program, which aims to transform rural health delivery systems and infrastructure.
Event Schedule
This document provides general information about the Minnesota Office of Rural Health and Primary Care and notes the 2025 Minnesota Rural Health Award winners announced on November 20, 2025. It references National Rural Health Day annually in November but contains no specific RHTP award or funding details.
Minnesota Department of Health (MDH) is soliciting vendor proposals for the Rural Health Transformation Program focused on rural maternity care system analysis and recommendations. The project is fully federally funded, with a maximum available budget of $3 million for the first period. Deliverables include iterative preliminary and final recommendations, advisory group engagement, and pilot site selection and support. Technical assistance and provider engagement are key features, and the RUCA methodology will be used to define rural areas. Event schedule: - Estimated Date of Award - 09/30/2026 - CT - Written Progress Reports - December 2026, March 2027, June 2027, September 2027 - CT
Event Schedule
Core Initiatives
This document confirms subscription to the Rural Health Transformation Program updates from the Minnesota Department of Health. No funding or award details are included.
March – May, 2027
Pilot Site Selection
↳ MN - 2026 - RHTP: Rural Maternity Care System Analysis Questions and Answers
December 2026, March 2027, June 2027, September 2027
Written Progress Reports Due
↳ MN - 2026 - RHTP: Rural Maternity Care System Analysis Questions and Answers
09/30/2027
Contract End
↳ MN - 2026 - RHTP: Rural Maternity Care System Analysis Questions and Answers
09/01/2027
Anticipated Contract End
↳ MN - 2026 - Request for Proposals: Needs Assessment and Design Proposal for a Potential Rural Telehealth Services Center (RTSC) in Minnesota
09/01/2026
Anticipated Contract Start
↳ MN - 2026 - Request for Proposals: Needs Assessment and Design Proposal for a Potential Rural Telehealth Services Center (RTSC) in Minnesota
05/07/2027
Final Recommendations Report Due
↳ MN - 2026 - RHTP: Rural Maternity Care System Analysis Questions and Answers
05/07/2027
Final pilot recommendations report due
↳ MN - 2026 - Request For Proposal RHTP: Analysis Of The Rural Maternity Care System
03/31/2027
Draft Recommendations Report Due
↳ MN - 2026 - RHTP: Rural Maternity Care System Analysis Questions and Answers
03/31/2027
Draft pilot funding recommendations due
↳ MN - 2026 - Request For Proposal RHTP: Analysis Of The Rural Maternity Care System
MN RHTP site updated — 1 new, 1 existing source(s) refreshed
MN RHTP site updated — 5 new, 1 existing source(s) refreshed
MN - 2025 - Open Request for Proposal: Rural Telehealth Services Center Needs Assessment and Design Proposal
Aug 19, 2026 18:11
·EmailMN - 2025 - Open Request for Proposal
Aug 19, 2026 17:52
·EmailMN - 2025 - Open Request for Proposal
Aug 19, 2026 17:07
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 105.
slrpnconobl.pdf
MN - 2026 - Cost Proposal: Analysis of the Rural Maternity Care System
Minnesota Health Care Loan Forgiveness Program
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MN - 2025 - Federal Award Compliance Requirements for Subrecipients under CMS-Funded RHTP
RFP Attachments: Analysis of the Rural Maternity Care System
MN - 2026 - Sample Contract: Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages (PDF)
Sample Contract
MN - 2026 - Cost Proposal: Analysis of the Rural Maternity Care System
Cost Proposal: Analysis of the Rural Maternity Care System
MN - 2026 - RHTP Funding - MN Dept. of Health
Source listing page
MN - 2026 - Minnesota State Loan Repayment Program Request for Proposal
GovDelivery RFP announcement
Event schedule: - All applicants must be able to demonstrate applicable membership and compliance with their corresponding accrediting bodies. * *Applications Due:* , 4:30 p.m. More information is available: Rural Health Transformation... - *Application Deadline: , 2026* - July 17 - *Eligible Applicants:* State, county, city, township, and tribal governments; special district governments; independent school districts; public and private institutions of h...
Event Schedule
Minnesota Department of Health has issued a request for proposals to conduct a needs assessment and develop a design proposal for a Rural Telehealth Services Center. The project aims to address service gaps and fragmentation for rural healthcare providers, emergency medical services, and communities. The RHTP is a federally funded program focused on transforming health care delivery through innovation, infrastructure, and workforce development. Key contacts: rural.transformation.mdh@state.mn.us; health.orhpc@state.mn.us
Contacts
Core Initiatives
Minnesota Department of Health announces an open Request for Proposal for the Rural Health Transformation Program, created under federal legislation in 2025. The program supports innovation, strategic partnerships, infrastructure, and workforce initiatives in rural health care. Contact information and links for further details are provided. Key contacts: rural.transformation.mdh@state.mn.us
Contacts
Core Initiatives
This Minnesota Department of Health RFP solicits proposals to assess needs and develop a design for a new telehealth services center supporting rural healthcare providers statewide. The work will identify gaps in rural telehealth, propose models for a centralized or alternative telecommunications center, and recommend strategies for overcoming regulatory, technological, and workforce barriers. The contract will run from September 2026 to September 2027, with deliverables including a comprehensive needs assessment, design options, final report, and summary presentation. Key contacts: Zomi Bloom grants.ruraltransformation.mdh@state.mn.us Event schedule: - Questions Due - 09/02/2026 - CT - Anticipated Evaluation & Selection Complete - 09/20/2026 - CT - Solicitation Multi-Factor Authentication Required - 10/16/2022 - CT - Anticipated Contract Term - September 2026 to September 2027 - CT
Event Schedule
Contacts
Core Initiatives
This toolkit provides a comprehensive process for care teams at facilities with limited or no formal obstetric services to assess their readiness to manage pregnant and postpartum emergencies. It includes structured review steps, provider and staff role assignments, and explicit attention to quality improvement, equity barriers, respectful care, and system protocols. The goal is to systematically identify gaps and implement targeted improvements in rural and resource-limited environments.
Core Initiatives
Event Schedule
Core Initiatives
This is a new RHTP solicitation from the Minnesota Department of Health offering up to $4,000,000 for TA vendors that can support rural hospitals, clinics, and Tribal Nations. Around 125 organizations, including 94 rural hospitals and numerous FQHCs, CCBHCs, and Tribal Nations, are eligible to benefit. Priority areas include community-clinical linkages, workforce expansion, telehealth, and financial sustainability.
Core Initiatives
Minnesota's Loan Forgiveness program opens for licensed pharmacists to apply for repayment assistance of qualified educational loans. The program seeks to strengthen the rural health workforce by incentivizing service in rural areas with up to $26,000 annually for a minimum three-year service commitment. Key contacts: Elizabeth Fenske health.loanforgiveness@state.mn.us; Dan Merkl health.loanforgiveness@state.mn.us; Gao Nue Xiong health.loanforgiveness@state.mn.us; Mai Ia Ong Vang health.loanforgiveness@state.mn.us Event schedule: - Application Open Date - 11/01/2026 - Application Close Date - 01/06/2027
Event Schedule
Contacts
Core Initiatives
Confirmation of Practice Form – Full-Time Practice Minnesota State Loan Repayment Program
Race/Ethnicity/Gender Survey Minnesota State Loan Repayment Program
Payment Verification Form for Minnesota State Loan Repayment Program (SLRP)
Confirmation of Practice Form – Half-Time Practice Minnesota State Loan Repayment Program
Minnesota State Loan Repayment Program Qualified Loan Form
MN - 2026 - Sample Contract: Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages (PDF)
MN - 2026 - ORHPC Health Care Funding - MN Dept. of Health
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State of Minnesota Professional and Technical Services Contract
Minnesota Management & BudgetStatewide Operating Procedure RHTP 2011 Document
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Minnesota Management & BudgetStatewide Operating Policy RHTP 2011 Document
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Minnesota Statewide Operating Procedure RHTP 2012 Document
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Minnesota Statewide Operating Policy RHTP 2012 Annual Report
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Minnesota Statewide Operating Procedure RHTP 2012 Document
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Minnesota Statewide Operating Policy RHTP 2014 Document
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Minnesota QUICK REFERENCE GUIDE February 20, 2024 Run SWIFT Queries For Supplier Contract Data This Guide Provides A List Of SWIFT Queries Agencies Commonly Use To Look Up Informat
Appropriation Maintenance Application (AMA) Glossary
Minnesota RHTP 2014 Document
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Debt Management RHTP 2011 Document
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Budget Division Number 0306-01.1 Issued: January 16, 2014 Revised: N/A Legislative Ad
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Financial Reporting Unit Number: 0402-02 Issued: April 1, 2014 Last Major Revision: July 1, 2015 Last U
Minnesota Wire Transfer Request Part 1: Paying Agency Information Agency Requesting Wire: Business Unit: Part 2: Wire Instructions Date To Wire The Funds: Wire Amount In US Dollars
Minnesota Procedure Number #0802-02.1 Date Issued: 08/06/2015 Date Revised: 08/06/2024 Warrant Special Handling Authority: Minnesota Management And Budget, Vendor Payments Unit Req
Minnesota Appendix A – Risk Assessment Agencies Number Agency Name 1. Department Of Administration (Cabinet) 2. Department Of Agriculture (Cabinet) 3. Department Of Commerce (Cabin
Minnesota RHTP 2015 Document
Minnesota Sales and Use Tax - Direct Pay Authorization
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Accounting Services RHTP 2017 Document
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Budget Division Number 0301-01.2 Issued: June 24, 2015 Revised: N/A Modifying Appropr
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Budget Division Number: 0204-01 Issued: November 8, 2013 Last Major Revision: N/A Last Updated: Septemb
Minnesota Policy Number #0802-02 Date Issued: 08/06/2015 Date Revised: 08/06/2024 Warrant Special Handling Authority: Minnesota Management And Budget, Vendor Payments Unit Request
Minnesota RHTP 2015 Document
Minnesota Policy Number #0102-01 Date Issued: 08/02/2018 Date Revised: 03/09/2020 Internal Control System Authority: Minnesota Management And Budget, Internal Control And Accountab
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Cash Management Unit Number 0601-01.1 Issued: January 16, 2015 Revised: N/A Request T
Minnesota RHTP 2011 Document
Minnesota RHTP 2015 Document
Minnesota QUICK REFERENCE GUIDE September 9, 2024 Troubleshooting Payments On Interagency Vouchers SWIFT Uses The Bilateral Netting Process To Issue Payments From One Agency To Ano
ORHPC General Grant Forms
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State of Minnesota E-Verify Subcontractor Certification
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