HHS Region 2 · NY State Dept of Health — Transforming Rural Healthcare
Program Overview
New York's Rural Health Transformation Program is actively implementing a coordinated strategy following its November 2025 CMS application and federal award. The program emphasizes rural community health integration, rural partnerships, technology-enhanced primary care using the Patient-Centered Medical Home model with AI, telehealth expansion—including eConsult partnerships—cybersecurity resilience for rural facilities, and rural workforce development. Contracts and awards are in progress for initiatives such as the Rural Community Health Integration collaborative NY-VISTA, with program activities underway across multiple rural hospital networks. Current structured plan tracks 7 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across New York — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (62)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Kings County | 2,631,580 | 19.1% | 15.1% |
| Queens County | 2,323,052 | 12.9% | 10.0% |
| New York County | 1,629,477 | 16.5% | 12.7% |
| Suffolk County | 1,530,146 | 6.4% | 4.0% |
| Bronx County | 1,404,779 | 27.8% | 22.5% |
| Nassau County | 1,389,591 | 5.4% | 3.6% |
| Westchester County | 999,677 | 9.0% | 6.3% |
| Erie County | 950,622 | 13.9% | 9.2% |
| Monroe County | 753,753 | 13.6% | 9.1% |
| Richmond County | 494,956 | 11.5% | 8.6% |
| Onondaga County | 471,129 | 13.8% | 9.2% |
| Orange County | 406,616 | 12.6% | 8.7% |
AI source: NY - 2026 - Ellenville Regional Hospital awarded $3 million for NY-VISTA specialty access collaborative under New York Rural Community Health Integration initiative
AI auto-updated Oct 11, 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
1 related document
NY - 2025 - New York State RHTP
Auto-grouped context match (38%)
1,389,207 rural residents
New York State continues active implementation of the Rural Health Transformation Program. The state has announced awards to dozens of rural health providers and is distributing federal funds, confirming sub-recipient implementation is underway. Notably, initiatives such as the NY-VISTA rural specialty access collaborative are commencing with awarded funding. Core projects on technology, workforce, and cybersecurity are ongoing as of September–October 2026. State opportunities: 1 total (1 past/closed), $76.2M listed funding. Key opportunities: New York Rural Community Health Integration (RCHI) Funding Opportunity. Strategy alignment: supports workforce, telehealth, care access priorities.
New York’s Rural Health Transformation Program (RHTP) implements coordinated rural partnerships, sustainable workforce pipelines, and AI-enabled Patient-Centered Medical Home models. Core strategies include investment in digital health, expansion of telehealth and eConsult partnerships, regional specialty access collaboratives such as NY-VISTA, and phased cybersecurity enhancements. The approach emphasizes regional integration, annual milestone-based funding cycles, robust stakeholder engagement, and continuous CMS oversight to achieve measurable improvement in rural health outcomes.
Model
Collaborative Regional Rural Health Integration networks; NCQA-standard AI-enabled Patient-Centered Medical Home models; Rural Roots workforce pipeline tailored to rural healthcare; phased technology modernization and telehealth expansion; specialty access collaboratives such as NY-VISTA with integrated clinical and technology infrastructure; milestone-driven cybersecurity enhancements beginning with rural hospitals and expanding to additional provider types following CMS guidance.
Key Initiatives (7)
Timeline: December 29, 2025 – October 30, 2030; initial contracts September 1, 2026 – June 30, 2027, with annual funding cycles, milestone-based reviews, and continuous CMS oversight.
Focus on improving access to primary care, care coordination, and addressing social determinants of health in rural communities using technology and partnerships.
Initiatives to develop and maintain a sustainable workforce pipeline tailored to the regional rural healthcare needs.
Expanding telehealth services, eConsult partnerships, and strengthening cybersecurity in rural health facilities to improve patient outcomes.
New York State Department of Health (RHTP)
Due Sep 1, 2026
1 related document
NY - 2026 - Introduction to Initiative 4: Cybersecurity Resilience for Rural NY
Cybersecurity Resilience Interest Form (PDF)
New York State Department of Health
Due Jul 14, 2026
6 related documents
NY - 2026 - New York Rural Community Health Integration (RCHI) Funding Opportunity
RCHI Funding Guidance (NY DOH)
NY - 2026 - Rural Community Health Integration Planning and Implementation Application (rchi_application)
RCHI Application Template (Planning & Implementation)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Ellenville Regional Hospital Funds awarded for rural health integration to expand service coordination and rural connectivity for Ulster County. | $3.0M | Network Development | |
| 2026 | Ellenville Regional Hospital Funds awarded to strengthen rural health integration in Ulster County. | $500K | Network Development | |
| 2026 | Care Compass Collaborative Integrated care collaborative serving rural areas in Broome, Chemung, Chenango, Cortland, Delaware, Otsego, Schuyler, Steuben, Tioga, and Tompkins counties. | $3.4M | Quality Improvement | |
| 2026 | Bassett Medical Center Provides rural health integration services in Otsego, Delaware, Herkimer, Madison, Montgomery, Oneida, and Schoharie counties. | $3.1M | Quality Improvement | |
| 2026 | Cayuga Medical Center Funds for rural community health integration in Broome, Chemung, Chenango, Cortland, Delaware, Otsego, Schuyler, Steuben, Tioga, and Tompkins counties. | $2.9M | Quality Improvement | |
| 2026 | Chautauqua Health Network Rural community health integration for Chautauqua County residents. | $1.8M | Quality Improvement | |
| 2026 | Champlain Valley Physicians Hospital Supports rural health integration in Clinton, Essex, and Franklin counties. | $1.4M | Quality Improvement | |
| 2026 | Canton-Potsdam Hospital Rural health integration for St. Lawrence County residents. | $1.1M | Quality Improvement | |
| 2026 | Clifton Springs Hospital & Clinic Rural health services integration in Ontario and Seneca counties. | $950K | Quality Improvement | |
| 2026 | Alice Hyde Medical Center Supports integrated health services for rural communities across Franklin, Clinton, Essex, and St. Lawrence counties. | $500K | Quality Improvement |
The Trump administration awarded $106 million to expand rural health care services in New York, Rhode Island, and Michigan. This funding aims to improve access and capacity in rural hospitals in these states.
Ellenville Regional Hospital has been awarded $3 million to lead NY-VISTA, an 11-hospital collaborative improving rural specialty access via integrated telehealth infrastructure and clinical workflows. The initiative aims to enhance timely access to specialists, reduce unnecessary transfers, and build a sustainable operating and financial model for rural hospitals. NY-VISTA is expected to begin implementation during Budget Period 1, with activities scheduled through June 30, 2027. Key contacts: Steven L. Kelley; Corey Scurlock, MD, MBA; Eric Shell, MBA Event schedule: - Award Announcement - 09/29/2026 - Ellenville, NY - Statewide RCHI funding announcement - September 4, 2026 - New York State - Implementation through Budget Period 1 end - 06/30/2027
Event Schedule
Contacts
Core Initiatives
New York State is soliciting applications to establish a statewide Resource Center for Hospital Sexual Violence Services, with a total of $1 million annually allocated for five years. The Resource Center will support hospitals, including rural emergency hospitals, in building sustainable capacity for high-quality, trauma-informed medical and forensic care for survivors. Mandatory objectives include statewide training for Sexual Assault Forensic Examiners, technical assistance, curriculum development, and fostering hospital partnerships. Key contacts: Krista Barringer NYSRCRFA@health.ny.gov Event schedule: - RFA Release Date - 10/15/2026 - ET - Letter of Interest Due - 11/05/2026 - ET - Questions Due - 11/05/2026 - ET - Questions & Answers Published - 12/01/2026 - ET - Applications Due - 12/17/2026 - 4:00 PM ET - The State of Sexual Violence Response in New York City - New York City
Event Schedule
Contacts
Core Initiatives
The program establishes coordinated rural health partnerships to improve care coordination and access, enhances primary care using the Patient-Centered Medical Home model with AI integration, develops a sustainable rural healthcare workforce, and invests in telehealth, eConsult partnerships, and cybersecurity for rural facilities. Event schedule: - Application submission - November 4, 2025 - January 16, 2026 Presentation - January 16, 2026 - June 23 Webinar - June 23, 2026 - YouTube - August 12, 2026 Update - August 12, 2026 - YouTube - August 17, 2026 Cybersecurity Resilience Webinar - August 17, 2026 - YouTube
Event Schedule
Core Initiatives
New York received over $212 million for the first year of the Rural Health Transformation Program. Four main initiatives target health network integration, technology-enhanced primary care, rural workforce development, and cybersecurity for rural health providers. The state is finalizing contracts, launching procurements, and preparing funding guidance for sub-awards in 2026. Key contacts: rhtp@health.ny.gov; RHTPCyber@health.ny.gov Event schedule: - Funding Guidance Released (Rural Community Health Integration) - 06/11/2026 - Applications Due (Rural Community Health Integration) - 07/14/2026 - Cybersecurity Resilience Initiative Webinar - August 17, 2026 - 3:00 to 3:30 PM ET - https://meetny-gov.webex.com/weblink/register/re9ef8454611b4d93cda92ba91fde8729 - Annual Report #1 Due - 08/31/2026 - Quarterly Report Due (Aug 1 - Oct 30, 2026) - 11/29/2026
Event Schedule
Contacts
Core Initiatives
This document is a multi-sheet budget spreadsheet for New York State's rural health transformation initiative, detailing personal service, contractual, travel, equipment, space, utilities, operating and other expenses. Budget justifications and formulas are included for each expense category. No explicit award, program milestones, or timeline are stated.
New York will use CMS funding to implement four key rural health initiatives including coordinated rural health partnerships, technology-enhanced primary care, workforce development, and investments in telehealth and cybersecurity. Stakeholder engagement involving providers, tribal and faith-based organizations, and community members will guide resource allocation to maximize impact in rural areas.
This document lists all FY2026 Rural Community Health Integration award recipients under RHTP in New York, covering a wide range of hospitals, health networks, and rural health councils. Awards span across nearly all rural counties in New York and are intended to improve care integration and access for rural populations. Explicit dollar amounts for each recipient reflect significant investment in rural healthcare transformation. Key contacts: RHTP Program RHTP@health.ny.gov
Contacts
Core Initiatives
Over 50 rural hospitals, clinics, and health networks in New York received direct awards under the RCHI program. Ellenville Regional Hospital, among others, was funded to expand rural integration in Ulster County. Key contacts: RHTP@health.ny.gov
New York aims to transform rural health through four key initiatives focusing on care coordination, technology-enhanced primary care, workforce development, and technology innovation including telehealth and cybersecurity. The program is informed by extensive stakeholder engagement and prioritizes funding to areas of highest rural need.
Core Initiatives
08/31/2026
Cybersecurity Resilience Interest Form Due
NY RHTP site updated — 1 new, 1 existing source(s) refreshed
NY RHTP site updated — 3 new, 0 existing source(s) refreshed
NY RHTP site updated — 1 new, 1 existing source(s) refreshed
NY RHTP site updated — 1 new, 1 existing source(s) refreshed
NY RHTP site updated — 3 new doc(s)
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NY - 2026 - CMS Awards $76M to Advance Rural Health in New York
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NY - 2026 - Applicant Budget
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Adult, Child and Youth OMH Care Management and ACT State Aid Guidance Service Dollars 2740, 8810, 1230
New York Q: If There Are Multiple Rate Adjustments, Which TCN Number Should Be Used For A Provider-initiated Adjustment – The Most Recent Adjusted Claim Or The Original? A - Retro
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NYRx Preferred Drug Program Overview April 23, 2026 What Providers Need To Know The Preferred Drug Program (PDP) Promotes The Use Of Less Expensive, Equally Effective Drugs Within
Early Intervention Steps: A Parent’s Basic Guide to the Early Intervention Program
Letter Encouraging Pharmacies to Accept IDNYC Identification Card
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2007 MLTC Model Contract (updated January 1, 2011)
New York PACE Model Contrac T MISCELLANEOUS/CONSULTANT SERVICE S Updated January 1, 201 1 STATE AGENCY (Name And Address): NYS Comptroller’s Number: New York State Department Of He
New York Practitioners Ordering Incontinence Products RHTP Document
New York EMedNY ICD-10 TESTING OPENED JULY 28, 2014 On July 28, 2014 EMedNY Opened The Provider Testing Environment (PTE) For Submitters To Begin Testing Medicaid Claims With ICD-1
New York Prior Approval For Placement In High/Special Level Of Care Out-of-State Facilities EMedNY-126001 – Directions To Providers Providers Of Out-of-state High Level Care (HLC)
New York INFANT APNEA MONITOR CHANGES RHTP 2008 Document
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New York Mailing Addresses Please Use The Following Chart When Sending Mail To EMedNY And Identify The Type Of Correspondence To Be Mailed, And Mail To The Address Below Using The
Syringe Service Programs Guide - New York City
NY Medicaid (NYRx) RHTP Guidance
New York RHTP Reference
United Hospital Fund Neighborhood Codes and Map
NIH Guide for Grants and Contracts
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NEW YORK PRODUCTS FOR INSTITUTIONAL BUYERS RHTP Reference
New York OGS Centralized Contracts List | Office Of General Services Skip To Main Content Navigation Menu Toggle Office Of General Services Real Estate Real Estate State Building D
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New York Internal Control Act In 1987, The Legislature Enacted A Law Entitled New York State Governmental Accountability, Audit And Internal Control Act Of 1987. This Act Highlight
New York State Procurement Council Resolution No. 2019-01 WHEREAS, On April 30, 1998 The New York State Procurement Council (“Procurement Council”) Delegated To The Office Of Gener
New York Revised Surveillance Case Definition For Acute HIV Infection (AHI) Among Adults And Adolescents HIV Epidemiology Program New York City Department Of Health And Mental Hygi
NY - 2026 - Rural Community Health Integration Planning and Implementation Application
RCHI Application Addendum #1 (July 2, 2026)
NY - 2026 - Rural Community Health Integration Funding Guidance and Application Instructions
RCHI Funding Guidance Addendum #1 (July 2, 2026)
NY - 2026 - Rural Community Health Integration Awardees List (511e1a)
RCHI Awardees List (NY DOH)
NY - 2026 - Ellenville Regional Hospital awarded $3 million for NY-VISTA specialty access collaborative under New York Rural Community Health Integration initiative
ViTel Net announcement — Ellenville Regional Hospital $3M NY-VISTA award
New York State's FY26 budget includes an unprecedented $1.3 billion for the Safety Net Transformation Program, comprised of $1 billion capital and $300 million operating support, to help rural and safety net hospitals transition towards improved financial health and expanded access. The budget maintains New York’s leadership in Medicaid and health system modernization, and codifies access protections for reproductive and emergency care. Key contacts: Governor's Press Office [email protected] Event schedule: - Budget Bill Signing Date - 05/09/2025 - ET - Albany, NY
Contacts
Core Initiatives
New York State received a $7.5 million federal award from CMS for the Innovation in Behavioral Health Model spanning 2025-2032. An initial $1.25 million in 2025 will support integrated behavioral health care models particularly in Western New York counties. The program aims to improve care integration between Medicaid and Medicare for adults with mental health and substance use disorders. Event schedule: - Grant Award Announcement Date - 12/17/2024
Core Initiatives
New York submitted its Rural Health Transformation Program application to CMS in November 2025, outlining initiatives to enhance care coordination, integrate technology and AI into primary care, develop the rural health workforce, and strengthen telehealth and cybersecurity. Key program elements include partnership development, workforce expansions, and investments in digital and cybersecurity infrastructure. Multiple rounds of guidance, presentations, and webinars have been offered to engage rural stakeholders. Key contacts: RHTP@health.ny.gov Event schedule: - State application submitted to CMS - 11/04/2025 - Cybersecurity Resilience Webinar - August 17, 2026 - YouTube - June 23 Webinar - June 23, 2026 - YouTube
Event Schedule
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Core Initiatives
This document provides templates and instructions for rural New York entities to apply for planning and implementation funding under the Rural Health Transformation Program. Applicants are guided through community engagement, partnership structure, health needs assessment, and development of work plans that address access, care coordination, workforce, and financial sustainability. Applications must be submitted by July 14, 2026. Event schedule: - Application Submission Deadline - 07/14/2026 - 4:00 PM ET - rchi@health.ny.gov
Event Schedule
Core Initiatives
New York was awarded over $212 million for the Rural Community Health Integration initiative as part of RHTP. The program aims to build rural health partnerships, improve care coordination, and address both medical and social needs in rural settings. Funding opportunities include planning grants of up to $500,000 per county and implementation grants up to $3 million for transformative projects. Key contacts: rhtp@health.ny.gov; rchi@health.ny.gov Event schedule: - Questions Due - 06/18/2026 - Questions and Answers Posted - 06/25/2026 - Applications Due - 07/09/2026
Event Schedule
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Core Initiatives
New York was awarded $212 million under the Rural Health Transformation Program for 2025-2030 to implement a highly collaborative set of rural health strategies across 47 rural counties. Key focus areas include healthcare workforce development, health IT and cybersecurity, access to care via Patient Centered Medical Homes, and building comprehensive rural health partnerships. NY’s plan was developed with stakeholder and community input and aims for scalable, sustainable rural healthcare improvement.
Event Schedule
Core Initiatives
Core Initiatives
New York's RHTP application identifies persistent disparities in health access and outcomes across its 2.1 million rural residents, with concerted strategies targeting workforce gaps, service closures, technology access, and financial instability. The plan proposes multi-level initiatives focused on developing collaborative health care networks, advancing primary care and behavioral health integration, modernizing rural health IT infrastructure, and growing a sustainable workforce pipeline. Strategic investments, robust partnerships, and data-driven planning anchor the state's approach to rural health system transformation.
Event Schedule
Core Initiatives
Contacts
Core Initiatives
CMS announced a $76 million investment in New York through the Rural Health Transformation Program (RHTP) to improve regional healthcare coordination and modernize technology for rural communities. The funding supports integrated care networks, workforce development, expanded access, and technology-enhanced primary care. Initiatives include building partnerships among hospitals and community providers, expanding training programs, and supporting care integration across the healthcare continuum. This investment is part of a broader push to strengthen rural healthcare infrastructure and sustainability across New York.