Program Overview
The Oklahoma Rural Health Transformation Program (RHTP) is actively implementing a federally supported, multi-year initiative to expand rural health access, quality, and sustainability statewide. The current posture includes full statewide launch of EMS centralization using the Pulsara platform, enhanced transportation reimbursement, targeted microgrants for wellness services, infrastructure investments, workforce development, and behavioral health integration, with engagement from providers, tribal nations, and community partners. Current structured plan tracks 16 key initiatives and 10 strategic goals.
Updated
County-level estimates averaged across Oklahoma — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (77)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Oklahoma County | 806,199 | 16.0% | 11.7% |
| Tulsa County | 680,794 | 14.7% | 10.9% |
| Cleveland County | 300,047 | 12.9% | 8.2% |
| Canadian County | 168,985 | 8.0% | 5.6% |
| Comanche County | 121,825 | 18.1% | 14.1% |
| Rogers County | 98,610 | 8.9% | 6.5% |
| Wagoner County | 86,609 | 9.2% | 6.4% |
| Payne County | 82,972 | 22.6% | 12.0% |
| Pottawatomie County | 73,463 | 15.9% | 11.9% |
| Creek County | 72,830 | 14.5% | 11.6% |
| Muskogee County | 66,444 | 19.1% | 14.0% |
| Garfield County | 62,146 | 12.5% | 10.1% |
AI source: OK - 2026 - RHTP Funding Recipients
AI auto-updated Sep 1, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Nov 5, 2025
11 related documents
OK - 2026 - RHTP – State of Oklahoma (Budget_Narrative)
RHTP Budget Narrative
1,289,548 rural residents
RHTP programs have launched in all Oklahoma's rural counties, with multiple procurements and partner selections completed. Subrecipient funding and regional reorientation initiatives have begun, vouchers issued, and workforce training underway. Budget Period 2 is being prepared, with additional funding opportunities set to open soon. Implementation has reached all main program areas, with measurable progress in transportation, chronic disease, EMS, and care coordination. State opportunities: 2 active (1 open, 1 closing soon, 8 past/closed), $8.7M listed funding. Key opportunities: ROOTS (Rural Opportunities for Optimal Transformation in Students' Health) — Year 2; OSDE PRIMS Project 695: Promoting School Health Services Through Medicaid Billing; Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder. Strategy alignment: supports workforce, care access, telehealth priorities.
Oklahoma’s RHTP drives rural health transformation through regionally coordinated, outcomes-driven implementation utilizing competitive funding, microgrants, and robust facilitation. The strategy features statewide EMS centralization via the Pulsara TOTAL CARE platform, chronic disease management, workforce development, and targeted program investments including maternal and behavioral health support. Annual regional planning, broad partner engagement, and phased infrastructure investments, with updated emphasis on prioritizing rural network enrollment for EMS centralization, ensure sustainable access and measurable progress for rural communities.
Model
A five-year outcomes-based model led by Regional Reorientation (RRR) facilitators, leveraging county cluster engagement, annual competitive funding, and strategic microgrants. Includes statewide EMS centralization via Pulsara with prioritized rural network enrollment, community-driven chronic disease and wellness initiatives, phased infrastructure investments, and iterative adaptation to regional priorities with regular state and federal reporting.
Key Initiatives (16)
Timeline: Federally funded activities span five years (2026–2031), with most personnel and travel costs expended by 10/30/2026 and all other funds by 9/30/2027. Annual renewals are contingent on outcomes, with regional objectives planning and progress reporting required through October 2027 and beyond.
Rural residents face care access challenges, mitigated by transportation assistance, mobile clinics, and telehealth services.
Efforts aim to strengthen recruitment and retention of healthcare providers including community health workers, pharmacists, and navigators to serve rural needs.
Investment in telehealth, data sharing, cybersecurity, and innovative technologies to enhance efficient rural healthcare delivery.
OK - 2026 - Oklahoma Q1 Legislative Quarterly Report Jan 1 - March 31, 2026
Q1 Legislative Quarterly Report
OK - 2025 - Oklahoma RHTP Update and Year 1 Priorities
RHTP Update and Year 1 Priorities
OK - 2025 - Oklahoma RHTP August 2026 Touchpoint Webinar
August 2026 Touchpoint Webinar
OK - 2026 - Oklahoma RHTP Regional Champions and Contacts
Auto-grouped context match (37%)
OK - 2026 - OSDH Subrecipient Terms & Conditions
Auto-grouped context match (37%)
OK - 2026 - Oklahoma RHTP Guidance
Auto-grouped context match (37%)
OK - 2026 - Oklahoma RHTP (OK RHTP)
Auto-grouped context match (36%)
OK - 2026 - RRR Frequently Asked Questions (FAQ) and NOFO Policy Clarifications for Oklahoma RHTP
Auto-grouped context match (37%)
OK - 2026 - House Bill 3066 - RHT Revolving Fund
Auto-grouped context match (38%)
OK - 2026 - Hybrid Rural Care-at-Home and Virtual Clinical Capacity Model: An Integrated Chronic Disease Management Solution for Rural Oklahoma Communities
Oklahoma State Department of Education (OSDE)
Due Oct 15, 2026
3 related documents
OK - 2026 - rhtp funding
Source listing page
OK - 2026 - Official OSDE ROOTS Year 2 application form
Official OSDE ROOTS Year 2 application form
OK - 2026 - Oklahoma RHTP (OK RHTP)
ROOTS eligible communities
Oklahoma State Department of Education
Due Sep 12, 2026· ⏰ 7 days left
1 related document
OK - 2026 - Personnel Recruitment for Implementing Medicaid Services (PRIMS) Grant Application
Program Flyer
Oklahoma State Department of Health (OSDH)
Due Jul 27, 2026
2 related documents
OK - 2026 - Expanding Care: Doulas Program
Notice of Funding Opportunity (NOFO)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | OSDH Funds BH Integration in Primary Care, program in design/pre-build stage. | $3.2M | Population Health | |
| 2026 | OSDH Additional OSDH program in design mode. | $6.2M | Other | |
| 2026 | OSDH Funds Consumer-Facing Technology program in design mode. | $4.3M | Health IT | |
| 2026 | OSDH Awards for Community-Led Wellness Hubs (microgrants) covering 68 rural counties; support local wellness initiatives. | $7.8M | Population Health | |
| 2026 | Foundation for a Healthy Oklahoma (OHA) Implementation of a lung cancer screening program in rural hospitals to improve early detection and outcomes. | $2.4M | Population Health | |
| 2026 | Foundation for a Healthy Oklahoma (OHA) Community Health Worker Expansion program with executed contract and hospital training preparation. | $4.6M | Population Health | |
| 2026 | OSDH: OUHSC/OSU Funds MFM Telehealth Expansion program under contract progress. | $5.2M | Health IT | |
| 2026 | OSDE Supports School-Based Health Services program in progress. | $3.1M | Other | |
| 2026 | OSDE Funds Presidential Fitness Preparation program, contract in progress. | $1.1M | Population Health | |
| 2026 | OSU MFM telehealth expansion to improve maternal and fetal medicine access remotely for rural patients. | $2.3M | Health IT |
Oklahoma RHTP has launched programs across all rural counties, representing 75 unique initiatives with broad partner engagement, including academic, tribal, and CBO entities. Transportation reimbursement and microgrants have expanded access to wellness services, and statewide chronic disease management projects have launched. Oklahoma became one of the first states to pass the Presidential Fitness Readiness policy, securing additional federal funding. Key contacts: Clark Houser Clark.Houser.CTR@health.ok.gov; Ann Paul Ann.Paul.CTR@health.ok.gov; Tamara Clift Tamara.Clift.CTR@health.ok.gov; Richard Gillespie Richard.Gillespie.CTR@health.ok.gov Event schedule: - Identify funding opportunities - Dec 29, 2025 - Procurement completion - Feb 28, 2026 - CMS awards funds - July 2026 - Budget Period 2 starts - Oct 31, 2026
Event Schedule
Contacts
Core Initiatives
Oklahoma has secured more than $223 million in first-year RHTP funding, marking a major federal investment in rural health. The program will support innovative care models, technology upgrades, workforce expansion, transportation solutions, and more, targeting easier access to care, improved outcomes, and stronger local health systems. Community engagement through roadshows and webinars is ongoing, with further sub-awards and program opportunities to be announced. Key contacts: OklahomaRHTP@health.ok.gov Event schedule: - RHTP Roadshow - April 15, 2026 - 1:00-2:00 PM CT - Woodward, OK, High Plains Technology Center - Auditorium - RHTP Roadshow - April 16, 2026 - 1:00-2:00 PM CT - Chickasha, OK, Grady County Fairgrounds - Community Room - RHTP Touchpoint Webinar - April 21, 2026 - 1:00-2:00 PM CT - Zoom (Virtual Meeting) - RHTP Roadshow - August 19, 2026 - 1-2 p.m. CT - Altus, OK, Southwest Technology Center - RHTP Touchpoint Webinar - August 24, 2026 - Noon-1 p.m. CT - Zoom (Virtual Meeting) - RHTP Roadshow - August 25, 2026 - 2-3 p.m. CT - Atoka, OK, Kiamichi Technology Center
Event Schedule
Contacts
Core Initiatives
The Rural Regional Reorientation (RRR) project, part of Oklahoma's $223.5M RHTP Year 1 award, is launching to facilitate regional collaboration in rural health for the South Central region. Facilitators, regional coalitions, and partnership development are central to efforts to address quality, access, workforce, and sustainability issues. Applications for the ~$20M NOFO for Year 1 have closed, with local engagement and award announcements forthcoming. Key contacts: Richard Gillespie richard.gillespie.ctr@health.ok.gov; Clark Houser; Ann Paul; Melanie McGee Event schedule: - South Central RRR Kickoff - 07/22/2026 - In-Person County Cluster Kickoff (Tillman, Comanche, Cotton, Stephens, Jefferson) - 07/28/2026 - 4:00 PM – 5:00 PM CT - The FISTA - 390 SW D Ave., Lawton, OK 73501 - In-Person County Cluster Kickoff (Garvin, Murray, Pontotoc, Carter, Love) - 08/07/2026 - 11:30 AM – 12:30 PM CT - Carter County Health Dept. - 405 S Washington St, Ardmore, OK 73401
Event Schedule
Contacts
Core Initiatives
Oklahoma was awarded over $223 million for its first year of RHTP to transform rural health care delivery through a system-wide approach across 75 eligible counties. Core initiatives include workforce expansion, care model innovation, technology modernization, value-based payment transition, population health, and network development. Reporting to CMS will be quarterly and annually, with outcome metrics and community engagement as program priorities. Key contacts: Supplier Registration Assistance team OKSuppliers@omes.ok.gov; Oklahoma RHTP OklahomaRHTP@health.ok.gov Event schedule: - First budget period start - December 28, 2025 - First budget period end - October 30, 2026 - Subrecipient spending and invoicing deadline - July 31, 2027 - Draw down deadline - September 30, 2027 - Last Modified - June 22, 2026
Event Schedule
Contacts
Core Initiatives
This document is a blank or template expenditure summary and justification form for Rural Regional Reorientation applicants submitted as part of a Rural Health Transformation Program (RHTP) application. It provides structure for planning expenditures but does not report on any awards, recipients, or funding results.
Event Schedule
Oklahoma received $223.5 million in RHTP funding for FY2026, advancing 29 programs across diverse health areas—maternal health, chronic disease, behavioral health, emergency services, and rural workforce. Multiple contracts have launched, with competitive procurements, microgrants, and technology investments supporting rural health transformation. Most programs are transitioning from contracting into implementation during this quarter. Event schedule: - Notice of Award - 12/29/2025 - Funds available to state for authorized expenditures - 02/03/2026 - Annual Report + funding request for Budget Period 2 due - 08/31/2026 - End of first annual reporting period - 07/31/2026
Event Schedule
Core Initiatives
This document provides an exhaustive list of eligible rural counties and communities (by population) for the Oklahoma RHTP, excluding Oklahoma and Tulsa counties due to their populations. Eligibility is based on delivering care to rural populations in communities under 55,000 residents.
Core Initiatives
Oklahoma has selected the Pulsara system as the statewide EMS centralization platform under RHTP with free access for hospitals and Fire/EMS providers. The program prioritizes rural networks and aims for full participation to improve patient care coordination and sustainability. Key contacts: Not specified OklahomaRHTP@health.ok.gov Event schedule: - Last Modified on , 2026 - Aug 14 - Mailing Address
Event Schedule
Contacts
Core Initiatives
Reference: Rhtp Offering Grants for Paramedicine Vehicles Serving Rural Oklahoma 07 14 2026 Link: https://ktul.com/news/local/rhtp-offering-grants-for-paramedicine-vehicles-serving-rural-oklahoma-07-14-2026
The Microgrants program supports one-time purchases of equipment and assets to enhance health outcomes in rural counties with populations under 55,000. The program emerged from community listening sessions and is one of 29 initiatives funded by a $223 million five-year federal grant. Public engagement meetings and application webinars are held to support participation.
Oct 31, 2026
Budget Period 2 begins
↳ OK - 2025 - Oklahoma RHTP August 2026 Touchpoint Webinar
Nov. 30, 2027
Annual report & BP2 funding request due to CMS
↳ OK - 2025 - Oklahoma RHTP August 2026 Touchpoint Webinar
July 2026
CMS awards funds
↳ OK - 2025 - Oklahoma RHTP August 2026 Touchpoint Webinar
Aug 30, 2026
Budget Period 1 final report due
↳ OK - 2025 - Oklahoma RHTP August 2026 Touchpoint Webinar
12/29/2025
Notice of Award
↳ OK - 2026 - Legislative Quarterly Report Q2 April 1 - June 30, 2026
12/28/2025
First budget period start
↳ OK - 2027 - RHTP Frequently Asked Questions
10/30/2027
Final report due
↳ OK - 2026 - Chronic Disease Management Program FAQs NOFO Updates
10/30/2026
BP1 Funds - Personnel, Fringe, and Travel spent by
↳ OK - 2026 - Chronic Disease Management Program FAQs NOFO Updates
10/30/2026
End of Budget Period 1
↳ OK - 2026 - Legislative Quarterly Report Q2 April 1 - June 30, 2026
10/30/2026
First budget period end
↳ OK - 2027 - RHTP Frequently Asked Questions
09/30/2027
All BP1 funds drawn down by OSDH by
↳ OK - 2026 - Chronic Disease Management Program FAQs NOFO Updates
09/30/2027
Draw down deadline
↳ OK - 2027 - RHTP Frequently Asked Questions
OK RHTP site updated — 1 new, 1 existing source(s) refreshed
OK - 2026 - Oklahoma RHTP EMS Centralization Program – Pulsara System
Aug 15, 2026 13:43
·EmailOK RHTP site updated — 1 new doc(s)
OK - 2026 - Oklahoma RHTP Engagement Opportunities (2026-07-31-listserv-Oklahoma State Department of Health Daily Digest Bulletin)
Jul 31, 2026 12:08
·EmailOK - 2026 - Oklahoma RHTP Engagement Opportunities
Jul 25, 2026 13:32
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 70.
tms3.pdf
OK - 2026 - Attachment G: Workplan template - Component 1 (Training)
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OK - 2026 - BH Integration Attachment A Rural Communities and Counties
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OK - 2026 - Doula Program Applicant Webinar
NOFO Webinar Slide Deck
Oklahoma has launched a statewide EMS centralization initiative under the Rural Health Transformation Program, selecting Pulsara as the EMS communication and coordination platform. The platform enables real-time information exchange, live video specialty consultation, and logistics management for rural hospitals and Fire/EMS agencies at no cost. Implementation will occur in prioritized waves, focusing on connecting rural networks first. Key contacts: OklahomaRHTP@health.ok.gov Event schedule: - Announcement Date - 08/14/2026 - CT - Oklahoma
Event Schedule
Contacts
Core Initiatives
Oklahoma's Rural Health Transformation Program is engaging stakeholders through multiple regional roadshow events and webinars. The Rural Regional Reorientation (RRR) program facilitates collaboration with healthcare leaders and partners to identify priority needs and guide health improvement projects across rural Oklahoma. Events provide opportunities for community input and help shape priorities for state-led rural health initiatives. Key contacts: Melanie McGee OklahomaRHTP@health.ok.gov; Ann Paul OklahomaRHTP@health.ok.gov; Clark Houser OklahomaRHTP@health.ok.gov; Tamara Clift OklahomaRHTP@health.ok.gov Event schedule: - Altus Roadshow - 08/19/2026 - 1:00 PM – 2:00 PM CT - Southwest Technology Center, Altus, OK - August RHT Program Touchpoint Webinar - 08/24/2026 - 12:00 PM – 1:00 PM CT - Zoom https://www.zoomgov.com/j/1658621796?pwd=aT6z2E4usufossLcj8c1aUULyR6FrV.1 - Atoka Roadshow - 08/25/2026 - 2:00 PM – 3:00 PM CT - Kiamichi Technology Center, Atoka, OK - RRR Regional Kickoff – Tahlequah - 07/30/2026 - 3:00 PM – 4:00 PM CT - Cherokee County Health Department, Tahlequah, OK - RRR Regional Kickoff – McAlester - 07/31/2026 - 11:30 AM – 12:30 PM CT - Pittsburg County Health Department, McAlester, OK - RRR Regional Kickoff – Pryor - 08/03/2026 - 11:00 AM – 12:00 PM CT - Mayes County Fairgrounds, Pryor, OK - RRR Regional Kickoff – Guymon - 08/03/2026 - 2:00 PM – 3:00 PM CT - Texas County Health Department, Guymon, OK - RRR Regional Kickoff – Anadarko - 08/05/2026 - 3:00 PM – 4:00 PM CT - OSU Extension Service Center, Anadarko, OK
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Contacts
Core Initiatives
This amendment officially extends the application deadline for the Oklahoma Rural Health Transformation Emergency Medical Service and Community Paramedicine Vehicles Funding Opportunity to July 27, 2026 at 11:59 PM CST. All other terms and conditions of the NOFO remain unchanged. Key contacts: OklahomaRHTP@health.ok.gov Event schedule: - Application Due Date (amended) - 07/27/2026 - 11:59 PM CST
Event Schedule
Contacts
This document sets forth the standard subrecipient contractual terms required under Oklahoma's RHTP-funded Doula Expansion program. It details federal and state procurement, reporting, insurance, and anti-discrimination requirements. Additional terms cover risk management, allowable costs, invoicing, payment, and compliance monitoring for all rural health subrecipients. Event schedule: - Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043, 62 FR 19217 (, 1997), Subrecipient is encouraged to adopt and enforce on-the-job seat belt policies and programs for employees when ope... - Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74 F.R. 51225 (, 2009), Subrecipient is encouraged to adopt and enforce policies that ban text messaging while driving and establish workplace...
Event Schedule
Core Initiatives
The questionnaire outlines required internal controls, financial systems, and compliance criteria for organizations seeking subawards under Oklahoma's Expanding Care: Doulas Program. Its purpose is to ensure subrecipient capacity to manage federal funds and deliver rural maternal health services while meeting transparency and reporting requirements.
Core Initiatives
Oklahoma received $223.5M for RHTP Year 1, launching multiple procurements and distributing over $4M in Microgrants across most rural counties. Key programs focus on chronic disease management, regional care improvements, transportation expansion, and deploying community health workers. Over 70% of funds are already obligated. Event schedule: - CMS Funding Award - 12/29/2025 - CT - BP1 Funding Spend Deadline - 10/30/2026 - CT - Annual CMS Report Due - 08/30/2026 - CT
Event Schedule
Core Initiatives
This guidance provides an exhaustive list of eligible rural communities and the definition of rural counties for rural health transformation funding in Oklahoma, excluding Oklahoma and Tulsa counties. It clarifies that direct program services must be delivered in these rural areas, though some centralized or remote services are permissible.
Core Initiatives
Project 695 provides school districts across rural Oklahoma with grant funding to hire health personnel eligible to bill Medicaid and supports the implementation of a statewide electronic health record system, EdPlan Health. This initiative aims to increase reimbursement, improve administrative efficiency, and enhance the quality and sustainability of student health and mental health services. Applications for the PRIMS grant will be open for a defined period and are competitive. Key contacts: Shawna Blackburn shawna.blackburn@sde.ok.gov Event schedule: - PRIMS application opens - 07/09/2026 - Grants Management System (Competitive section) - PRIMS application closes - 09/11/2026 - Grants Management System (Competitive section)
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OK - 2026 - BH Integration Attachment C Budget and Expenditures include personnel
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OK - 2026 - Attachment A: List of communities and counties considered rural under the OK RHTP definition
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OK - 2026 - Attachment G: Workplan template - Component 4 (Doula Support)
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OK - 2026 - Attachment G: Workplan template - Component 3 (Provider Education)
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OK - 2026 - Attachment C: Budget forms
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dbs1.pdf
209229Orig1s000lbl.pdf
OK - 2026 - Attachment G: Workplan template - Component 2 (Parent Education)
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OK - 2026 - Attachment A Eligible Rural Communities and Counties
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OK - 2026 - Attachment C Budget and Expenditures
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ons1.pdf
dbs5.pdf
022410s033,020732s019,020733s023lbl.pdf
GenRecsHomeless2010.pdf
017116s029lbl.pdf
A194
sdbs1.pdf
dbs4.pdf
dbs3.pdf
PrematureMortalityFinal.pdf
dbs2.pdf
rtms2.pdf
vnsz2.pdf
vagusdepression2.pdf
vagusdepression3.pdf
rtms1.pdf
tms2.pdf
vnsz1.pdf
vnsz3.pdf
OK - 2026 - Rhtp Offering Grants for Paramedicine Vehicles Serving Rural Oklahoma 07 14 2026
OK - 2026 - Governmental Entities Exempt Letter
Oklahoma Infused Drugs Restricted To Kaiser Permanente’s Specialty Pharmacy Network To Receive Benefits For The Administration Of Select Infusion Medications In The Home Setting, T
2025 · PDF
Perinatal Depression Screening, Diagnosis, and Treatment Guideline Changes as of May 2024
2024 · PDF
Adult & Adolescent Depression Screening, Diagnosis, and Treatment Guideline Interim Updates 2025
2024 · PDF
Alcohol Use in Adolescents (13 Through 17) Screening and Intervention Guideline Changes as of October 2023
2023 · PDF
Unhealthy Drinking in Adults Screening and Intervention Guideline Changes as of October 2023
2023 · PDF
Fiscal Year 2021, Breast and Cervical Cancer in Oklahoma Annual Report
2021 · PDF