The RHTP supports rural health care transformation through competitive and microgrant funding. Active programs focus on behavioral health integration and emergency medical services/paramedicine vehicles, emphasizing timely distribution of funds according to state procurement rules. Current structured plan tracks 11 key initiatives and 7 strategic goals.
Oklahoma's Rural Health Transformation Program is actively accepting applications for multiple initiatives including behavioral health integration, EMS vehicles, and doula expansion, indicating ongoing state-level procurements. Several funding opportunities remain open, with subrecipient awards already issued for some programs. Program guidance and eligibility for specific initiatives have been published, and the funding webpage is regularly updated with current opportunities. The program is moving forward with concrete procurements and community engagement events. State opportunities: 3 active (3 open, 2 past/closed), $11.0M listed funding. Key opportunities: Emergency Medical Service & Community Paramedicine Vehicles; Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder; Expanding Care: Doulas Program. Strategy alignment: supports ems, care access, telehealth priorities.
RHTP Strategy
Oklahoma's RHTP pursues a regionally coordinated, multi-sector model emphasizing long-term rural health sustainability through investments in access, workforce, technology, and care innovation. Funding is distributed via competitive awards, microgrants, and direct contracts supporting care model transformation, infrastructure upgrades, and value-based care pilots. Local engagement, clear procurement, and annual renewals underpin program delivery, with measurable outcomes tied to chronic disease, maternal health, behavioral health, and technology adoption.
Model
Comprehensive, regionally coordinated funding and implementation leveraging direct program awards, microgrants, and public-private partnerships to scale sustainable care delivery, technology, and rural workforce solutions.
Key Initiatives
1Rural Regional Reorientation Program funding for clinical expansion, infrastructure improvements, equipment purchases, and multi-sector quality improvement projects in rural hospitals, clinics, and partner organizations
2Evidence-based Chronic Disease Management grants integrating telehealth, behavioral health, transportation support, and minor facility upgrades
3Telehealth expansion for maternal and specialty care, including telestroke and remote patient monitoring for high-risk pregnancies
4Emergency Medical Service and community paramedicine vehicle procurement and modernization
5Behavioral Health Integration with provider training and expansion of evidence-based substance use disorder medications in primary care
6County and community-based microgrants for wellness hubs, telehealth infrastructure, and health IT
7Expansion of doula workforce and community network, including training and support for high-risk maternal populations
8Value-based payment pilot programs for rural hospitals and regional provider networks
9Technology Cooperative to lower technology and EHR costs for rural primary care and behavioral health providers
10School-based health services support and Medicaid billing capacity expansion
11Workforce recruitment, rural community health worker, and provider training programs
Timeline: Initial CMS-funded activities span a five-year implementation (2026–2031), with personnel and travel funds spent by 10/30/2026, all other funds by 9/30/2027. Annual subrecipient renewals are contingent on progress and funding.
Health Priority
Workforce: Limited workforce in rural areas was highlighted as a major challenge. The program promotes recruitment, retention, and broadening of community health roles. (Regions: Statewide, Tribal)
Jun 25, 2026
Health Priority
Technology & Access Gaps: Rural communities face technology gaps and transportation barriers, which the program addresses through telehealth, transportation support, and expanded care teams. (Regions: Statewide, Rural)
Jun 25, 2026
Health Priority
Chronic Disease & Coordinated Care: Chronic disease pressures and need for more coordinated care drive focus on innovative, outcome-based interventions and preventive care. (Regions: Statewide)
Jun 25, 2026
Reference
PDF
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OK - 2026 - Find Your Regional Champion
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OK - 2026 - OSDH Subrecipient Terms & Conditions
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OK - 2026 - Oklahoma RHTP Guidance
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OK - 2026 - Oklahoma RHTP Rural Population Final
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OK - 2025 - RRR FAQ’s (5.5.26) – Guidance for Oklahoma RHTP
OK - 2025 - Attachment B [BH_Integration_-_Attachment_B_Subrecipient_Responsibilities.pdf]
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OK - 2026 - Attachment A
PrimaryPDF2027Award: $223.5M
OK - 2027 - Notice of Funding Opportunity
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OK - 2026 - Attachment C [BH_Integration_-_Attachment_C_Budget_and_Expenditures_include_personnel.xlsx]
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OK - 2026 - Requested Exceptions to OSDH Subrecipient
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OK - 2026 - Subrecipient questionnaire
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OK - 2025 - Behavioral Health Integration FAQs
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OK - 2009 - OSDH Subrecipient Terms & Conditions [Attachment_B_Negotiable_General_Term2.docx]
ReferenceHTML2026Budget: $2.8M
OK - 2026 - Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder; Emergency Medical Service & Community Paramedicine Vehicles - Notices of Funding Opportunity
Expanding community care referral platform to connect rural patients to services.
$800K
Population Health
2026
Oklahoma Health Care Authority (OHCA)
Startup funding for new rural PACE centers delivering integrated senior care.
$15.2M
Network Development
2026
Oklahoma Health Care Authority (OHCA)
Incentivizing value-based care for Medicaid perinatal providers and hospitals to improve maternal outcomes.
$600K
Quality Improvement
2026
Oklahoma Health Care Authority (OHCA)
Piloting in-person & tech hybrid clinic extension models for PCP support/risk/care gap management.
$1.6M
Quality Improvement
2026
Oklahoma State Department of Health (OSDH)
Piloting consumer-facing tech for prevention/self-management.
$4.3M
Health IT
2026
Oklahoma State Department of Health (OSDH)
Tech cooperative to lower costs for rural PCPs and BH providers.
$13.8M
Health IT
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
Oklahoma Hospital Association (OHA)
Expanding community health workers in rural hospitals and clinics.
$4.6M
Workforce
…
Announcement Documents (3)
🌐
AnnouncementNEWJun 24, 2026HTML2025
CMS has formally created the Office of Rural Health Transformation (ORHT) to oversee the $50 billion Rural Health Transformation Program. The office will guide the implementation of state transformation plans, provide technical assistance, and ensure accountability. This marks a historic investment to strengthen health systems and expand access in rural communities nationwide.
Event schedule:
- Office formally established - 12/29/2025
- Program end date - 09/30/2031
- State awardees announced - 12/29/2025
Budget: $50.0BOTHER
Event Schedule
Office formally established - 12/29/2025
Program end date - 09/30/2031
State awardees announced - 12/29/2025
Core Initiatives
Strengthen rural health systems
Expand sustainable access to care
Support implementation of state rural health transformation plans
Show all initiatives (5)
Strengthen rural health systems
Expand sustainable access to care
Support implementation of state rural health transformation plans
Coordinate federal and state partnerships
Ensure strong oversight and accountability
🌐
AnnouncementNEWJun 24, 2026HTML2025
Event schedule:
- , 2025 - Sep 15 - CMS Launches Landmark $50 Billion Rural Health Transformation Program
- , 2026 - Mar 19 - Readout: CMS Convenes First Rural Health Transformation Summit to Advance State-Led Innovation
- , 2025 - Dec 29 - CMS Announces Establishment of the Office of Rural Health Transformation
- , 2025 - Dec 29 - CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States
- , 2025 - Nov 05 - All 50 States Seek to Transform Rural Health with CMS
🌐
AnnouncementNEWJun 24, 2026HTMLPast2025
Event schedule:
- - Awards will be decided by , 2025 - December 31 - RHT Program Applicants Webinars
- , 2025 webinar - September 19 - - Recording
Event Schedule
- Awards will be decided by , 2025 - December 31 - RHT Program Applicants Webinars
, 2025 webinar - September 19 - - Recording
Award Announcement Documents (2)
🌐
Award AnnouncementNEWJun 24, 2026HTMLUpcoming2026Federal
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
RHTP Roadshow - August 25, 2026 - 2-3 p.m. CT - Atoka, OK, Kiamichi Technology Center
Contacts
<OklahomaRHTP@health.ok.gov> - Program General Contact - Statewide
Core Initiatives
Support sustainable rural health access points for care
Improve quality and coordination of care for rural residents
Strengthen the rural health care workforce
Show all initiatives (6)
Support sustainable rural health access points for care
Improve quality and coordination of care for rural residents
Strengthen the rural health care workforce
Advance adoption of value-based care
Increase use of innovative health technology
Promote prevention and address chronic disease, behavioral health, and maternal health
📄
Award AnnouncementApr 15, 2026PDF2026Federal
Oklahoma was awarded over $223M in federal RHTP funds for FY2026. Funds launched over 20 innovative programs, including maternal telehealth, EMS expansion, rural workforce, and value-based payment pilots across the state.
Event schedule:
- Year 1 Funding Start - 05/29/2026 - Oklahoma
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
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.
This document is a CMS-prepared summary of statewide RHTP applications for FY26 submitted by numerous states. Each state’s proposal highlights rural health transformation plans, with strategies focusing on maternal and child health, chronic disease, behavioral health, digital infrastructure, and workforce expansion. No recipient-level or sub-award allocations are listed in this summary; only high-level state funding requests and initiative descriptions are provided.
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
Oklahoma secured $223.5M federal RHT funding for FY 2026 to support 29 approved programs. Several programs are in contract or launch stages, with others in design or planning phases. Public applications are open for microgrants and some NOFOs expected soon.
Event schedule:
- NOFO Closing Date for Community-Led Wellness Hubs - 04/13/2026
Oklahoma secured approximately $223.5 million in federal RHTP funding for the first year of a five-year grant, distributed across 29 programs. Many programs are in active contract or program design, focusing on innovative care models, workforce, and technology expansion in rural health.
Event schedule:
- NOFO close for Community-Led Wellness Hubs Microgrants - 04/13/2026
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
Define and publicize eligible rural counties and communities in Oklahoma for the RHTP.
Ensure funding and applications target areas with rural populations under 55,000.
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.
Reference Documents (18)
🌐
ReferenceNEWJun 24, 2026HTML2026
CMS convened the first Rural Health Transformation Summit with leaders from all 50 states to align on early implementation strategies, best practices, and collaboration to advance the $50B RHTP. Key priorities include expanding access, workforce development, modernizing infrastructure, and value-based rural health models. The summit marked the launch of a sustained learning collaborative for state and federal partners. Key contacts: Catherine Howden
Event schedule:
- Rural Health Transformation Summit - March 18, 2026 - not specified
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.
OK - 2026 - Attachment F: Project Plan Template – Component 2 (Parent Education)
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OK - 2024 - Attachment F: Project Plan Template – Component 4 (Doula Support)
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OK - 2026 - Oklahoma SUB-RECIPIENT QUESTIONNAIRE Information Sheet The OSDH Is Required To Complete A Risk Assessment For Each Subrecipient Subaward And File The Required Reports As Outlined B
Subrecipient questionnaire (SRQ) (.pdf)
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OK - 2024 - Allowable and Unallowable Cost Summary
Attachment E: Detailed list of allowable and unallowable costs (.pdf)
OK - 2025 - Attachment F: Project Plan – Component 3 (Provider Education)
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OK - 2024 - Attachment F: Project Plan Template – Component 1 (Training)
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OK - 2026 - Requested Exceptions to OSDH Subrecipient
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OK - 2026 - Attachment D
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OK - 2025 - Attachment B [Attachment_B_Subrecipient_Responsibilities.pdf]
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OK - 2026 - Subrecipient questionnaire (SRQ)
PrimaryPDF2026Award: $223.5M
OK - 2026 - Notice of Funding Opportunity [EMS_and_Community_Paramedicine_Vehicles_NOFO_v01.pdf]
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OK - 2027 - EMS & Community Paramedicine Vehicles FAQs
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OK - 2026 - Attachment E
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OK - 2009 - OSDH Subrecipient Terms & Conditions [Attachment_B_Negotiable_General_Terms.docx]
Event Schedule
, 2025 - Sep 15 - CMS Launches Landmark $50 Billion Rural Health Transformation Program
, 2026 - Mar 19 - Readout: CMS Convenes First Rural Health Transformation Summit to Advance State-Led Innovation
, 2025 - Dec 29 - CMS Announces Establishment of the Office of Rural Health Transformation
Show all schedule items (5)
, 2025 - Sep 15 - CMS Launches Landmark $50 Billion Rural Health Transformation Program
, 2026 - Mar 19 - Readout: CMS Convenes First Rural Health Transformation Summit to Advance State-Led Innovation
, 2025 - Dec 29 - CMS Announces Establishment of the Office of Rural Health Transformation
, 2025 - Dec 29 - CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States
, 2025 - Nov 05 - All 50 States Seek to Transform Rural Health with CMS
Event Schedule
Year 1 Funding Award - 2026
Program Guide Update - 2026-04-01
Core Initiatives
Expand rural access to critical health services
Shift to value-based, integrated care
Strengthen rural health workforce
Show all initiatives (4)
Expand rural access to critical health services
Shift to value-based, integrated care
Strengthen rural health workforce
Improve maternal and population health outcomes
This Oklahoma Rural Health Transformation Program funding opportunity will award $2.5 million to expand doula access and training in rural parts of the state. The program supports workforce development, partnerships, provider and public education, and doula support systems. Eligible applicants include organizations experienced with rural maternal care, with all submissions handled through an online application portal.
Event schedule:
- NOFO released - 06/22/2026
- FAQ questions due - 07/08/2026 - 11:59 PM CT
- Application deadline - 07/27/2026 - 11:59 PM CT - OSDH
- Notice of award released
- Project spend/invoice deadline - 07/31/2027
Increase availability and training of qualified doulas in rural settings
Foster cross-sector partnerships to improve maternal health
Show all initiatives (4)
Expand doula access for rural Oklahoma families
Increase availability and training of qualified doulas in rural settings
Foster cross-sector partnerships to improve maternal health
Enhance awareness and uptake of doula services among providers and families
The Expanding Care: Doulas Program is a one-year, renewable grant aimed at expanding doula services and workforce in Oklahoma's rural communities. Applicants may apply for up to $1,000,000 per component and must demonstrate a track record of successful doula programming and partnerships in rural areas. Out-of-state entities may apply but must show projected in-state presence and sustainability; preference is given to Oklahoma-based organizations.
Event schedule:
- Budget Period One (BP1) Start - 12/28/2025
- Personnel, Fringe & Travel Spend Deadline (BP1) - 10/30/2026
- Final Invoice Submission Deadline (All BP1 funds) - 07/31/2027
- BP1 Drawdown Deadline - 09/30/2027
Final Invoice Submission Deadline (All BP1 funds) - 07/31/2027
BP1 Drawdown Deadline - 09/30/2027
Core Initiatives
Expand access to doula services in rural communities
Increase workforce capacity for doulas serving Medicaid and rural populations
Support community-based partnerships to enhance maternal health
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...
OTHER
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...
Core Initiatives
Ensure compliance with federal and state requirements for all RHTP subawards.
Promote accountability, monitoring, and risk mitigation among RHTP-funded subrecipients.
Core Initiatives
Make Rural America Healthy Again
Improve access, quality, outcomes, and sustainability of rural health delivery systems
Expand and modernize the rural health workforce
Show all initiatives (32)
Make Rural America Healthy Again
Improve access, quality, outcomes, and sustainability of rural health delivery systems
Expand and modernize the rural health workforce
Advance digital infrastructure and telehealth
Support value-based care, care coordination, and population health management
Empower rural Mainers to achieve their own healthy living goals through expanded population health solutions
Expand the supply of care by growing a rural workforce and spreading technologies that connect every community to advanced care
Ensure care will be available and affordable long into Maine’s future by pairing affordability measures with strategies that advance quality, efficiency, and fiscal durability
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, and mobile health care services
Improve health outcomes through expansions of behavioral health services
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic management
Build a future where every community – no matter how small or remote – has access to high-quality, locally grounded care connected through technology, supported by regional collaboration, and sustained by a strong rural workforce
Reduce preventable hospitalizations and emergency department visits year over year
Improve health outcomes focusing on heart disease, diabetes, obesity, cancer, suicide, and maternal and child health
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs
Promote sustainable access by focusing on integration and comprehensive delivery of services leveraging technology and supporting the workforce
Promote sustainable access by expanding outpatient behavioral health services and reduce regulatory hurdles
Strengthen the workforce through rural clinical placements and policies that allow top-of-license practice
Increase healthcare access and quality for improved chronic disease management and health outcomes
Invest in rural digital health literacy and telehealth access
Prioritize direct investment in provider capacity over creating new programs; establish regional maternal and infant health hubs
Improve primary care and specialty care access in rural areas
Address rural health challenges including dementia care, non-emergent medical transportation (NEMT), and workforce development
Leverage technology statewide including AI, telehealth, and clinical integration networks
Focus on wellness/nutrition initiatives, clinical workforce support, technology, and improved access to care
Improve primary care and long-term support leveraging technology, new delivery networks, workflows, and workforce development
Focus on patient empowerment and disease prevention with emphasis on access, technology, and workforce development
Address substance use disorder, hospital clinician and staff turnover, and emergency room strain through expanded networks, value-based payment models, and innovation
Improve workforce participation, healthcare access and sustainability, leveraging technology, health mobility platforms, and non-emergency medical transportation (NEMT)
Improve care coordination, mental health support, technology, and workforce development with emphasis on agriculture communities
Expand rural clinical workforce, leverage technology, and right-size delivery system with focus on specialty services and behavioral health
Prioritize funding rural health transformation activities in communities and counties categorized as rural.
Oklahoma RHTP is hosting engagement events and webinars to provide updates and gather stakeholder input on upcoming funding activities. No provider application or award information is included in this document.
Event schedule:
- Altus Stakeholder Meeting - 08/19/2024 - 1:00 PM - 2:00 PM CT - Southwest Technology Center, Altus, OK
- Touchpoint Webinar - 08/24/2024 - 12:00 PM - 1:00 PM CT - Zoom
- Atoka Stakeholder Meeting - 08/25/2024 - 2:00 PM - 3:00 PM CT - Kiamichi Technology Center, Atoka, OK
Event Schedule
Altus Stakeholder Meeting - 08/19/2024 - 1:00 PM - 2:00 PM CT - Southwest Technology Center, Altus, OK
Atoka Stakeholder Meeting - 08/25/2024 - 2:00 PM - 3:00 PM CT - Kiamichi Technology Center, Atoka, OK
This document defines which costs are allowable, such as salaries for rural health workforce, EMR/EHR upgrades, training, and program operations, alongside category-specific spending caps. It also details RHTP and federal-specific unallowable costs, like new construction, broadband infrastructure, and costs that duplicate existing funding. Subrecipients are advised to proactively consult with the RHTP Program Office to assure compliance and avoid audit findings. Key contacts: RHTPadmin@health.ok.gov
OK - 2026 - Attachment C [Attachment_C_Budget_and_Expenditures.xlsx]
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ons1.pdf
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dbs5.pdf
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sdbs1.pdf
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022410s033,020732s019,020733s023lbl.pdf
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GenRecsHomeless2010.pdf
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017116s029lbl.pdf
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A194
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dbs4.pdf
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dbs3.pdf
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dbs2.pdf
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PrematureMortalityFinal.pdf
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vnsz2.pdf
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rtms2.pdf
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vnsz1.pdf
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vagusdepression2.pdf
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rtms1.pdf
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tms2.pdf
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vnsz3.pdf
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OK - 2026 - Attachment D
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OK - 2026 - Governmental Entities Exempt Letter
PDF
Oklahoma Press Releases Jan 28, 2026 RHTP Meeting Minutes
2026 · HTML
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