Program Overview
The South Carolina Rural Health Transformation Program is currently offering infrastructure and capacity-building grants through five targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, Shoring Up to Sustainability, and a Tech Catalyst Fund for rural health technology startups. The program emphasizes expanding digital infrastructure, scaling care delivery innovations, supporting workforce development, strengthening behavioral and maternal health services, and modernizing health IT in rural communities, with active implementation as subrecipient agreements and oversight responsibilities are established. Additional grant opportunities support infrastructure, behavioral health, and cancer screening improvement. The structured plan aligns with CMS strategic goals and federal regulations, tracking key initiatives and strategic objectives. Current structured plan tracks 12 key initiatives and 10 strategic goals.
Updated
County-level estimates averaged across South Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (46)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Greenville County | 548,166 | 10.8% | 7.7% |
| Richland County | 422,117 | 17.2% | 11.5% |
| Charleston County | 420,264 | 11.3% | 7.0% |
| Horry County | 383,016 | 13.2% | 9.1% |
| Spartanburg County | 347,852 | 14.5% | 10.8% |
| Lexington County | 304,887 | 11.1% | 8.5% |
| York County | 293,673 | 8.4% | 6.2% |
| Berkeley County | 246,802 | 9.9% | 7.5% |
| Anderson County | 210,478 | 14.6% | 11.5% |
| Beaufort County | 195,289 | 9.6% | 7.1% |
| Aiken County | 174,160 | 14.3% | 10.1% |
| Dorchester County | 167,201 | 11.4% | 8.1% |
AI source: SC - 2026 - Public Input Survey to Help Inform Future RHTP Funding Decisions
AI auto-updated Oct 12, 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
9 related documents
SC - 2025 - Frequently Asked Questions – RHTP Application Guidance
728,561 rural residents
As of July 31, 2026, South Carolina has issued a Request for Applications and begun executing subrecipient agreements for RHTP funds. The executed agreements indicate that active implementation has started, with projects running from July 31, 2026 through September 30, 2027. State and subrecipient compliance, reporting, and audit processes are in place, and operational rollout is underway. Current opportunities are closed and awards are being finalized, confirming that the program is actively under implementation. State opportunities: 8 total (8 past/closed), $92.7M listed funding. Key opportunities: Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027; RHTP: Wellness Within Reach Initiative; Connections to Care – Modernize Health IT. Strategy alignment: supports workforce, prevention, care access priorities.
South Carolina's RHTP sustains its approach of targeted, high-impact investments led by SCDHHS, pursuing outcome-driven initiatives and broad collaboration to modernize rural health infrastructure, advance digital capacity, strengthen care delivery, and eliminate access barriers. The strategy continues to center on scaling successful pilots, expanding mobile and crisis services, supporting workforce and facility sustainability, and catalyzing digital innovation, including implementation of the new Tech Catalyst Fund. Program focus remains on chronic disease, behavioral health, maternal health, cancer screening, health equity, and expanded capital infrastructure grants.
Model
Targeted infrastructure and workforce transformation leveraging digital innovation, mobile care delivery, statewide scaling of impactful pilot programs, and financial stabilization, coordinated through outcome-driven, time-limited grants and public-private partnerships under rigorous compliance and reporting requirements.
Key Initiatives (12)
Timeline: Primary grant application window closes June 1, 2026. Rural Enhancement Grant, Cancer Screening Initiative, and Act 301 infrastructure deadlines are July 31, 2026. Tech Catalyst Fund application window is open May 27–June 25, 2026. Due Diligence for Tech Catalyst Fund is June 15–July 9, 2026, with Pitch Days in July 2026. Additional timelines for Behavioral Health Crisis Stabilization Services and ongoing initiatives will be announced in subsequent phases. Subrecipient agreements require quarterly and monthly reporting, with five-year facility sustainability for infrastructure grants. The Public Input Survey closes October 2, 2026.
Focused efforts to improve cancer screening rates in rural clinics through funded quality improvement collaboratives.
Focus on expanding digital infrastructure, mobile health units, chronic disease management, and workforce development in rural areas.
Focused efforts to improve healthcare access and coordination through digital infrastructure and mobile health units to serve underserved rural populations.
SC - 2025 - Budget Narrative
SC - 2025 - Transforming Rural Healthcare in South Carolina
SC - 2026 - Welcome! The meeting will begin shortly…
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SC - 2025 - South Carolina RHTP Application
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SC - 2028 - Centers for Medicare & Medicaid Services RHTP
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SC - 2025 - South Carolina RHTP
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SC - 2025 - OMB Number: 4040-0019 Expiration Date: 06/30/2028
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SC - 2026 - RHTP Grant Overview
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South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
Due Jun 25, 2026
4 related documents
SC - 2026 - RHTP Tech Catalyst Fund Notice of Funding Opportunity
Primary Notice of Funding Opportunity
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $1.3M | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $8.3M | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $630K | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Facility Enhancements | $140K | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Wellness Within Reach — Expanding Community Care Sites | $125K | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Healthcare Workforce | $1.7M | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Wellness Within Reach — Expanding Community Care Sites | $200K | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Facility Enhancements | $1.3M | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $340K | RHTP_SUBAWARD | |
| 2026 | Self Regional Healthcare (Lakelands Region) Connections to Care — Expand Remote Patient Monitoring (RPM) & Assistive Technology | $677K | RHTP_SUBAWARD |
This document announces a public input survey intended to inform future funding decisions for the Rural Health Transformation Program. It seeks stakeholder feedback to guide program priorities and resource allocation. Event schedule: - Public Input Survey Date - 09/17/2026
Event Schedule
South Carolina's RHTP awarded dozens of grants to rural hospitals, clinics, and community health programs in 2025. Funding supports facility upgrades, telehealth, workforce training, and chronic disease expansion. Multiple major and local recipients address gaps in rural access and technology.
Core Initiatives
Governor Henry McMaster announced recipients of RHTP funding in South Carolina at a September 11, 2026 press conference in Columbia, SC. Event schedule: - Press Conference - 09/11/2026 - Columbia, S.C.
Event Schedule
This document is a supporting file for the Act 301 Infrastructure funding RFA for South Carolina covering fiscal years 2026-2027. It outlines the capital expenditure funding opportunity aimed at rural health infrastructure enhancement.
Event Schedule
SCORH offers the 2026 Rural Enhancement Grant to support technology upgrades, education, and quality initiatives in rural health practices, with awards up to $5,000. Additionally, the Cancer Screening Improvement Initiative funded by the BlueCross BlueShield of SC Foundation focuses on increasing cancer screening rates in rural clinics through collaborative quality improvement efforts. Event schedule: - 2026 Rural Enhancement Grant Application Deadline - 07/31/2026 - Cancer Screening Improvement Initiative Application Deadline - 07/31/2026
Official SCRA Tech Catalyst Fund package document for South Carolina's Rural Health Transformation Program.
The Tech Catalyst Fund is managed by SCRA under contract with SCDHHS. The fund supports innovative medical technology startups in rural health; applications were due June 25, 2026, with a multi-stage review process including due diligence and pitch days. Event schedule: - Application Deadline - 06/25/2026
Event Schedule
Official SCRA Tech Catalyst Fund package document for South Carolina's Rural Health Transformation Program.
South Carolina proposes an ambitious, data-driven Rural Health Transformation plan centered on expanding digital health infrastructure (EHR, remote monitoring, telehealth), workforce initiatives, and financial stabilization for rural hospitals. Strategic efforts target improved access and chronic disease management for 1.75 million rural residents, with emphases on care coordination, maternal health, and cross-sector partnerships. Five flagship initiatives (e.g., Connections to Care) will modernize rural health systems and equip communities for sustainable transformation.
Event Schedule
Core Initiatives
South Carolina is distributing $35 million in one-time infrastructure grants to hospitals for creating specialized emergency units for mental health crisis stabilization. The program aims to add 56 new crisis beds and 111 spaces to address emergency psychiatric needs. Funding is limited to infrastructure and does not cover staffing or service provision.
Core Initiatives
The document outlines an $800 million award over four years dedicated to transforming rural healthcare in South Carolina. Budget details include personnel, fringe benefits, travel, supplies, and substantial contractual expenditures.
South Carolina was awarded $200 million in Rural Health Transformation Program funding to enhance rural healthcare infrastructure and services. The program includes targeted grants, such as a $15 million grant program specifically for rural and medically underserved areas, and focuses on improving behavioral health and maternal health integration. Event schedule: - Tuesday, , 2025 - December 30 - South Carolina Awarded $200 Million in Rural Health Transformation Program Funding - Monday, , 2025 - June 30 - Federal and State Officials Announce Efforts to Crack Down on Healthcare Fraud Schemes - Thursday, , 2025 - May 1 - SCDHHS Announces Relocation of Richland County Medicaid Office - Thursday, , 2025 - January 16 - SCDHHS Awarded $7.2 Million to Improve Integration of Behavioral Health Services - Tuesday, , 2025 - January 14 - DPH, DDSN and SCDHHS Encourage Support and Services During Birth Defects Awareness Month - Wednesday, , 2025 - January 8 - SCDHHS Receives Grant to Invest in Maternal Health Care - Tuesday, , 2024 - February 20 - SCDHHS Awards $48.2 Million in Healthcare Infrastructure Funds to Improve Access to Quality Medical Services in Rural and Medically Underserved Areas - Thursday, , 2024 - January 25 - Gov. McMaster, SCDHHS Announce Number of School-based Mental Health Counselors Doubles in South Carolina
Event Schedule
The program includes targeted funding opportunities such as the Act 301 Capital Expenditure Infrastructure Funding for FY 2026–2027, Rural & Medically Underserved Area Grant, and Behavioral Health Crisis Stabilization Services Grant. These grants support rural health infrastructure development and behavioral health services expansion across the state.
Event Schedule
This RFA provides one-time capital infrastructure funding to county alcohol and drug abuse authorities in South Carolina to build and renovate facilities supporting access to substance use services in high-need areas. Eligible applicants are designated by Act 301 of 1973. Partnerships with community-based healthcare practices and other organizations are encouraged and must be clearly described in the application. Key contacts: grants@scdhhs.gov Event schedule: - RFA Posting Date - 09/14/2026
Event Schedule
Contacts
Core Initiatives
South Carolina DHEC is soliciting public input via a statewide survey to guide future funding decisions for the Rural Health Transformation Program. The survey aims to identify rural health priorities and gather feedback on existing RHTP-funded projects to better target resources for years two through five. Key contacts: grants@scdhhs.gov Event schedule: - Survey Close Date - 10/02/2026
SC RHTP site updated — 16 new, 0 existing source(s) refreshed
SC RHTP site updated — 1 new, 0 existing source(s) refreshed
SC RHTP site updated — 2 new, 0 existing source(s) refreshed
SC RHTP site updated — 1 new, 0 existing source(s) refreshed
SC RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 48.
SC - 2026 - Grants | SCDHHS
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SC - 2026 - CMS Awards $167M for 228 Rural Health Transformation Projects in South Carolina
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SCRA Grant Final Report Feb21
SC - 2026 - Grants | SCDHHS
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SC - 2026 - South Carolina to Announce Rural Health Transformation Program Funding Recipients
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SC - 2026 - Notice of Privacy Practices
2026 · PDF
SC - 2020 - – RHC COVID Testing Process Step by Step October 2020
SC - 2020 - RHC COVID test reporting: Step-by-step guide
SC - 2020 - SC HOPES mental health and addictions support line
SC - 2020 - Screening Patients for Food Insecurity and Linking them to Nutritious Food Resources During COVID-19
SC - 2026 - t Budget Template
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SCDHHS Replacement MMIS RFI 4
SCDHHS Replacement MMIS Notification 4
SC - 2026 - Draft Replacement MMIS Pricing Tables
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SC - 2026 - Incentive Payment Example
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SC - 2015 - For questions related to Medicaid contract forms, contact 803-898-0376.
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SCPro Procurement System Overview
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Purchase Procurement Code Books
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2021 South Carolina Model School District Procurement Code
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Retired Clauses and Documents
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Research Resources Bibliography and Legal Materials on South Carolina Procurement Code
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Standard Clauses & Provisions, Compendium Version 3.0 (May 2024)
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South Carolina Procurement Code and Regulations - Legal Reference
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Audit & Certification Audit Reports and Procurement Regulations Overview
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SCPro South Carolina Procurement System Overview
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2021 Model School District Procurement Code and Large Districts Procurement Overview
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Purchase Procurement Code Books
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Retired Clauses and Documents | procurement.sc.gov
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Research Resources Bibliography and Procurement Code Amendments Reference
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Procurements Reported By State Agencies
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Standard Clauses and Provisions – South Carolina Division of Procurement Services (Compendium Version 3.0, May 2024)
2024 · HTML
South Carolina Procurement Code & Regulations Overview and Amendments
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SC - 2015 - Debarment Form 1-2015
SC - 2026 - SCDHHS MES Modernization Future State Assessment Summary Report
2024 · PDF
SC - 2025 - Where to Go For Help | SCDHHS
2025 · HTML
SC - 2025 - Healthy Connections Medicaid Managed Care | SCDHHS
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SC - 2025 - Tax Information | SCDHHS
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SC - 2025 - Resources | SCDHHS
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SC - 2025 - Provider Information | SCDHHS
2025 · HTML
Download Healthy Connections Application Form (PDF)
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
SC - 2026 - RHTP Tech Catalyst Fund Application Preview
Application Preview
SC - 2026 - Tech Catalyst Fund Due Diligence Checklist
Due Diligence Checklist
SC - 2026 - tech catalyst fund
Tech Catalyst Fund program page (scra.org)
South Carolina Department of Health and Human Services announced a new $15 million grant program focused on bolstering healthcare access and infrastructure in rural and medically underserved areas. Awards will provide up to $3 million each for infrastructure improvements to support essential health services such as primary care and behavioral health. Key contacts: grants@scdhhs.gov Event schedule: - Application Due Date - 12/04/2023 - Award Notification Date - 02/02/2024
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Contacts
Core Initiatives
SCDHHS was awarded $17 million from CMS over ten years to improve maternal health care for Medicaid enrollees through the Transforming Maternal Health (TMaH) Model. Key priorities include reducing maternal mortality and extending postpartum Medicaid coverage. The effort is supported by a coalition of state and national health partners and builds on previous initiatives such as the Birth Outcomes Initiative. Key contacts: Jeff Leieritz Communications@scdhhs.gov Event schedule: - Grant Award Announcement - 01/08/2025 - ET - Columbia, SC
Event Schedule
Contacts
Core Initiatives
Event Schedule
Core Initiatives
The Rural Health Transformation Program in South Carolina will fund four major initiatives for rural populations, totaling $169 million in federal investment. Awards focus on health IT, chronic disease, pop-up clinics, workforce, and technology innovation; applications are open for rural providers. Timeline milestones include application deadlines in June 2026 and completion by September 2027. Key contacts: SCORH Team info@scorh.net Event schedule: - Applications Due - 06/01/2026 - Award Notices - 07/31/2026 - Project Completion - 09/30/2027
Contacts
Core Initiatives
South Carolina is launching its Wellness Within Reach Initiative as part of the Rural Health Transformation Program, making $27.7M available to rural-serving organizations through subawards. The initiative focuses on expanding mobile crisis response and community care sites to improve healthcare access, quality, and outcomes in rural areas. Projects must demonstrate measurable impact and directly benefit rural residents.
Event Schedule
Core Initiatives
South Carolina is submitting an application to CMS for the Rural Health Transformation Program, with Governor and SCDHHS leadership committed as the lead administrator and convener. The plan prioritizes stakeholder engagement, chronic disease management, infrastructure improvements, and sustainable care models in rural areas. Extensive coordination aims to leverage existing resources, avoid duplication with current federal and state rural health funding, and maximize health outcomes for rural residents.
Event Schedule
Core Initiatives
CMS announced a $167 million investment in South Carolina through the federal Rural Health Transformation Program (RHTP), funding 228 projects aimed at strengthening rural healthcare. The grants will expand telehealth, upgrade technology and infrastructure, and support workforce development, with targeted efforts in maternal health, behavioral health, mobile health units, and IT modernization. Funding focuses on increasing access via new sites, mobile and pop-up clinics, school-based mental health services, and technology upgrades, including EHRs, cybersecurity, and specialized equipment. This initiative is part of a larger federal effort to modernize rural care delivery and close health access gaps in South Carolina’s rural communities.
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Contacts
Core Initiatives