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HHS Region 8 · South Dakota Dept of Health — Rural Health Transformation
Program Overview
The South Dakota Rural Health Transformation Program is actively implementing its fiscal year 2026 plan, emphasizing digital health modernization, community health worker and workforce development (including maternal health training), EMS advancement, and sustainable systems transformation. The Department of Health administers structured grant programs supporting behavioral health, chronic disease management, infrastructure, and Medicaid Primary Accountable Care Transformation through formal RFP processes and provider technical assistance. Current structured plan tracks 27 key initiatives and 11 strategic goals.
Updated
County-level estimates averaged across South Dakota — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (66)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Minnehaha County | 203,289 | 8.8% | 5.9% |
| Pennington County | 113,512 | 11.2% | 6.7% |
| Lincoln County | 70,638 | 5.6% | 4.1% |
| Brown County | 37,877 | 11.7% | 6.8% |
| Brookings County | 35,353 | 13.2% | 5.2% |
| Meade County | 30,546 | 7.1% | 4.0% |
| Codington County | 28,767 | 8.8% | 4.8% |
| Lawrence County | 27,233 | 11.6% | 7.8% |
| Yankton County | 23,414 | 11.9% | 7.6% |
| Davison County | 19,952 | 11.2% | 6.7% |
| Beadle County | 19,309 | 13.6% | 7.0% |
| Hughes County | 17,664 | 9.2% | 4.9% |
AI source: SD - 2026 - RHT Timeline Early to Late 2026
AI auto-updated Aug 14, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
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SD - 2026 - South Dakota RHTP
Migrated from duplicate federal row
445,734 rural residents
South Dakota has issued multiple RFPs for core Rural Health Transformation Program initiatives, including solicitations in July 2026 for Behavioral Health Modernization, EMS Infrastructure, and Data Visualization. As of August 2026, the state has awarded 13 RHTP contracts and grants totaling $5.62M, supporting project management, technology modernization, care access, workforce development, and EMS system improvements. Several opportunities remain active or were recently closed, with awards and implementation proceeding across program areas. Funding totals $273.5M across active and past opportunities, supporting workforce, telehealth, and care access priorities. State opportunities: 3 active (3 closing soon, 24 past/closed), $273.5M listed funding. Key opportunities: Building a Sustainable Rural Healthcare Workforce: Recruit & Retention; Building a Sustainable Rural Healthcare Workforce: Recruit & Retention; Rural Health Data Atlas-Data Visualization and Analysis Platform. Strategy alignment: supports workforce, prevention, care access priorities.
South Dakota’s RHTP continues its multi-year, grant-driven strategy focused on digital health modernization, targeted value-based Medicaid pilots, and sustainable rural and Tribal healthcare workforce development. The FY2026–2030 approach prioritizes recruitment and retention, care coordination, data-driven system enhancements, and behavioral health integration, supported by renewable contracts and strategic, cross-agency partnerships. Ongoing investments emphasize capacity building, operational planning, and infrastructure improvements to modernize and connect rural care delivery statewide.
Model
A grant-centered rural health transformation framework prioritizing digital health modernization, value-based Medicaid pilots, integrated workforce recruitment and retention, operational and strategic planning, maternal and population health management, and behavioral health integration for rural and Tribal communities, delivered via renewable contracts and competitive funding cycles.
Key Initiatives (27)
Timeline: FY2026–2030; annual grant and contract cycles with renewable terms for selected projects; administrative review and evaluation periods
South Dakota faces a shortage of healthcare workers across multiple fields, especially in rural and frontier communities.
Limited access to these services is a key rural healthcare challenge.
Transportation is a major barrier to receiving care in rural communities.
SD - 2026 - South Dakota RHT Project (rural-health-transformation-program-slide-deck_short)
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SD - 2025 - South Dakota RHTP
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SD - 2026 - Legislative one-pager
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South Dakota eSM Solutions Posting Board
Due Sep 4, 2026
4 related documents
SD - 2026 - Posting Board (3444a404-3818-494f-84c5-2a850acd7779)
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SD - 2026 - Building a Sustainable Rural Healthcare Workforce: Recruit & Retention
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SD - 2026 - Building a Sustainable Rural Healthcare Workforce: Recruitment and Retention
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SD - 2026 - Posting Board
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South Dakota eSM Solutions Posting Board
Due Sep 4, 2026
3 related documents
SD - 2026 - Posting Board (3444a404-3818-494f-84c5-2a850acd7779)
Matched by solicitation/attachment identifier
South Dakota eSM Solutions Posting Board
Due Aug 24, 2026
4 related documents
SD - 2026 - RFP Document
RFP Document
SD - 2026 - Appendix A Job Descriptions
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | South Dakota Rural Strong Grants Grants to strengthen access, quality, and long-term sustainability of rural healthcare across South Dakota through technology and data modernization. | $31.5M | Health IT | |
| 2026 | North Star Solutions LLC Provide consultant services to SD Health Link to help manage the Digital Health Modernization and Technology Grant Program. | $1.5M | — | |
| 2026 | SD Foundation For Medical Care To establish regional EMS hubs that improve coordination, resource sharing, operational efficiency, and overall system performance across South Dakota. | $719K | — | |
| 2026 | SD Foundation For Medical Care Recruit and support individuals from priority and underserved communities to participate in doula training and certification. Provide mentorship, assist, and facilitate partnerships between community-based doulas and healthcare providers. | $131K | — | |
| 2026 | SD Foundation For Medical Care Rural Health Transformation initiative is a statewide effort focused on strengthening rural healthcare systems and improving access to quality care across South Dakota. Through strategic investments, innovative care models, and cross-agency collaboration, Rural Health Transformation is designed to build a more resilient, connected, and sustainable rural health system for communities across the state. | $171K | — | |
| 2026 | Guidehouse INC Conduct the Statewide Maternal Health Access and Services Assessment for the Rural Health Transformation Project. | $567K | — | |
| 2026 | Black Hills Special Services To provide project management support for the Chronic Disease Management Initiative for Rural Health Transformation. | $503K | — | |
| 2026 | Myers & Stauffer LLC The purpose of this contract is to assist the State in developing a population-based alternative payment methodology for South Dakota Medicaid primary care services that incentivizes providers and patients and promotes shared accountability for cost and utilization. | $450K | — | |
| 2026 | Health Management Associates This vendor will assist in evaluating the current billing, data collection, and reporting systems of DBH, South Dakota Medicaid, and identified providers working toward CCBHC certification or becoming a Designated Collaborating Organization (DCO) and provide a technology roadmap that supports South Dakota and provider systems to function with CCBHC data collection, reporting, and billing | $425K | — | |
| 2026 | Community Health Worker Collab Provide technical assistance, program development, professional development, and financial sustainability asssitance to new/expanding CHW/CHR programs. | $399K | — |
The South Dakota Rural Workforce Network Grant, funded by HRSA, invests over $1.15 million to support sustainable healthcare workforce pipelines statewide. It builds recruitment, training, and partnerships to address rural workforce shortages. The initiative targets vital support roles such as CNAs, medical assistants, and lab technicians. Key contacts: Lindsay Stroman
Contacts
Core Initiatives
South Dakota has announced the first and second rounds of its Rural Health Transformation Program RFPs for 2026, signaling the implementation phase of the state's RHTP efforts. This expands opportunities for rural hospitals to participate in care delivery and payment transformation projects. Application instructions direct potential applicants to the state procurement portal. Event schedule: - First Round of Rural Health Transformation Requests for Proposals announced - 02/25/2026 - Second Round of Rural Health Transformation Requests for Proposals announced - 03/03/2026
OpenSD itemized 13 South Dakota RHTP contracts and grants totaling $5.62M.
This announcement provides guidance and tips for applicants seeking funding under the Rural Strong Grants RFP in South Dakota. The state anticipates Year 1 awards between $200,000 and $3,000,000. It outlines key steps, recommended exhibits, and proposal instructions for rural healthcare providers interested in the program. Key contacts: info@sdaho.org
Contacts
Core Initiatives
South Dakota was awarded over $189 million in federal Rural Health Transformation Program funding for FY2026. An initial $89.4 million will be made available through the Digital Health Modernization and Technology Grant Program, launching in 2026, to support EHR and technology upgrades for rural and underserved providers. Grant funding will also cover interoperability, cybersecurity, workforce training, and network development projects across eligible provider types. Event schedule: - Grant Period 1 Start Date - 02/20/2026 - Grant Period 1 End Date - 10/30/2026 - Grant Period 1 Spending Deadline - 09/30/2027 - Tentative RFA Release - 03/31/2026
Event Schedule
Core Initiatives
This announcement highlights the South Dakota Association of Healthcare Organizations' central RHTP Resource Hub. It includes direct links to the state's RHTP website, member guidance, webinars, and recent updates such as the EMS RFP addendum clarifying contract dates. Event schedule: - Announcement posted - July 17, 2026 - https://sdaho.org/rural-health-transformation-project-resources/
The timeline for 2026 outlines phased approaches starting with foundational RFPs and planning in Q1 focused on technology, Medicaid transformation, chronic disease, and behavioral health. Major programmatic solicitations and awards begin in spring and early summer, with additional rounds and enhanced behavioral health and remote monitoring initiatives later in the year. Event schedule: - Launch of foundational RFPs and planning efforts - January-March 2026 - Major release of programmatic RFPs and RFAs - March-May 2026 - Transition from planning to program launch with initial awards - June 2026 - Additional funding rounds and technical assistance with expanded initiatives - Summer-Fall 2026
Event Schedule
Core Initiatives
South Dakota's PACT initiative establishes a new Medicaid primary care payment and quality incentive model, with $62.7M in grant funding for infrastructure, care management, and technology. The program aims to sustain rural primary care practices by shifting to value-based prospective payments, focusing on prevention, population health, and provider team support. Implementation runs from 2026-2030, beginning with planning and launching statewide in 2028.
Event Schedule
Core Initiatives
This initiative aims to modernize rural health IT infrastructure in South Dakota through funding for EHR adoption, telehealth integration, and operational resilience. It includes launching innovation centers and a health data atlas to improve care coordination and public data access.
This initiative focuses on expanding evidence-based chronic disease management programs in rural South Dakota, including funding for rural healthcare providers and caregiver support. It aims to improve health outcomes through sustainable community-based interventions and enhanced care coordination.
Core Initiatives
South Dakota's EMS initiative targets the development of EMS Hubs to improve coverage and response times, expands workforce training, and integrates advanced technology including telemedicine. The program aims to enhance rural emergency response sustainability and coordination statewide.
The initiative will establish a statewide digital training platform and deliver virtual and in-person training to enhance rural healthcare workforce capabilities. It aims to improve care quality and provider retention through professional development.
The program emphasizes data visualization and analysis to inform rural health decisions, and focuses on building a sustainable rural healthcare workforce through recruitment and retention efforts. Several funding opportunities are currently open including Requests for Proposals related to data platforms and workforce strategies. Event schedule: - 26RFP090826 Sourcewell Runway Equipment & Specialized Airfield Sys & Related Serv , 2026, 01:18 PM UTC 3 days left Sep 8, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Jul 21 - 07:36 PM - 26IFB19913 2027 or Newer Vehicles , 2026, 07:36 PM UTC 4 days left Sep 9, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Aug 26 - 06:00 PM - 26RFP19906 2027 Vacation Guide - Print Project , 2026, 06:00 PM UTC 4 days left Sep 9, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Aug 20 - 02:16 PM - keyboard_arrow_leftkeyboard_arrow_left - 26IFB19928 Fish Transport Tank , 2026, 02:16 PM UTC 5 days left Sep 10, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Aug 19 - 01:50 PM - keyboard_arrow_leftkeyboard_arrow_left - 26RFPAS26-68 NASPO ValuePoint Walk-In Building Supplies , 2026, 01:50 PM UTC 5 days left Sep 10, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 4 - 01:42 PM - keyboard_arrow_leftkeyboard_arrow_left - 26RFP091026 Sourcewell Commercial Card Programs , 2026, 01:42 PM UTC 5 days left Sep 10, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Jul 23 - 01:21 PM - keyboard_arrow_leftkeyboard_arrow_left - 26RFP19910 Scheduled Cleaning Services Coyote Inn Lodging Service Contract , 2026, 01:21 PM UTC 6 days left Sep 11, 2026, 11:00 PM UTC Invitation Only Ready for Responses - Aug 14 - keyboard_arrow_leftkeyboard_arrow_left
Event Schedule
This document walks providers and stakeholders through the steps needed to access current RHTP funding opportunities in South Dakota via the state's Open SD portal. It explains how to search for relevant RFPs, reviews key proposal requirements, deadlines, and outlines the evaluation process. No funding amounts, recipients, or award announcements are included. Key contacts: info@sdaho.org
Contacts
Core Initiatives
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SD RHTP site updated — 1 new, 0 existing source(s) refreshed
SD RHTP site updated — 15 new doc(s)
SD RHTP site updated — 1 new doc(s)
SD RHTP site updated — 1 new doc(s)
SD RHTP site updated — 1 new doc(s)
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SD - 2026 - Budget Template [XLS, 97.00 KB]
XLSX
SD - 2026 - Associate Membership
SD - 2026 - Rural Health Leaders
RFP 26-09RHT-021 — Rural Health Data Atlas: Data Visualization and Analysis Platform
RFP Document (DOCX)
SD - 2026 - Posting Board
Matched by solicitation/attachment identifier
Appendix A: Job Descriptions
SD - 2026 - Appendix C RFP WIC Services budget
Appendix C: Budget
SD - 2026 - South Dakota Landing Page (updated: June 28, 2026)
Map
Event Schedule
Core Initiatives
South Dakota secured $189.4 million federal funding for FY 2026 under the Rural Health Transformation Program. The state awarded $31.5 million in Rural Strong grants to accelerate digital health modernization and improve healthcare access and quality in rural areas. Key contacts: Melissa Magstadt; DOH.info@state.sd.us; DOHmedia@state.sd.us Event schedule: - Announcement of $90 million award - 08/19/2026 - Announcement of $31.5 million Rural Strong grants - 07/23/2026 - Announcement of securing $189.4 million federal funding - 12/29/2025
Event Schedule
Contacts
Core Initiatives
South Dakota was awarded approximately $189.4M in FY2026 under the Rural Health Transformation Program, with a comprehensive, state-led strategy targeting rural hospital stabilization, Medicaid payment transformation, digital health infrastructure, and rural workforce expansion. Core initiatives include health IT modernization, alternative payment models, EMS regionalization, expanded maternal and behavioral health services, and workforce recruitment and retention efforts. The program directly addresses rural health disparities across all 64 rural counties, including Tribal and frontier populations.
Core Initiatives
The South Dakota Department of Health released the Rural Strong Grant funding opportunity offering up to $31,750,000 in budget period one to eligible rural healthcare providers including hospitals, FQHCs, rural health clinics, tribal clinics, behavioral health and dental clinics. Eligible applicants must be Medicaid-enrolled business entities. Fund uses include operational and strategic planning, service line expansion, regional resources, and care coordination infrastructure. Event schedule: - RFP Publication - 04/02/2026 - Letter of Intent to Respond Due (preferred, not mandatory) - 04/16/2026 - Offeror Questions Due - 04/23/2026 - Responses to Offeror Questions - 05/07/2026 - Request for SFTP folder - 05/21/2026 - Proposal Submission - 05/22/2026 - Anticipated Award Decision/Contract Negotiation On or before - 06/22/2026
Event Schedule
This RFP from the South Dakota Department of Health seeks proposals for workforce recruitment and retention initiatives targeting rural healthcare systems. Up to $6 million is available in year one, with a focus on coordinated, sustainable solutions that directly address healthcare workforce shortages and staff stability in rural and frontier communities. Proposals must support a five-year service commitment for financial incentives and robust tracking, reporting, and sustainability plans. Key contacts: Josie Petersen Josie.Petersen@state.sd.us Event schedule: - RFP Publication - 07/22/2026 - CT - Offeror Questions Due - 08/04/2026 - CT - Responses to Offeror Questions - 08/14/2026 - CT - Proposal Submission Deadline - 09/04/2026 - 5:00 PM CT - Josie.Petersen@state.sd.us - Anticipated Award Decision/Contract Negotiation - 09/30/2026 - CT
Event Schedule
Contacts
Core Initiatives
Event Schedule
Core Initiatives
South Dakota will award $89.3M for digital health modernization with a focus on electronic health records, telehealth, diagnostic and network upgrades, cybersecurity, workforce training, and the creation of regional innovation centers. The program aims to advance patient care, data security, interoperability, and sustainable technology infrastructure for rural and underserved health providers. Subrecipient requirements mirror robust federal compliance, supporting local projects through a competitive, tiered grant framework. Event schedule: - Application Open - 05/07/2026 - Online grant portal - Application Close - 06/30/2026 - Online grant portal - Grant Period Start - 02/20/2026 - Grant Period End - 07/31/2027 - Award Announcement - August 2026
Core Initiatives
This initiative funds statewide implementation of CCBHC and Collaborative Care Models in South Dakota to improve behavioral health care in rural and frontier areas. It includes workforce development, crisis and telehealth infrastructure, payment system transformation, and data infrastructure modernization.
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
The program includes multiple targeted Requests for Proposals such as workforce recruitment and retention, rural health data visualization, and project management to support rural health transformation. It prioritizes building sustainable rural healthcare workforces and deploying data-driven tools for rural health improvements. Event schedule: - 26PRO19903 Pocket Sevens Good Neighbor Authority Timber Sale Prospectus , 2026, 06:35 PM UTC 0 days left Aug 31, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Jul 27 - 07:52 PM - 26IFB19834 Global Position System Equipment , 2026, 07:52 PM UTC 1 days left Sep 1, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Aug 7 - 01:33 PM - 26RFP19858 Market Conduct Examinations Services , 2026, 01:33 PM UTC 1 days left Sep 1, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Jul 1 - 01:03 PM - keyboard_arrow_leftkeyboard_arrow_left - 26IFB19946 Replace Boilers-Sioux Falls Armory , 2026, 01:03 PM UTC 3 days left Sep 3, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Aug 28 - 02:31 PM - keyboard_arrow_leftkeyboard_arrow_left - 26RFP-26-09RHT-021 Rural Health Data Atlas-Data Visualization and Analysis Platform , 2026, 02:31 PM UTC 4 days left Sep 4, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Aug 24 - 12:21 PM - keyboard_arrow_l... - 26RFP-26-09RHT-024 Building a Sustainable Rural Healthcare Workforce: Recruit & Retention , 2026, 12:21 PM UTC 4 days left Sep 4, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Aug 18 - 01:18 PM - keyboard_a... - 26RFP090826 Sourcewell Runway Equipment & Specialized Airfield Sys & Related Serv , 2026, 01:18 PM UTC 8 days left Sep 8, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Jul 21 - keyboard_arrow_leftkeyboard_a...
Event Schedule
Core Initiatives
The South Dakota Rural Health Transformation Program strategic plan (2025-2031) proposes statewide investment in workforce, technology, and system transformation to improve rural health outcomes, reduce disparities, and strengthen hospital and clinic sustainability. Four core areas guide the strategy: modernizing health IT and data, addressing rural workforce recruitment and retention, preserving and optimizing facility access, and advancing sustainable EMS and behavioral health systems. The plan prioritizes rural/Tribal population needs, emphasizes local flexibility and partnerships, and aims for long-term sustainable impact.
Event Schedule
Core Initiatives
The program launched its first round of RFPs to engage partners in key leadership and project management roles, aiming to improve access to care, modernize health technology, and enhance sustainability for communities. Initiatives include digital health modernization, Medicaid primary care transformation, caregiver and chronic disease support, and workforce expansion for Community Health Workers and Representatives. Additional RFPs and stakeholder updates are anticipated as the program advances. Key contacts: Tia Kafka DOHMedia@state.sd.us; Melissa Magstadt Event schedule: - First RFP Release - February 25, 2026 - https://postingboard.esmsolutions.com/3444a404-3818-494f-84c5-2a850acd7779/events
Event Schedule
Contacts
Core Initiatives
This Q&A document clarifies the eligibility requirements, allowable costs, funding structure, and application mechanics for South Dakota's Rural Health Transformation Program RFA No. 26-09RHT-020. It provides key details on EHR replacement, enhancement categories, EMS priorities, and audit/reimbursement rules. The guidance addresses multi-year funding, maintenance/support limits, types of eligible facilities, and caps on personnel costs for applicants. Event schedule: - Project eligible cost start date - 02/20/2026 - Year 1 application/grant period end - 07/31/2027 - Final reports due after grant end - 07/31/2027 - 09/30/2027 - Expected release of Year 2 RFP - January 2027
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