Program Overview
Utah's Rural Health Transformation Program, led by the Utah Department of Health and Human Services, remains in early implementation with substantial CMS federal support and planned funding through 2030. The program advances multi-agency partnerships and ongoing infrastructure investment, focusing on phased deliverables, technology modernization, and public tracking of progress for initiatives including SHIFT, LINCS, PATH, RISE, LIFT, FAST, and SUPPORT. Current activities emphasize telehealth expansion, rural health innovation, cross-sector collaboration, local hiring, and operational sustainability for rural health services. Current structured plan tracks 8 key initiatives and 5 strategic goals.
Updated
County-level estimates averaged across Utah — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (29)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Salt Lake County | 1,196,523 | 8.1% | 5.2% |
| Utah County | 705,400 | 8.7% | 5.6% |
| Davis County | 370,924 | 6.4% | 5.2% |
| Weber County | 269,648 | 8.1% | 5.8% |
| Washington County | 196,431 | 9.8% | 6.4% |
| Cache County | 140,046 | 12.0% | 6.7% |
| Tooele County | 79,347 | 5.2% | 3.2% |
| Iron County | 62,252 | 13.8% | 9.0% |
| Box Elder County | 61,246 | 8.4% | 5.5% |
| Summit County | 42,970 | 4.9% | 3.2% |
| Uintah County | 37,056 | 11.8% | 9.1% |
| Wasatch County | 36,642 | 4.7% | 3.1% |
AI source: UT - 2026 - CMS Information
AI auto-updated Sep 5, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Grouped files
4 related documents
UT - 2026 - Utah awarded $195 million from CMS for the first year of the RHTP
UT DHHS rural health award announcement
391,865 rural residents
Utah continues active implementation of the Rural Health Transformation Program, with multiple subgrant tracks and funding opportunities live. Recent activities include open RFAs and application review for SHIFT 3.4 New Models of Care, as well as contract awards for RISE and PATH initiatives. The state also reviews applications and obligates funds for sub-award contracts, with awarded fiscal agents preparing to release additional subgrant opportunities. The program activities are tracked publicly via a funding status dashboard. State opportunities: 4 active (2 open, 2 closing soon, 18 past/closed), $78.3M listed funding. Key opportunities: Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative; Utah RHTP Monitoring and Evaluation Contract (RFSQ BB27-100); Behavioral Health–Primary Care Integration (PATH 1.5, 1.G). Strategy alignment: supports workforce, telehealth, ems priorities.
Utah’s Rural Health Transformation Program (RHTP), administered by the Department of Health and Human Services, leverages federal CMS funding to implement seven integrated initiatives: PATH, RISE, SHIFT, FAST, LIFT, SUPPORT, and LINCS. The program maintains a milestone-driven, phased implementation using Results Based Accountability for monitoring, with annual reviews, explicit eligibility, CMS-mandated cost and administrative caps, and formal collaborative agreements—including integration of rural, tribal, and multisector partners. RHTP enforces sustainability planning, robust governance for data systems, and completion of all four phases by FY2031, emphasizing secure interoperability, outcome measurement, and innovative rural care models in alignment with H.J.R. 101 to avoid ongoing state financial obligations.
Model
Regionally coordinated transformation, operationalized by seven core initiatives under four pillars: prevention/health, workforce, innovation/access, and technology. The model delivers statewide and local activities via competitive and public sub-awards—including administrative cost caps, milestone targets, quarterly evaluation, and sustainable adoption of value-based care—with explicit requirements for multi-type facility partnerships, interoperable data systems, and formal governance across rural Utah.
Key Initiatives (8)
Timeline: FY2026–2030; CMS notice of award December 2025, annual implementation cycle with both competitive and public sub-awards, all four program phases completed by FY2031 deadline, milestone-driven reporting, annual progress reviews, midline evaluation by October 2028, and no ongoing state funding obligation
Initiative aims to foster lifelong wellness in rural Utah communities through integrated supports and improved access.
Efforts focus on building, recruiting, and retaining a strong rural healthcare workforce to address shortages and improve care quality.
Key initiatives promote scalable telehealth strategies and data infrastructure improvements to modernize rural healthcare delivery.
UT - 2026 - Utah RHTP (Rural-Health-Transformation-Program-–-One-Pager-12.2025)
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UT - 2025 - Utah Rural Hospitals And RHTP 2026 Guidance
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UT - 2025 - Utah RHTP Situation 2025 Guidance
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Utah Division of Purchasing (on behalf of Utah DHHS)
Due Sep 15, 2026· ⏰ 10 days left
8 related documents
UT - 2026 - Utah RHTP Monitoring and Evaluation Contract (RFSQ BB27-100)
U3P/Bonfire portal listing page (Cloudflare-blocked to automated fetch; user-supplied 2026-09-01)
UT - 2026 - Attachment A: Utah Department of Health and Human Services RHTP Contractor Terms
Attachment A - Terms & Conditions
UT - 2025 - Attachment B: SCOPE OF WORK – Utah RHTP Monitoring and Evaluation Contract (RFSQ BB27-100)
Attachment B - Scope of Work
UT - 2025 - Attachment C RHTP Mandatory Minimum Requirements & Technical Scoring Criteria
Attachment C - RHTP MM & TR (vendor must respond to this to qualify)
UT - 2028 - Utah RHTP Monitoring and Evaluation Contract Deliverables and Timeline
Scope of Work Deliverables schedule
UT - 2024 - Instructions for Interactive Scoresheet
Score Sheet - generic evaluation-committee scoring tool (for information only)
GRAMA Business Confidentiality Claim
Claim of Business Confidentiality form
UT - 2025 - Vendor Prerequisites – Part 15
Vendor Prerequisites - Part 15
Utah Department of Public Safety, Bureau of Emergency Medical Services (BEMS)
Due Sep 13, 2026· ⏰ 8 days left
6 related documents
UT - 2026 - PATH: 1.5 Behavioral Health-Primary Care Integration RFGA
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Due Sep 1, 2026
7 related documents
UT - 2026 - SHIFT 3.4 New Models of Care RFGA
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Utah Health Information Network This award supports strengthening interoperability and the Health Information Exchange as part of the Rural Health Transformation Program's LINCS Initiative. | $3.0M | Health IT | |
| 2025-2027 | Utah Health Information Network (UHIN) UHIN will conduct a comprehensive interoperability needs assessment for rural and frontier providers in Utah, address technical and workflow barriers to electronic health information exchange, administer non-competitive sub-grants and technical assistance, and facilitate EHR optimization and HL7® FHIR® API-enabled data networks to improve rural clinical data exchange and care coordination. | $3.0M | Health IT |
This newsletter announces opportunities to join the Rural Health Transformation Program (RHTP) Steering Committee, provides updates on ongoing rural health initiatives, and highlights the focus on community-driven healthcare innovation in rural Utah. It names suicide prevention and maternity care as key program priorities. Applications for the RHTP Steering Committee are open to rural healthcare providers and community representatives until August 14, 2026. Key contacts: ruralht@utah.gov Event schedule: - Steering Committee Application Deadline - 08/14/2026 - Rural and Job-Related Suicide Prevention Webinar - 06/24/2026 - Webinar
Event Schedule
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Core Initiatives
The Utah Medical Education Council is announcing the opening of applications for its Fiscal Year 2026 Residency Grant Program. $1.5 million is available to expand residency programs and workforce slots, with a focus on underserved, rural, and workforce shortage areas. Eligible programs must be ACGME-approved or be planning to establish such programs within Utah during the grant term. Key contacts: Kendyl Brockman kbrockman@utah.gov
Utah was awarded nearly $196 million for the first year of the Rural Health Transformation Program, representing a landmark federal investment in rural health access, infrastructure, and workforce. The state’s approach is built around four strategic goals and seven implementation initiatives to foster rural wellness, modernize care delivery, and strengthen rural healthcare systems. Utah expects to receive a minimum of $100 million annually through 2030, catalyzing system-wide change in its rural communities. Key contacts: [email protected] Event schedule: - CMS Rural Health Transformation Program Awards Announced - 12/29/2025 - Utah submitted RHTP application - November 5, 2025 - Expected CMS Notice of Award Deadline - 12/31/2025
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This document outlines vendor prerequisites and requirements for professional services procurement related to Utah's RHTP Monitoring and Evaluation Contract. Guidance is provided on communications, product samples, confidentiality, anti-boycott action, technology standards, and negotiation of standard terms and conditions. No award or recipient is named, as this is a supporting guidance document for the solicitation process. Event schedule: - Question and Answer Period Closes - U3P (Utah Procurement Portal)
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Core Initiatives
This document provides detailed instructions for filling out the interactive scoresheet used to evaluate vendor proposals for the Utah RHTP Monitoring and Evaluation Contract. It covers identification and prioritization of mandatory and technical criteria, scoring methods, and procedural guidelines for evaluation committees. It is a supporting guidance file for the RHTP procurement process.
Core Initiatives
Event Schedule
Utah received a $195.7 million Year 1 award through the Rural Health Transformation Program, investing in rural workforce, infrastructure, technology, population health, and financial reform. Competitive and state partner agreements are underway across seven strategic initiatives and more than 24 activities. Nearly 60% of Year 1 funding is dedicated to competitive community grants, with significant allocations to public entities and evaluation efforts. Key contacts: Krisann Humphreys; Christine Espinel; Jackie Patel; Michelle Geller Event schedule: - First annual progress report and Year 2 application due to CMS - 08/30/2026 - End of Budget Period 1 and deadline for obligation of funds - 10/30/2026 - CMS site visit - July 16, 2026 - CMS site visit - July 17, 2026
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Utah Health Information Network received a $3,000,000 award under the Rural Health Transformation Program to strengthen interoperability and rural health information exchange. The LINCS Initiative aims to improve coordination and data flow for rural providers. The project is slated to operate from July 2026 through September 2028. Key contacts: ar@uhin.org Event schedule: - Award period start - 07/20/2026 - Award period end - 09/30/2028
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Core Initiatives
The document describes Utah Flex and SHIP programs funded by HRSA to support rural hospitals in Utah, focusing on financial, operational, and quality improvements. Utah Flex ensures high quality healthcare is available in rural communities, while SHIP provides purchasing assistance and quality improvement support for small rural and critical access hospitals.
This document provides definitive Q&A clarifications for applicants to Utah’s RHTP SHIFT 3.4 New Models of Care grant opportunity. Topics include eligibility (Utah and border agencies), allowed costs (e.g., equipment, technology, workforce training), subawards, and budgeting guidance. Applicants are not constrained by funding caps and are encouraged to propose innovative, scalable rural health models consistent with program goals. Event schedule: - Anticipated project start - 10/05/2026 - MT - Utah - Budget Period 1 end - 10/30/2026 - MT - Utah - Budget Period 1 funds must be spent by - 9/30/2027 - MT - Utah - Budget Period 1 end date - 2026-10-30 - Project Agreement Period start date - 2026-10-05 - Budget Period 1 fund expenditure deadline - 2027-09-30
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Core Initiatives
The program includes the Utah Primary Care Grants Program, Medicare Rural Hospital Flexibility Program (Utah Flex), Small Rural Hospital Improvement Program (SHIP), and various loan repayment and workforce support programs. It is administered by the State Office of Rural Health and collaborates with multiple entities to enhance rural health workforce, primary care, and hospital sustainability.
Core Initiatives
10/30/2026
End of Budget Period 1 / Funds obligation deadline
↳ UT - 2025 - Utah RHTP Year 1 Status and Strategic Update
08/30/2026
Year 2 application due to CMS
↳ UT - 2025 - Utah RHTP Year 1 Status and Strategic Update
07/17/2026
CMS site visit
↳ UT - 2025 - Utah RHTP Year 1 Status and Strategic Update
07/16/2026
CMS site visit
↳ UT - 2025 - Utah RHTP Year 1 Status and Strategic Update
UT RHTP site updated — 5 new, 5 existing source(s) refreshed
UT RHTP site updated — 1 new, 2 existing source(s) refreshed
UT RHTP site updated — 1 new doc(s)
UT - 2026 - Rural Health Connect Improving the health of rural communities In this issue: August 5, 2026
Aug 5, 2026 12:04
·EmailUT RHTP site updated — 8 new doc(s)
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MBCC-Subrecipient-Single-Audit-Certification-Form-updated.docx
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UT - 2026 - Utah Landing Page (updated: July 21, 2026)
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UT - 2026 - Utah RHTP Request for Grant Applications (RFGA): Value-Based Care Network Implementation
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UT - 2026 - RISE: 2.5 Recruit and Retain RFGA
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UT - 2025 - Utah RHTP (Utah-RHTP-Project-Narrative-Accessible-PDF-2026.04.20)
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UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative
Official Euna Grants application package
UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative (629bba90-f80c-4342-b05d-bf1cd08b7d2e)
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UT - 2026 - PATH: 1.5 Behavioral Health-Primary Care Integration RFGA
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UT - 2026 - Utah RHTP Request for Grant Applications (RFGA): Value-Based Care Network Implementation
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UT - 2026 - RISE: 2.5 Recruit and Retain RFGA
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UT - 2026 - SHIFT: 3.2 Rural Health Provider Networks RFGA
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UT - 2027 - RHTP SHIFT 3.4 New Models of Care Q & A
SHIFT 3.4 New Models of Care Q&A — final, continuously updated Google Doc
UT - 2024 - RHTP SHIFT 3.4 New Models of Care Q & A
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This Utah DHHS Primary Care & Rural Health newsletter highlights new grant opportunities from FORHP to support rural hospitals with finance, workforce, and access to care. Utah is recognized for leadership in oral health integration, and a local clinic manager is honored for rural service. The newsletter shares workforce certification initiatives and SUD-focused events to strengthen rural provider capacity. Event schedule: - Carrying the Work Forward: A SUD Training and Quick Reference for Rural Clinic Teams - 07/17/2026 - 12:00 PM MST - University of Utah, Project ECHO webinar (registration link provided)
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Core Initiatives
Utah was awarded $195.7 million in federal funding for Year 1 of RHTP, a five-year initiative running through 2030. The RHTP Monitoring and Evaluation Contract will support rigorous assessment of program outcomes, focusing on the impact of seven initiatives delivered in 25 rural and frontier counties. This procurement specifically funds a $8.24M five-year professional services contract to provide data, evaluation, and analytical support for Utah's RHTP rollout. Event schedule: - Funding obligation deadline - 10/30/2026 - MT - Initial Project Plan due - Comprehensive Evaluation Plan due
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Core Initiatives
The Utah RHTP SHIFT Initiative will provide $12,500,000 in Year 1 to rural and Tribal EMS, health, and education organizations, with approximately $10,000,000 per year for Years 2-5. Programs will support EMS training, community paramedicine, technology enhancement, and operational infrastructure. The application invites projects that address the needs of rural Utah counties and Tribal Nations. Key contacts: Megan McClure mmcclure@utah.gov Event schedule: - Application Deadline - 09/13/2026 - 11:59 PM MDT - Online portal - Technical Assistance Session - https://meet.google.com/rac-xfou-bdq
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Defines extensive monitoring and evaluation requirements for Utah's RHTP, including baseline, midline, and endline reports. Establishes key deliverables for project planning, annual updates, progress reports, and innovative activity evaluations to track program impact through 2031. Event schedule: - Project Plan and Timeline due - Within 30 days of contract effective date or prior to October 1 - Annual Project Plan Updates - July 1 annually - Multi-Year Evaluation Plan due - Within 60 days of contract execution, then annually by July 1 - Baseline Evaluation Report due - Within 45 days of approved evaluation plan - Midline Evaluation Report due - Estimated October 2028 - Endline Evaluation Report due - December 30, 2031 - Quarterly Progress Reports due - Nov 7, Feb 7, May 7 annually - Annual Progress Report due - August 7 annually
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Core Initiatives
This supporting document details the scope of work for the Utah RHTP Evaluation Contractor, including rigorous performance monitoring and evaluation of seven RHTP initiatives across 25 rural counties. It emphasizes baseline, midline, and endline evaluations, sustainability planning, quarterly and annual reporting, and targeted attention to tribal and high-needs populations. The contract is structured to ensure transparency, accountability, and measurable progress aligned with Utah's strategic goals for rural health transformation. Event schedule: - Budget Period 1 Start - 12/29/2025 - Budget Period 1 End - 10/30/2027 - Budget Period 2 Start - 10/31/2026 - Budget Period 2 End - 10/30/2028 - Budget Period 3 Start - 10/31/2027 - Budget Period 3 End - 10/30/2029 - Budget Period 4 Start - 10/31/2028 - Budget Period 4 End - 10/30/2030
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This attachment outlines the required qualifications and technical criteria for vendors applying to serve as the monitoring and evaluation contractor for Utah's RHTP. It details mandatory requirements regarding RBA evaluation experience, focus on Utah's 25 rural and frontier counties, compliance with federal CMS rules, strict deliverable timelines, and vendor eligibility. The evaluation scope emphasizes outcome measurement, strategic planning, and federal/state compliance. Event schedule: - • How will your team manage quarterly progress monitoring to generate actionable performance improvement recommendations for RHTP staff, particularly for the reporting period ending ? - April 30 - • Targeted Populatio... - • How will your fiscal oversight practices ensure funds are obligated no later than for budget years 2-5 to prevent the recoupment of funds by DHHS? - June 30 - • How will you ensure strict compliance with the Stevens...
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Core Initiatives
This document sets forth mandatory contractor terms for entities participating in Utah's RHTP Monitoring and Evaluation solicitation. Requirements include compliance with federal and state laws, extensive financial and progress reporting, strict data protection, and accountability mechanisms for federal and state funds. Contractors must maintain insurance, adhere to anti-discrimination and employment laws, and ensure confidentiality and integrity of state data. Key contacts: dhhsfinancialreports@utah.gov Event schedule: - Revised - 2026-08-06
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Core Initiatives
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UT - 2026 - Request and Justification of Out of State Travel Form1
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UT - 2024 - Final 2024 Strategic Plan Booklet with appendix 1
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UT - 2026 - SAMPLE Travel Expense Report
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UT - 2025 - GrantAdjustRequestForm 7.1.2025
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DHHS26117 Attachment F Score Sheet
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DHHS26117 Attachment G Cost Proposal Sheet
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UT - 2026 - Financial Resource Disclosure For AmpliFund
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DHHS26117 Attachment C (a) Conflict of Interest Form
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