HHS Region 3 · Virginia Department of Medical Assistance Services (DMAS) / Virginia Health Care Foundation (VHCF)
Program Overview
Virginia’s Rural Health Transformation Program is a comprehensive, statewide initiative currently advancing workforce development, technology modernization—including remote patient monitoring, provider interoperability, and digital productivity tools—care delivery innovation, and flexible models like telehealth and mobile/hybrid care. In 2026, the program is administering structured funding opportunities and requests for applications (RFAs) for rural providers, supporting projects in EHR modernization, rural workforce training, mobile and hybrid care, and provider recruitment, with ongoing stakeholder engagement and technical assistance. Program activities are coordinated by the VHHA Foundation and DMAS, as well as partners such as the Virginia Health Care Foundation, following a multi-year, evidence-based plan with active collaboration across agencies and rural health organizations. Current implementation follows a structured strategy based on stakeholder input, tracking progress toward key goals to strengthen Virginia’s rural health infrastructure. Current structured plan tracks 18 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Virginia — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (133)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Fairfax County | 1,147,837 | 5.9% | 4.1% |
| Prince William County | 488,880 | 6.2% | 4.6% |
| Virginia Beach city | 456,349 | 8.6% | 6.8% |
| Loudoun County | 432,998 | 4.2% | 3.1% |
| Chesterfield County | 377,869 | 7.1% | 4.9% |
| Henrico County | 335,744 | 8.8% | 6.2% |
| Chesapeake city | 252,583 | 9.4% | 7.1% |
| Arlington County | 236,254 | 7.4% | 4.3% |
| Norfolk city | 233,596 | 16.5% | 12.1% |
| Richmond city | 229,359 | 18.2% | 12.4% |
| Newport News city | 184,216 | 14.5% | 10.8% |
| Stafford County | 163,466 | 4.7% | 3.4% |
AI source: VA - 2026 - RHT in Virginia
AI auto-updated Aug 26, 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
2 related documents
VA - 2025 - VA Rural Vitality (rhc-transformation-project-narrative)
Auto-grouped context match (37%)
1,068,638 rural residents
Virginia has received its CMS Rural Health Transformation award and launched formal state-level grantmaking. Multiple RFAs are open or recently closed across sub-initiatives such as Mobile & Hybrid Care, Provider Productivity, and Provider Interoperability, with active application cycles and technical assistance available for rural providers. Award decisions are scheduled for late September to autumn 2026, and subrecipient selection is underway, with the first grant awarded to Virginia Highlands Community College. The program is moving forward with structured local solicitations, concrete opportunities in workforce, technology, and care access, and anticipated expansion through multiple regional and thematic initiatives. State opportunities: 7 active (7 closing soon, 1 past/closed), $53.2M listed funding. Key opportunities: Virginia RHTP: CareIQ Remote Patient Monitoring Initiative; Provider Productivity: Technology that Makes Time for Care (RFA-RHTP-2026-02); VHCF Provider Productivity RFA — Virginia Rural Health Transformation Program. Strategy alignment: supports telehealth, prevention, care access priorities.
Virginia's Rural Health Transformation Program (RHTP) operates as a multi-year, community-driven effort to close rural health gaps through digital modernization, workforce development, expanded care models, and system sustainability. Led by DMAS and statewide partners, RHTP deploys rolling grant opportunities to modernize provider technology, grow the workforce, pilot innovative rural care delivery, and build lasting capacity, with structured needs assessments guiding adaptation and annual performance reviews ensuring accountability.
Model
Integrated, community-focused model structured around four core RHTP pillars: CareIQ (technology and interoperability), Homegrown Health Heroes (workforce and education expansion), Connected Care, Closer to Home (telehealth, mobile/hybrid care), and Live Well Together (prevention and wellness). The model prioritizes digital health infrastructure, rural education and workforce, innovative care modalities, and durable partnership for long-term sustainability.
Key Initiatives (18)
Timeline: 2026–2031 (multi-year rollout linked to CMS RHTP funding with annual performance reviews)
Virginia is focused on expanding health coverage and improving care access in rural communities through strategic grants and partnerships.
Focused on expanding training and recruitment pipelines to serve rural communities locally.
The state signed bipartisan legislation to address substance abuse, aiming to improve access to treatment services.
VA - 2025 - VA Rural Vitality
Auto-grouped context match (38%)
Northern Shenandoah Valley Regional Commission (NSVRC)
Due Sep 18, 2026· ⏰ 13 days left
1 related document
VA - 2026 - Virginia RHTP Mobile & Hybrid Care RFA — Northern Shenandoah Valley Regional Commission
Primary RFA
Virginia Hospital Research and Education Foundation d/b/a Virginia Hospital & Healthcare Association Foundation (VHHAF)
Due Sep 16, 2026· ⏰ 11 days left
3 related documents
VA - 2026 - RHT IN VIRGINIA
Primary source
Virginia Hospital Research and Education Foundation d/b/a Virginia Hospital & Healthcare Association Foundation (VHHAF)
Due Sep 15, 2026· ⏰ 10 days left
4 related documents
VA - 2026 - RHT in Virginia
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Virginia Highlands Community College First local RHTP sub-award in Virginia — supports Virginia Highlands Community College's expansion of its Licensed Practical Nursing (LPN) program (additional course offerings, increased student capacity, instructional support) to address healthcare workforce shortages in Southwest Virginia. Part of the Homegrown Health Heroes initiative (rural workforce pipelines via public education/community college/local provider partnerships). | $128K | Workforce |
Virginia Medicaid will initiate a $14 billion procurement to transform its managed care program, targeting implementation in 2024. The transformation will prioritize quality improvement, value-based care, and measurable health outcome improvements. Stakeholder input will be sought in the design of the program. Key contacts: Christina Nuckols christina.nuckols@dmas.virginia.gov Event schedule: - Procurement Launch - 2023 - Virginia Department of Medical Assistance Services - Target Implementation Date - 07/01/2024 - Commonwealth of Virginia
Event Schedule
Contacts
Core Initiatives
Governor Abigail Spanberger announced the first Rural Health Transformation grant in Virginia, awarding $127,500 to Virginia Highlands Community College to expand practical nursing training and address regional workforce shortages. The Rural Health Transformation initiative aims to modernize rural healthcare and strengthen local provider pipelines in partnership with educational and healthcare organizations. Registration is open for the Commonwealth's Rural Health Transformation Webinar to inform communities about participation opportunities. Key contacts: Heidi Hertz Event schedule: - Rural Health Transformation Webinar - 06/03/2026 - virtual
Event Schedule
Contacts
Core Initiatives
Virginia aims to strengthen rural health systems statewide through a nearly $200 million federal award for 2026.
Core Initiatives
The program releases RFAs on a rolling basis focusing on initiatives such as Provider Productivity, Provider Interoperability, Remote Patient Monitoring, Homegrown Health Heroes, Allied Health Degrees, and Connected Care. Several RFAs are currently open while others are TBD, offering multiple entry points for rural health partners statewide.
The Virginia Rural Health Transformation Fund RFA Navigator details state sub-initiatives grouped by applicant type, including provider productivity, technology, workforce, maternal health, food pharmacy, mobile/hybrid care, and integrated care. The document provides timeline windows for each RFA opportunity and describes program-level spending caps and allowable/unallowable costs. It also features criteria for applicant eligibility and exclusions, and identifies key metrics for each sub-initiative. Key contacts: Ben Barber ben@vhcf.org; Allison Youngblood Allison.Youngblood@VirginiaIPC.org; Heather Neil hneil@vhha.com; Kayla Diggs-Brody Kdiggsbrody@vhha.com Event schedule: - Remote Patient Monitoring RFA Open - 08/10/2026 - Remote Patient Monitoring RFA Close - 09/15/2026 - Provider Productivity Fund RFA Open - 08/14/2026 - Provider Productivity Fund RFA Close - 09/14/2026 - Provider Interoperability Fund RFA Open - 07/31/2026 - Provider Interoperability Fund RFA Close - 08/31/2026
Event Schedule
Contacts
Core Initiatives
Virginia is re-procuring its statewide Medicaid managed care program, Cardinal Care Managed Care, with enhanced focus on quality improvement, data-driven analytics, and equitable access to care. The program introduces a single managed care contract, new models and value-based care initiatives, and specialized plans for foster care youth. Transition to new MCOs and enrollment enhancements take effect July 1, 2025.
Core Initiatives
This FAQ clarifies eligibility, application requirements, partnership criteria, reporting and budget guidance for the Provider Interoperability & Provider Productivity sub-initiatives under Virginia's Rural Health Transformation Program. Eligible applicants include a range of organizations serving FORHP-designated rural localities in Virginia. Projects must be implementation-ready, adhere to federal cost principles, and support meaningful health information technology and provider productivity improvements.
Core Initiatives
Reference: Rural Health Transformation Program Funding Tracker CMS Awards Virginia 122m Georgia Link: https://www.fiercehealthcare.com/regulatory/rural-health-transformation-program-funding-tracker-cms-awards-virginia-122m-georgia
In 2025, Virginia launched its largest-ever Medicaid managed care transformation, transitioning 1.7 million people into the Cardinal Care system. Major advances include improved outcomes in maternal and behavioral health, significant reductions in avoidable emergency room visits, and strengthened oversight mechanisms. The state reported robust workforce retention, enhanced IT security, and progress in language and disability access.
Core Initiatives
October 2026
Project Kickoff
↳ VA - 2026 - RFA-RHTP-2026-01 Provider Interoperability Sub-Initiative
October – November 2026
Award Agreements Executed
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
November 2026
Subaward Period Begins; First Monthly Disbursement
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
July–September 2027
Project Closeout
↳ VA - 2026 - RFA-RHTP-2026-01 Provider Interoperability Sub-Initiative
January–June 2027
Project Implementation
↳ VA - 2026 - RFA-RHTP-2026-01 Provider Interoperability Sub-Initiative
Fall 2027 Semester
Additional Students Enrolled
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
10/15/2026
Award Notifications
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
10/01/2026
Award Recommendations Due to Governor’s Office
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
09/30/2027
Year 1 Period Ends
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
09/21/2026-09/25/2026
Application Review Period
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
09/14/2026
Application Deadline
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
08/14/2026-08/20/2026
Q&A Period
↳ VA - 2026 - Virginia Foundation for Community College Education (VFCCE) Request for Applications: RHT – Homegrown Health Heroes: Allied Health Degrees
VA RHTP site updated — 1 new, 0 existing source(s) refreshed
VA RHTP site updated — 1 new, 1 existing source(s) refreshed
VA RHTP site updated — 1 new, 0 existing source(s) refreshed
VA RHTP site updated — 2 new, 2 existing source(s) refreshed
VA RHTP site updated — 1 new, 0 existing source(s) refreshed
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
VA - 2026 - Budget Template
XLSX
VA - 2026 - Rural Health Transformation Program Funding Tracker CMS Awards Virginia 122m Georgia
SFY 22 Rates Web File with Temporary HCBS Rate Increase
VA - 2026 - REQUEST FOR APPLICATIONS: Homegrown Health Heroes – Attract & Retain Physicians
Request for Applications (RFA)
VA - 2026 - Virginia RHTP RFA Navigator and Applicant Guidance
RHT RFA Navigator and Applicant Guidance
VA - 2026 - RHT IN VIRGINIA
VA - 2026 - Request For Applications (RFA) Careiq: Remote Patient Monitoring Initiative
Request for Applications (RFA)
VA - 2026 - Virginia RHTP RFA Navigator and Applicant Guidance
RHT RFA Navigator and Applicant Guidance
NSVRC will make available approximately $4.2 million for rural mobile and hybrid care implementation in the Northern Shenandoah Valley. At least five awards will be issued, but the exact number depends on application merit and available funds. Eligible applicants must serve rural communities in the NSVRC PDC territory and demonstrate how their model expands rural healthcare access and sustainability. Key contacts: Brandon Davis bdavis@nsvregion.org; Isabelle Drayer isabelle.drayer@dmas.virginia.gov; Joel Reagan joel.reagan@dmas.virginia.gov Event schedule: - RFA Issue Date - 08/27/2026 - ET - Written Questions Due - 09/18/2026 - 5:00 PM ET - Responses to Questions Posted - 09/08/2026 - ET - Application Due Date - 09/18/2026 - 5:00 PM ET - Anticipated Notice of Awards - 09/30/2026 - ET - Anticipated Project Start - 10/01/2026 - ET
Event Schedule
Contacts
Core Initiatives
This RFA solicits implementation-ready proposals from rural Virginia providers and organizations to deploy digital productivity tools that reduce clinician burnout and administrative burden. Successful projects will accelerate the adoption of decision support, workflow automation, and documentation technology, with the goal of strengthening workforce retention and sustaining rural health access. Approximately $7–9 million will be awarded during the 2026-2027 performance period, with VHCF providing ongoing TA and support. Key contacts: Ben Barber ben@vhcf.org; Marcus Divers marcus.divers@dmas.virginia.gov Event schedule: - Pre-application webinar - 08/20/2026 - ET - Applications due - 09/14/2026 - 5:00 PM ET - Online submission at vhcf.org/rural-health - Review and scoring period - 09/15/2026 - Notice of awards issued - 10/15/2026 - Performance period begins - 10/15/2026 - Performance period ends - 09/30/2027
Event Schedule
Contacts
Core Initiatives
This guidance document outlines the Virginia Rural Health Transformation Fund's RFA schedule, sub-initiative descriptions, and strategic focus areas for the 2026 fiscal year. Multiple sub-initiatives are open for applications from rural health systems, clinics, educational institutions, government agencies, and community-based organizations. Program-level spending caps and eligibility requirements are detailed, covering allowable and unallowable costs and guidance for interested applicants. Key contacts: Allison Youngblood Allison.Youngblood@VirginiaIPC.org; Ben Barber ben@vhcf.org; Heather Neil hneil@vhha.com; Kayla Diggs-Brody Kdiggsbrody@vhha.com Event schedule: - Provider Productivity Fund application window - 08/14/2026 - Provider Productivity Fund application close - 09/14/2026 - Provider Interoperability Fund application window - 07/31/2026 - Provider Interoperability Fund application close - 08/31/2026 - Remote Patient Monitoring (RPM) Fund application window - 08/10/2026 - Remote Patient Monitoring (RPM) Fund application close - 09/15/2026 - Attract and Retain Physicians application window - 08/10/2026 - Attract and Retain Physicians application close - 08/31/2026
Event Schedule
Contacts
Core Initiatives
This checklist provides detailed instructions for entities applying to the RHTP Provider Productivity initiative in Virginia. It includes eligibility requirements, formatting guidelines, required documents, and key submission dates. A pre-application webinar is offered to assist applicants. Event schedule: - Pre-Application Webinar - August 20, 2026 - 11:00 AM EST - Register via webinar link - Application Deadline - September 14, 2026 - 5:00 PM EST - Submit via Application Submission Form
Event Schedule
Core Initiatives
This is Virginia's formal application to CMS for the $1B Rural Health Transformation Program (2025-2030), proposing four pillars: technology, workforce, access, and prevention. Major initiatives aim to modernize rural provider infrastructure, build the workforce, improve access via mobile and hybrid models, and support integrated, preventive care for chronic disease and maternal health. Sub-initiative administrators and partners are identified, pending CMS funding approval.
Event Schedule
Core Initiatives
Virginia is advancing the Rural Health Transformation initiative by assessing local needs, sharing best practices, and deploying innovative solutions to improve rural healthcare access and quality. The Department of Medical Assistance Services highlights improvements in postpartum care and crisis response impacting over two million Virginians. Event schedule: - Medicaid members who have received services at Fishing Point Healthcare and its affiliated pharmacies, Fishing Point Healthcare has decided to pause services for Virginia Medicaid members effective , 2026. You can contact the Member Helpline, or if you are enrolled with an MCO, please contact them to assist you in finding an enrolled healthcare provider who meets your needs. - April 15 - Help Us Navigate the Website!
Core Initiatives
This FAQ document clarifies eligibility, allowable uses, reporting, partnerships, and technical requirements for applicants to Virginia's Provider Interoperability and Provider Productivity sub-initiatives under RHTP. Applicants must serve FORHP-designated rural localities, may partner with universities or dental providers, and can apply for multiple projects. Award amounts will vary by project scale; no fixed budget or anticipated number of awards is stated. Projects must comply with federal cost principles and reporting requirements.
Core Initiatives
VA - 2026 - Governor Spanberger Signs Day One Executive Orders to Make Virginia More Affordable 01.17.2026 Governor Abigail Spanberger today signed ten Executive Orders at the Virginia State Capitol — delivering decisive action on Day One…
2026 · PDF
VA - 2025 - Commonwealth of Virginia Celebrates 20 Years of Cardinal Care Smiles 07.24.2025 RICHMOND – The Virginia Department of Medical Assistance Services (DMAS) are proud to celebrate a meaningful milestone. 20 years of Cardinal Care Sm
2025 · PDF
VA - 2024 - Virginia Medicaid to Provide 12 Months of Protected Coverage for Children 01.10.2024 Richmond – The Virginia Department of Medical Assistance Services (DMAS) announced that children below the age of 19 enrolled in Virginia’s Med
2024 · PDF
VA - 2024 - Virginia Medicaid Announces Intent to Award Managed Care Contracts 02.29.2024 Richmond – The Department of Medical Assistance Services (DMAS) posted a Notice of Intent to Award (NOIA) contracts after completing evaluations and n
2024 · PDF
VA - 2023 - Temporary Benefits for Several Virginia Assistance Programs Will End Soon 03.06.2023 Richmond - Several medical, food and financial assistance flexibilities and programs administered by the Virginia Department of Social Services
2023 · PDF
VIRGINIA MEDICAID COVERAGE OF TRANSPLANTS RHTP 2021 Document
2021 · PDF
Breast Pumps And Lactation Consultation Services Fact Sheet
2016 · PDF
SFY 21 Rates Web File
NOVA Localities Homehealth
Coverage Assessment Multiplier
DOCX
Anesthesia Reimbursement for Physicians
MCO Medicaid and FAMIS ID cards