# Virginia — Rural Health Transformation Program (RHTP)

Virginia’s Rural Health Transformation Program is a statewide DMAS-led initiative leveraging federal and state funds to strengthen rural healthcare through technology innovation, workforce development, care access expansion, and chronic disease prevention. The program is currently in implementation with RFAs managed by regional planning district commissions and agency partners, emphasizing mobile and hybrid care models, technology-enabled provider networks, and workforce initiatives. Structured plans track key initiatives and strategic goals with ongoing funding opportunities and active distribution rounds. Current structured plan tracks 4 key initiatives and 8 strategic goals.

## At a glance

- Federal awards to date: $385,255,005.93 (Year 1 $189.5M + Year 2 $195.7M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 19 (5 open or announced, 14 closed)
- Awards recorded: $7.0M to 7 recipients
- Critical Access Hospitals: 12
- Rural population share: 12%

## Current progress

Virginia has launched the Rural Health Transformation Program with multiple regional RFAs open, focusing on Mobile & Hybrid Care and the Tech Innovation Fund. State procurement is active, with subaward applications under review and initial award decisions for several initiatives anticipated by late 2026 and January 2027. Local implementation is expected to begin following these awards, in alignment with CMS Stage 2 status. Competitive funding remains available across several innovation priorities, emphasizing technology adoption and expanded rural care models. State opportunities: 5 active (5 closing soon, 11 past/closed), $126.6M listed funding. Key opportunities: Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative); Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative); Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (Rural Health Transformation SWVA). Strategy alignment: supports telehealth priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 2 of 19
- Initiatives (4), current CMS stage of each:
  - CareIQ — Stage 2
  - Connected Care, Closer to Home — Stage 2
  - Homegrown Health Heroes — Stage 2
  - Live Well, Together — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-accomack-northampton-planning-district-comm--b814cc4032) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-central-shenandoah-planning-district-commis--001c6810f5) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (Rural Health Transformation SWVA)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-lenowisco-planning-district-commission-rura--a1c09f53bd) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — Thomas Jefferson Planning District Commission](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-thomas-jefferson-planning-district-commissi--8ae706e359) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — West Piedmont Planning District Commission (Southside Regional Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-west-piedmont-planning-district-commission--79e8f15efd) — RFA; Closing soon; due 2026-11-23; $11.8M

## Closed opportunities (14, most recent first)

- [2026 Tech Innovation Fund within CareIQ — Virginia Rural Health Transformation Program](https://www.ruralcarejourney.com/opportunities/2026-tech-innovation-fund-within-careiq-virginia-rural-health-transformation-pro--161e9ee332) — RFA; Closed; due 2026-10-29; $250,000 – $999,999
- [Virginia RHTP: Homegrown Health Heroes — Build Career Pipelines (VDOE)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-homegrown-health-heroes-build-career-pipelines-vdoe--f7efcb3e47) — RFA; Closed; due 2026-10-23; $120,868
- [Virginia Rural Health Transformation Program (RHTP) Earn to Learn Initiative](https://www.ruralcarejourney.com/opportunities/virginia-rural-health-transformation-program-rhtp-earn-to-learn-initiative--d052dbd7bb) — RFA; Closed; due 2026-10-16; $4.7M
- [Live Well, Together: Food Is Medicine Initiative — Request For Applications](https://www.ruralcarejourney.com/opportunities/live-well-together-food-is-medicine-initiative-request-for-applications--6a9b5c6f4b) — RFA; Closed; due 2026-10-15; $2.4M
- [Virginia RHTP: Community Paramedicine RFA](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-community-paramedicine-rfa--8f506da40e) — RFA; Closed; due 2026-10-06; $3.7M
- [Virginia RHTP: Innovative Maternal Care RFA](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-innovative-maternal-care-rfa--e16f29e834) — RFA; Closed; due 2026-10-06; $50,000 – $11.6M
- [Virginia RHTP Mobile & Hybrid Care RFA — Northern Shenandoah Valley Regional Commission](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-northern-shenandoah-valley-regional-commiss--e926ef65f8) — RFA; Closed; due 2026-09-18; $4.2M
- [Virginia RHTP: Homegrown Health Heroes — Attract & Retain Physicians (GME)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-homegrown-health-heroes-attract-retain-physicians-gme--0c7d7b0993) — RFA; Closed; due 2026-09-16; $200,000
- [Virginia RHTP: CareIQ Remote Patient Monitoring Initiative](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-careiq-remote-patient-monitoring-initiative--a21540809a) — RFA; Closed; due 2026-09-15; $14.3M
- [Virginia RHTP: Homegrown Health Heroes — Allied Health Degrees (VFCCE)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-homegrown-health-heroes-allied-health-degrees-vfcce--e4c07f6cce) — RFA; Closed; due 2026-09-14; $50,000 – $2.5M
- [Provider Productivity: Technology that Makes Time for Care (RFA-RHTP-2026-02)](https://www.ruralcarejourney.com/opportunities/provider-productivity-technology-that-makes-time-for-care-rfa-rhtp-2026-02--9760d0e4b7) — RFA; Closed; due 2026-09-14; $7.0M – $9.0M
- [Virginia RHTP: Provider Interoperability — Where Connection Meets Care](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-provider-interoperability-where-connection-meets-care--c899470b43) — RFA; Closed; due 2026-08-31; $14.0M
- [Virginia Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/virginia-federal-rhtp-award-year-1-fy-2026--caff93ef95) — AWARD; Closed; $189.5M
- [Virginia Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/virginia-federal-rhtp-award-year-2-fy-2027--abe5013103) — AWARD; Closed; $195.7M

## Largest recorded awards

- Ballad Health — $2.0M (FY2026)
- Eastern Shore Rural Health System — $2.0M (FY2026)
- Sentara Health — $1.7M (FY2026)
- Virginia Pharmacy Association — $500,000 (FY2026)
- Buchanan General Hospital — $382,000 (FY2026)
- Highland Medical Center — $288,000 (FY2026)
- Virginia Highlands Community College — $127,500 (FY2026)

## Official sources RCJ monitors

- [VA: Virginia Health Care Foundation RHTP hub (Provider Interoperability)](https://www.vhcf.org/rural-health)
- [VA: Virginia Hospital & Healthcare Association Foundation RHTP hub (RPM, GME)](https://vhhafoundation.org)
- [VA RHTP Primary](https://dmas.virginia.gov/data-reporting/programs-services/rural-health-transformation/)
- [VA RHTP Project Narrative](https://www.hhr.virginia.gov/media/governorvirginiagov/secretary-of-health-and-human-resources/pdf/RHC-Transformation-Project-Narrative.pdf)
- [Virginia RHTP Dedicated Site](https://www.ruralhealthtransformationva.virginia.gov)
- [NRHA linked funding/procurement page](https://www.ruralhealthtransformationva.virginia.gov/implementation)
- [VA: VIPC RHTP hub (CareIQ Tech Innovation Fund RFA, FAQs)](https://vipc.org/initiatives/rural-health-transformation-program/)
- [NRHA linked funding/procurement page](https://www.ruralhealthtransformationva.virginia.gov/ways-to-apply)
- [VA DMAS Press Releases](https://www.dmas.virginia.gov/news-updates/press-releases/)
- [VA: Virginia Foundation for Community College Education RHTP hub (Homegrown Health Heroes / Allied Health Degrees)](https://vfcce.org/news/)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/va — data as of 2026-11-12.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.