HHS Region 10 · Washington Health Care Authority
Program Overview
Washington is actively implementing the Rural Health Transformation Program to advance rural hospital innovation, workforce development, care access, technology adoption, and community health. Guided by the Health Care Authority, Department of Health, and Department of Social and Health Services—with advice from the new Rural Health Transformation Advisory Committee—the program prioritizes community-based care, Native families, behavioral health, provider technology, and workforce support for opioid and specialty services. Current activities include multiple application rounds for hospital, workforce, and opioid treatment initiatives, with public updates through quarterly webinars. Program structure tracks key initiatives and strategic goals shaped by stakeholder and tribal input. Current structured plan tracks 16 key initiatives and 14 strategic goals.
Updated
County-level estimates averaged across Washington — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (39)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| King County | 2,287,171 | 8.6% | 5.2% |
| Pierce County | 930,319 | 8.8% | 5.9% |
| Snohomish County | 844,430 | 8.0% | 5.5% |
| Spokane County | 549,056 | 11.7% | 7.3% |
| Clark County | 516,959 | 8.0% | 5.5% |
| Thurston County | 299,067 | 9.5% | 6.4% |
| Kitsap County | 277,881 | 8.2% | 5.4% |
| Yakima County | 257,152 | 15.5% | 11.7% |
| Whatcom County | 230,503 | 12.9% | 7.2% |
| Benton County | 212,905 | 11.0% | 8.2% |
| Skagit County | 131,328 | 11.6% | 7.4% |
| Cowlitz County | 112,360 | 12.2% | 8.0% |
AI source: WA - 2026 - Save the date for our RHTP webinar
AI auto-updated Sep 5, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Nov 5, 2025
6 related documents
WA - 2025 - Washington RHTP (rhtp-webinar-qa-20251027)
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780,653 rural residents
Washington has extended application periods for multiple Rural Health Transformation Program funding opportunities due to wildfires, including maternal health, provider technology, and workforce incentive grants. RFAs remain actively open, and the state continues to clarify eligibility, respond to applicant questions, and prepare for contract execution. Several procurements are underway to support rural hospitals, workforce development, and technology improvements. The advisory committee is meeting quarterly and program alignment with maternal health, telehealth, and workforce priorities continues. State opportunities: 4 active (1 open, 3 closing soon, 2 past/closed), $12.7M listed funding. Key opportunities: Washington RHTP Activity 1.4: Sustain and strengthen maternal, emergency, and specialty services at risk in rural areas; Washington RHTP OTP Workforce Incentive Program (2026HCA9); Washington RHTP OTP Workforce Incentive Program (2026HCA9) — Round 2. Strategy alignment: supports maternal health, workforce priorities.
Washington’s RHTP strategy delivers a statewide, multi-agency initiative to transform rural health care by investing in hospital and digital infrastructure, advancing technology modernization and telehealth, enhancing access to specialty and behavioral health care, and strengthening the rural health workforce. The program incorporates robust community-informed implementation, maintaining a Tribal set-aside and competitive funding for innovative, evidence-based approaches. Quarterly advisory committee engagement and annual initiative cycles ensure priorities reflect rural and Tribal lived experience and evolving needs.
Model
Multi-sector, integrated delivery system transformation driven by rural hospital and provider innovation, collaborative health networks, targeted technology and infrastructure funding, workforce development (including opioid treatment incentives), a minimum 10% set-aside for Tribal Nations, and formal stakeholder and Tribal advisory input.
Key Initiatives (16)
Timeline: Application submitted fall 2025; federal funding available annually through 2026–2030; implementation begins late 2025 with annual reporting and initiative phases; 10% of funds reserved for Tribal investments throughout the period. Provider Technology Fund contracts extend through September 30, 2031, including annual and quarterly reporting. RHT-AC meets quarterly from June 2026. OTP Workforce Incentive Program operates in application rounds through 2026.
Washington is investing in long-term solutions to improve rural residents' access to high-quality specialty and emergency medical services.
The program aims to expand and sustain the rural behavioral health system to reduce strain on rural hospitals and school-based services.
There is a dedicated investment focus on improving health outcomes for Native families in rural communities.
WA - 2025 - Washington RHTP (rhtp-webinar-qa-20250925)
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WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
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WA - 2026 - Washington Public Engagement
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WA - 2026 - Washington RHTP An Overview Summary
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WA - 2026 - Dear Tribal Leader Letter
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Washington State Health Care Authority (HCA)
Due Sep 8, 2026· ⏰ 3 days left
23 related documents
WA - 2025 - RHTP New competitive bid opportunities
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WA - 2026 - RHTP Washington state application planning
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WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
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WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 1
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WA - 2026 - RFA No. 2026HCA14: Incentivizing Hospitals to Sustain Essential Rural Maternal, Emergency, and Specialty Services
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WA - 2026 - PROFESSIONAL SERVICES CONTRACT for Provider Technology Fund Resulting from Solicitation Number: 2026HCA14
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WA - 2027 - EXHIBIT A: Applicant Forms and Certifications – RHT – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14
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WA - 2026 - EXHIBIT B: Application Questions RFA 2026HCA14
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WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 2
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WA - 2026 - Washington RHTP Provider Technology Fund (2026HCA12) Request for Applications
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WA - 2026 - Request for Applications No. 2026HCA12: Provider Technology Fund Supporting Technology Adoption, Telehealth Expansion, and Data Infrastructure Improvements in Rural Healthcare
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WA - 2026 - Request for Applications: RHTP Provider Technology Fund (HCA RFA No. 2026HCA12)
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WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
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WA - 2025 - The Honorable Dr. Mehmet Oz CMS Administrator
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WA - 2025 - Washington RHTP
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WA - 2026 - RHTP – OTP Workforce Incentive Program RFA No. 2026HCA9 Amendment No. 3
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WA - 2026 - RHTP – OTP Workforce Incentive Program RFA No. 2026HCA9 Amendment No. 2
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WA - 2026 - Professional Services Contract for OTP Workforce Incentive under RHTP (Sample Draft - RFA #2026HCA9)
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WA - 2026 - RFA #2026HCA9: Workforce Incentive Program for Rural Opioid Treatment Providers
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WA - 2026 - RHT OTP Workforce Incentive Program - Grant Opportunity
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WA - 2026 - EXHIBIT B: Application Questions - RHT OTP Workforce Incentive Program Grant Opportunity
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WA - 2026 - RFA No. 2026HCA9 Amendment No. 1
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WA - 2026 - Washington RHTP OTP Workforce Incentive Program (2026HCA9) Request for Applications
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Washington State Health Care Authority
Due Sep 3, 2026
10 related documents
WA - 2026 - RFA No. 2026HCA14: Incentivizing Hospitals to Sustain Essential Rural Maternal, Emergency, and Specialty Services
Washington State Health Care Authority
Due Aug 27, 2026
24 related documents
WA - 2026 - RFA #2026HCA9: Workforce Incentive Program for Rural Opioid Treatment Providers
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| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | [Contractor Name] Grant funding is awarded to incentivize hospitals in developing comprehensive strategies to sustain and maintain essential services—including maternity and obstetrics care, emergency services, and other specialty care under the Rural Health Transformation Program. The contract covers Initiative 1, Activity 1.4 and also includes a Provider Technology Fund element for Initiative 4, Activity 4.2. | Not disclosed | Health IT | |
| 2025-2030 | Washington Tribes and Indian Health Care Providers 10% of the total Rural Health Transformation award will go directly to tribes and IHCPs for strengthening rural healthcare and investments in maternal health. | $30.2M | Population Health |
Washington State received approximately $181 million in the first year of the Rural Health Transformation Program, part of a nationwide $50 billion initiative. The program supports hospitals, clinics, and providers in rural communities, focusing on expanding access, enhancing quality of care, and improving health outcomes. An upcoming webinar will provide updates and highlight how RHT funds are being utilized in rural Washington. Key contacts: HCARuralHealthTransformationProgram@hca.wa.gov Event schedule: - RHT Program Webinar - 09/16/2026 - 1:00 PM - Online webinar (Teams link) - Question Submission Deadline - 09/11/2026
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Congresswoman Kat Cammack announced over $42.2 million in Rural Health Transformation Program investments targeting North Central Florida. The announcement highlights significant federal support for rural health initiatives in this region.
This amendment updates the RFA schedule to include a new Round 2 application deadline for the OTP Workforce Incentive Program under the Rural Health Transformation Program. It extends application opportunities and defines contract start date estimates for awarded work orders. Event schedule: - Date of Issue - 07/20/2026 - PT - Applicant Questions Due - 07/28/2026 - 2 PM PT - HCA Response to Questions - 08/04/2026 - PT - Round 1 Applications Close Date - 08/26/2026 - 2 PM PT - Round 2 Applications Close Date - 09/08/2026 - 2 PM PT - Evaluation Time Frame - 08/26/2026 – 09/15/2026 - PT - Applicants Award Notification - 09/16/2026 - PT - via email - Estimated Work Order #1 Contract Start Date - 10/30/2026 - PT
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Washington launched its Rural Health Transformation Advisory Committee (RHT-AC), a cross-sector body providing feedback on the federally funded Rural Health Transformation Program. The state received about $181 million from CMS for the program's first year, with investments to support hospitals, clinics, and rural health providers. The committee will advise on program priorities and ensure rural community needs and experiences are represented. Key contacts: Councilwoman Dayna Seymour; Sarah Sullivan; Tyson Lacy; James Wallace Event schedule: - RHT-AC first meeting - 06/2026 - Announcement of RHT-AC - 08/27/2026
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The Rural Health Transformation Program (RHTP), authorized by the One Big Beautiful Bill Act of 2025, allocates $10 billion annually to states for rural health system transformation from 2026–2030. Washington must submit a state plan to access funds, with major priorities in rural health access, workforce, quality, partnerships, and financial stability. Large potential losses in Medicaid/ACA coverage could impact hundreds of thousands of rural WA residents along with critical access and rural hospital viability.
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This 2024 report identifies critical gaps in Washington State's mobile crisis response system for older adults, emphasizing fragmentation, workforce shortages, and accessibility challenges. It recommends improved funding, cross-sector collaboration, workforce development, enhanced facility capability, and prioritizing equity across underserved communities.
Core Initiatives
The HB 1477 Steering Committee in Washington has formed multiple subcommittees, including a Rural and Agricultural Subcommittee, to develop recommendations for an integrated behavioral health crisis response and suicide prevention system. Subcommittee member selection prioritizes a diverse mix of professionals and stakeholders with lived experience, including rural and agricultural perspectives. The document provides extensive lists of members and organizations represented, demonstrating broad engagement in planning and advisory roles. Key contacts: Skylar Newkirk; Todd Kimball; Pam Lewison; Jean Marie Dreyer
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This supporting document provides additional information linked to Washington's RHTP Activity 1.4 grant opportunity. The program aims to sustain and strengthen maternal, emergency, and specialty health services at risk in rural communities.
Core Initiatives
08/27/2026
Announcement of RHT-AC launch
↳ WA - 2026 - RHT Advisory Committee
06/2026
RHT-AC first meeting
↳ WA - 2026 - RHT Advisory Committee
WA - 2026 - Save the date for our RHTP webinar
Sep 4, 2026 14:56
·EmailWA RHTP site updated — 1 new, 0 existing source(s) refreshed
WA - 2026 - RHT Advisory Committee
Aug 28, 2026 14:25
·EmailWA - 2026 - Cammack Delivers: More Than $42 Million in Rural Health Investments for North Central Florida
Aug 13, 2026 19:25
·EmailWA 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 776.
WA - 2026 - RFP 2025HCA15 Exhibit E Data Security Questionnaire
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WA - 2026 - RFP 2025HCA15 Attachment 1 Revised Average Product and Client Usage
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WA - 2026 - RFP 2025HCA15 Exhibit D Cost Proposal Second Revision
WA - 2024 - SUPPORTING document for Washington RHTP Activity 1.4 grant opportunity
Source listing page
WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
Amendment 1 Notice
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 1
Amendment 1
WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
Amendment 1 Notice
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 1
Amendment 1
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 2
Amendment 2 (Q&A responses)
WA - 2027 - EXHIBIT A: Applicant Forms and Certifications – RHT – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14
Exhibit A: Applicant Forms and Certifications
WA - 2026 - EXHIBIT B: Application Questions RFA 2026HCA14
Exhibit B: Application Questions
WA - 2026 - PROFESSIONAL SERVICES CONTRACT for Provider Technology Fund Resulting from Solicitation Number: 2026HCA14
Exhibit C: Sample Draft Contract
WA - 2026 - RFA No. 2026HCA14: Incentivizing Hospitals to Sustain Essential Rural Maternal, Emergency, and Specialty Services
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WA - 2026 - Washington RHTP OTP Workforce Incentive Program (2026HCA9) Request for Applications
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WA - 2026 - PROFESSIONAL SERVICES CONTRACT for Provider Technology Fund Resulting from Solicitation Number: 2026HCA14
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WA - 2026 - Request For Information (RFI) No. 2026Hca13 Federal & State Interoperability And Prior Authorization Project (FSIPAP)
WA - 2026 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 1
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WA - 2026 - RHT Provider Technology Fund - Grants Opportunity (2026hca12-exhibit-a-applicant-forms-and-certifications-amendment-1)
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WA - 2026 - Request for Applications No. 2026HCA12: Provider Technology Fund Supporting Technology Adoption, Telehealth Expansion, and Data Infrastructure Improvements in Rural Healthcare
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WA - 2026 - Washington RHTP Provider Technology Fund (2026HCA12) Request for Applications
RFA 2026HCA12 Notice of Request for Applications
WA - 2026 - Exhibit A: Application Forms And Certifications
RFA 2026HCA12 Exhibit A Applicant Forms and Certifications
WA - 2026 - RHT Provider Technology Fund - Grants Opportunity
RFA 2026HCA12 Exhibit B Application Questions
WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
RFA 2026HCA12 Exhibit D Budget Proposal Template
WA - 2026 - Exhibit C: Sample Draft Contract
RFA 2026HCA12 Exhibit C Sample Draft Contract
WA - 2025 - RHTP New competitive bid opportunities
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WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
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WA - 2025 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Overview 1
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WA - 2026 - Request for Applications: RHTP Provider Technology Fund (HCA RFA No. 2026HCA12)
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WA - 2026 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 3
Amendment 3
WA - 2026 - Project Narrative RHTP
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WA - 2026 - Extension for rural health funding opportunity
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WA - 2026 - Dear Tribal Leader Letter
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WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
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WA - 2025 - The Honorable Dr. Mehmet Oz CMS Administrator
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WA - 2027 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 2
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Washington state received approximately $181 million in the first year of RHT funding to support rural hospitals and providers. A second round application period for the Opioid Treatment Programs Workforce Incentive is open with a deadline of September 8, 2026. Quarterly webinars keep the public informed of RHT activities. Event schedule: - Applications deadline for Opioid Treatment Programs Workforce Incentive Program - 09/08/2026 - 2:00 PM PT - Next quarterly webinar - 09/16/2026 - 1:00 PM - 2:00 PM PT - Hosted on Teams
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This document is an amendment addressing applicant questions for the Washington Rural Health Transformation Program (RHTP) application for rural hospitals targeting maternal, emergency, and specialty care. It clarifies allowable budget categories including telehealth, workforce training, equipment purchases, and facility readiness. Sustainability strategies must cover the expected term and focus on measurable benefits and long-term service continuation. Key contacts: Megan Clark HCARuralHealthTransformationProgram@hca.wa.gov Event schedule: - Amendment Issued - 08/07/2026 - PT
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Washington HCA is issuing an RFA to allocate up to $6.2 million in federal RHTP funds for Budget/Performance Period #1. Grants will incentivize and stabilize workforce for rural opioid treatment providers via bonuses, support, and stipends. Awards will be $100,000-$500,000 per organization, and competitive applications are required. Key contacts: Megan Clark HCAProcurements@hca.wa.gov Event schedule: - Application Deadline - 08/26/2026 - PT - Evaluation Time Frame - August 26, 2026 – September 15, 2026 - PT - Applicants Award Notification - Beginning September 16, 2026 - PT - via email - Estimated Work Order #1 Contract Start Date - September-October 2026, but no later than October 30, 2026 - PT
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This guidance details the requirements for documenting medical necessity in order to receive Medicaid reimbursement for supportive housing and supported employment services, newly available under Washington's 1115 Medicaid Transformation Waiver. The document defines eligibility criteria, covered activities, outcomes sought, and best practices for creating individualized service plans. It emphasizes the importance of accurate documentation and outlines functional and clinical assessment principles tailored to vulnerable Medicaid populations.
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Washington announces a new RFA under the Rural Health Transformation Program for Activity 1.4, focused on rural hospitals providing maternal, emergency, and specialty services. CMS has awarded the state approximately $181 million in the program's first year to support rural health infrastructure. The application and all details are available on HCA's official bids and contracts page. Key contacts: RFA coordinator HCAProcurements@hca.wa.gov; RHT Program team HCARuralHealthTransformationProgram@hca.wa.gov
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Washington was awarded over $181 million for Budget Period 1 of the Rural Health Transformation Program, launching six major initiatives to strengthen rural hospital innovation, workforce, care access, and community health. Priorities were informed by extensive stakeholder engagement with explicit attention to Tribal health, behavioral health, and technological transformation. The RHTP aims for long-term, statewide system transformation, not just short-term grants. Key contacts: RHT Program Inbox Event schedule: - Application deadline: RHT Advisory Committee - 04/24/2026 - HCA RHT Webpage - Washington RHT Program Webinar #2 - September 16, 2026 - 1:00 PM PT - Teams meeting (online) - Budget Period 1 Performance Start - 12/29/2025
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This document is a sample draft contract template for the OTP Workforce Incentive award under Washington's Rural Health Transformation Program. The contract covers responsibilities, payment, performance measures, and federal/state compliance requirements for awarded contractors, with workforce funding tied to Initiative 6.4. Event schedule: - Contract End Date - 09/30/2028 - PT - Annual Report #1 Due - 2026-07-31 - America/Los_Angeles - Quarterly Report #1 Due - 2026-10-30 - America/Los_Angeles - Quarterly Report #2 Due - 2027-01-30 - America/Los_Angeles - Quarterly Report #3 Due - 2027-04-30 - America/Los_Angeles - Period of Performance Ends - 2027-09-30 - America/Los_Angeles
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Washington State Health Care Authority is awarding a Rural Health Transformation Program grant contract to a selected hospital/provider to incentivize comprehensive strategies for sustaining essential rural hospital services. Activities include advancing technology infrastructure and preserving maternity, emergency, and specialty care in rural settings. The contract is funded through a competitive RFA application process and tied to federal CMS award terms. Key contacts: HCA Contact Name and Title contracts@hca.wa.gov Event schedule: - Annual Report #1 Due - 2026-07-31 - Pacific Time - Quarterly Report #1 Due - 2026-10-30 - Pacific Time - Quarterly Report #2 Due - 2027-01-30 - Pacific Time - Quarterly Report #3 Due - 2027-04-30 - Pacific Time
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WA - 2026 - RFA 2026HCA14 Exhibit D Budget Proposals Template
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WA - 2026 - RFA 2026HCA12 Exhibit D Amendment 3
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WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
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WA - 2026 - hca forecasted needs report fy27
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WA - 2026 - RFA 2026HCA9 Exhibit D Budget Proposal Template
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WA - 2026 - RFP 2025HCA15 Exhibit D Revised Cost Proposal
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1477-assessment-of crisis-delivery-system-20211231.pdf
WA - 2026 - RFP 2025HCA15 Exhibit D Cost Proposal Third Revision
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WA - 2026 - paying for value survey payer template 2026.xlsx
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WA - 2026 - RFA 2026HCA9 Exhibit D Budget Proposal Template Amendment 2
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ASAM technical support training is coming in September — ASAM technical assistance support training faq 20260730.pdf
Washington’s Electronic Business Solution (WEBS) RHTP Meeting Minutes
WA - 2026 - Rural Health Transformation Program Applications ARE Underway
WA - 2026 - NewsNation Washington Correspondent Maddie Biertempfel sits down with
Washington Authorization For Release Of Information Health Care Authority Is Authorized To Release 1 Information Or Records About Last Name, First Name, Middle Initial Client I.D.
July Foundations — 60-0077-washington-health-care-privacy-toolkit.pdf
July Peer-to-Peer newsletter — 82-0692-guide-to-post-overdose-toolkit.pdf
Adult Needs and Strengths Assessment (ANSA) Manual Version 2.0
Authorization / Request for Out of State Travel - State Form 823 (R12 / 5-15)
Washington Utah Code Effective 5/9/2017 Superseded 5/14/2019 63A-5-104 Definitions -- Capital Development And Capital Improvement Process -- Approval Requirements -- Limitations On
Washington MDHHS Physician Primary Care Rate Increase Initiative Database January 2016 HCPCS Code Short Description Non-Fac Fac Comments 99201 Office/Outpatient Visit New $32.44 $1
Washington Plan Management Frequently Asked Questions-Published March 5, 2015 Q1. Will Health Care Independence Program Eligible Individuals Be Able To Enroll In Any Silver Level Q
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Complaint: United States v. Police Department of Baltimore City and Mayor and City Council of Baltimore
Service Animals - A Broad Definition (NY State Attorney General Civil Rights Bureau Brochure)
Building Trust in and Access to a COVID-19 Vaccine Among People of Color and Tribal Nations: A Framework for Action Convening Executive Summary
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Investigation of the Baltimore City Police Department
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Washington League Of Minnesota Cities, Minnesota Chiefs Of Police Association, Minnesota Sheriffs Association & The Best Practices Working Group BEST PRACTICES IN Law Enforcement R
Behavioral Activation - WA State CBT Plus 2012