Wyoming's Rural Health Transformation Program, led by the Wyoming Department of Health, is advancing implementation after final federal approval in December 2025. The program prioritizes sustaining rural healthcare access, innovative care and payment models, workforce development and training, technology solutions, and infrastructure improvement, with awards guided by advisory committee appraisals. As of October 2026, Requests for Applications are open, contract execution deadlines are set for October 1, 2026, and federal funding is scheduled to be obligated on time. The structured plan organizes projects across multiple initiatives aligned with major strategic goals addressing rural health needs, including support for chronic disease prevention, behavioral health, EMS regionalization, and critical access hospitals. Current structured plan tracks 15 key initiatives and 9 strategic goals.
WY - 2025 - Department of Health and Human Services Notice of Award
Current Progress
Implementing
Wyoming’s Rural Health Transformation Program has completed competitive procurements and sole-source awards for critical access hospitals, EMS, workforce, technology, integrated care, and care coordination. Multiple contracts and grants are actively awarded and under implementation for FY2025, with funds allocated to explicit recipients. Sustainability plans and cost approvals are explicitly required for awarded entities. This demonstrates sustained statewide implementation and grant activity across all initiatives. State opportunities: 6 total (6 past/closed), $138.0M listed funding. Key opportunities: Wyoming RHTP RFA - 1.1. Critical Access Hospital - Basic; Wyoming RHTP RFA - 1.2. EMS Regionalization; Wyoming RHTP RFA - 2.2. Physician Graduate Medical Education. Strategy alignment: supports ems, care access, workforce priorities.
RHTP Strategy
Wyoming’s Rural Health Transformation Program (RHTP) is structured around a milestone-driven, state-led strategy emphasizing four core priorities: expanding access to emergency care and services, sustaining and enhancing the rural healthcare workforce, advancing health technology, and promoting chronic disease prevention and wellness. Implementation is supported by direct awards to rural hospitals, EMS, clinics, and educational institutions, aligning legislative and community priorities through transparent RFA/RFP processes, sustainability requirements, and oversight by the Rural Health Transformation Advisory Committee.
Model
State-led rural health transformation structured around four pillars: expanding emergency care, workforce development, health technology advancement, and population wellness. Implementation follows legislative and CMS milestones, integrates provider networks, technology modernization, and innovative care and payment models for long-term sustainability.
Key Initiatives (15)
1Critical Access Hospital-Basic incentive and capital awards supporting financial viability, startup needs, and right-sizing of rural hospitals
2EMS regionalization contracts and service incentives to extend and modernize emergency medical services in rural and frontier areas
3Workforce education and individual support grants, including Graduate Medical Education expansion for physician, nurse, primary care, behavioral health, and EMS/EMT workforce recruitment and training
Timeline: December 29, 2025: first-year award announced; January 20, 2026: revised budget due to CMS; January–February 2026: initial CMS meetings; February–March 2026: legislative action for award appropriations and perpetuity; June–July 2026: RFA/RFP development; July 2026: application submission; August–September 2026: awards and drawdown; October 1, 2026: contract execution deadline. All expenditures due September 30, 2027. Implementation, reporting, and renewal options extend through 2027–2028 in alignment with CMS and legislative milestones.
Health Priority
Measles Outbreak
Wyoming is experiencing multiple confirmed measles cases in Teton County and other areas, highlighting a contagious disease risk in rural communities.
Teton CountyFremont CountyPark County
Oct 16, 2026
Health Priority
Chronic disease prevention and behavioral health
Focus on preventing chronic diseases while addressing behavioral health issues in rural communities.
Rural Wyoming
Oct 16, 2026
Health Priority
Access to care
Sustaining and improving access to healthcare services in rural parts of Wyoming.
WY - 2025 - There are presently no open calls for submissions.
Primary source (WY RHTP Submittable listing)
SupportingPDF2026Award: $205.0M
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
CAH Basic award including swing bed authorization, conditional on approval for costs and allowability.
$6.7M
Quality Improvement
2025
Powell Valley Health Care Inc
CAH Basic award including startup and incentive funding.
$3.1M
Quality Improvement
2025
Memorial Hospital of Converse County (MHCC)
Approved CAH Basic award to MHCC for incentive and swing bed startup under RHTP.
$3.1M
Quality Improvement
2025
Johnson County Hospital District
CAH Basic award including startup and incentive funding.
$3.0M
Quality Improvement
2025
South Big Horn County Hospital District, DBA as Thre
CAH Basic award including swing bed authorization, conditional on approval for costs and allowability.
$2.7M
Quality Improvement
2025
North Lincoln County Hospital District dba Star Valley
CAH Basic award for startup funding.
$2.5M
Quality Improvement
2025
Hot Springs County Hospital District
CAH Basic award for startup funding.
$1.8M
Quality Improvement
2025
Crook County Medical Services District
CAH Basic award for startup and incentive funding.
$1.6M
Quality Improvement
2025
Memorial Hospital of Sweetwater County
CAH Basic award, conditional to timely submission of sustainability plan.
$1.5M
Quality Improvement
Announcement Documents (3)
✉️
AnnouncementJul 12, 2026TXT
A Wyoming county health department is seeking state funding support for rural health initiatives. The announcement signals local intent to apply for, or obtain, future resources to address rural health transformation.
OTHER
✉️
AnnouncementJul 4, 2026TXT2026
Event schedule:
- - Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
Award AnnouncementOct 9, 2026PDF2025FederalOpportunity ↗
Wyoming awarded over $205 million in federal funds to rural hospitals, EMS agencies, clinics, and partners under the Rural Health Transformation Program. Awards span critical access hospital supports, EMS modernization, physician GME expansion, technology adoption, integrated primary care, and care coordination. The program funds capital upgrades, workforce development, health information technology, and robust care integration statewide.
Sustain Wyoming rural hospitals through capital and operational investments.
Regionalize and modernize EMS and emergency transport systems for rural populations.
Expand workforce education and graduate medical education (GME) for rural care.
Show all initiatives (6)
Sustain Wyoming rural hospitals through capital and operational investments.
Regionalize and modernize EMS and emergency transport systems for rural populations.
Expand workforce education and graduate medical education (GME) for rural care.
Advance technology adoption, interoperability, and population health capabilities.
Integrate primary, dental, and behavioral health across rural settings.
Improve care coordination for Medicaid duals and high-risk rural populations.
🌐
Award AnnouncementAug 4, 2026HTML2026Federal
Application Documents (6)
📄
ApplicationAug 11, 2026PDFUpcoming2026
Utah DHHS is soliciting applications for the PATH 1.4 Community Care Hubs project under the Rural Health Transformation Program, with up to $18M anticipated over five years. Activities include developing rural CCH sites to improve preventive care, integrated behavioral health, and care coordination, serving 25 rural counties. No cost-sharing is required and the program is 100% federally funded. Key contacts: Christine Espinel; Karlee Walker
Event schedule:
- Application Deadline - 08/17/2026 - 5:00 PM MT - Online Qualtrics portal
- Question Submission Deadline - 08/13/2026 - 5:00 PM MT
- Final Q&A Page Update - 08/14/2026 - 5:00 PM MT
- Anticipated Award Notification - 09/04/2026 - MT
- Agreement Period Start - 09/21/2026 - MT
- Agreement Period End - 09/30/2031 - MT
Wyoming's Department of Health announced the opening of RFAs for its Rural Health Transformation Program with $205 million available. The program focuses on strengthening rural healthcare access, workforce development, technology investments, and promoting healthy lifestyles.
Event schedule:
- RFA Opening Date - 07/01/2026 - Wyoming Department of Health
The program focuses on access to emergency medical care, rural workforce supply, health technology transformation, and the 'Make Wyoming Healthy Again' initiative. Awards are expected to be obligated by October 30, 2026, and fully expended by September 30, 2027. Wyoming’s RHTP includes multiple RFAs for different sub-initiatives with application deadlines on August 2, 2026.
Event schedule:
- On , 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengt...
Event Schedule
On , 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengt...
Core Initiatives
Improve access to emergency medical care
Strengthen rural health workforce supply
Advance health technology transformation
Show all initiatives (4)
Improve access to emergency medical care
Strengthen rural health workforce supply
Advance health technology transformation
Promote overall health improvement under 'Make Wyoming Healthy Again'
Wyoming received a first-year federal award of $205 million to launch statewide Rural Health Transformation, aimed at improving access to emergency medical care, sustaining rural hospitals, and addressing critical workforce, maternal, and behavioral health challenges. Strategic priorities were developed through extensive public engagement, town halls, and surveys, directing funds and initiatives toward the most pressing needs in rural and frontier communities. The program employs targeted incentives, new technology platforms, and expanded workforce education to address longstanding disparities in rural health access and outcomes. Key contacts: Wyoming Hospital Association; Wyoming EMS Association; Wyoming Medical Society; University of Wyoming
Event schedule:
- Wyoming Department of Health RHTP document issue date - 2026-05-08 - Wyoming
- SNAP waiver draft bill passed Joint Committee - 2025-10-16 - Wyoming Legislature
- SNAP waiver bill introduction (expected) - 2026-02-01 - Wyoming Legislature
- Wyoming Department of Health Report Publication - 2026-05-08
Wyoming's Rural Health Transformation Program aims to improve rural and frontier health using $200 million (requested) to address EMS, workforce, technology, and population health issues. The application addresses long-standing access challenges in EMS response, provider shortages, and maternal health deserts. Priorities were informed by 11 statewide town halls and an online survey with over 1,300 responses.
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Show all initiatives (42)
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Use technology and payment models to improve chronic disease management and bring care closer to home.
Sustainable access
Workforce development
Tech innovation
Make rural America healthy
Innovative care
Improve the financial viability of small, rural hospitals to provide basic services to their communities
Expand affordable health insurance options
Recruit and retain primary care physicians to improve access and build longer relationships with patients
Train and recruit more nurses and related direct care workforce to improve staffing at hospitals and long-term care facilities
Strengthen obstetric/gynecological, labor/delivery and related services to provide safe childbirth
Recruit and retain more home health aides, and invest in home-and community-based alternatives to nursing home care
Expand the integration of behavioral health and primary care for whole person treatment
Improve access to specialty medical care in local communities
Improve or sustain ambulance availability for timely emergency responses
Reference Documents (9)
🌐
ReferenceAug 3, 2026HTMLPast2026
The program supports chronic disease prevention, behavioral health, sustaining rural access to care, innovative care delivery and payment models, workforce development, technological solutions, and IT assistance. It involves a timeline of key milestones including funding awards, legislative actions, and contract execution throughout 2025 and 2026. Public meetings are held for award discussions with some opportunities for public virtual participation. Key contacts: Monique McBride monique.mcbride@wyo.gov
Event schedule:
- Rural Health Transformation Advisory Committee Meeting - August 11, 2026 - 8:00 AM MT - Turntable room, Thyra Thomson State Office Building, Casper, WY or Google Meet
- First-year award announced - December 29, 2025
- Revised budget due to CMS - January 20, 2026
- Contract execution deadline - October 1, 2026
Event Schedule
Rural Health Transformation Advisory Committee Meeting - August 11, 2026 - 8:00 AM MT - Turntable room, Thyra Thomson State Office Building, Casper, WY or Google Meet
First-year award announced - December 29, 2025
Revised budget due to CMS - January 20, 2026
Show all schedule items (4)
Rural Health Transformation Advisory Committee Meeting - August 11, 2026 - 8:00 AM MT - Turntable room, Thyra Thomson State Office Building, Casper, WY or Google Meet
Innovative approaches to care delivery and payment models
Show all initiatives (6)
Chronic disease prevention and behavioral health
Sustaining access to care in rural communities
Innovative approaches to care delivery and payment models
Workforce development and training
Technological and consumer health solutions
IT advances and technical assistance
🌐
ReferenceJul 12, 2026HTML
The Teton County Health Department (TCHD) is preparing to apply for state-allocated funds from Wyoming's share of the federal Rural Health Transformation Program (RHTP). The department plans to support initiatives in technology, integrated primary care, and care coordination for dual-eligible Medicare/Medicaid recipients. Wyoming received $205 million as part of the $50 billion RHTP, with local entities encouraged to develop their own project proposals. Funding applications are due August 2, with all funds distributed by October 1.
📄
ReferenceJul 11, 2026PDF2026
This FAQ provides guidance for applicants to the RHTP's technology challenge and initiative funding, clarifies multiple applications rules, and details cost eligibility. Entities may submit multiple applications for different initiatives and request administrative costs if justified, but indirect costs are not funded.
Event schedule:
- , 2026 - July 10 - FREQUENTLY ASKED QUESTIONS
Other Documents (1)
📄
OtherMay 24, 2026PDF
Pregnant By Choice is a Wyoming Medicaid program extending contraceptive coverage to women postpartum beyond the standard 60 days. It aims to reduce unintended pregnancies and improve maternal and child health by providing education, exams, and family planning services.
POPULATION_HEALTH
Core Initiatives
Improve maternal and child health outcomes
Increase access to family planning services for postpartum women
Reduce unintended pregnancies through education and contraceptive services
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 216.
Sort
WY - 2026 - Vehicles MainTemplates and Instructions
XLSX
WY - 2026 - Facilities MainTemplate and Instructions
XLSX
WY - 2026 - Teton County Health Dept. Seeks State RHTP Funds for Rural Health
HTML
Wyoming U.S. Census Bureau - Population Division B RHTP 2003 Data
XLSX
WY - 2018 - Claim Type and Payment Methodologies
PDF
Certification of County Canvass
PDF
Rules for the Special Education Component within the Education Resource Block Grant Model
PDF
Incident Management Specialist Regions Contact List
PDF
Wyoming Department of Health - Healthcare Financing and Medicaid/Kid Care CHIP Overview
HTML
WY - 2018 - TPL Requirements – Payment of Claims
PDF
WY - 2018 - Institutionalized Medicaid Member; State Plan
PDF
WY - 2018 - TPL Compliance Library Links
PDF
WY - 2018 - “Appropriate Payer Solution” – DART Chart Outbound Data Structure to WY MMIS
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
Wyoming approved application
PrimaryHTMLNo amount extracted
WY - 2025 - There are presently no open calls for submissions.
WY - 2027 - Notice of Funding Opportunity Application due November 5, 2025 RHTP Opportunity number: CMS-RHT-26-001
CMS RHT NOFO source link (WY portal)
Primary source (WY RHTP Submittable listing)
SupportingPDF2026Award: $205.0M
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
WY - 2027 - Notice of Funding Opportunity Application due November 5, 2025 RHTP Opportunity number: CMS-RHT-26-001
CMS RHT NOFO source link (WY portal)
- Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
The RHT Program will provide $50B over five years to states, beginning FY2026. Funding will support workforce, technology, care models, chronic disease, and behavioral health system development. Only US states are eligible. Key contacts: MAHARural@cms.hhs.gov
Event schedule:
- Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
- Applicants Webinar - September 19, 2025
- Application Deadline - November 10, 2025
- Award Decisions - December 31, 2025
Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
Applicants Webinar - September 19, 2025
Application Deadline - November 10, 2025
Show all schedule items (4)
Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
Applicants Webinar - September 19, 2025
Application Deadline - November 10, 2025
Award Decisions - December 31, 2025
Contacts
<MAHARural@cms.hhs.gov> - Program contact - National
Core Initiatives
Make rural America healthy again
Sustainable access
Workforce development
Show all initiatives (5)
Make rural America healthy again
Sustainable access
Workforce development
Innovative care
Tech innovation
Wyoming received final federal approval for a $205 million, five-year Rural Health Transformation Program funding to improve rural healthcare. The state engaged legislators, healthcare providers, and the public to design a plan that addresses rural and frontier healthcare needs while ensuring program compliance.
Event schedule:
- Obligation deadline for Year 1 funding - 10/31/2026
Obligation deadline for Year 1 funding - 10/31/2026
Core Initiatives
Expand access to rural healthcare services
Transform the economics of basic care in rural communities
Recruit and train rural health providers
Show all initiatives (4)
Expand access to rural healthcare services
Transform the economics of basic care in rural communities
Recruit and train rural health providers
Sustain and improve healthcare delivery in rural and frontier areas
Utah DHHS is soliciting applications for the SPRINT Consortium to implement a major, federally funded rural health transformation initiative under RHTP. Up to $59.2M in Year 1 is available, with the anticipated award covering technology, infrastructure, workforce, and care transformation activities targeting rural Utah. This RFGA outlines detailed eligibility, application, and oversight requirements and emphasizes consortium-driven innovation and outcomes. Key contacts: Nune Phillips; Jackie Patel; Mason Payne
Event schedule:
- Letter of Intent Deadline - 07/27/2026 - 5:00 p.m. MT - Email to ruralht@utah.gov
- Deadline to Submit Questions - 08/05/2026 - 5:00 p.m. MT - Email to ruralht@utah.gov
- Final Q&A Page Update - 08/06/2026 - 5:00 p.m. MT - https://dhhs.utah.gov/ruralhealth/funding-opportunities/
- Application Deadline - 08/07/2026 - 5:00 p.m. MT - Application portal
- Applicant Notification of Award - 08/26/2026