Community Integrated Health (CIH) Pilot Site Grant

Community Integrated Health (CIH) Pilot Site Grant is sponsored by Montana Department of Public Health and Human Services (DPHHS). Provides funding for emergency medical services to implement Community Integrated Health programs.

Rural Health Transformation Program The RHTP is a historic investment to stabilize and modernize rural health care delivery in Montana.

Rural Health Transformation Program Governor Greg Gianforte and Department of Public Health and Human Services (DPHHS) Director Charlie Brereton announced in December 2025 a historic $233 million investment from the Trump administration to stabilize and modernize rural health care delivery throughout Montana through the Rural Health Transformation Program (RHTP).

Community Integrated Health Plan Pilot Grant Now Open — Apply Here The state received the fourth-highest RHTP funding award among all 50 states, signaling the quality and strength of Montana’s application. Available funds support five core initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation.

DPHHS will collaborate with rural providers, hospitals, community organizations, and other health care stakeholders to deliver five core initiatives tailored to Montana's rural health care challenges. The five core initiatives are: Community Health and Prevention H. R.

1 — Federal Launch July, 2025 Established by President Trump’s Working Families Tax Cuts legislation, the RHTP provides up to $50 billion nationally through 2030 to help states stabilize, transform, and restructure rural health systems and support essential health care providers with sustainability. H. R.

1 , enacted on July 4, 2025, established a federal $50 billion Rural Health Transformation Program (RHTP) to stabilize and strengthen rural health care delivery systems, including hospitals and other providers. To receive funding from the RHTP, states had to submit a rural health transformation plan to CMS. In November 2025, Montana applied for funding from the Centers for Medicare and Medicaid Services (CMS), and on Dec.

29, 2025, DPHHS was awarded a historic $233 million in funds to stabilize and modernize rural health care delivery throughout Montana. DPHHS will now allocate funds to eligible entities in accordance with Montana’s approved rural health transformation plan.

Prior to submitting the plan, DPHHS conducted several weeks of public outreach to Montana’s hospitals, over 20 rural health stakeholders, all eight tribal nations and Urban Indian Organizations, and other state agencies. DPHHS also integrated feedback from a 900-registrant webinar and over 300 formal responses to an agency-led Request for Information. The plan reflects this input.

H. R. 1 created a $50 billion fund for states with an approved rural health transformation plan, with $10 billion available per year from FFY 2026 through FFY 2030.

Half of the funding will be split evenly between states with an approved transformation plan, and the other half will be distributed to states at CMS’ discretion based on each state’s rural population, rural health facilities, and other CMS-defined characteristics.

State of Montana's Application — For Upcoming Fiscal Year 2026 This documentation contains information on the Rural Health Transformation program application and project narrative which was submitted by the State of Montana. There is a summary document included as well as the budget overview to reflect the guidance from Centers for Medicare & Medicaid Services (CMS) received between January 26 and February 6, 2026.

Montana's First Award — December, 2025 Governor Greg Gianforte and Department of Public Health and Human Services (DPHHS) Director Charlie Brereton announced in December 2025 a historic $233 million investment from the Trump administration to stabilize and modernize rural health care delivery throughout Montana.

Awarded by the CMS's RHTP, these funds will support Montana’s rural health care providers in delivering sustainable, high-quality care and ensuring appropriate access for those in need of services. This investment reflects the first-year award of a five-year federal grant program, with Montana currently set to receive up to $1. 2 billion over the life of the program.

DPHHS submitted its RHTP application to CMS in November 2025. The state received the fourth-highest funding award among all 50 states, signaling the quality and strength of Montana’s application. The Rural Health Transformation Program is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $233,509,358.

76 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government. Center of Excellence Advisory Council RHTP Frequently Asked Questions RHTP Stakeholder Advisory Committee Vendor and Subcontractor Directory