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Rural Community Health Integration Initiative is sponsored by New York State Department of Health (supported by CMS/HHS). This initiative, part of the Rural Health Transformation Program, aims to establish coordinated rural health partnerships that facilitate comprehensive care coordination and enhance patient access to a wide range of providers across the care continuum, addressing both health and…
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Rural Health Transformation (RHT) Program | CMS Rural Health Transformation (RHT) Program Transforming Rural Healthcare in America The Rural Health Transformation (RHT) Program was authorized by the One Big Beautiful Bill Act (Section 71401 of Public Law 119-21) and empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem.
Through innovative system-wide change, the RHT Program invests in the rural healthcare delivery ecosystem for future generations. Additional information on how to apply for RHT Program funding will be released via a Notice of Funding Opportunity (NOFO), and funding will be distributed in the form of a cooperative agreement.
The RHT Program seeks to further the following Strategic Goals: Make rural America healthy again Support rural health innovations and new access points to promote preventative health and address root causes of diseases. Projects will use evidence-based, outcomes-driven interventions to improve disease prevention, chronic disease management, behavioral health, and prenatal care.
Help rural providers become long-term access points for care by improving efficiency and sustainability. With RHT Program support, rural facilities work together—or with high-quality regional systems—to share or coordinate operations, technology, primary and specialty care, and emergency services.
Attract and retain a high-skilled health care workforce by strengthening recruitment and retention of healthcare providers in rural communities. Help rural providers practice at the top of their license and develop a broader set of providers to serve a rural community’s needs, such as community health workers, pharmacists, and individuals trained to help patients navigate the healthcare system.
Spark the growth of innovative care models to improve health outcomes, coordinate care, and promote flexible care arrangements. Develop and implement payment mechanisms incentivizing providers or Accountable Care Organizations (ACOs) to reduce health care costs, improve quality of care, and shift care to lower cost settings.
Foster use of innovative technologies that promote efficient care delivery, data security, and access to digital health tools by rural facilities, providers, and patients. Projects support access to remote care, improve data sharing, strengthen cybersecurity, and invest in emerging technologies.
RHT Program funding is $50 billion to be allocated to approved States over five fiscal years, with $10 billion of funding available each fiscal year, beginning in fiscal year 2026 and ending in fiscal year 2030.
50% to be distributed equally amongst all approved States 50% will be allocated by CMS based on a variety of factors including rural population, the proportion of rural health facilities in the State, the situation of certain hospitals in the State, and other factors to be specified by CMS in the NOFO States must use RHT Program funds for three or more of the approved uses of funds: Promoting evidence-based, measurable interventions to improve prevention and chronic disease management.
Providing payments to health care providers for the provision of health care items or services, as specified by the Administrator. Promoting consumer-facing, technology-driven solutions for the prevention and management of chronic diseases.
Providing training and technical assistance for the development and adoption of technology-enabled solutions that improve care delivery in rural hospitals, including remote monitoring, robotics, artificial intelligence, and other advanced technologies. Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of 5 years.
Providing technical assistance, software, and hardware for significant information technology advances designed to improve efficiency, enhance cybersecurity capability development, and improve patient health outcomes.
Assisting rural communities to right size their health care delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute inpatient care, outpatient care, and post-acute care service lines. Supporting access to opioid use disorder treatment services (as defined in section 1861(jjj)(1)), other substance use disorder treatment services, and mental health services.
Developing projects that support innovative models of care that include value-based care arrangements and alternative payment models, as appropriate. Additional uses designed to promote sustainable access to high quality rural health care services, as determined by the Administrator.
In accordance with the authorizing statute, only the 50 U.S. states are eligible to receive an RHT Program award; the District of Columbia and U.S. Territories are not eligible. How to Apply for RHT Program Funding Application instructions to apply for RHT Program funding will be included in the NOFO and released on grants.
gov by mid-September CMS will engage with States in the open application period to answer questions Application submissions will close in early November Awards will be decided by December 31, 2025 RHT Program Applicants Webinars September 19, 2025 webinar Capital Expenditures Fact Sheet: Category J Payments Rural Tech Catalyst Fund Resource Guide Rural Health Transformation - Frequently Asked Questions Frequently Asked Questions—April 2026 2026 Rural Health Transformation Summit Agenda Information on Applying for CMS Grants and Cooperative Agreements Notice of Funding Opportunity (NOFO) Press Release: CMS Launches Landmark $50 Billion RHT Program (09-15-2025) Press Release: CMS Announces $50 Billion in Awards to Strengthen RHT in All 50 … RHT Program State Project Abstracts Rural Health Transformation 50 State Spotlights Provider Payments Fact Sheet 5 Year Service Commitment Fact Sheet P.
L. 119-21 Section 71401 Reg Text RHT Program Overview Presentation RHT Program Reporting and Rescoring Webinar_02. 25.
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According to the current listing, eligibility includes: Organizations supporting and building sustainable healthcare in New York's rural communities, including hospitals, Federally Qualified Health Centers, and behavioral health and other healthcare providers. Confirm the full requirements in the official notice before applying.
The current listing shows $76.2 million (allocated for this initiative within a larger $212 million program). Verify award ceilings, matching requirements, and allowable costs in the official notice.
The published deadline was July 14, 2026, which has passed. Check the official notice for any future application windows before investing time in a proposal.
Rural Community Health Integration Initiative is funded by New York State Department of Health (supported by CMS/HHS). Verify program details on the funder's official page before applying.
This opportunity targets applicants in New York. If your organization operates elsewhere, check the official notice for location requirements.
Start from the official opportunity page linked in this listing — it carries the sponsor's submission instructions.
NCI Continuing Umbrella of Research Experiences (CURE) Academic Career Excellence (ACE) Award (K32) is a grant from the National Cancer Institute (NCI) that funds early postdoctoral fellows from diverse backgrounds, including underrepresented groups, to pursue research training in cancer-related fields. The K32 award supports fellows within 12 months prior to transitioning into, or within the first two years of, a postdoctoral position. The program, operated through NCI's Center to Reduce Cancer Health Disparities (CRCHD), aims to enhance the pool of qualified diverse cancer researchers. Beginning with the June 12, 2025 due date, the CURE ACE Award is available in both Independent Clinical Trial Required and Independent Clinical Trial Not Allowed versions. Eligible applicants must be U.S. citizens or permanent residents at time of award.
Innovation Grant is a grant from the Delta Dental of Arizona Foundation that funds nonprofit organizations pursuing unique, high-impact projects that improve health and wellness in Arizona communities. This two-year award supports original initiatives with measurable real-world impact, including programs serving underserved and uninsured populations through oral health education, disease prevention, and nutritional access. Projects must demonstrate the potential to make a meaningful difference in the community and stand apart from conventional approaches. Eligible applicants are Arizona-based nonprofit organizations. Awards total $100,000 per recipient over two years. The 2026 application cycle closed October 16, 2025, with recipients notified in late 2025 and funding made available shortly after.
CMS awarded all 50 states their first-year slice of the $50 billion Rural Health Transformation Program in December 2025 — from $147M in New Jersey to $281M in Texas. Now the money is moving downstream: New Jersey and New York have already launched subaward RFAs, and rural hospitals, clinics, community organizations, and tribal groups are the eligible applicants. Here is how the allocation formula worked, what the money can and cannot fund, and the strategy to win a state subaward.
Read articleThe HHS Grants Policy Statement that took effect October 1, 2025 raised the micro-purchase threshold to $50,000, the single audit threshold to $1 million, and the de minimis indirect cost rate to 15 percent — quietly rewriting the operational rules for tens of billions of dollars in annual awards. Combined with full 2 CFR Parts 200 and 300 adoption and new MAHA-aligned program priorities, it is the biggest compliance shift for health grantees since Uniform Guidance arrived in 2013.
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