Rural Health Transformation Program is sponsored by Centers for Medicare and Medicaid Services (CMS). Five-year grant to Oklahoma State Department of Health for rural health care projects addressing access, workforce development, technology, and preventative health in rural areas.

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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 Rural Health Transformation - Frequently Asked Questions Information on Applying for CMS Grants and Cooperative Agreements Current CMS Funding Opportunities 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 P.

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