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Rural Health Transformation Program (RHT Program) is sponsored by Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services. This program supports state governments in transforming their healthcare delivery systems in rural communities to improve access, quality, and outcomes. It focuses on promoting innovation, strategic partnerships, infrastructure development, and workforce investment.
States will implement comprehensive strategies to improve care delivery, support providers, and advance new approaches to coordinating health care services across rural communities, including testing new primary care and value-based care models.
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Or search similar grants →According to the current listing, eligibility includes: State governments are the direct recipients of this federal funding. States then use these funds to support rural communities and various healthcare providers within their states. Confirm the full requirements in the official notice before applying.
The current listing shows $50 billion total ($10 billion annually from 2026-2030). Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation Program (RHT Program) is funded by Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services. Verify program details on the funder's official page before applying.
Start from the official opportunity page linked in this listing — it carries the sponsor's submission instructions.
Past winners and funding trends for this program
CMS awarded the entire $50 billion Rural Health Transformation Program to all 50 states, with first-year checks averaging $200M per state and money starting to move October 1, 2026. The federal contest is over — but for rural hospitals, clinics, behavioral-health providers, and nonprofits, the real competition is just beginning inside each state's sub-grant process. Here is how the money splits, what it can fund, and how to position now.
Read articleCMS 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 articleCMS awarded all 50 states a slice of the $50 billion Rural Health Transformation Program on December 29, 2025 — first-year checks average $200M, ranging from $147M to $281M. The federal application is closed and you cannot apply to CMS. The money reaches hospitals, clinics, and nonprofits only as state subawards, and those competitions open through 2026. Here is how the formula worked, what the funds can and cannot buy, and how to position for a subaward before the money starts flowing.
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