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"Rural Health Transformation Program (RHTP)" is currently closed and not accepting applications.
Rural Health Transformation Program (RHTP) is sponsored by Centers for Medicare & Medicaid Services (CMS) / Nebraska Department of Health and Human Services (DHHS). The RHTP aims to expand healthcare services in rural areas, focusing on initiatives like lowering obesity risks and providing whole foods, developing regional partnerships for improved healthcare access, recruiting and retaining healthcare workers, implementing remote and mobile…
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Rural Health Transformation Turn on more accessible mode Turn off more accessible mode Rural Health Transformation What would you like to do? The Rural Health Transformation Program (RHTP) is a $50 billion federal opportunity to improve health care in rural areas across the 50 states. RHTP is a once-in-a-generation opportunity to modernize rural health care and make it more sustainable.
Nebraska received a preliminary notice of award from the Centers for Medicare & Medicaid Services (CMS) for approximately $218. 5 million in the first year. Sections on this page Health Care Advisory Regions Nebraska Rural Health Workforce Incentive Program Nebraska received $218.
5 million for the first year of a five-year grant. DHHS received a revised notice of award from the Centers for Medicare and Medicaid Services (CMS) dated February 27, 2026, for Nebraska's updated plan and budget. This approval allows DHHS to access the federal funds to launch Nebraska's seven initiatives.
A project of this size and scope requires participation from many stakeholders across multiple fields. Nebraska intends to release multiple Requests for Applications (RFAs) over the next five years to provide organizations with multiple opportunities to apply for funds and assist in implementing this important work. There will be additional opportunities for applications in each funding year.
Application next steps and timeline DHHS aims to open RFAs throughout the year, starting in March. Funding awards are expected to begin in Spring 2026. There will be additional opportunities for applications in each funding year.
Timeline: Updated 3/25/2026 Nebraska Rural Health Transformation Initiatives Eligible to Respond to RFA Notes RFA Release Date RFA Due Date Initiative 1: Make Rural Nebraska Healthy Through Food as Medicine 1. 1 School Kitchen Modernization Grant Any public or private elementary, middle, or high school in rural or frontier counties.
Interagency agreement with the Department of Education, and they will release the RFA Project to supply equipment for schools to serve whole fresh food TBD – dependent on NDE. TBD – dependent on NDE. 1.
2 Regional Food Pantry Development Non-profit organizations and co-ops Increase the availability of whole fresh foods. 3/9/2026 4/8/2026 1. 3 Farm-to-School Procurement & TA Local rural farmers, ranchers, and food suppliers.
Interagency agreement with the Department of Education, and they will release the RFA Project to enhance kitchen-ready local supply chain for rural schools TBD – dependent on NDE. TBD – dependent on NDE. 1.
5 Nebraska Kids Fitness & Nutrition Local Health Department and Tribal Partners - targeted, narrow RFA release to continue work started by the LHD in 2025. Local activities focusing on health literacy and healthy behaviors. 3/16/2026 4/3/2026 Initiative 2: Regionalized Rural Access and Navigation 2.
1b EMS Regionalization Emergency Medical Service agencies who are ready and willing to participate as regional lead agencies. Assessments will identify regions, then EMS region lead agencies will help identify areas to standardize (medical direction, equipment, protocols, and tiered response structures). May 2026 (after assessments conducted) 2.
2b Rural Jurisdictional Stockpiles Local Health Departments willing and able to manage inventory Ensure rapid access to essential medical supplies during emergencies and reduce reliance on federal deployments. 1/21/2026 2/10/2026 2. 3a Community Health Worker Networks Local and Tribal Health Departments Represents phase 1.
Phase 2 release will target other rural clinic settings. 1/8/2026 1/20/2026 Initiative 3: Rural Workforce Acceleration 3. 1 Rural Provider Recruitment and Retention Incentives Individual health care providers Incentive payments to eligible licensed healthcare providers for 5-year service commitment in a rural facility (eligibility includes license type, serving Medicaid patients).
Ongoing Ongoing 3. 3 Rural Health Care Workforce Incentive & Sustainability Local and state governments, Indian tribes, institutions of higher education, or other eligible organizations in rural Nebraska who can meet the requirements of a SNAP E&T training program. Start-up grants for new SNAP E&T training sites.
3/9/2026 4/1/2026, 5/1/2026, 6/1/2026 Initiative 4: eHealth and Mobile Care 4. 2a Oral Health (NE Teeth Forever) Local and Tribal Health Departments Provide for and expand access to preventive oral health services in rural, frontier, and tribal communities through community-based delivery models. 1/8/2026 1/20/2026 4.
4a Chronic Disease Management Rural Clinics, Federally Qualified Health Centers (FQHCs), Certified Community Behavioral Health Clinics (CCBHCs), Local Health Departments (LHDs), Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), Rural Hospitals (non-CAH), Tribal Health Facilities Projects to expand community-based education, care navigation, and self-management support for individuals living with chronic conditions, often through community health workers.
2/24/2026 3/27/2026 Initiative 5: Rural Emergency Behavioral Health 5. 3 Modification of Existing Clinical Facilities for Crisis Stabilization Centers. Non-profit organizations rendering BH crisis services.
Provide funding for equipment and enhancements to hospitals and behavioral health providers to expand crisis response, stabilization, and substance use withdrawal services in rural areas.
Mid-March 2026 Introduction to Grants for DHHS Subrecipients DHHS News Release: April 9, 2026, DHHS to Open RHTP Application to Help Build Rural Nebraska Workforce DHHS News Release: March 31 2026, DHHS is Seeking Applications for RHTP Health Care Advisory Regions Governor's News Release: December 29, 2025, Gov. Pillen Touts Huge Rural Health Transformation Program Award Applications and Proposed Initiatives As part of its application, Nebraska proposed seven statewide initiatives that reflect ideas and feedback from hundreds of stakeholders and community partners.
These initiatives outline how Nebraska could use RHTP funds to strengthen the state's rural health infrastructure, address workforce gaps, and ensure access to care through consumer-facing technology. View an accessible PDF. Nebraska Rural Health Transformation Initiatives Initiative 1: Make Rural Nebraska Healthy Again Through Food as Medicine 1.
1 School Kitchen Modernization Grant supplies equipment for schools to serve whole fresh food 1. 2 Regional Food Pantry Development to increase availability of whole fresh foods 1. 3 Farm-to-School Procurement & TA enhances kitchen-ready local supply chain for rural schools 1.
4 Healthy Menu Design training for rural schools, hospital cafeteria staff, and clinic dieticians 1. 5 Nebraska Kids Fitness & Nutrition Day focuses on health literacy and healthy behaviors Initiative 2: Regionalized Rural Access and Navigation 2. 1 EMS & Perinatal Regionalization for referrals and provider-pairing program for high-risk cases 2.
2 Community Paramedicine program with billing support and workforce development 2. 3 Rural Health Hubs and Community Health Worker Networks across health care settings 2. 4 Veteran EHR Coordination to connect VA scheduling staff to local clinics and hospitals 2.
5 CAH to REH Conversion to ensure health care stays local Initiative 3: Rural Workforce Acceleration 3. 1 Rural Provider Recruitment & Retention such as hiring incentives and apprenticeships 3. 2 Rural VR & Skills Acceleration Network to test competency during training 3.
3 Rural Health Care Workforce Incentive & Sustainability start up grants for new training sites 3. 4 School-Age Health Care Pipeline educating youth about jobs in health care 3. 5 Subsidized Short-Term Provider Housing to support employers in recruiting workforce Initiative 4: eHealth and Mobile Care 4.
1 Mobile Maternal Care & Training in maternity deserts to decrease morbidity and mortality 4. 2 Oral Health programs including new student rotations and mobile services 4. 3 Technology-Enhanced Pharmacy Services for medication reviews and patient adherence data 4.
4 Chronic Disease Management & Remote Patient Monitoring in facilities and at home Initiative 5: Rural Emergency Behavioral Health 5. 1 Integrated Primary Care providing behavioral health services in clinics 5. 2 Telehealth Crisis Responders for Law Enforcement is 24/7 access to counselors for triage 5.
3 Modification of Existing Clinical Facilities for Crisis Stabilization Centers 5. 4 Behavioral Health Nursing Homes Pilot provides enhanced payments for complex care needs Initiative 6: Assisted Living Facility (ALF) Special Needs Population Incentive Model 6. 1 Incentive Payments for Memory Care and Complex Care including training and programming 6.
2 Facility Modernization Grant to support needs of staff and residents Initiative 7: Nebraska Rural Health Technology Catalyst Fund and Partnership Initiative H. R. 1 , signed into law on July 4, 2025, enacted the Rural Health Transformation Program (RHTP), which allows for the allocation of funding to support the provision of health care in rural areas.
RHTP funding consists of $50 billion ($10 billion per fiscal year) to be distributed to states from fiscal year 2026 through fiscal year 2030. $25 billion will be distributed equally amongst all approved states.
The remaining $25 billion will be allocated by the CMS based on a variety of factors, including: The state's rural population The proportion of rural health facilities in the state The situation of certain hospitals in the state Other factors specified in the CMS Notice of Funding Opportunity (NOFO) July 4, 2025 : H. R. 1 was signed into law, establishing the RHTP.
September 15, 2025 : CMS posted the Notice of Funding Opportunity (NOFO) for the RHTP. November 5, 2025 : States that choose to apply for RHTP funding must do so by this date. December 31, 2025 : CMS must approve or deny applications by this date.
January 30, 2026 : Revised plan documents submitted to CMS for approval. Why RHTP Funding Matters for Nebraska With 37% of Nebraskans living in rural areas, RHTP funding has the potential to make a significant impact in our state. 88 out of Nebraska's 93 counties are rural, with 30 of these classified as frontier counties.
Email: DHHS. RHTP@nebraska. gov The Rural Health Transformation Program is supported by Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (US HHS) as part of a financial assistance award totaling $218,529,075.
01 with 100 percent funded by CMS/US HHS. The contents are those of the Nebraska Department of Health and Human Services (DHHS) and do not necessarily represent the official views of, nor an endorsement, by CMS/US HHS, or the U.S. Government.
Scoring criteria used to review proposals for this grant.
According to the current listing, eligibility includes: States with approved applications. Confirm the full requirements in the official notice before applying.
The current listing shows nebraska FY26 allocation: $218.5 million (total $1.1 billion over five years). Verify award ceilings, matching requirements, and allowable costs in the official notice.
The published deadline was June 30, 2026, which has passed. Check the official notice for any future application windows before investing time in a proposal.
Rural Health Transformation Program (RHTP) is funded by Centers for Medicare & Medicaid Services (CMS) / Nebraska Department of Health and Human Services (DHHS). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Nebraska. If your organization operates elsewhere, check the official notice for location requirements.
Applications go through the funder's official portal — the Apply Now link on this page goes there directly.
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.
Read article