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Rural Health Transformation Program (RHTP) - Georgia Rural Enhancement and Transformation of Health (GREAT Health) Program is sponsored by Centers for Medicare & Medicaid Services (CMS) / Georgia Department of Community Health (DCH). A federal initiative providing funding to states to support rural health system improvements, workforce development, technology, and access to care.
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Georgia Receives Federal Approval for $218. 8M GREAT Health Program | Georgia Department of Community Health The Georgia Department of Community Health (DCH), recently announced that the state has received final approval from the Centers for Medicare and Medicaid Services (CMS) for its amended first-year budget period to utilize $218,862,169. 63 in awarded funds through the Rural Health Transformation Program (RHTP).
The Georgia Rural Enhancement and Transformation of Health Program, also known as the GREAT Health Program, aims to strengthen rural healthcare systems and improve outcomes statewide while introducing innovation and greater flexibility into the health system. “GREAT Health is about more than funding – it’s about transformation,” said Stuart Portman, executive director, Medical Assistance Plans Division at DCH.
“We envision rural populations that are healthier, live longer, work in the communities they love and enjoy an improved quality of life. This program will serve as a catalyst that creates systems-level change that stabilizes rural hospitals, leverages technology, drives innovation, improves quality, and maintains a strong patient focus.
” A key strategic priority of GREAT Health is adopting a multi-payer value-based care model to improve care delivery across the state. This is currently expected to be a Georgia-specific version of CMS’s Achieving Healthcare Efficiency through Accountable Design (AHEAD) model. Of the 93 hospitals invited to participate in the AHEAD model for prioritization within the GREAT Health Program, 57 have signed Letters of Intent (LOIs).
The deadline for hospitals to submit LOIs is March 15. A more robust online hub for GREAT Health is currently in development. This site will be the home for all future RFGAs, news updates, and materials related to GREAT Health.
In the meantime, stakeholders and community members can stay up to date on program news and updates by visiting: https://dch. georgia. gov/great-health-program-georgias-rural-health-transformation-program About the Georgia Department of Community Health DCH serves as the lead agency for Medicaid and PeachCare for Kids® , which, combined, cover more than two million Georgians annually.
The agency also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division , and the State Office of Rural Health , among other divisions, accounting for an annual budget of more than $20 billion. Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to some of the state’s most vulnerable and underserved populations.
To learn more about DCH and its commitment to Shaping the Future of a Healthy Georgia , visit https://dch. georgia. gov/ .
**This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $218,862,169. 63 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.
According to the current listing, eligibility includes: Rural hospitals and healthcare providers in Georgia. Public bodies and non-profits for community facilities in rural areas. [12, 13, 15, 24, 30, 35, 37]. Confirm the full requirements in the official notice before applying.
The current listing shows varies (Georgia received an initial award of $218.8 million for Year 1) [15, 37]. Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation Program (RHTP) - Georgia Rural Enhancement and Transformation of Health (GREAT Health) Program is funded by Centers for Medicare & Medicaid Services (CMS) / Georgia Department of Community Health (DCH). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Georgia. 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.
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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