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Rural Health Transformation Program (RHTP) is sponsored by Montana Department of Public Health and Human Services (DPHHS) / Centers for Medicare and Medicaid Services (CMS). A historic investment to stabilize and modernize rural health care delivery throughout Montana. Funds support five core initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation.
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Rural Health Transformation Program DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS. com The RHTP is a historic investment to stabilize and modernize rural health care delivery in Montana.
Rural Health Transformation Program Governor Greg Gianforte and Department of Public Health and Human Services (DPHHS) Director Charlie Brereton announced in December 2025 a historic $233 million investment from the Trump administration to stabilize and modernize rural health care delivery throughout Montana through the Rural Health Transformation Program (RHTP).
DLI RFI NOW OPEN — Apply Here The state received the fourth-highest RHTP funding award among all 50 states, signaling the quality and strength of Montana’s application. Available funds support five core initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation.
DPHHS will collaborate with rural providers, hospitals, community organizations, and other health care stakeholders to deliver five core initiatives tailored to Montana's rural health care challenges. The five core initiatives are: Community Health and Prevention H. R.
1 — Federal Launch July, 2025 Established by President Trump’s Working Families Tax Cuts legislation, the RHTP provides up to $50 billion nationally through 2030 to help states stabilize, transform, and restructure rural health systems and support essential health care providers with sustainability. H. R.
1 , enacted on July 4, 2025, established a federal $50 billion Rural Health Transformation Program (RHTP) to stabilize and strengthen rural health care delivery systems, including hospitals and other providers. To receive funding from the RHTP, states had to submit a rural health transformation plan to CMS. In November 2025, Montana applied for funding from the Centers for Medicare and Medicaid Services (CMS), and on Dec.
29, 2025, DPHHS was awarded a historic $233 million in funds to stabilize and modernize rural health care delivery throughout Montana. DPHHS will now allocate funds to eligible entities in accordance with Montana’s approved rural health transformation plan.
Prior to submitting the plan, DPHHS conducted several weeks of public outreach to Montana’s hospitals, over 20 rural health stakeholders, all eight tribal nations and Urban Indian Organizations, and other state agencies. DPHHS also integrated feedback from a 900-registrant webinar and over 300 formal responses to an agency-led Request for Information. The plan reflects this input.
H. R. 1 created a $50 billion fund for states with an approved rural health transformation plan, with $10 billion available per year from FFY 2026 through FFY 2030.
Half of the funding will be split evenly between states with an approved transformation plan, and the other half will be distributed to states at CMS’ discretion based on each state’s rural population, rural health facilities, and other CMS-defined characteristics.
State of Montana's Application — For Upcoming Fiscal Year 2026 This documentation contains information on the Rural Health Transformation program application and project narrative which was submitted by the State of Montana. There is a summary document included as well as the budget overview to reflect the guidance from Centers for Medicare & Medicaid Services (CMS) received between January 26 and February 6, 2026.
Montana's First Award — December, 2025 Governor Greg Gianforte and Department of Public Health and Human Services (DPHHS) Director Charlie Brereton announced in December 2025 a historic $233 million investment from the Trump administration to stabilize and modernize rural health care delivery throughout Montana.
Awarded by the CMS's RHTP, these funds will support Montana’s rural health care providers in delivering sustainable, high-quality care and ensuring appropriate access for those in need of services. This investment reflects the first-year award of a five-year federal grant program, with Montana currently set to receive up to $1. 2 billion over the life of the program.
DPHHS submitted its RHTP application to CMS in November 2025. The state received the fourth-highest funding award among all 50 states, signaling the quality and strength of Montana’s application.
Spring/Summer 2026 RHTP Newsletter (PDF) April, 2026 Edition RHTP Newsletter (PDF) Past Meetings and Presentations RHTP Stakeholder Webinar, Initiative 1, Workforce Development — May 13, 2026 May 13, 2026 Video Recording RHTP Stakeholder Webinar, Initiative 1, Workforce Development Learn more in the Questions and Answers Legislative Presentation — May 6, 2026 Video Recording, Legislative Presentation Vendor Webinar — March 11, 2026 Vendor Webinar Video Recording PowerPoint Presentation (PDF) Stakeholder Advisory Committee Meeting — Jan.
22, 2026 Montana State University, Bozeman Agenda - Jan 22, 2026 (PDF) Rural Health Transformation Stakeholder Advisory Committee presentation (PDF) Legislative Presentation — Jan.
13, 2026 Department Updates: Children, Families, Health, and Human Services Interim Committee Rural Health Transformation Program Legislative Presentation (PDF) Program Webinar — October 2, 2025 The Rural Health Transformation Program is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $233,509,358.
76 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. Center of Excellence Advisory Council RHTP Frequently Asked Questions RHTP Stakeholder Advisory Committee Vendor and Subcontractor Directory
According to the current listing, eligibility includes: Eligible entities in Montana, as determined by DPHHS in accordance with Montana's approved rural health transformation plan. Confirm the full requirements in the official notice before applying.
The current listing shows montana awarded $233 million in first year (part of a 5-year, up to $1.2 billion federal grant program). Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation Program (RHTP) is funded by Montana Department of Public Health and Human Services (DPHHS) / Centers for Medicare and Medicaid Services (CMS). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Montana. 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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