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Rural Health Transformation Program (RHTP) is sponsored by U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). This federal grant, available to each of the 50 states, aims to strengthen rural communities by improving healthcare access, quality, and outcomes for people living in rural areas.
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Rural Health Transformation (RHT) Program | CMS Rural Health Transformation (RHT) Program Transforming Rural Healthcare in America The Rural Health Transformation (RHT) Program was authorized by the One Big Beautiful Bill Act (Section 71401 of Public Law 119-21) and empowers states to strengthen rural communities across America by improving 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 Frequently Asked Questions—April 2026 2026 Rural Health Transformation Summit Agenda Rural Health Transformation - Frequently Asked Questions Information on Applying for CMS Grants and Cooperative Agreements 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 Provider Payments Fact Sheet 5 Year Service Commitment Fact Sheet P.
L. 119-21 Section 71401 Reg Text RHT Program Overview Presentation RHT Program Reporting and Rescoring Webinar_02. 25.
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According to the current listing, eligibility includes: States are eligible to apply. In Connecticut, the Department of Social Services (DSS) is the lead agency, partnering with other state agencies. Confirm the full requirements in the official notice before applying.
The current listing shows $154,249,105.53 (initial Connecticut award for Budget Period 1). Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation Program (RHTP) is funded by U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Connecticut. 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.
The solicitation lists 2 required documents: state application and project abstracts. Check the official notice for formatting and page-limit rules.
NCI Continuing Umbrella of Research Experiences (CURE) Academic Career Excellence (ACE) Award (K32) is a grant from the National Cancer Institute (NCI) that funds early postdoctoral fellows from diverse backgrounds, including underrepresented groups, to pursue research training in cancer-related fields. The K32 award supports fellows within 12 months prior to transitioning into, or within the first two years of, a postdoctoral position. The program, operated through NCI's Center to Reduce Cancer Health Disparities (CRCHD), aims to enhance the pool of qualified diverse cancer researchers. Beginning with the June 12, 2025 due date, the CURE ACE Award is available in both Independent Clinical Trial Required and Independent Clinical Trial Not Allowed versions. Eligible applicants must be U.S. citizens or permanent residents at time of award.
Smart Health and Biomedical Research in the Era of Artificial Intelligence and Advanced Data Science (SCH) is sponsored by National Science Foundation (NSF) & National Institutes of Health (NIH). This interagency program supports high-risk, high-reward advances in AI and data science for biomedical and public health research. Projects must cross disciplinary boundaries.
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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