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Rural Health Transformation (RHT) Program (California Implementation: CalRHT) is sponsored by Centers for Medicare & Medicaid Services (CMS) / California Department of Health Care Access and Information (HCAI). The Rural Health Transformation (RHT) Program, implemented in California as CalRHT, is a federal initiative designed to strengthen healthcare delivery in rural communities facing workforce shortages, infrastructure gaps, and accessibility challenges.
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California Rural Health Transformation (CalRHT) - HCAI California Rural Health Transformation (CalRHT) Watch Grant Overview Video Rural Health Transformation Program (RHTP) – Federal Program # The Rural Health Transformation (RHT) Program was authorized by the Working Families Tax Cut (Section 71401 of Public Law 119-21) to invest $50 billion over five years in rural healthcare delivery in rural communities.
The program created the Rural Health Transformation Fund, a $50 billion investment over five years, available to all 50 states that apply. The purpose of RHTP is to give states the flexibility and resources to reimagine how rural health care is delivered and financed.
Funding is not intended to supplement Medicare or Medicaid, but instead to support innovative, state‑driven approaches that address longstanding rural challenges such as access, workforce shortages, and infrastructure gaps.
CalRHT Program – California’s Implementation # The California Rural Health Transformation (CalRHT) program is California’s approach to the federal Rural Health Transformation Program (RHTP), led by the Department of Health Care Access and Information, with Centers for Medicare & Medicaid Services (CMS) oversight.
CalRHT is designed to strengthen health care delivery in rural communities where access challenges, workforce shortages, and infrastructure gaps create unique barriers to care. Through RHTP, California has been awarded $233. 6 million for Federal Fiscal Year 2026 to support rural communities across the state.
Using this funding, HCAI and its partners are implementing a shared vision of a connected and resilient rural health system, helping ensure rural Californians can access timely, person‑centered care closer to home. The CalRHT program 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 $233,639,308.
46 with 100 percent funded by CMS/HHS. The contents are those of CalRHT and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government. Rural Health Policy Council (RHPC) # New Rural Health Policy Council (RHPC) – Meet the Council Members !
# CalRHT Community Meetings # Upcoming meetings will be posted here as they are scheduled.
Rural Health Policy Council (RHPC) Meeting #1 | July 28, 2026 | Presentation Make Rural America Healthy Again | October 3, 2025 | Recording Sustainable Access | October 2, 2025 | Recording Innovative Care | October 2, 2025 | Recording Workforce Development | October 1, 2025 | Recording Tech Innovation | October 1, 2025 | Recording CalRHT Kickoff Webinar | September 4, 2025 | Recording CalRHT Kickoff Webinar | September 4, 2025 | Presentation CalRHT Frequently Asked Questions (July 1, 2026) CalRHT Notice of Award (April 22, 2026) CalRHT Project Narrative (March 27, 2026) CalRHT Budget Narrative (March 27, 2026) CalRHT Frequently Asked Questions (March 20, 2026) CalRHT Program Briefing (March 20, 2026) CalRHT Project Abstract (November 6, 2025) CMS RHT Program FAQs (April 9, 2026) CMS Press Release (December 29, 2025) CMS Notice of Funding Opportunity (November 5, 2025) CMS RHT Program FAQs (October 31, 2025) CMS 5-year Service Fact Sheet CMS Provider Payment Fact Sheet For questions regarding grant applications , please contact us at info@calruralhealth.
org or call 855-CAL-RHTP (855-225-7487). For general CalRHT questions contact the team at CalRHT@hcai. ca.
gov . CalRHT Program Subscription # Join the Rural Health News and Updates mailing list.
According to the current listing, eligibility includes: States are the primary recipients. In California, the Department of Health Care Access and Information (HCAI) leads the CalRHT program. Confirm the full requirements in the official notice before applying.
The current listing shows $233.6 million for Federal Fiscal Year 2026 (California allocation of a $50 billion federal program over five years). Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation (RHT) Program (California Implementation: CalRHT) is funded by Centers for Medicare & Medicaid Services (CMS) / California Department of Health Care Access and Information (HCAI). Verify program details on the funder's official page before applying.
This opportunity targets applicants in California. 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.
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