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Rural Health Transformation (RHT) Program is sponsored by Idaho Department of Health and Welfare. This program aims to improve rural access to care through technology, including telehealth expansion, EHR upgrades, data analytics, and Artificial Intelligence (AI) tools. It also focuses on innovative care models and workforce development in rural healthcare.
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About the Rural Health Transformation Program Grant | Idaho Department of Health and Welfare Rural Health Transformation Program Grant Strengthening rural healthcare About the Rural Health Transformation Program Grant About the Rural Health Transformation Program Grant The Rural Health Transformation Program (RHTP) was authorized by the One Big Beautiful Bill Act (Section 71401 of Public Law 119-21) and empowers all states to strengthen rural communities by improving healthcare access, quality, and outcomes.
Through innovative system-wide change, the RHTP invests in the rural healthcare delivery ecosystem. Rural Health Transformation Program Goals Make rural America healthy again - Innovation and new access points to promote preventative health and address root causes of diseases. Sustainable access - Help rural providers become long-term access points for care by improving efficiency and sustainability.
Workforce development - Attract and retain a high-skilled health care workforce by strengthening recruitment and retention. Innovative care - Spark the growth of innovative care models to improve health outcomes, coordinate care, and promote flexible care arrangements.
Tech innovation - Foster use of innovative technologies that promote efficient care delivery, data security, and access to digital health tools by rural facilities, providers, and patients. Rural Health Transformation Program Grant The authorization for the program comes with funding totaling $50 billion for all states over five years. The funding is divided into two buckets.
50% or $25B distributed equally among approved states. If all states are approved, Idaho will receive $100M annually for five years, for a total $500M. 50% or $25B distributed on the criteria below.
Idaho could get up to an additional $100M annually if awarded. Population in rural areas Proportion of rural healthcare facilities in the state compared to national facilities Financial health of rural hospitals Have additional questions or comments? Reach out to us.
Email the Rural Health Transformation Program Idaho’s Collaborative Approach The Department of Health and Welfare (DHW) submitted Idaho’s grant application on Nov. 4. The application was crafted in close consultation with the Idaho Rural Health Application Task Force, created by Governor Brad Little , which included legislative leaders, tribal representation, and executive branch officials from across state government.
DHW also solicited input from stakeholders and the public through a survey on how the grant funds should be used. The survey was promoted and available for about a month. More than 500 respondents from every county in the state submitted responses about how to prioritize funds.
Approximately 200 of those respondents submitted concepts or ideas. Survey respondents were able to self-select if they were a member of the public or a stakeholder. Of the 503 surveys received, 216 indicated they were from the public, and 287 indicated they were rural health stakeholders.
The top scoring use of funds by respondents: Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of 5 years. Assisting rural communities to right-size their healthcare delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute inpatient care, outpatient care, and post-acute care service lines.
Promoting evidence-based, measurable interventions to improve prevention and chronic disease management. Idaho’s Transformative Initiatives Idaho's application is built around five initiatives identified based on feedback from the public, the five federally recognized tribes in Idaho, Idaho legislators, and others. The initiatives are: Initiative 1: Improving rural access to care through technology.
Facility technology assessments and shared infrastructure Cybersecurity modernization and AI tools Emergency communication systems implementation and enrollment Health management and data analytics tools EHR software and upgrades Initiative 2: Ensuring accessible, quality care through innovative models.
Diagnostic and care access innovations EMS expansion and workforce stabilization Understand opportunities to leverage health extenders and optimize service delivery Initiative 3: Sustaining rural workforce with training, recruitment, and retention.
Ladder payments based on priority positions and rural presence Healthcare career exploration and advancement programs Graduate medical education programs Initiative 4: Implementing population-specific, evidence-based projects to make rural America healthy again.
Chronic disease prevention and treatment Behavioral health prevention and treatment Maternal and child health efforts Initiative 5: Investing in rural health infrastructure and partnerships.
Healthcare facility renovations Clinical equipment purchases Vehicles for patient transport and rural mobile health units Bring all healthcare facilities into compliance with current federal, state, and local safety code Tribal rural health transformation support November 4, 2025: DHW application submitted Read the application summary. Read the application narrative.
December 29, 2025: Initial award received from CMS January 30, 2026: Budget revision submitted to CMS February 11, 2026: Non-contractual funding restriction lifted Posting of Requests for Proposals (RFPs) Competitive subgrant solicitations begin July - September 2026: Contracts and subgrants executed October 30, 2026: All Year 1 funds obligated This website 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 $185,974,367.
81 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.
Lobbyist and Stakeholder Call Materials RHT Legislative Committee Materials FAQ from Centers for Medicare & Medicaid Services Idaho map of federally defined rural areas Rural Health Transformation Program Overview slides RHTP Application Task Force Meeting Discussion Summaries Overview of Idaho's award, timeline, and milestones Page last updated: 7-15-2026
According to the current listing, eligibility includes: Funding is granted directly to states with approved applications. The Idaho Department of Health and Welfare is the lead agency for Idaho's RHT Plan. Confirm the full requirements in the official notice before applying.
The current listing shows $185,974,368 (Idaho's award from a $50B national program). Verify award ceilings, matching requirements, and allowable costs in the official notice.
Rural Health Transformation (RHT) Program is funded by Idaho Department of Health and Welfare. Verify program details on the funder's official page before applying.
This opportunity targets applicants in Idaho. 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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