Last updated: September 9, 2026

The Rural Health Transformation Program (RHTP) is a $50B federal investment, directed by the Centers for Medicare & Medicaid Services (CMS), to improve healthcare access, sustainability, and quality in rural areas of the U.S. From 2026 to 2030, it funds state-level initiatives for care innovation, workforce development, and technology implementation. 

In December 2025, CMS approved all 50 states for funding. First-year awards averaged roughly $200 million per state, ranging from $147 million to $281 million. The $10 billion available annually is split in two halves: 50% distributed equally among approved states, and 50% allocated based on rural population share, the number and needs of rural health facilities, and other factors CMS identifies.

What this means for applicants: RHTP money does not flow directly from CMS to providers. Each state receives its allotment and then decides how to distribute it—largely through subawards, subgrants, and subcontracts to hospitals, health centers, and community organizations. Every state sets its own priorities, eligibility rules, and timelines.

Why this page covers all 50 states, including those with nothing posted:

Funding runs in annual budget periods through 2030. Budget Period 1 began December 31, 2025 and ends September 30, 2026; subsequent periods begin October 31 each year. With Budget Period 1 now closing, several states have wrapped up their first-year solicitations — and a new wave is expected as the next budget period opens on October 31, 2026. A state with nothing posted today has money and a plan; its round simply hasn’t been released yet. Every state below includes its allocation and, where available, exactly where to watch.

How to use this page: Check the “Last updated” date above. Deadlines shift and states occasionally amend or extend solicitations; always confirm against the linked source before building an application timeline. 

RHTP Opportunities for Each State

FY2026 allocation shown for each state. All 50 states received awards.

Alabama, Awarded $203.4M

Open Opportunities: None

Where opportunities post: Alabama RHTP Resources 

Previously closed: Five opportunities share an August 7, 2026. Cancer Digital Regionalization; EMS Trauma and Stroke Initiative; EMS Treat in Place; Maternal and Fetal Health; Simulation Training. 

Alaska, Awarded $272.2M

Open Opportunities: None

Where opportunities post: Alaska DOH Rural Health Transformation Program 

Previously closed: Closed March 11, 2026: Healthy Beginnings; Health Care Access; Healthy Communities; Pay for Value: Fiscal Sustainability; Strengthen Workforce; Spark Technology and Innovation

Arizona, Awarded $167M

Open Opportunities: None

Where opportunities post: Arizona AHCCCS RHTP

Previously closed: Closed August 31, 2026: Expansion of Mobile Digital Services, Access Points, Clinics, and Crisis Services in Rural Communities. Closed August 28, 2026: Adopt Shared Services Consortiums.

Arkansas, Awarded $208.8M

Open Opportunities: None

Where opportunities post: Arkansas RHTP

Previously closed: Closed July 31, 2026: Arkansas RHTP — HEART, RISE, PACT & THRIVE.

California, Awarded $233.6M

Open Opportunities: Not yet posted

Colorado, Awarded $200.1M

Open Opportunities: None

Where opportunities post: Colorado RHTP Application Portal

Previously Closed: Closed August 3, 2026: Rural Health Transformation Program Request for Application.

Connecticut, Awarded $154.2M

Deadlines: TBD

Where opportunities post: Connecticut DSS Rural Health Transformation Program

Connecticut has published an RHTP project narrative identifying four focus areas—Population Health Outcomes, Workforce, Data and Technology, and Care Transformation and Stability—but application deadlines have not appeared in publicly available materials.

Delaware, Awarded $157.4M

Open Opportunities: None

Where opportunities post: Delaware MMP Bid Portal

Previously closed: Closed April 17, 2026:

Florida, Awarded $209.9M

Open Opportunities: None

Where opportunities post: MyFloridaMarketPlace

Previously closed: July 31, 2026:

Georgia, Awarded $218.9M

Open Opportunities: Not yet posted

Hawaii, Awarded $188.9M

Open opportunities: None

Where opportunities post: Hawaii HANDS Portal

Previously closed: Closed May 6, 2026 — Chronic Disease Prevention & Health Promotion Division

Idaho, Awarded $186M

Open Opportunities: Not yet posted

Illinois, Awarded $193.4M

Open Opportunities: None

Where opportunities post: Illinois HFS Rural Health Transformation Program

Additional RFPs are anticipated.

Previously closed: Closed June 17, 2026 — Hospital Planning Grants; Collaborative Funding

Indiana, Awarded $206.9M

Open Opportunities: None

Where opportunities post: Grow Rural Health Indiana

Previously closed: LOI closed May 1, 2026 — Technology Innovation and New Care Models; Expanding Access to Care; Workforce Development and Training; Chronic Disease Prevention and Management

Iowa, Awarded $209M

Open Opportunities: None

Where opportunities post: IowaGrants.gov

Four RHTP opportunities are open, all due September 1, 2026:

Watch: Notice of Intent to Release (not yet open): Cardiovascular Health Hub and Spokes (COMPADM26007); School Based Services (MEDIOMC26023).

Previously closed: Closed September 1, 2026: RFP # PHTHOET27002 High-Risk OB and Neonatal Transport; RFP # COMPADM26006 Maternal Health Hub and Spoke Program; RFP # PHTHOET27001 Mobile Integrated Health; RFP # COMPADM26005 Communities of Care Co-Location Program. Closed April 9, 2026: Medical Equipment Procurement and Installation; Rural Healthcare Workforce Recruitment; Cancer Hub-and-Spoke Care Expansion.

Kansas, Awarded $221.9M

Open Opportunities: not yet

Kentucky, Awarded $212.9M

Open Opportunities: None

Where opportunities post: Kentucky Rural Health Plan RFAs

Previously closed: Closed April 10, 2026: School-based preventive dental hygiene services; Long-term care facility services; Teledentistry-enabled preventive care, triage and referrals; Integration of Community Health Workers for navigation

Louisiana, Awarded $208.4M

Open Opportunities: None

Where opportunities post: Louisiana Department of Health RHTP

Previously closed: Closed August 14, 2026: Regional Care Conveners and Navigation Networks Program; Food is Medicine Program. Closed August 7, 2026: Rural Medicaid Alternative Payment Model Program. Closed June 25, 2026: Rural Clinician Credit Bank / Workforce; Tech Innovation; Innovative Care; MRAHA; Sustainable Access.

Maine, Awarded $190M

Open Opportunities: None

Where opportunities post: MCD Global Health RHTP (Technology & Innovation

Coming soon: MCD has flagged additional Technology & Innovation solicitations as forthcoming — Digital Health & AI provider RFPs and partner (implementation) site opportunities. An Alternative Payment Model (APM) transition opportunity (~$28.5M) is also planned but not yet open.

Previously closed: Closed August 14, 2026: Technology & Innovation — EMR Modernization ($30M to replace, upgrade, and enhance electronic medical record systems), administered via MCD Global Health. Closed August 4, 2026: Workforce — Maine Healthcare Careers Exploration Program ($500,000; up to four $125,000 awards for rural grades 9–12 career-pipeline programming), administered via the Maine Department of Education.

Maryland, Awarded $168.2M

Open Opportunities: None

Previously closed: Closed May 26, 2026: Rooted & Resilient Rural Maryland: Transformation Through Sustainable Access, Innovative Care & Tech Innovation

Massachusetts, Awarded $162M

Open Opportunities: Not yet posted

Michigan, Awarded $172.1M

Open Opportunities: None

Previously closed: Closed August 12, 2026: Care Closer to Home Blueprint — Improving Care Delivery and Access Through Transportation. Part of Michigan’s broader RHTP framework, which spans four core initiatives: strengthening rural health partnerships, expanding and stabilizing the workforce, advancing interoperability, and developing models that deliver services closer to home.

Minnesota, Awarded $193.1M

Open Opportunities: 2

Where opportunities post: Minnesota DOH Rural Health Transformation

Rural Telehealth Services Funds: Needs assessment and design proposal for a potential Rural Telehealth Services Center (RTSC) to identify gaps in connecting rural providers with peers and patients via telehealth.

Deadline: September 14, 2026

Analysis of the Rural Maternity Care System Funds: Assessment of the factors driving capacity and availability of maternal health care in rural communities across the continuum — preconception and prenatal care through labor, delivery, and postpartum.

Deadline: September 11, 2026

 Previously closed: Closed May 15, 2026: Hospital NOGO; Rural Federally Qualified Health Centers NOGO; Rural Certified Community Behavioral Health Clinics and Community Mental Health Centers; Rural Tribal Nations NOGO

Mississippi, Awarded $205.9M

Open Opportunities: None
Where opportunities post: Mississippi RHT Program — Funding Opportunities

Previously closed: First round of Technology & Infrastructure awards — selection complete for Rural Capital Care Gap Closure (RCGC), Rural Provider Technology Grant (RTG), and Telehealth Hub Connectivity, Equipment & Education (TCE); sub-awards in execution. Closed August 17, 2026: Psychiatric Emergency Services — EmPATH Units Grant (BRIDGE); Workforce Expansion Initiative (WEI) Grant. Closed July 24, 2026: EMS Capacity Assessment RFP. Closed July 15, 2026: TCE Grant (TAPS); RTG (HTAM); RCGC Grant (BRIDGE).

Missouri, Awarded $216.3M

Open Opportunities: None

Where opportunities post: Missouri DSS Rural Health

Previously closed: Closed August 28, 2026: ToRCH Care Smart Growth and Service Line Modification (Horizon 2). Closed August 23, 2026: Rural Health Transformation Funding for Home Visiting (Missouri Children’s Trust Fund — $588,000 annually). Closed June 4, 2026: Rural Health Network & Hubs; Tech & Data Interoperability; Rural Health Workforce Pathways; Provider Transformation & Sustainability.

Montana, Awarded $233.5M

Open Opportunities: 2

Where opportunities post: Montana DPHHS RHTP

DPHHS Community Integrated Health (CIH) Pilot Site Grant Funds: Emergency medical services (EMS) agencies to administer Community Integrated Health programs. Applications are submitted via Submittable (“FY26 DPHHS Community Integrated Health Pilot Site Grant Application”).

Deadline: Submission portal open through September 15, 2026

RHTP-Montana Community Health Aide Program (CHAP) Technical Assistance (DPHHS-RFP-2027-0700NAV) Funds: Statewide technical assistance to implement the Montana CHAP — expanding culturally responsive primary, behavioral, and oral health services in Tribal communities and strengthening local health workforces (education pathways for community, behavioral, and dental health aides; Billings Area Certification Board infrastructure; integration into Tribal health systems). Available through eMACS.

Deadline: Opens September 3, 2026; closes October 1, 2026, 2 p.m. MDT

Previously closed: Closed May 15, 2026: Center of Excellence Strategy & Analytics; Center of Excellence Implementation; School-Based Care Expansion; Talent Attraction Campaign; Community Paramedicine Grants; Blood Storage Grants; Point-of-Care Testing Grants; Community Nutrition Grants

Nebraska, Awarded $218.5M

Open Opportunities: None

Where opportunities post: Nebraska DHHS Grant Opportunities

Previously closed: Closed August 31, 2026: RHTP 5.3 Modification of Existing Clinical Facilities for Mental Health Crisis. Closed June 1, 2026: RHTP 3.3 Rural Health Care Workforce Incentive and Sustainability Model.

Nevada, Awarded $179.9M

Open Opportunities: None

Where opportunities post: Nevada Hospital Association RHTP NOFOs

Previously closed: Closed May 15, 2026: Nevada Rural Health System Flex Fund; WRRAP Provider Apprenticeship and Training Program; WRRAP Provider Recruitment and Retention Program

New Hampshire, Awarded $204M

Open Opportunities: 1

Where opportunities post: NH DHHS Open RFPs · Foundation for Healthy Communities RHTP

Foundation for Healthy Communities (FHC) Funding Opportunity Deadline: Rolling, no fixed close date.

Previously closed: Closed July 2, 2026: Insurance Benefit & Medical Claims Management

New Jersey, Awarded $147.3M

Opportunities Open: None

Where opportunities post: New Jersey Notice of Grant Opportunities

Previously closed: Closed June 12, 2026: Integrating Community Doulas Into Clinical Healthcare Teams; Specific Population Community Grant

New Mexico, Awarded $211.5M 

Opportunities: None

Where opportunities post: New Mexico Health Care Authority

Previously closed: Closed April 19, 2026 — Rural Healthcare Delivery Fund

New York, Awarded $212.1M

Open Opportunities: Not yet posted

North Carolina, Awarded $213M

Open Opportunities: None

Where opportunities post: NC DHHS Office of Rural Health — RHTP

Previously closed: Closed April 2, 2026: NC ROOTS Hub Request for Applications

North Dakota, Awarded $198.9M

Open Opportunities: None

Where opportunities post: North Dakota HHS Rural Health Transformation

Previously closed: Closed July 29–30, 2026: School-Based Wellness Equipment; Electronic Medical Record Enhancement; Harnessing Artificial Intelligence Innovation; Self-Serve Dispensing Kiosks in Pharmacies. Closed April 30, 2026: Workforce Retention Funding for Critical Access Hospitals.

Ohio, $202M

Open Opportunities: None

Where opportunities post: OhioBuys

Previously closed: Closed June 15, 2026: Community Health Worker Training & Technical Assistance

Oklahoma, $223.5M

Open Opportunities: None

Where opportunities post: Oklahoma State Department of Health RHTP Funding

Previously closed: Closed April 13, 2026: Community-Led Wellness Hubs: Microgrants

Oregon, Awarded $197M

Open Opportunities: None

Where opportunities post: OregonBuys

Previously closed: Closed May 26, 2026, RFGP 6244: Catalyst Grants for the Rural Health Transformation Program

Pennsylvania, Awarded $193.3M

Open Opportunities: None

Where opportunities post: PA DHS Rural Health RHTP Funding Opportunities

Previously closed: Closed June 1, 2026: Rapid Response Stabilization: RHTP Payments

Rhode Island, Awarded $156.2M

Open Opportunities: Not yet posted

South Carolina, Awarded $200M

Open Opportunities: None

Where opportunities post: SC DHHS Grants

Previously closed: Closed June 1, 2026: Connections to Care; Leveling Up; Wellness Within Reach; Shoring Up to Sustainability

South Dakota, Awarded $189.5M

Open Opportunities: None

Where opportunities post: South Dakota DOH — RFP 26-09RHT-024

Previously closed: Closed September 4, 2026: RFP # 26-09RHT-024 Building a Sustainable Rural Healthcare Workforce — Recruitment and Retention. Closed April 22, 2026: Statewide Maternal Health Access and Services Assessment; Host Organization for Rural Health Forward; SD Behavioral Health Modernization (CCBHC) Systems Evaluation & Tech Roadmap.

Tennessee, Awarded $206.9M

Open Opportunities: None

Where opportunities post: Tennessee Department of Health Procurement

Previously closed: Closed August 28, 2026: Rural Healthcare Access Modernization Program (RAMP) — rural capital projects, competitive grant extensions, and primary care seed funding. Closed June 22, 2026: Healthy Active Rural Tennessee Grants.

Texas, $281.3M (largest FY2026 allocation)

Open Opportunities: None

Where opportunities post: Texas HHS Rural Health Transformation Program

Previously closed: Closed August 26, 2026: Rural Texas Strong, Initiative 4 (Round 2) — The Next Generation of the Small Town Doctor and Team (RFA HHS0017618). Closed June 9, 2026: Rural Texas Strong, Initiative 4. Closed March 23, 2026: Rural Texas Strong.

Utah, Awarded $195.7M

Open Opportunities: 1

Where opportunities post: Utah DHHS Rural Health Transformation Program

SHIFT 3.3 Rural EMS (Request for Grant Applications) Funds: Grants to rural and Tribal EMS communities to strengthen emergency medical services and workforce capacity — expanding training access, improving communications, facilitating data exchange, and enhancing community paramedicine capabilities.

Deadline: September 13, 2026

Vermont, Awarded $195.1M

Open Opportunities: None

Where opportunities post: Vermont Business Registry · DAIL Public Notices

Previously closed: Closed June 22, 2026: Enhancing Blueprint Transformation Network Capacity — Workforce Support and System Development via Clinical Case. Closed April 10, 2026: Dialysis and Ventilator Care Expansion for Nursing Facility Residents; Licensed Nursing Assistant (LNA) Training Program Expansion.

Virginia, Awarded $189.5M

Open Opportunities: Not yet

Washington, Awarded $181.3M

Open Opportunities: Not yet posted

West Virginia, Awarded $199.5M

Open Opportunities: None

Where opportunities post: WV OASIS Vendor Self-Service

Previously closed: Closed August 26, 2026: RHL — EMS Collaboratives (county and multi-county EMS alternative-destination transport programs routing low-acuity patients to lower-cost settings such as FQHCs, urgent care, and behavioral health). Closed June 9, 2026: RHT-AFA-05-27-2026-PHA Personal Health Accelerator. Closed November 5, 2025: Connected Care Grid; Mountain State Care Force; Smart Care Catalyst; HealthTech Appalachia.

Wisconsin, Awarded $203.7M

Open Opportunities: None

Where opportunities post: Wisconsin DHS Contracts

Previously closed: Closed August 21, 2026: Coordinating Care Across Wisconsin — Innovating Healthcare Through Partnership Grants. Closed August 7, 2026: Community Health Workers Grants — Strengthening the Rural Health Workforce in Wisconsin. Closed July 27, 2026: Investing in Dental Care Technology — Grants to Improve Rural Dental Efficiency and Access.

Wyoming, Awarded $205M

Open Opportunities: Not yet posted

Supporting Your RHTP Journey

RHTP opportunities are being released state by state, and many programs are tailored to local healthcare systems and regional partnerships.  

If you have questions about pursuing these opportunities for your state, reach out to the Burrows Consulting and VMG Health team. We guide applicants through every step of the application process with actionable strategies, tailored messaging, and polished proposals designed to maximize your chances of success.