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Agency: Department of Health and Human Services
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1,640 awards
Showing 351–400
| Action date | Recipient | Agency | Amount | Description | Sector |
|---|---|---|---|---|---|
| 2026-05-05 | STATE OF MICHIGAN | Department of Health and Human Services | $217,814,784 | CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY | social-services |
| 2026-03-20 | SPECTRUM HEALTHCARE RESOURCES INCORPORATED | Department of Health and Human Services | $217,355,774 | REGION D PROFESSIONAL MEDICAL STAFFING&OCCUPATIONAL HEALTH SERVICES | health |
| 2026-04-06 | STATE OF FLORIDA DEPARTMENT OF REVENUE | Department of Health and Human Services | $217,319,969 | SCSS-2024 | social-services |
| 2026-05-28 | GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC. | Department of Health and Human Services | $216,802,974 | HEALTHCARE INTEGRATED GENERAL LEDGER ACCOUNTING SYSTEM (HIGLAS) HOSTING, OPERATIONS & MAINTENANCE (HOM) | health |
| 2026-04-20 | HEALTH, WASHINGTON STATE DEPARTMENT OF | Department of Health and Human Services | $216,586,656 | CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN | health |
| 2026-04-06 | DEPARTMENT OF SOCIAL SERVICES MISSO | Department of Health and Human Services | $216,276,818 | MISSOURI TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) - PROJECT SUMMARY ORGANIZATION: MISSOURI DEPARTMENT OF SOCIAL SERVICES (DSS) PROJECT TITLE: MISSOURI TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) TOTAL BUDGET AMOUNT: $1 BILLION OVER FIVE YEARS OF RHTP (AS REQUESTED BY CMS) PURPOSE AND OVERVIEW: MISSOURI DEPARTMENT OF SOCIAL SERVICES (DSS) WILL LEAD A COMPREHENSIVE, STATEWIDE EFFORT THROUGH TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) TO TRANSFORM HOW RURAL HEALTHCARE IS DELIVERED AND SUSTAINED. BUILDING ON THE PROVEN SUCCESS OF MISSOURI’S TRANSFORMATION OF RURAL COMMUNITY HEALTH (TORCH) PROGRAM, TORCH CARE WILL CREATE A CONNECTED SYSTEM OF LOCAL COMMUNITY HUBS TO ENSURE EVERY RURAL MISSOURIAN HAS ACCESS TO THE HIGH-QUALITY CARE THEY NEED THROUGH A DELIVERY SYSTEM THAT IS WELL ALIGNED, COMMUNITY ANCHORED, AND BUILT TO LAST. GOALS: • EXPANDING ACCESS TO CARE: ENSURE RURAL MISSOURIANS CAN ACCESS PRIMARY AND BEHAVIORAL HEALTH PROVIDERS CLOSE TO HOME, COMMUNITY-BASED MATERNITY OPTIONS, WITH CONNECTIONS TO SPECIALISTS AND COMPLEX CARE ENABLED BY TELEHEALTH AND PROVIDER INTEROPERABILITY • IMPROVING HEALTH OUTCOMES: STRENGTHEN HEALTHCARE QUALITY THROUGH INTEGRATED CARE COORDINATION, ALIGNED INCENTIVES, AND EVIDENCE-BASED PRACTICES – SO THAT RURAL MISSOURIANS CONSISTENTLY EXPERIENCE SEAMLESS, HIGH-VALUE CARE • STRENGTHENING PROVIDER SUSTAINABILITY: REINFORCE THE LONG-TERM SUSTAINABILITY OF RURAL PROVIDERS THROUGH TARGETED INVESTMENTS IN INFRASTRUCTURE, ADOPTION OF INNOVATIVE TECHNOLOGIES, AND PAYMENT MODELS THAT REFLECT THE REALITIES OF RURAL CARE DELIVERY USE OF FUNDS: MISSOURI WILL DEPLOY RHTP FUNDING ACROSS FIVE COORDINATED INITIATIVES: 1. REGIONAL COORDINATING NETWORKS AND HUB ACTIVATION: BUILDING THE FOUNDATION OF REGIONAL COORDINATING NETWORKS AND LOCAL COMMUNITY HUBS TO COORDINATE LOCAL CARE DELIVERY AND EXPAND ENTRY POINTS FOR PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND SOCIAL SERVICES 2. ALTERNATIVE PAYMENT MODELS: DESIGNING AND LAUNCHING ALTERNATIVE PAYMENT MODELS TO SUSTAIN TORCH CARE THROUGH REWARDING COLLABORATION THAT LEADS TO HIGH QUALITY AND HIGH VALUE OUTCOMES 3. DIGITAL BACKBONE: ESTABLISHING THE FOUNDATIONAL LAYERS OF TECHNOLOGY THAT ENABLE TORCH CARE TO FUNCTION, INCLUDING PLATFORM INTEROPERABILITY AND DATA MODERNIZATION 4. RURAL HEALTH WORKFORCE PROGRAMS: CREATING A TALENT PIPELINE THAT ENCOMPASSES THE CULTIVATION, RECRUITMENT, TRAINING, AND RETENTION OF RURAL CLINICIANS AND A BROAD ARRAY OF HEALTHCARE PROFESSIONALS 5. PROVIDER TRANSFORMATION: INVEST IN OPERATIONAL INNOVATIONS THAT MODERNIZE AND INCREASE THE SUSTAINABILITY OF RURAL PROVIDERS WHILE PRESERVING ACCESS WITH STRATEGIC RENOVATIONS | health |
| 2026-03-05 | TENNESSEE DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $214,056,377 | CCDD-2023 | social-services |
| 2026-03-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $213,008,356 | NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM - PROJECT ABSTRACT / SUMMARY ORGANIZATION: THE NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES (NCDHHS), AS THE GOVERNOR’S DESIGNEE, WILL LEAD THE NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM (NCRHTP) THROUGH ITS OFFICE OF RURAL HEALTH. IMPLEMENTATION IS GUIDED BY A STATEWIDE STEERING COMMITTEE THAT INCLUDES MEDICAID, PUBLIC HEALTH, AND BEHAVIORAL HEALTH DIVISIONS. KEY SUBRECIPIENTS INCLUDE THE DUKE-MARGOLIS HEALTH POLICY CENTER, UNC THE CECIL G. SHEPS CENTER FOR HEALTH SERVICES RESEARCH AND OTHERS TO BE DETERMINED. PROJECT GOALS: THIS TRANSFORMATIVE INVESTMENT IMPROVES HEALTH OUTCOMES AND ACCESS FOR NEARLY 3 MILLION RURAL NORTH CAROLINIANS ACROSS 85 OF 100 NC COUNTIES THROUGH THREE GOALS; (1) CATALYZING INNOVATIVE CARE MODELS, 2) TRANSFORMING THE RURAL CARE EXPERIENCE, AND 3) CREATING A SUSTAINABLE RURAL DELIVERY SYSTEM. BY FY2031, NCRHTP WILL INCREASE RURAL PROVIDER-TO-POPULATION RATIOS, REDUCE PREVENTABLE HOSPITAL READMISSIONS AND EMERGENCY VISITS, LOWER CHRONIC DISEASE RISK FACTORS, AND EXPAND ACCESS TO INTEGRATED BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE USE SERVICES. ALL WHILE SIMULTANEOUSLY INVESTING DIRECTLY INTO COMMUNITIES AND STIMULATING RURAL ECONOMIC DEVELOPMENT AND JOB CREATION. TOTAL BUDGET $1,000,000,000 OVER 5 YEARS (INDICATIVE PER CMS GUIDANCE) FUND USAGE: THROUGH 6 INTEGRATED INITIATIVES, NCRHTP WILL SUSTAINABLY TRANSFORM RURAL HEALTH. 1. LAUNCH “NC ROOTS”* HUBS. THESE LOCALLY GOVERNED, COMMUNITY-TAILORED NETWORKS CONNECT MEDICAL, BEHAVIORAL, AND SOCIAL SERVICES--MAKING IT EASIER FOR RURAL RESIDENTS TO ACCESS COMPREHENSIVE CARE IN ONE PLACE. EACH HUB IS TAILORED TO ITS REGION, OFFERING IN-PERSON SERVICES, CARE COORDINATION, AND DIRECT SUPPORT FOR FAMILIES, WHILE ALSO LEVERAGING VIRTUAL CARE AND ADVANCED AI TO ENHANCE ACCESS AND SHARE DATA. 2. IMPROVE PREVENTION/SCREENING, CHRONIC DISEASE MANAGEMENT, MATERNAL HEALTH, AND NUTRITION BY SCALING UP EFFECTIVE PROGRAMS FOR PRIMARY CARE ACCESS, FOOD AS MEDICINE, DIABETES AND HYPERTENSION MANAGEMENT, CANCER SCREENING, AND PERINATAL HEALTH. 3. EXPAND BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES AND INTEGRATE INTO REGIONAL CARE NETWORKS THROUGH THE GROWTH OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS), ENHANCED ASSESSMENT AND TREATMENT PROGRAMS TO ADDRESS CRITICAL CARE GAPS, AS WELL AS NEW COLLABORATIVE AND NON-TRADITIONAL WORKFORCE MODELS TO CONNECT RESIDENTS TO CARE. 4. MODERNIZE AND SUSTAIN THE RURAL HEALTH WORKFORCE THROUGH CATALYZING INVESTMENTS IN RURAL TRAINING CENTERS, FELLOWSHIPS, AND CERTIFICATION PROGRAMS TO RECRUIT, TRAIN, AND RETAIN CLINICIANS, ALLIED HEALTH PROFESSIONALS, AND COMMUNITY HEALTH WORKERS. 5. ADVANCE VALUE-BASED PAYMENT (VBP) BY ESTABLISHING CAPABILITIES FOR RURAL PRIMARY CARE PRACTICES TO PARTICIPATE IN ADVANCED VBP MODELS AND LAYING THE GROUNDWORK FOR RURAL HOSPITAL PARTICIPATION IN VBP ARRANGEMENTS, WITH A FOCUS ON FINANCIAL SUSTAINABILITY. 6. ACCELERATE TECHNOLOGICAL INNOVATION, ACCESS, AND INTEROPERABILITY THROUGH INCREASED HEALTH INFORMATION EXCHANGE PARTICIPATION, DIGITAL LITERACY PROGRAMS TO ENSURE RURAL RESIDENTS CAN ACCESS MODERN, CONNECTED CARE, AND THE BROAD IMPLEMENTATION OF STATE-OF-THE-ART AI-BASED TECHNOLOGY TO SUPPORT DOCUMENTATION AND REAL-TIME EXPERT CLINICAL DECISION SUPPORT TO DRIVE DOWN BUSINESS COSTS FOR RURAL PROVIDERS AND IMPROVE SUSTAINABILITY *RURAL ORGANIZATIONS ORCHESTRATING TRANSFORMATION FOR SUSTAINABILITY | health |
| 2026-03-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $212,905,591 | KENTUCKY RURAL HEALTH TRANSFORMATION PLAN - TO IMPROVE HEALTH OUTCOMES, EXPAND ACCESS TO CARE, & STRENGTHEN THE INFRASTRUCTURE THAT SUPPORTS THE COMMONWEALTH OF KY RURAL CONSTITUENTS & AREAS - THE COMMONWEALTH OF KENTUCKY IS THE 10TH MOST RURAL STATE IN THE COUNTRY, WITH 1.87 MILLION RESIDENTS, NEARLY HALF (41.6%) OF THE TOTAL STATE POPULATION, RESIDING IN A RURAL AREA. ACCORDING TO AMERICA’S HEALTH RANKINGS, KENTUCKY IS CURRENTLY RANKED 41ST OUT OF THE 50 STATES BASED ON A SPECTRUM OF MEASURES. AVERAGE LIFE EXPECTANCY RANGES FROM 64.5 TO 79.7 YEARS ACROSS COUNTIES, WITH A LOWER LIFE EXPECTANCY IN COUNTIES WITHIN EASTERN RURAL AREAS. THESE RURAL COMMUNITIES FACE SOME OF THE MOST SIGNIFICANT HEALTH ACCESS CHALLENGES IN THE COMMONWEALTH AND ACROSS THE COUNTRY, INCLUDING HIGH RATES OF CHRONIC DISEASE, MATERNAL HEALTH DESERTS, BEHAVIORAL HEALTH CRISES, AND LIMITED ACCESS TO PREVENTIVE DENTAL CARE AND EMERGENCY SERVICES. THE COMMONWEALTH’S RURAL HEALTH TRANSFORMATION PLAN (RHTP) REPRESENTS A BOLD STEP FORWARD TO TRANSFORM CARE DELIVERY ACROSS OUR RURAL HEALTH ECOSYSTEM. KENTUCKY’S DEPARTMENT FOR PUBLIC HEALTH, UNDER THE CABINET FOR HEALTH AND FAMILY SERVICES (CHFS) AND, TOGETHER WITH KEY STAKEHOLDERS, PROPOSE FIVE SPECIFIC CARE INNOVATION MODELS TO REFOCUS EFFORTS ON IMPROVING ACCESS AND PREVENTION OF HIGH-PRIORITY HEALTH CONDITIONS THAT DISPROPORTIONATELY IMPACT RURAL KENTUCKIAN THESE INITIATIVES AND THEIR GOALS INCLUDE: 1) RURAL COMMUNITY HUBS FOR CHRONIC CARE INNOVATION: REDUCE OBESITY AND DIABETES RATE THROUGH EVIDENCE-BASED, COMMUNITY-LED STRATEGIES FOCUSED ON UPSTREAM PREVENTION; 2) POWERING MATERNAL AND INFANT HEALTH, COMMUNITY-BASED TEAMS: INCREASE TIMELY PERINATAL CARE IN MATERNITY CARE DESERTS THROUGH COORDINATED, TELEHEALTH-ENABLED TEAMS; 3) RAPID RESPONSE TO RECOVERY, EMPATH MODEL, MOBILE CRISIS, AND TELEHEALTH: EXPAND INTEGRATED, TECHNOLOGY-ENABLED CRISIS CARE FROM COMMUNITY RESPONSE TO LONG-TERM SUPPORT; 4) ROOTED IN HEALTH, KENTUCKY RURAL DENTAL ACCESS PROGRAM: IMPROVE RURAL ACCESS TO PREVENTIVE DENTAL CARE AND TREATMENT THROUGH EXPANDED TRAINING AND MOBILE, PORTABLE SERVICES; AND 5) FROM CRISIS TO CARE, INTEGRATED EMS AND TRAUMA RESPONSE: STRENGTHEN EMS AND TRAUMA CARE CAPACITY, RESPONSIVENESS, AND COORDINATION. ACROSS THESE FIVE PRIORITY AREAS, KENTUCKY WILL MAKE INVESTMENTS IN NEW AND EMERGING TECHNOLOGY INFRASTRUCTURE, DATA INTEROPERABILITY STANDARDS, AND OTHER TECHNOLOGY-BASED INITIATIVES. THE COMMONWEALTH WILL ALSO SUPPORT WORKFORCE CAPACITY BY EXPANDING THE NUMBER AND ROLE OF CLINICAL AND NON-CLINICAL HEALTH CARE WORKERS TO IMPROVE ACCESS AND ENABLE MORE COST-EFFECTIVE RURAL HEALTH DELIVERY AT THE LOCAL COMMUNITY LEVEL. KENTUCKY INTENDS TO ALLOCATE FUNDS TO SUBRECIPIENTS WHO WILL PLAY A CRITICAL ROLE IN IMPLEMENTING THE PROPOSED INITIATIVES OUTLINED IN THE RHTP. THE COMMONWEALTH WILL ALSO MAINTAIN ONGOING ENGAGEMENT WITH STAKEHOLDERS ACROSS THE PROGRAM’S DURATION TO ENSURE BROAD INPUT AND COLLABORATION. KENTUCKY IS FULLY COMMITTED TO FISCAL RESPONSIBILITY, RIGOROUS MONITORING, MEASURABLE OUTCOMES, AND LONG-TERM PROGRAM SUSTAINABILITY. FURTHERMORE, THE COMMONWEALTH WILL ADOPT AND ENFORCE ANY POLICIES OR REGULATIONS NECESSARY TO SUPPORT AND ADVANCE THE GOALS OF THE PROGRAM. THROUGH THIS COMPREHENSIVE AND COLLABORATIVE APPROACH, KENTUCKY AIMS TO CREATE LASTING IMPROVEMENTS IN RURAL HEALTH OUTCOMES ACROSS THE COMMONWEALTH AND BE A LEADER IN RURAL HEALTH TRANSFORMATION NATIONWIDE. TOTAL FEDERAL COST: $200,000,000 PER BUDGET PERIOD | health |
| 2026-06-05 | MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES | Department of Health and Human Services | $212,379,858 | E5C6-2021 | social-services |
| 2026-03-05 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $212,155,562 | LIHEAP-2023 | social-services |
| 2026-04-06 | NYS DEPARTMENT OF HEALTH | Department of Health and Human Services | $212,058,208 | THE NY RHTP IS DESIGNED TO ADDRESS PERSISTENT DISPARITIES IN RURAL HEALTH OUTCOMES, WORKFORCE SHORTAGES, AND INFRASTRUCTURE GAPS BY INVESTING IN INNOVATIVE MODELS, TECHNOLOGY, AND PARTNERSHIPS. - NEW YORK’S (NY) RURAL COMMUNITIES ARE HOME TO APPROXIMATELY 2.1 MILLION RESIDENTS, WHO REPRESENT 10.6% OF THE STATE'S TOTAL POPULATION. THESE RURAL COMMUNITIES FACE SIGNIFICANT DISPARITIES ACROSS A VARIETY OF HEALTH INDICATORS WHEN COMPARED TO THEIR REGIONAL COUNTERPARTS, INCLUDING CARE COORDINATION, PRIMARY CARE ACCESS, BEHAVIORAL HEALTH CARE ACCESS, AND INCIDENCE OF CHRONIC CONDITIONS. THESE CHALLENGES DEMAND COLLABORATIVE, INNOVATIVE, AND SUSTAINABLE SOLUTIONS. NY ENVISIONS A RURAL HEALTH SYSTEM THAT IS RESILIENT AND SUSTAINABLE WHERE EVERY RESIDENT, REGARDLESS OF GEOGRAPHY, HAS TIMELY ACCESS TO HIGH-QUALITY, COORDINATED CARE. INFORMED BY INPUT FROM NEARLY 170 STAKEHOLDER ORGANIZATIONS AND COMMUNITY PARTNERS, NY’S RURAL HEALTH TRANSFORMATION PROGRAM STRATEGY SEEKS TO IMPROVE HEALTH CARE ACCESS FOR RURAL COMMUNITIES THROUGH A SET OF FOUR, INTERRELATED INITIATIVES THAT STRATEGICALLY LEVERAGE LOCAL PROVIDERS, REGIONAL PARTNERSHIPS, AND STATEWIDE INFRASTRUCTURE. THESE INITIATIVES AND THEIR GOALS INCLUDE: 1) RURAL COMMUNITY HEALTH INTEGRATION: ESTABLISH RURAL HEALTH PARTNERSHIPS THAT FACILITATE COMPREHENSIVE CARE COORDINATION AND ENHANCE PATIENT ACCESS TO A WIDE RANGE OF PROVIDERS ACROSS THE CARE CONTINUUM, EFFECTIVELY ADDRESSING HEALTH AND SOCIAL NEEDS; 2) STRENGTHENING RURAL COMMUNITIES WITH TECHNOLOGY-ENHANCED PRIMARY CARE: IMPROVE RURAL PATIENT ACCESS TO AND UTILIZATION OF HIGH-QUALITY PRIMARY CARE; 3) RURAL ROOTS: BUILDING A SUSTAINABLE RURAL HEALTHCARE WORKFORCE: CREATE A SELF-SUSTAINING CYCLE OF WORKFORCE DEVELOPMENT THAT ADDRESSES BOTH IMMEDIATE STAFFING NEEDS AND LONG-TERM CAPACITY-BUILDING, ENSURING NY’S RURAL COMMUNITIES HAVE CONTINUOUS ACCESS TO HIGH-QUALITY HEALTH CARE SERVICES; AND 4) INVESTMENTS IN TECHNOLOGY INNOVATION AND CYBERSECURITY ENHANCEMENTS: EXPAND ACCESS TO CARE THROUGH TELEHEALTH, IMPROVE PATIENT OUTCOMES THROUGH ECONSULT PARTNERSHIPS, INCREASE USABLE ALERTS IN RURAL COUNTIES, AND STRENGTHEN CYBERSECURITY OF RURAL FACILITIES. TO ENSURE THAT FUNDING DIRECTLY BENEFITS RURAL RESIDENTS ACROSS THE STATE, NY WILL IMPLEMENT A FUNDING DISTRIBUTION PROCESS THAT PRIORITIZES THE IDENTIFIED NEEDS OF RURAL POPULATIONS. NY WILL COLLABORATE CLOSELY WITH RURAL HOSPITALS, CLINICS, AND COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY AREAS OF HIGHEST NEED AND ALLOCATE RESOURCES ACCORDINGLY. PROGRAM IMPLEMENTATION WILL BE SUPPORTED BY ONGOING STAKEHOLDER ENGAGEMENT, INCLUDING FEEDBACK FROM PROVIDERS, TRIBAL AND FAITH-BASED ORGANIZATIONS, LOCAL LEADERS, AND COMMUNITY MEMBERS, TO TARGET RESOURCES WHERE THEY WILL HAVE THE GREATEST IMPACT. | health |
| 2026-04-06 | NEW MEXICO HEALTH CARE AUTHORITY | Department of Health and Human Services | $211,484,741 | RURAL HEALTH TRANSFORMATION PROGRAM - THE STATE OF NEW MEXICO HEALTH CARE AUTHORITY (HCA) IS PROUD TO PRESENT THE STATE OF NEW MEXICO’S RURAL HEALTH TRANSFORMATION PLAN. NEW MEXICO IS READY TO LEAD A BOLD TRANSFORMATION OF RURAL HEALTH – ONE THAT EXPANDS ACCESS, STRENGTHENS OUTCOMES, AND ENSURES LASTING EQUITY FOR RURAL, FRONTIER, AND TRIBAL COMMUNITIES. THROUGH FRONTIER INGENUITY, DATA-DRIVEN INNOVATION, AND COMMUNITY PARTNERSHIP, WE WILL BUILD A RESILIENT SYSTEM THAT SUSTAINS LOCAL PROVIDERS, EMPOWERS FAMILIES, AND REDEFINES WHAT IT MEANS TO DELIVER QUALITY CARE IN EVERY CORNER OF THE STATE. NEW MEXICO RURAL HEALTH TRANSFORMATION PLAN – INITIATIVE SUMMARY 1. HEALTHY HORIZONS: EXPANDING ACCESS TO CARE IN RURAL COMMUNITIES - 5-YEAR BUDGET: $393,290,280 - STATE GOAL / CMS GOAL: EXPAND ACCESS TO CARE / MAKE RURAL AMERICA HEALTHY AGAIN - SUMMARY: STRENGTHEN SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT FOR HIGH-RISK RURAL POPULATIONS BY IMPLEMENTING REGIONALIZED SPECIALTY AND MATERNAL CARE NETWORKS, PROVIDER TRAINING, AND REMOTE CARE TECHNOLOGIES TO EXPAND ACCESS, IMPROVE LOCAL CAPACITY, AND REDUCE HOSPITAL READMISSIONS FOR RURAL COMMUNITY MEMBERS. 2. ROOTED IN NEW MEXICO: BUILDING TOMORROW’S RURAL HEALTH WORKFORCE - 5-YEAR BUDGET: $243,166,440 - STATE GOAL / CMS GOAL: EXPAND AND SUSTAIN RURAL HEALTH CARE WORKFORCE / WORKFORCE DEVELOPMENT - SUMMARY: BUILD AND SUSTAIN A RURAL AND TRIBAL HEALTH WORKFORCE BY EXPANDING LOCAL CAREER PATHWAYS, STRENGTHENING CLINICAL TRAINING PIPELINES AND EDUCATIONAL OPPORTUNITIES, AND SUPPORTING LONG-TERM RETENTION THROUGH HOUSING, MENTORSHIP, AND COMMUNITY-BASED INCENTIVES. 3. RURAL HEALTH INNOVATION FUND: ENABLING COMMUNITY-DESIGNED, COMMUNITY-LED CHANGE - 5-YEAR BUDGET: $187,508,220 - STATE GOAL / CMS GOAL: SUPPORT COMMUNITY-LED RURAL HEALTH SOLUTIONS / MAKE RURAL AMERICA HEALTHY AGAIN - SUMMARY: LAUNCH A COMPETITIVE GRANT PROGRAM THAT EMPOWERS RURAL, FRONTIER, AND TRIBAL COMMUNITIES IN NEW MEXICO TO DESIGN AND LEAD LOCALLY TAILORED HEALTH INITIATIVES ADDRESSING UNIQUE CHALLENGES SUCH AS PREVENTIVE CARE, BEHAVIORAL HEALTH, NON-MEDICAL DRIVERS OF HEALTH, AND PROVIDER FACILITY NEEDS. 4. BRIDGE TO RESILIENCE: RURAL HEALTH SUSTAINABILITY & INNOVATION CENTER - 5-YEAR BUDGET: $122,644,440 - STATE GOAL / CMS GOAL: STABILIZE AND SUSTAIN RURAL HEALTH CARE PROVIDERS / SUSTAINABLE ACCESS - SUMMARY: ESTABLISH A RURAL HEALTH SUSTAINABILITY & INNOVATION CENTER TO DELIVER TAILORED TECHNICAL ASSISTANCE, PROVIDER EDUCATION, AND OPERATIONAL SUPPORT THAT STRENGTHENS FINANCIAL STABILITY, FOSTERS REGIONAL PARTNERSHIPS, AND EQUIPS RURAL NEW MEXICO’S PROVIDERS TO NAVIGATE LONG-TERM CHALLENGES AND IMPROVE CARE DELIVERY. 5. RURAL HEALTH DATA HUB: ESTABLISHING A HEALTH ANALYTICS PLATFORM - 5-YEAR BUDGET: $53,390,620 - STATE GOAL / CMS GOAL: CONNECT COMMUNITY MEMBERS WITH HEALTH CARE DATA / TECH INNOVATION - SUMMARY: BUILD A STATEWIDE HEALTH ANALYTICS PLATFORM THAT INTEGRATES SILOED DATA SOURCES TO IMPROVE RURAL HEALTH PLANNING, ENABLE PREDICTIVE INSIGHTS, AND EXPAND TRANSPARENT ACCESS TO TIMELY, ACTIONABLE INFORMATION FOR PROVIDERS, POLICYMAKERS, AND COMMUNITIES. | health |
| 2026-04-07 | QLARANT INTEGRITY SOLUTIONS LLC | Department of Health and Human Services | $211,411,274 | IGF::OT::IGF UNIFIED PROGRAM INTEGRITY CONTRACT (UPIC) WESTERN JURISDICTION TASK ORDER | health |
| 2026-04-21 | EMERGENT BIODEFENSE OPERATIONS LANSING LLC | Department of Health and Human Services | $211,409,788 | CHIMERIX INC: AR&D FOR SMALLPOX ANTIVIRAL | biotech |
| 2026-04-20 | DEPARTMENT OF SOCIAL SERVICES CALIFORNIA | Department of Health and Human Services | $210,258,325 | CCDM-2026 - CHILD CARE AND DEVELOPMENT FUND -- STATE MATCHING | social-services |
| 2026-04-06 | FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION | Department of Health and Human Services | $209,938,195 | THE FLORIDA RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) MODERNIZES, STABILIZES, AND SUSTAINS RURAL HEALTH SYSTEMS ACROSS 31 COUNTIES, SERVING APPROXIMATELY 1.2 MILLION FLORIDIANS. - STATE OF FLORIDA RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) PROJECT SUMMARY LEAD AGENCY: FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION (THE AGENCY) SUBRECIPIENTS: TO BE SELECTED THROUGH A PROCUREMENT PROCESS. PROJECT PURPOSE AND GOALS THE FLORIDA RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) MODERNIZES, STABILIZES, AND SUSTAINS RURAL HEALTH SYSTEMS ACROSS 31 COUNTIES, SERVING APPROXIMATELY 1.2 MILLION FLORIDIANS. THE PROGRAM’S PURPOSE IS TO EXPAND ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTHCARE BY ADDRESSING PROVIDER SHORTAGES, TECHNOLOGICAL FRAGMENTATION, AND UNSUSTAINABLE REIMBURSEMENT STRUCTURES. FLORIDA IS COMMITTED TO MAKING RURAL FLORIDA HEALTHY AGAIN BY ADVANCING THE FOLLOWING STRATEGIC GOALS: 1. IMPROVE ACCESS: COMBINE URBAN-LED RURAL CLINICS, MOBILE HEALTH, COMMUNITY PARAMEDICINE, TELE-SPECIALTIES, REMOTE MONITORING, RETAIL PHARMACY CLINICS, AND NUTRITION-FOCUSED HEALTH AND LIFESTYLE INITIATIVES TO OFFER PREVENTIVE, CHRONIC DISEASE, BEHAVIORAL HEALTH, AND MATERNAL CARE DIRECTLY TO RESIDENTS. 2. IMPROVE OUTCOMES: REDUCE PREVENTABLE HOSPITALIZATIONS AND IMPROVE CHRONIC, BEHAVIORAL, AND MATERNAL HEALTH OUTCOMES THROUGH EVIDENCE-BASED, TECHNOLOGY-ENABLED INTERVENTIONS. 3. ENHANCE TECHNOLOGY AND DATA USE: ADVANCE TELEHEALTH, REMOTE MONITORING, AND HEALTH INFORMATION EXCHANGE AND ENCOUNTER NOTIFICATION SYSTEMS TO IMPROVE CONTINUITY, EFFICIENCY, AND PERFORMANCE TRACKING. 4. STRENGTHEN WORKFORCE: BUILD A LASTING RURAL WORKFORCE PIPELINE THROUGH THE CLINICAL TRAINING INVESTMENT OPPORTUNITY (CTIO) INITIATIVE, WITH SUPERVISED ROTATIONS AND FIVE-YEAR RURAL SERVICE COMMITMENTS. 5. ENSURE FINANCIAL SUSTAINABILITY: IMPLEMENT VALUE-BASED PAYMENT MODELS AND PROMOTE INTEGRATED MEDICARE-MEDICAID PLANS INITIATIVE TO STABILIZE RURAL HOSPITALS AND STRENGTHEN PROVIDER SOLVENCY THROUGH MORE STREAMLINED BILLING FOR PROVIDERS. TOTAL BUDGET AMOUNT: $200 MILLION USE OF FUNDS: FLORIDA WILL DEPLOY RHTP FUNDS THROUGH A STATEWIDE STRATEGY TO MODERNIZE RURAL HEALTH INFRASTRUCTURE, STRENGTHEN THE WORKFORCE, AND ADVANCE VALUE-BASED, DATA-DRIVEN CARE. FUNDING WILL SUPPORT NEW RURAL AND SATELLITE CLINICS, EXPAND MOBILE HEALTH AND COMMUNITY PARAMEDICINE SERVICES, AND INTEGRATE TELEHEALTH AND REMOTE MONITORING FOR PREVENTIVE, PRIMARY, AND SPECIALTY CARE. ENHANCING BEHAVIORAL HEALTH ACCESS WITH REGIONAL TELEPSYCHIATRY HUBS, WORKFORCE DEVELOPMENT, AND INCREASED ACCESS VIA RETAIL CLINICS IN RURAL PHARMACIES WILL ALSO BE PRIORITIZED. THE HEALTH AND LIFESTYLE INITIATIVE WILL ADDRESS FOOD INSECURITY, NUTRITION COUNSELING, AND SCHOOL-BASED WELLNESS PROGRAMS TO REDUCE CHRONIC DISEASE. ADDITIONAL FUNDS WILL SUPPORT THE INTEGRATED MEDICARE-MEDICAID PLANS EDUCATION AND OUTREACH INITIATIVE, PROVIDER ONBOARDING TO THE FLORIDA HEALTH INFORMATION EXCHANGE, AND ADVANCED DIAGNOSTIC TECHNOLOGIES. FLORIDA WILL FURTHER PROMOTE VALUE-BASED PURCHASING AND PATIENT-CENTERED MEDICAL HOME TRANSFORMATION TO IMPROVE CARE COORDINATION, EFFICIENCY, AND SUSTAINABILITY. THIS FUNDING AIMS TO BUILD A SUSTAINABLE RURAL HEALTH SYSTEM THAT EXPANDS ACCESS AND IMPROVES OUTCOMES FOR 1.2 MILLION RURAL FLORIDIANS. | health |
| 2026-06-05 | IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES | Department of Health and Human Services | $209,040,064 | IOWA'S RURAL HEALTH TRANSFORMATION PROGRAM. SUPPORTS RURAL HOSPITALS AND PARTNERS, BUILD COLLABORATIONS, RECRUIT PROVIDERS, PREVENT AND TREAT CHRONIC DISEASE, COMBAT CANCER, RURAL TECHNOLOGY UPGRADES. - THIS PACKAGE OUTLINES IOWA’S APPLICATION FOR HEALTHY HOMETOWNS, IOWA’S RURAL HEALTH TRANSFORMATION PROGRAM. HEALTHY HOMETOWNS CONSISTS OF INITIATIVES THAT WORK TOGETHER TO SUPPORT RURAL HOSPITALS AND THEIR PARTNERS, BUILD COLLABORATIONS FOR LONG TERM SYSTEMIC SUSTAINABILITY OF RURAL HEALTHCARE, PREVENT AND TREAT CHRONIC DISEASE, COMBAT CANCER, AND INVEST IN EQUIPMENT AND TECHNOLOGY UPGRADES. WITHIN FIVE YEARS, IOWANS CAN EXPECT A REDUCTION IN AVOIDABLE EMERGENCY DEPARTMENT VISITS, AN INCREASE IN RURAL RESIDENTS RECEIVING CARE LOCALLY THROUGH NEW OR EXPANDED SERVICE LINES, AN INCREASE IN THE PROVIDER TO POPULATION RATIOS IN RURAL IOWA, AND AN INCREASE IN THE NUMBER OF TELEHEALTH CONSULTATIONS DELIVERED TO RURAL RESIDENTS. IOWA ANTICIPATES THIS WILL LEAD TO FUTURE REDUCTIONS IN CHRONIC DISEASE AND CANCER. IOWA’S APPLICATION INCLUDES THE FOLLOWING: HOMETOWN CONNECTIONS: AN INITIATIVE THAT BUILDS FORMAL PARTNERSHIPS TO RESTRUCTURE HEALTHCARE DELIVERY OPTIONS FOR RURAL COMMUNITIES. THIS INCLUDES AN EXPANSION OF IOWA GOVERNOR KIM REYNOLD’S CENTERS OF EXCELLENCE PROGRAM AND A RARE OPPORTUNITY TO DEVELOP ENHANCED HEALTH HUBS, OR HUB-AND-SPOKE NETWORKS OF CARE, WITH INVESTMENTS IN TELEHEALTH, SPECIALIZED MEDICAL EQUIPMENT, PROVIDER RECRUITMENT AND RETENTION, EFFICIENT SPACE UTILIZATION, AND LIMITED FUNDS TO SUPPORT CARE FOR UNINSURED IOWANS. HEALTH HUBS MAY INCLUDE SCHOOL-BASED SERVICE PROVISION. BEST AND BRIGHTEST: A SUB-INITIATIVE TO RECRUIT AND RETAIN AN EXCELLENT RURAL HEALTHCARE WORKFORCE. COMBAT CANCER-PREVENT AND TREAT: AN INITIATIVE TO COMPREHENSIVELY TACKLE CANCER THROUGHOUT THE STATE VIA INCREASING ACCESS TO CANCER SCREENING, FORMING CANCER-SPECIFIC HEALTH HUBS, UPGRADING EQUIPMENT FOR CANCER SCREENING AND TREATMENT, DELIVERING SUPPORTIVE CARE FOR FAMILIES IMPACTED BY CANCER, AND SUPPORTING STUDIES AND ANALYSES BY ACADEMIC PARTNERS. IOWA WILL ADDRESS LUNG CANCER PREVENTION THROUGH RADON TESTING AND MITIGATION, BREAST CANCER BY PAYING FOR MAMMOGRAMS AND FOLLOW-UP BREAST MRIS, COLORECTAL CANCER THROUGH FIT TESTS AND FOLLOW-UP COLONOSCOPIES, SKIN CANCER THROUGH TELEHEALTH AND NEW EQUIPMENT, AND PROSTATE CANCER THROUGH ROUTINE SCREENING METHODS. COMMUNITIES OF CARE: AN INITIATIVE THAT SUPPORTS CO-LOCATION OF DIFFERENT RURAL PROVIDER TYPES FOR CONVENIENT PATIENT ACCESS AND IMPROVED COORDINATION, HIRES COMMUNITY HEALTH WORKERS AS SYSTEM NAVIGATORS, AND INVESTS HEAVILY IN CHRONIC DISEASE PREVENTION AND MANAGEMENT TECHNIQUES. HEALTH INFORMATION EXCHANGE: AN INITIATIVE THAT ALLOWS RECORDS TO BE ACCESSIBLE ACROSS THE STATE AS PATIENTS TRAVEL THROUGHOUT NEW HEALTH HUBS AND SEEK CARE IN NEW WAYS. EMS COMMUNITY CARE MOBILE: AN INITIATIVE THAT INVESTS IN NEW TELEHEALTH TECHNOLOGY FOR HIGH-RISK TRANSPORT OF MOMS AND THEIR NEW BABIES TO HIGHER LEVELS OF CARE THROUGHOUT THE STATE AND A MOBILE INTEGRATED HEALTHCARE PROGRAM THAT BRINGS PRENATAL, POSTPARTUM, POST-SURGERY DISCHARGE, CHRONIC DISEASE MANAGEMENT, AND OTHER TYPES OF CARE TO RURAL RESIDENTS IN THEIR HOMES OR TO EASILY ACCESSIBLE SITES IN THEIR COMMUNITIES. IOWA REQUESTS $200 MILLION PER PROJECT YEAR PERIOD (TOTAL $1 BILLION OVER THE 5-YEAR GRANT). | health |
| 2026-04-06 | EXECUTIVE OFFICE OF THE STATE OF ARKANSA | Department of Health and Human Services | $208,779,396 | THE ARKANSAS RHTP EXPANDS ACCESS, STRENGTHENS CARE, GROWS THE HEALTHCARE WORKFORCE, AND ADVANCES TELEHEALTH TO IMPROVE HEALTH OUTCOMES AND SERVICE QUALITY FOR RURAL RESIDENTS AND COMMUNITIES STATEWIDE - SUBAWARDEES: TO BE DETERMINED; THE STATE IS COMMITTED TO COMPLYING WITH ALL CMS REQUIREMENTS FOR IDENTIFYING AND ENGAGING SUBRECIPIENTS, CONTRACTORS, AND OTHER PARTNERS AS THE PROGRAM PROGRESSES. SUBAWARDEES WILL BE SELECTED BY THE STATE BASED ON ALIGNMENT WITH AND CAPACITY TO SUPPORT ARKANSAS’S RURAL HEALTH TRANSFORMATION (RHT) PROGRAM. PROJECT SUMMARY: THE ARKANSAS RHT PROGRAM IS A COMPREHENSIVE STATEWIDE INITIATIVE DESIGNED TO STRENGTHEN RURAL HEALTHCARE DELIVERY, EXPAND ACCESS TO CARE, IMPROVE HEALTH OUTCOMES, AND ENSURE SUSTAINABLE, HIGH-QUALITY SERVICES FOR ALL ARKANSANS. BY FOCUSING ON FOUR CORE INITIATIVES, HEALTHY EATING, ACTIVE RECREATION, AND TRANSFORMATION (HEART), PROMOTING ACCESS COORDINATION AND TRANSFORMATION (PACT), RECRUITMENT INNOVATION SKILLS AND EDUCATION FOR ARKANSAS (RISE AR), AND TELEHEALTH HEALTH-MONITORING AND RESPONSE INNOVATION FOR VITAL EXPANSION (THRIVE), ARKANSAS IS TAKING A HOLISTIC, COMMUNITY-DRIVEN APPROACH TO RURAL HEALTH CHALLENGES. THESE INITIATIVES INTEGRATE EVIDENCE-BASED PREVENTION PROGRAMS, WORKFORCE DEVELOPMENT, CARE COORDINATION, VALUE-BASED DELIVERY MODELS, AND TECHNOLOGY-DRIVEN SOLUTIONS, ENSURING THAT RURAL RESIDENTS RECEIVE TIMELY, EFFICIENT, AND PATIENT-CENTERED CARE, INCLUDING MENTAL AND BEHAVIORAL HEALTH SERVICES. ACROSS ALL INITIATIVES, THE STATE EMPHASIZES CROSS-SECTOR COLLABORATION, DATA-DRIVEN DECISION-MAKING, AND CONTINUOUS EVALUATION TO ENSURE THAT PROGRAM ACTIVITIES MEET THE NEEDS OF RURAL COMMUNITIES WHILE ALIGNING WITH CMS PRIORITIES. USE OF FUNDS: RHT PROGRAM FUNDS WILL SUPPORT TARGETED INVESTMENTS ACROSS EACH INITIATIVE. HEART WILL FOCUS ON PREVENTION AND CHRONIC DISEASE PROGRAMS, SCHOOL AND COMMUNITY-BASED WELLNESS INITIATIVES, NUTRITION INTERVENTIONS, AND PHYSICAL ACTIVITY PROGRAMMING. PACT WILL FUND INTEGRATED NETWORKS, EXPANDED SPECIALTY AND PRIMARY CARE ACCESS, SCOPE OF PRACTICE ENHANCEMENTS, AND STRATEGIC FACILITY INVESTMENTS. RISE AR WILL INVEST IN LEADERSHIP TRAINING, EXPANDING RESIDENCY, PRECEPTORSHIP, AND OTHER TRAINING PROGRAMS FOR HEALTHCARE PROFESSIONALS, RECRUITMENT AND RETENTION INCENTIVES, PROFESSIONAL DEVELOPMENT PROGRAMS, AND TELE-EDUCATION INFRASTRUCTURE TO STRENGTHEN THE RURAL HEALTHCARE WORKFORCE. THRIVE WILL FUND TELEHEALTH PLATFORMS, TECHNOLOGY-ENABLED MONITORING FOR CHRONIC DISEASES, EMERGENCY MEDICAL SERVICES MODERNIZATION, AND VIRTUAL CARE MODELS TO EXPAND ACCESS AND IMPROVE PATIENT OUTCOMES. ACROSS INITIATIVES, FUNDS WILL ALSO SUPPORT DATA COLLECTION, ANALYTICS, PERFORMANCE TRACKING, AND PROGRAM EVALUATION TO DRIVE CONTINUOUS IMPROVEMENT. OUTCOMES: THROUGH THESE INVESTMENTS, ARKANSAS EXPECTS TO ACHIEVE MEASURABLE IMPROVEMENTS IN ACCESS TO CARE, PREVENTIVE HEALTH UTILIZATION, CHRONIC DISEASE MANAGEMENT, CARE COORDINATION, WORKFORCE CAPACITY, AND TECHNOLOGY ADOPTION. HEART WILL LEAD TO HEALTHIER BEHAVIORS, IMPROVED CHILD AND ADULT HEALTH OUTCOMES, AND INCREASED COMMUNITY ENGAGEMENT. PACT WILL IMPROVE CARE INTEGRATION, REDUCE GAPS IN SPECIALTY CARE, AND ENHANCE EFFICIENCY ACROSS RURAL PROVIDERS. RISE AR WILL STRENGTHEN THE PIPELINE AND RETENTION OF HEALTHCARE PROFESSIONALS, ENSURING A SUSTAINABLE, SKILLED WORKFORCE. THRIVE WILL EXPAND ACCESS TO TELEHEALTH, ENHANCE EMS RESPONSE, IMPROVE REMOTE PATIENT MONITORING, AND INTEGRATE INNOVATIVE DIGITAL SOLUTIONS INTO ROUTINE CARE. COLLECTIVELY, THESE INITIATIVES WILL CREATE A RESILIENT, COORDINATED RURAL HEALTHCARE SYSTEM, IMPROVE THE QUALITY OF CARE, AND LAY THE FOUNDATION FOR LONG-TERM, SUSTAINABLE HEALTH IMPROVEMENTS FOR RURAL ARKANSAS COMMUNITIES. TOTAL ESTIMATED BUDGET: $1,000,000,000 | health |
| 2026-04-20 | LOUISIANA DEPARTMENT OF HEALTH | Department of Health and Human Services | $208,374,448 | UTILIZING WORKFORCE, MODERNIZED TECHNOLOGY, COORDINATED AND INNOVATIVE CARE MODELS, AND INVESTMENTS IN INFRASTRUCTURE LDH WILL TRANSFORM HEALTH OUTCOMES FOR RURAL COMMUNITIES IN LA - THE LOUISIANA DEPARTMENT OF HEALTH (LDH) APPLICATION FOR THE RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) INCLUDES GROUNDBREAKING INITIATIVES THAT WILL HAVE A LONG-LASTING IMPACT ON HEALTHCARE FOR RURAL LOUISIANA CITIZENS. THESE ACTIVITIES WERE DEVELOPED BASED ON STAKEHOLDER FEEDBACK AND ADDRESS THE CRITICAL CHALLENGES IN HEALTHCARE ACCESS, WORKFORCE, AND HEALTH OUTCOMES FACED BY THE STATE’S RURAL POPULATION. LOUISIANA RANKS 50TH IN NATIONAL HEALTH RANKINGS, AND HEALTH OUTCOMES IN RURAL PARISHES REFLECT DISPROPORTIONATE CHALLENGES. THESE OUTCOMES ARE A RESULT OF BOTH LIMITED HEALTHCARE ACCESS IN RURAL AREAS AND THE FINANCIAL INSTABILITY OF RURAL HEALTHCARE FACILITIES. THE LOUISIANA RURAL HEALTH TRANSFORMATION PROGRAM (LA RHTP) WILL PROVIDE RESOURCES, FACILITATE COLLABORATION ACROSS AGENCIES, AND REINFORCE STATE POLICY CHANGES NEEDED TO TACKLE THE PRESSING HEALTHCARE DISPARITIES IN THIS STATE. THROUGH THIS PROGRAM, LOUISIANA AIMS TO ENHANCE THE SUSTAINABILITY OF RURAL HEALTHCARE PROVIDERS WHILE ENSURING THAT THE STATE’S 1.1 MILLION RURAL RESIDENTS, PARTICULARLY THOSE WITH CHRONIC AND BEHAVIORAL HEALTH NEEDS, CAN ACCESS HIGH-QUALITY CARE CLOSE TO HOME. TO ENSURE LOUISIANA MEETS ITS GOAL OF IMPROVING HEALTHCARE QUALITY TO RURAL RESIDENTS, LDH IS REQUESTING THE MAXIMUM ALLOCATION OF RHTP GRANT FUNDS TO IMPLEMENT SIX PROPOSED INITIATIVES THAT WORK TOGETHER TO EXPAND THE HEALTHCARE WORKFORCE, PROMOTE THE USE OF TECHNOLOGY, AI, DIGITAL TOOLS, AND DATA SHARING, AND DEPLOY FINANCIAL INCENTIVES TO CHANGE PROVIDER BEHAVIOR AND EMPOWER COMMUNITIES TO ADDRESS NON-CLINICAL FACTORS OF CHRONIC DISEASE. THESE INITIATIVES WILL: 1) BUILD A RESILIENT, INTEGRATED RURAL HEALTH AND EMERGENCY SYSTEM BY EXPANDING AND STABILIZING THE WORKFORCE THROUGH TARGETED INCENTIVES, CONTINUOUS TRAINING, AND TECHNOLOGY-ENABLED CARE COORDINATION; 2) MODERNIZE RURAL HEALTH TECHNOLOGY INFRASTRUCTURE AND EXPAND INTEROPERABILITY BY COMBINING A STATE-MANAGED, CMS-ALIGNED ELECTRONIC HEALTH RECORD (EHR) SYSTEM WITH A TECH CATALYST FUND TO INVEST IN INNOVATIVE DIGITAL TOOLS AND MOBILE CARE PLATFORMS; 3) IMPLEMENT VALUE-BASED PAYMENT AND CARE MODELS THAT REWARD OUTCOMES, SUPPORT INNOVATIVE SERVICES, AND ENSURE SUSTAINABLE, HIGH-QUALITY CARE FOR RURAL COMMUNITIES; 4) EXPAND PREVENTION AND NUTRITION-BASED INTERVENTIONS TO ADDRESS CHRONIC DISEASE, MATERNAL HEALTH, AND BEHAVIORAL HEALTH CHALLENGES; 5) STRENGTHEN CARE INTEGRATION FOR HIGH-NEEDS POPULATIONS THROUGH COORDINATED, MULTI-MODAL CARE INFRASTRUCTURE MODELS; AND 6) PROVIDE CAPITAL INVESTMENT SUPPORT TO STRENGTHEN SUSTAINABLE ACCESS TO ESSENTIAL HEALTH SERVICES. ALL FUNDED ACTIVITIES ARE DESIGNED TO ADDRESS NEEDS PRESENT IN EVERY RURAL PARISH ACROSS LOUISIANA. THE STATE WILL ENSURE THAT EACH RURAL AREA HAS ACCESS TO THE PROGRAM'S BENEFITS, WHILE ALLOWING FLEXIBILITY TO TARGET SPECIFIC PARISHES OR REGIONS IDENTIFIED AS HAVING A GREATER NEED. LOUISIANA WILL STRENGTHEN COLLABORATION AMONG RURAL HOSPITALS, RURAL HEALTH CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), BEHAVIORAL HEALTH PROVIDERS, EMERGENCY MEDICAL SERVICES, THE LOUISIANA AMBULANCE ALLIANCE, AND ALLIED HEALTH PROFESSIONAL NETWORKS. LOUISIANA WILL MAINTAIN ONGOING OUTREACH AND COLLABORATION WITH RURAL COMMUNITIES TO ENSURE THAT VALUABLE STAKEHOLDERS ARE AWARE OF FUNDING AVAILABILITY AND HAVE THE OPPORTUNITY TO ACTIVELY PARTICIPATE IN INITIATIVES. THIS PROGRAM WILL STRENGTHEN HEALTH CARE ACCESS AND ENHANCE PROVIDER SUSTAINABILITY, ENSURING THAT LOUISIANA’S RURAL RESIDENTS CAN RECEIVE EQUITABLE AND HIGH-QUALITY CARE. | health |
| 2026-06-05 | HARRIS COUNTY | Department of Health and Human Services | $208,339,932 | HIV EMERGENCY RELIEF PROJECT GRANTS | health |
| 2026-04-06 | INDIANA FAMILY AND SOCIAL SERV | Department of Health and Human Services | $206,927,897 | GROWING RURAL OPPORTUNITIES FOR WELL-BEING IN HEALTH (GROW: CULTIVATING HOOSIER HEALTH), INDIANA'S RURAL HEALTH TRANSFORMATION PLAN. - THE STATE OF INDIANA, WITH ITS LEAD AGENCIES, THE INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION (FSSA), THE INDIANA DEPARTMENT OF HEALTH (IDOH), AND THE INDIANA DEPARTMENT OF CHILD SERVICES (DCS), COLLECTIVELY UNDER INDIANA HEALTH AND FAMILY SERVICES (HFS), WILL LAUNCH ITS LANDMARK “GROW” TRANSFORMATION PROGRAM UTILIZING RHT PROGRAM FUNDS. INDIANA ENGAGED A BROAD NETWORK OF RURAL RESIDENTS, PROVIDERS AND PROVIDER ORGANIZATIONS, COMMUNITY LEADERS, AND STATE LEGISLATORS TO SHAPE THE VISION AND PRIORITIES OF GROW THROUGH EXTENSIVE COLLABORATION AND FEEDBACK. PURPOSE AND PROJECT GOALS GROW EXPANDS INDIANA’S MAKE INDIANA HEALTHY AGAIN INITIATIVES AND SEEKS TO INVEST $1B OVER A 5-YEAR PERIOD TO CATALYZE INNOVATIVE AND SUSTAINABLE SOLUTIONS TO DRIVE HEALTHIER OUTCOMES FOR INDIANA’S RURAL RESIDENTS. GROW IS FULLY ALIGNED WITH THE FIVE CMS STRATEGIC GOALS WITH 12 TARGET INITIATIVES, WHICH BALANCE STATEWIDE EFFORTS WITH REGIONALLY DESIGNED PROJECTS LED BY LOCAL NETWORKS OF PROVIDERS AND COMMUNITY LEADERS. CMS GOAL* INVESTMENTS AND TARGET OUTCOMES** 1. SUSTAINABLE ACCESS (6% OF TOTAL FUNDING) ENABLE RURAL PROVIDERS TO SERVE AS LASTING ACCESS POINTS FOR CARE AND IMPROVING OVERALL CARE COORDINATION TO ADDRESS EXISTING LOW PATIENT VOLUMES AND HOSPITAL TRANSFER BARRIERS BY ESTABLISHING A STATEWIDE MEDICAL ORGANIZATIONS COORDINATION CENTER (1) AND ENHANCING INDIANA 211 TO SUPPORT CLOSED-LOOP REFERRALS (2) 2. TECH INNOVATION (7% OF TOTAL FUNDING) ENHANCE TECHNOLOGY INFRASTRUCTURE AND DIGITAL CONNECTIVITY ACROSS RURAL HEALTH SYSTEMS TO ADDRESS GAPS IN SECURE DATA EXCHANGE AND IMPROVE PATIENT OUTCOMES BY STRENGTHENING INTEROPERABILITY NETWORKS CONNECTING RURAL FACILITIES (3) 3. INNOVATIVE CARE (10% OF TOTAL FUNDING) PROMOTE PATIENT-CENTERED MODELS OF CARE TO ADDRESS ACCESS BARRIERS TO PREVENTIVE AND POST-ACUTE SERVICES BY ENHANCING PEDIATRIC AND OBSTETRIC READINESS IN EMERGENCY DEPARTMENTS (4), ADVANCING CARDIOMETABOLIC CARE STANDARDS (5), IMPROVING TIMELY ACCESS TO PRESCRIPTION MEDICATIONS (6), AND STRENGTHENING TELE-CONSULT (7) AND TELEHEALTH (8) CAPACITIES AMONG RURAL FACILITIES 4. WORKFORCE DEVELOPMENT (10% OF TOTAL FUNDING) GROW THE PARAPROFESSIONAL, PHYSICIAN, AND BEHAVIORAL HEALTH WORKFORCE TO ADDRESS LONGSTANDING AND PREVALENT WORKFORCE SHORTAGES IN RURAL AREAS BY INVESTING IN EARLY CAREER PIPELINES (9 AND 11), REMOVING CREDENTIALING AND TRAINING BARRIERS FOR COMMUNITY HEALTH WORKERS AND PEERS (9), AND FUNDING PHYSICIAN STIPENDS AND RURAL PRECEPTORSHIPS TO INCENTIVIZE RURAL PRACTICE (10) 5. MAKE RURAL AMERICA HEALTHY AGAIN CATALYZE TARGETED LOCAL RURAL HEALTH INNOVATION BY ADDRESSING COMMUNITY-SPECIFIC CHALLENGES WITH COMMUNITY-SPECIFIC SOLUTIONS THROUGH THE MAKE RURAL INDIANA HEALTHY AGAIN REGIONAL GRANTS (12), WHICH WILL BE AWARDED TO REGIONAL COALITIONS THROUGH A COMPETITIVE APPLICATION PROCESS TO DRIVE OUTCOMES-DRIVEN INITIATIVES AND STRENGTHEN COLLABORATION AMONG HEALTHCARE AND COMMUNITY PARTNERS (60% OF TOTAL FUNDING) *OVERALL ADMINISTRATIVE COSTS AND INDIRECT COSTS MAKE UP THE REMAINING PORTION OF TOTAL FUNDING. ** NUMBERS IN PARENTHESES INDICATE WHICH OF INDIANA’S 12 INITIATIVES EACH ACTIVITY CORRESPONDS TO. LOOKING AHEAD TO THE NEXT FIVE YEARS, INDIANA WILL CONTINUE TO COLLABORATE WITH KEY STAKEHOLDERS AND EXPERIENCED PARTNERS THROUGHOUT THE IMPLEMENTATION OF THESE INITIATIVES TO ENSURE RURAL PERSPECTIVES REMAIN CENTRAL ACROSS ALL PHASES OF THESE EFFORTS. INDIANA WILL ALSO HOLD REGULAR ADVISORY MEETINGS TO ENSURE ONGOING ACCOUNTABILITY AND RESPONSIVENESS TO FEEDBACK. | health |
| 2026-04-06 | TENNESSEE DEPARTMENT OF HEALTH | Department of Health and Human Services | $206,888,882 | PLEASE SEE ATTACHMENT. - PROJECT SUMMARY THE STATE OF TENNESSEE WILL LEVERAGE THE RURAL HEALTH TRANSFORMATION FUND (RHTF) TO BUILD A COMPREHENSIVE, OUTCOMES-DRIVEN, SUSTAINABLE CARE DELIVERY SYSTEM IN ITS RURAL COMMUNITIES—ANCHORED IN PREVENTION, INNOVATION, WORKFORCE CAPACITY, AND VALUE-BASED TRANSFORMATION. UNDER THE GUIDING PRINCIPLE OF “BETTER CARE, CLOSER TO HOME,” TENNESSEE’S PLAN ADVANCES EACH STRATEGIC GOAL AND USE OF FUNDS SUGGESTED BY CMS, CENTERED ON FIVE GOALS. GOAL 1 – RURAL HEALTHCARE TRANSFORMATION INCENTIVIZING TRANSFORMATIVE CHANGE IN RURAL HEALTH BY RIGHT-SIZING RURAL FACILITIES AND INVESTING IN OUTCOMES-BASED PAYMENT MODELS THAT ENHANCE AND SUSTAIN ACCESS IN RURAL COMMUNITIES. GOAL 2 – MATERNAL AND CHILD HEALTH GENERATIONAL INVESTMENTS TO ENSURE STRONG STARTS FOR EVERY RURAL FAMILY GOAL 3 – MAKE RURAL TENNESSEE HEALTHY AGAIN EMBEDDING PREVENTION INTO HEALTH AND HEALTHCARE DELIVERY BY ADDRESSING LOCALLY IDENTIFIED CONCERNS, EXPANDING EARLY DETECTION, AND IMPROVING NUTRITION SECURITY GOAL 4 - TECHNOLOGICAL INFRASTRUCTURE INVESTING IN HEALTH-TECH SOLUTIONS THAT ENHANCE OPERATIONAL PERFORMANCE, ALLOW FOR INNOVATIVE CARE SOLUTIONS, MAXIMIZE EFFICIENCIES, AND CUT ADMINISTRATIVE WASTE. GOAL 5 – WORKFORCE DEVELOPMENT STRENGTHENING A COMPREHENSIVE HEALTHCARE WORKFORCE PIPELINE, TRAINING AND RETAINING LOCAL TALENT LEVERAGING ITS PROVEN STATEWIDE INFRASTRUCTURE (INCLUDING THE GOVERNOR’S RURAL HEALTH TASKFORCE, RURAL HEALTH RESILIENCY PROGRAM AND COUNTY HEALTH COUNCILS), THE STATE IS PREPARED TO DEPLOY $200–500 MILLION ANNUALLY TOWARD HIGH-IMPACT RURAL TRANSFORMATION INITIATIVES THROUGH FY 2031 AND BEYOND. SUB-AWARDS WILL BE SELECTED THROUGH COMPETITIVE PROCESSES, DETAILED BELOW. GOVERNOR LEE HAS MADE RURAL HEALTH A TOP PRIORITY SINCE HIS FIRST EXECUTIVE ORDER, AND TENNESSEE’S STRATEGY IS BUILT ON YEARS OF COLLABORATION, A STRONG EVIDENCE BASE, AND KNOWING WHAT WORKS: TENNESSEE’S COMPETITIVE GRANT MODEL (HEALTHCARE RESILIENCY PROGRAM) AND TENNCARE SHARED SAVINGS FRAMEWORK WILL DRIVE INNOVATION, MEASURABLE OUTCOMES AND SCALABILITY ACROSS ALL RURAL COUNTIES. TO MATCH THIS OPPORTUNITY, IN ADDITION TO RHTF FUNDS, TENNESSEE WILL LEVERAGE AN ADDITIONAL $125M SHARED SAVINGS FOR CAPITAL INVESTMENTS IN RURAL HEALTH FACILITIES. WE WILL EMPOWER RURAL COMMUNITIES TO INVEST IN HEALTH-TECH, ENGAGE NEW CARE PATHWAYS, AND BENEFIT FROM COORDINATED, VALUE-BASED CARE CLOSE TO HOME. FOR FEDERAL PARTNERS VALUING URGENCY, IMPACT AND ACCOUNTABILITY, RURAL TENNESSEE PRESENTS A COMPELLING OPPORTUNITY TO DEMONSTRATE HOW STATE-LED, DATA-DRIVEN TRANSFORMATION CAN REDEFINE RURAL HEALTH ACCESS AND OUTCOMES NATIONWIDE. WITH RHTF SUPPORT, TENNESSEE IS POSITIONED TO BECOME THE ARCHETYPAL MODEL IN THE NATION FOR HOW RURAL SYSTEMS CAN SUSTAINABLY DELIVER HIGH-QUALITY, ACCESSIBLE CARE—ANCHORED IN PREVENTION, TECHNOLOGY, AND VALUE. | health |
| 2026-06-17 | EMPOWER AI, INC. | Department of Health and Human Services | $206,694,861 | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL MEDICARE FFS IMPROPER PAYMENT RATE AND IMPROPER PAYMENT RATES FOR EACH CLAIM TYPE [PART A INPATIENT HOSPITAL PROSPECTIVE PAYMENT SYSTEM (PPS); PART A EXCLUDING INPATIENT HOSPITAL PPS; PART B; AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS)]. THE CERT PROGRAM ENSURES A STATISTICALLY VALID RANDOM SAMPLE; THEREFORE, THE IMPROPER PAYMENT RATE CALCULATED FROM THIS SAMPLE IS CONSIDERED TO BE REFLECTIVE OF ALL OF CLAIMS PROCESSED BY MEDICARE FFS PROGRAM DURING THE REPORT PERIOD. CMS ALSO USES THE CERT PROGRAM TO PERFORM SPECIAL STUDIES AND SUPPLEMENTAL MEASUREMENTS TO DETERMINE THE IMPROPER PAYMENT RATES OF PARTICULAR CLAIM TYPES. CALCULATIONS OF THESE RATES FACILITATE CMS ABILITY TO TAKE APPROPRIATE CORRECTIVE ACTIONS TO REDUCE IMPROPER PAYMENTS. | health |
| 2026-02-13 | A SQUARE GROUP LLC | Department of Health and Human Services | $206,653,164 | NITAAC CIO-SP3 SMALL BUSINESS TASK ORDER OF RE-COMPETED WMS REQUIREMENT | health |
| 2026-05-05 | CAYUGA HOME FOR CHILDREN | Department of Health and Human Services | $206,366,148 | RESIDENTIAL (SHELTER AND/OR TRANSITIONAL FOSTER CARE) SERVICES FOR UNACCOMPANIED CHILDREN-LICENSED AND TEXAS-EXEMPT AND FLORIDA-DELICENSED ONLY | social-services |
| 2026-04-22 | EXECUTIVE OFFICE OF THE STATE OF MISSISSIPPI | Department of Health and Human Services | $205,907,220 | THE MS RHTP STRENGTHENS RURAL HEALTHCARE BY EXPANDING ACCESS, IMPROVING CARE COORDINATION, MODERNIZING INFRASTRUCTURE, GROWING THE WORKFORCE, AND USING TELEHEALTH TO IMPROVE HEALTH OUTCOMES. - ORGANIZATION: STATE OF MISSISSIPPI SUBAWARDEES: NO SUBAWARDEES HAVE BEEN AWARDED AT THIS TIME; SUBRECIPIENT AGREEMENTS WILL BE ESTABLISHED DURING PROJECT IMPLEMENTATION AND MAY INCLUDE VARIOUS RURAL HOSPITALS, FQHCS, PRIMARY CARE CLINICS, COMMUNITY HEALTH CENTERS, TECHNOLOGY AND TELEHEALTH VENDORS, UNIVERSITIES, AND PROFESSIONAL ASSOCIATIONS ACROSS THE STATE. PROJECT SUMMARY: THE STATE OF MISSISSIPPI PROPOSES A COMPREHENSIVE RURAL HEALTH TRANSFORMATION PROGRAM (RHT PROGRAM) TO STRENGTHEN HEALTHCARE ACCESS, WORKFORCE DEVELOPMENT AND CAPACITY, AND SERVICE DELIVERY ACROSS RURAL COMMUNITIES THROUGH INNOVATION AND SYSTEM-WIDE CHANGES. GUIDED BY THE GOALS TO MAKE RURAL AMERICA HEALTHY AGAIN, SUSTAINABLE ACCESS, WORKFORCE DEVELOPMENT, INNOVATIVE CARE, AND TECH INNOVATION, THE RHT PROGRAM WILL INVEST APPROXIMATELY $1 BILLION OVER FIVE YEARS TO ADDRESS CRITICAL GAPS IN HEALTHCARE DELIVERY, INFRASTRUCTURE, WORKFORCE, AND TECHNOLOGY. THE RHT PROGRAM PLAN CONSISTS OF SIX INTEGRATED INITIATIVES: THE STATEWIDE RURAL HEALTH ASSESSMENT, COORDINATED REGIONAL INTEGRATED SYSTEMS (CRIS), WORKFORCE EXPANSION INITIATIVE (WEI), HEALTH TECHNOLOGY ADVANCEMENT AND MODERNIZATION (HTAM), TELEHEALTH ADOPTION AND PROVIDER SUPPORT (TAPS), AND THE BUILDING RURAL INFRASTRUCTURE FOR DELIVERY, GROWTH AND EFFICIENCY (BRIDGE) INITIATIVE. THE STATEWIDE RURAL HEALTH ASSESSMENT WILL REVIEW EXISTING DATA AND STAKEHOLDER INPUT TO REFINE INVESTMENT STRATEGIES AND ALIGN FUNDING WITH CRITICAL RURAL HEALTH NEEDS. CRIS WILL INTEGRATE EMS, HOSPITALS, PUBLIC HEALTH, AND SOCIAL SERVICES INTO REGIONAL HEALTHCARE DISTRICTS TO IMPROVE EMERGENCY RESPONSE, POST-DISCHARGE COORDINATION, AND BEHAVIORAL HEALTH ACCESS. THE WEI WILL RECRUIT, RETAIN, AND TRAIN CLINICIANS, ALLIED HEALTH PROFESSIONALS, AND SUPPORT STAFF THROUGH RETENTION AWARDS, RESIDENCY EXPANSION, PRECEPTOR DEVELOPMENT, EARLY-CAREER OUTREACH, AND “EARN WHILE YOU LEARN” PROGRAMS. HTAM AND TAPS ADVANCE TECHNOLOGY ADOPTION AND CONNECTIVITY, HEALTH IT MODERNIZATION, TELEHEALTH INFRASTRUCTURE, CYBERSECURITY, AND CONSUMER-FACING TOOLS TO IMPROVE EFFICIENCY, COORDINATION, AND ACCESS. BRIDGE ADDRESSES CAPITAL INVESTMENTS, PSYCHIATRIC EMERGENCY SERVICES, CARE GAP CLOSURE, AND PILOT PROGRAMS FOR INNOVATIVE INTERVENTIONS, INCLUDING EARLY INTERVENTION, ASD-FOCUSED PROGRAMS, CARE MANAGEMENT, AND VALUE-BASED CARE. USE OF FUNDS: FUNDING WILL BE STRATEGICALLY DEPLOYED TO STRENGTHEN THE FULL SPECTRUM OF RURAL HEALTH DELIVERY. INVESTMENTS WILL SUPPORT WORKFORCE DEVELOPMENT, INCLUDING RECRUITMENT, RETENTION, AND TRAINING PROGRAMS TO ENSURE RURAL COMMUNITIES HAVE ACCESS TO A SKILLED HEALTHCARE WORKFORCE. FUNDS WILL ENHANCE PROVIDER CAPABILITIES THROUGH TECHNICAL ASSISTANCE, TRAINING, AND MODERNIZED IT SYSTEMS, INCLUDING INTEROPERABLE EHRS, TELEHEALTH INFRASTRUCTURE, CYBERSECURITY ENHANCEMENTS, AND CONSUMER-FACING TECHNOLOGIES. CAPITAL INVESTMENTS WILL EXPAND FACILITY CAPACITY AND SPECIALIZED SERVICES, INCLUDING PSYCHIATRIC EMERGENCY CARE AND COMMUNITY HEALTH PROGRAMS. FUNDING WILL ENABLE INNOVATIVE CARE MODELS, REGIONAL INTEGRATION OF EMS AND CLINICAL SERVICES, AND POPULATION HEALTH INITIATIVES THAT TARGET CHRONIC DISEASE, BEHAVIORAL HEALTH, AND PREVENTIVE CARE. ACROSS ALL INITIATIVES, RESOURCES WILL BE USED TO FOSTER COLLABORATION AMONG RURAL HOSPITALS, FQHCS, CLINICS, COMMUNITY ORGANIZATIONS, AND EDUCATIONAL INSTITUTIONS TO CREATE SUSTAINABLE, DATA-DRIVEN IMPROVEMENTS IN HEALTH OUTCOMES. OUTCOMES: EXPECTED OUTCOMES INCLUDE EXPANDED ACCESS TO HEALTHCARE SERVICES, IMPROVED CLINICAL OUTCOMES, INCREASED TELEHEALTH UTILIZATION, ENHANCED WORKFORCE RETENTION, STRENGTHENED REGIONAL CARE NETWORKS, AND MORE ACCESSIBLE CARE DELIVERY ACROSS MISSISSIPPI. THIS EVIDENCE-BASED, MULTI-PRONGED APPROACH WILL ESTABLISH SUSTAINABLE MECHANISMS FOR RECRUITMENT, RETENTION, TECHNOLOGY ADOPTION, AND CARE DELIVERY, PRODUCING LONG-TERM IMPROVEMENTS IN HEALTH SYSTEM CAPACITY, POPULATION HEALTH, AND COMMUNITY ENGAGEMENT. TOTAL BUDGET: $1,000,000,000 | health |
| 2026-04-07 | QLARANT INTEGRITY SOLUTIONS LLC | Department of Health and Human Services | $205,401,682 | IGF::CT::IGF AWARD OF THE UNIFIED PROGRAM INTEGRITY CONTRACT (UPIC)SOUTH-WESTERN JURISDICTION (SWJ) | health |
| 2026-04-06 | OHIO DEPARTMENT OF CHILDREN AND YOUTH | Department of Health and Human Services | $205,353,151 | FOSTER-2026 - FOSTER CARE | social-services |
| 2026-03-05 | DEPARTMENT OF HEALTH WYOMING | Department of Health and Human Services | $205,004,743 | STATE OF WYOMING - RURAL HEALTH TRANSFORMATION APPLICATION - WYOMING’S PROPOSAL FOR RURAL HEALTH TRANSFORMATION, AS DEVELOPED AND SUBMITTED BY THE DEPARTMENT OF HEALTH (WDH) AND THE GOVERNOR’S OFFICE, IS INTENDED TO DIRECTLY ADDRESS THE HEALTH CARE PRIORITIES OF OUR RURAL COMMUNITIES. WE COLLECTED THOSE PRIORITIES IN A SERIES OF ELEVEN (11) TOWN HALL MEETINGS, AND HAD THEM RANKED BY 1,316 WYOMINGITES IN AN ONLINE SURVEY. THE PRIORITIES THAT CAME OUT ON TOP AREN’T EXTRAVAGANT. MOST CENTER ON ACCESS TO THE BASICS: HOSPITALS THAT CAN EFFECTIVELY TREAT EMERGENCIES, AMBULANCES THAT SHOW UP QUICKLY WHEN YOU DIAL 911, AND PRIMARY CARE THAT TREATS THE WHOLE PERSON. WHEN COMBINED WITH THE FEDERAL OBJECTIVES ARTICULATED IN THE ONE BIG BEAUTIFUL BILL ACT, THESE PRIORITIES INFORMED THE FOUR (4) MAJOR GOALS OF OUR PROPOSAL. WITH SUPPORTING COMPONENTS LISTED UNDER EACH, THESE ARE: 1. TO INCREASE SUSTAINABLE ACCESS TO RIGHT-SIZED AND COORDINATED RURAL MEDICAL CARE. - ENCOURAGING SMALLER CRITICAL ACCESS HOSPITALS TO FOCUS ON DOING THE BASICS WELL, AND CREATING INCENTIVES FOR SMALL AMBULANCE SERVICES TO CONSOLIDATE AROUND SUSTAINABLE REGIONAL FUNDING BASES; - EXPANSION OF PRIMARY CARE THAT INTEGRATES BEHAVIORAL HEALTH AND PREVENTATIVE MEDICINE; - BUILDING AN AFFORDABLE MAJOR MEDICAL PLAN FOR PEOPLE PRICED OUT OF HEALTH INSURANCE. 2. TO BUILD A DURABLE WORKFORCE PIPELINE. - INDIVIDUAL EDUCATION SUPPORT FOR PEOPLE LOOKING TO BECOME NURSES, PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH CLINICIANS AND EMERGENCY MEDICAL TECHNICIANS; - GRANTS FOR INSTITUTIONS TO BUILD CAREER PIPELINES IN THESE FIELDS, STARTING IN HIGH SCHOOL; AND, - LOOSENING SCOPE OF PRACTICE FOR PHYSICIAN ASSISTANTS, DENTAL HYGIENISTS, AND PHARMACISTS. 3. TO IMPROVE METABOLIC, CARDIOVASCULAR, AND BEHAVIORAL HEALTH OUTCOMES. - EXERCISE AND DIET PROMOTION; - RESTRICTING THE USE OF SNAP/FOOD STAMPS TO BUY UNHEALTHY FOOD; AND, - STATEWIDE TELEPSYCHIATRY AND CRISIS INTERVENTION SERVICES. 4. TO USE TECHNOLOGY AND PAYMENT MODELS TO IMPROVE CHRONIC DISEASE MANAGEMENT AND BRING CARE CLOSER TO HOME. - CLINICALLY-INTEGRATED CARE COORDINATION FOR PEOPLE AT HIGH RISK OF CHRONIC DISEASE; AND, - NON-EMERGENCY TRANSPORTATION COORDINATION. WE WERE REQUESTED TO ASSUME A HYPOTHETICAL $200,000,000 TOTAL BUDGET FOR THIS PROPOSAL. DEPENDING ON THE AMOUNT WYOMING ACTUALLY RECEIVES, 48% OF THE FUNDING WILL SUPPORT ACCESS TO EMERGENCY MEDICAL CARE, 25% WILL INCREASE RURAL WORKFORCE SUPPLY, 16% IS TARGETED AT IMPROVING HEALTH OUTCOMES, 10% WILL HELP PROVIDERS ACQUIRE INNOVATIVE NEW TECHNOLOGY, AND LESS THAN 1% WILL COVER STATE ADMINISTRATIVE COSTS. ALTHOUGH THIS FUNDING IS TIME-LIMITED, ALL OF OUR INITIATIVES ARE INTENTIONALLY BUILT FOR THE LONG-TERM. RURAL HEALTH TRANSFORMATION IS A ONCE-IN-A-GENERATION OPPORTUNITY TO STRENGTHEN HOW CARE IS DELIVERED IN WYOMING, AND WE WILL NOT LET IT GO TO WASTE. | health |
| 2026-02-20 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $204,704,101 | LIHEAP-2022 | social-services |
| 2026-04-20 | FRESNO COUNTY ECONOMIC OPPORTUNITIES COMMISSION | Department of Health and Human Services | $204,617,223 | HEAD START AND EARLY HEAD START | social-services |
| 2026-06-17 | CGS ADMINISTRATORS, LLC | Department of Health and Human Services | $204,391,630 | JURISDICTION J15 A/B MAC | health |
| 2026-02-20 | PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF | Department of Health and Human Services | $204,223,477 | PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) COOPERATIVE AGREEMENT | health |
| 2026-06-09 | MCKESSON SPECIALTY DISTRIBUTION LLC | Department of Health and Human Services | $203,925,445 | CENTRALIZED VACCINE DISTRIBUTION | health |
| 2026-04-06 | STATE OF FLORIDA DEPARTMENT OF REVENUE | Department of Health and Human Services | $203,719,401 | CSE-2023 | social-services |
| 2026-04-06 | STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES | Department of Health and Human Services | $203,670,005 | THE RURAL HEALTH TRANSFORMATION PROGRAM - WISCONSIN - FROM THE SHORES OF THE GREAT LAKES TO THE BANKS OF THE MISSISSIPPI, FROM THE VAST NORTHWOODS TO THE RUGGED BLUFFS OF THE DRIFTLESS SOUTHWEST, RURAL WISCONSIN HOLDS IMMENSE STRENGTH, TRADITION, AND SENSE OF COMMUNITY. AND THOUGH ALL WISCONSINITES DESERVE ACCESS TO HIGH QUALITY AND TIMELY HEALTH CARE, RURAL RESIDENTS FACE MAJOR CHALLENGES DUE TO GEOGRAPHIC BARRIERS AND A FRAGMENTED HEALTH CARE SYSTEM. WE IMAGINE A FUTURE WHERE GEOGRAPHY DOESN’T DETERMINE YOUR HEALTH, AND WHERE COMMUNITIES CAN WORK TOGETHER TO IMPROVE CARE FOR THEMSELVES AND THEIR NEIGHBORS. TO BRING THIS VISION CLOSER TO REALITY, THE STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES, AS DIRECTED BY GOVERNOR TONY EVERS, IS APPLYING FOR THE RURAL HEALTH TRANSFORMATION (RHT) PROGRAM. THE DEPARTMENT WILL PARTNER WITH RURAL COMMUNITIES TO TRANSFORM HEALTH CARE, WHILE STRENGTHENING OUR ECONOMY, OUR WORKFORCE, AND OUR COMMUNITIES. THIS $1 BILLION INVESTMENT WILL FOCUS ON RURAL CAPACITY, SUSTAINABILITY, AND INNOVATION ACROSS THREE MAJOR INITIATIVES: STRENGTHEN RURAL HEALTH CARE WORKFORCE - $337 MILLION. RECRUITING AND RETAINING AN ADEQUATE HEALTH CARE WORKFORCE IS A CHALLENGE IN RURAL AREAS, MAKING ACCESS TO QUALITY, TIMELY CARE FOR RURAL RESIDENTS DIFFICULT. RHT FUNDS WILL PROVIDE GRANTS FOR INNOVATIVE WORKFORCE PROJECTS IN RURAL COMMUNITIES, SUPPORT CAREER PATHWAYS FOR RURAL HEALTH CARE PROVIDERS, AND FUND SERVICES PROVIDED BY COMMUNITY HEALTH WORKERS. DRIVE RURAL TECHNOLOGY AND INNOVATION - $329 MILLION. RURAL WISCONSIN NEEDS THE TECHNOLOGY TO SUPPORT AND REACH RESIDENTS, SUCH AS CLOSED-LOOP REFERRAL SYSTEMS AND TELEHEALTH CAPABILITIES. WISCONSIN WILL INVEST RHT FUNDS TO UPGRADE RURAL PROVIDER SYSTEMS AND DIGITAL INFRASTRUCTURE AND DEVELOP A DIGITAL RURAL HEALTH CARE COLLABORATIVE. TRANSFORM RURAL CARE THROUGH PARTNERSHIPS - $279 MILLION. RURAL WISCONSINITES EXPERIENCE FRAGMENTED COORDINATION ACROSS PRIMARY CARE, SPECIALTY CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION, AND COMMUNITY SOCIAL SUPPORTS. WISCONSIN WILL STAND UP A COMPETITIVE GRANT PROGRAM FOR RURAL REGIONS TO CREATE COORDINATED SYSTEMS OF CARE WHERE MULTI-SECTOR PARTNERSHIPS SHOW A CLEAR PATH TO SUSTAINABILITY. EACH REGION OF WISCONSIN HAS UNIQUE CHALLENGES AND STRENGTHS. WISCONSIN’S RHT APPLICATION RECOGNIZES THIS VARIATION AND LEANS ON PARTNERSHIPS AND FLEXIBILITY FOR LOCAL EXPERTISE TO SOLVE PROBLEMS. A WIDE RANGE OF ORGANIZATIONS ACROSS THE STATE WILL BE INVOLVED IN THIS WORK: HEALTH CARE PROVIDERS, SUCH AS RURAL HOSPITALS, COMMUNITY HEALTH CENTERS, DENTAL PROVIDERS, BEHAVIORAL HEALTH CLINICS, LONG-TERM CARE PROVIDERS, PHARMACIES, AND EMERGENCY MEDICAL SERVICE AGENCIES. LOCAL AND TRIBAL GOVERNMENTS, SUCH AS LOCAL AND TRIBAL HEALTH DEPARTMENTS, COUNTY HUMAN SERVICES AGENCIES, SCHOOL DISTRICTS, AND COLLEGES AND UNIVERSITIES. OTHER PRIVATE AND PUBLIC SECTOR PARTNERS BASED ON COMMUNITY STRENGTHS AND NEEDS, SUCH AS BUSINESSES, TRANSPORTATION COMPANIES, FOOD PANTRIES, AND LIBRARIES. WE SEE A DAY WHEN RURAL WISCONSIN HAS THE RESOURCES, TECHNOLOGIES, AND PARTNERSHIPS NEEDED TO CONNECT EVERYONE TO THE CARE THEY NEED, WHEN THEY NEED IT. THIS IS A FUTURE WORTH FIGHTING FOR, AND THE ONCE-IN-A-GENERATION INVESTMENT OF THE RHT PROGRAM WILL HELP US GET THERE. WISCONSIN IS READY FOR THE CHALLENGE. | health |
| 2026-04-20 | ECONOMIC AND COMMUNITY AFFAIRS, ALABAMA DEPARTMENT OF | Department of Health and Human Services | $203,404,327 | ALABAMA RURAL HEALTH TRANSFORMATION PROGRAM - IMPLEMENT STATEWIDE SUSTAINABLE RURAL HEALTHCARE INITIATIVES THAT SUPPORT THE GOALS OF THE PROGRAM BY TRANSFORMING THE HEALTHCARE DELIVERY ECOSYSTEM. - ALABAMA RURAL HEALTH TRANSFORMATION PROGRAM (ARHTP) STATE OF ALABAMA, DIRECTOR OF THE ALABAMA DEPARTMENT OF ECONOMIC AND COMMUNITY AFFAIRS (ADECA) AS ITS AOR SUBRECIPIENTS: TO BE DETERMINED TOTAL BUDGET REQUEST: $1 BILLION PURPOSE AND OUTCOMES THROUGH ITS RHTP, ALABAMA AIMS TO MODERNIZE AND INTEGRATE ITS RURAL HEALTH SYSTEM TO ENSURE EQUITABLE, EFFICIENT, AND SUSTAINABLE ACCESS TO HIGH-QUALITY CARE. THE PROGRAM IS DESIGNED TO: • ENHANCE HEALTH INFORMATION TECHNOLOGY (IT) AND CYBERSECURITY THROUGH REGIONAL SHARED-SERVICE HUBS SUPPORTING ELECTRONIC HEALTH RECORD (EHR) INTEGRATION AND COMPLIANCE. • EXPAND ACCESS TO CARE VIA TELEHEALTH, REMOTE MONITORING, AND REGIONAL SPECIALTY NETWORKS. • ADDRESS MATERNAL AND CANCER CARE DESERTS THROUGH DIGITAL REGIONALIZATION AND MOBILE SCREENING MODELS. • STRENGTHEN THE HEALTHCARE WORKFORCE THROUGH RURAL TRAINING PIPELINES, SIMULATION TRAINING PROGRAMS, AND EXPANDED GRADUATE MEDICAL EDUCATION (GME) OPPORTUNITIES. • IMPROVE BEHAVIORAL HEALTH ACCESS BY CONVERTING COMMUNITY MENTAL HEALTH CENTERS INTO CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS). PROJECT DESIGN AND ACTIVITIES ALABAMA WILL USE THE FUNDS FROM THE RHTP TO IMPLEMENT ELEVEN INTERRELATED INITIATIVES STATEWIDE: • COLLABORATIVE EHR, IT, AND CYBERSECURITY: REGIONAL IT HUBS SUPPORTING EHR INTEGRATION, IT INFRASTRUCTURE, AND SECURITY. • RURAL HEALTH: STATEWIDE TELEHEALTH/TELECONSULT NETWORK FOR SPECIALTY ACCESS. • MATERNAL AND FETAL HEALTH: DIGITAL OBSTETRIC REGIONALIZATION AND TELEROBOTIC ULTRASOUND. • RURAL WORKFORCE: PHYSICIAN, NURSE, EMERGENCY MEDICAL SERVICE (EMS), MIDWIFE, DENTIST, AND DENTAL HYGIENIST AND DENTAL ASSISTANT TRAINING PROGRAMS. • CANCER DIGITAL REGIONALIZATION: MOBILE AND REGIONAL CANCER SCREENING. • SIMULATION TRAINING: SPECIALTY-BASED SIMULATION EDUCATION EXPANSION. • STATEWIDE EMS TRAUMA AND STROKE: IMPROVING THE STATEWIDE EMS DIVERSION AND ROUTING SYSTEM. • EMERGENCY MEDICAL SERVICE (EMS) TREAT-IN-PLACE: EMS PILOT FOR ON-SITE TREATMENT OF LOW-ACUITY PATIENTS. • MENTAL HEALTH: BEHAVIORAL HEALTH FACILITY CONVERSION AND EXPANSION. • COMMUNITY MEDICINE: MOBILE WELLNESS AND NUTRITION UNITS. • RURAL HEALTH PRACTICE: NETWORKED CLINICS INTEGRATING BEHAVIORAL, PHYSICAL, AND DENTAL HEALTH. | health |
| 2026-04-06 | STATE OF FLORIDA DEPARTMENT OF REVENUE | Department of Health and Human Services | $203,253,430 | SCSS-2026 - CHILD SUPPORT SERVICES - STATES | social-services |
| 2026-04-06 | OHIO DEPARTMENT OF HEALTH | Department of Health and Human Services | $202,030,262 | OHIO'S RURAL HEALTH TRANSFORMATION PROJECT WILL IMPLEMENT INITIATIVES TO IMPROVE HEALTH FOR RURAL OHIOANS THROUGH INNOVATION, HEALTHCARE ACCESS, AND PREVENTION. - THE OHIO RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) PRESENTS THIS PLAN TO STRENGTHEN HEALTHCARE ACCESS, OUTCOMES, AND WORKFORCE CAPACITY ACROSS OHIO’S 73 NON-URBAN COUNTIES. THE 4.4 MILLION RESIDENTS LIVING IN THESE RURAL COMMUNITIES ARE IMPACTED BY LIMITED ACCESS TO CARE, HOSPITAL CLOSURES, WORKFORCE SHORTAGES, AND HIGH RATES OF CHRONIC AND BEHAVIORAL HEALTH CONDITIONS. RURAL AND APPALACHIAN OHIOANS EXPERIENCE HIGHER RATES OF HEART DISEASE, DIABETES, COPD, CANCER, AND SUICIDE THAN STATE AVERAGES. THIRTEEN COUNTIES ARE MATERNITY CARE DESERTS, AND NEARLY ONE IN FIVE RURAL HOSPITALS IS AT RISK OF CLOSURE. PROVIDER SHORTAGES ARE WIDESPREAD: PRIMARY CARE AVAILABILITY IS NEARLY HALF THAT OF URBAN REGIONS, AND BEHAVIORAL AND ORAL HEALTH GAPS PERSIST. THESE CHALLENGES ARE COMPOUNDED BY LOWER EDUCATION LEVELS, HIGHER POVERTY, AND AN AGING POPULATION—ONE IN THREE RURAL OHIOANS IS OVER AGE 60. OHIO’S PLAN ALIGNS WITH FEDERAL PRIORITIES TO MAKE RURAL AMERICA HEALTHY AGAIN THROUGH SUSTAINABLE ACCESS, WORKFORCE DEVELOPMENT, INNOVATIVE CARE, AND TECH ADVANCEMENT. KEY INITIATIVES: RURAL HEALTH INNOVATION HUBS – ESTABLISH CLINICALLY INTEGRATED NETWORKS (CINS) AND REGIONAL CENTERS OF EXCELLENCE LINKING HOSPITALS, CLINICS, EMS, PHARMACISTS, AND COMMUNITY PARTNERS TO COORDINATE CARE, REDUCE COSTS, AND EXPAND CAPACITY. LEGISLATIVE REFORMS WILL ALLOW LOW-RISK BIRTHING CENTERS IN RURAL HOSPITALS. EMERGENCY CARE TRANSFORMATION – SCALE A SUCCESSFUL PILOT ENABLING EMS TO PROVIDE TREAT-IN-PLACE OR ALTERNATE-DESTINATION CARE, REDUCING UNNECESSARY EMERGENCY DEPARTMENT USE THROUGH TRAINING, SYSTEM UPGRADES, AND IMPROVED CONNECTIVITY. SCHOOL-BASED HEALTH CENTERS – ESTABLISH CLINICS ON K–12 AND COLLEGE CAMPUSES OFFERING PRIMARY, BEHAVIORAL, DENTAL, AND TELEHEALTH SERVICES FOR STUDENTS AND COMMUNITY MEMBERS, SERVING ALSO AS RURAL CLINICAL TRAINING SITES. OH SEE – EXPAND STATEWIDE MOBILE VISION, HEARING, AND DENTAL CARE BASED ON A 13-COUNTY PILOT TO ENSURE EARLY DIAGNOSIS AND TREATMENT FOR CHILDREN. RURAL WORKFORCE PIPELINE – BUILD A CONTINUUM FROM HIGH SCHOOL THROUGH PROFESSIONAL TRAINING AND EMPLOYMENT, FEATURING UPSKILLING FOR COMMUNITY HEALTH WORKERS AND PHARMACISTS, FIVE-YEAR RURAL SERVICE COMMITMENTS, AND PARTNERSHIPS AMONG SCHOOLS, UNIVERSITIES, AND EMPLOYERS. CROSS-CUTTING STRATEGIES: RHTP EMBEDS TELEHEALTH, REMOTE MONITORING, AND INTEROPERABLE ELECTRONIC MEDICAL RECORDS ACROSS INITIATIVES. POLICY ACTIONS INCLUDE EXPANDING PHARMACIST SCOPE OF PRACTICE, ESTABLISHING RURAL BIRTHING CENTERS, REINSTATING THE PRESIDENTIAL FITNESS TEST, AND REQUIRING PHYSICIAN NUTRITION CME. MORE THAN 300 PARTNERS (HOSPITALS, FQHCS, UNIVERSITIES, EMS, ASSOCIATIONS) COLLABORATED ON THE PLAN. IMPLEMENTATION WILL OCCUR THROUGH LOCAL PARTNERS WITH STATE OVERSIGHT. SUSTAINABILITY: EACH PROJECT IS DESIGNED FOR LONG-TERM VIABILITY THROUGH BILLABLE SERVICE MODELS, SHARED-SERVICE EFFICIENCIES, AND ALIGNMENT WITH MEDICAID AND VALUE-BASED PAYMENT SYSTEMS. WORKFORCE INCENTIVES, TECHNOLOGY ADOPTION, AND LEGISLATIVE REFORMS WILL ENSURE CONTINUITY BEYOND THE GRANT PERIOD. EXPECTED OUTCOMES BY 2031: • ESTABLISH REGIONAL INTEGRATED NETWORKS ACROSS ALL RURAL COUNTIES. EXPANDED RURAL SBHCS. • REDUCE AVOIDABLE EMERGENCY VISITS THROUGH EMS INNOVATION. • IMPROVE DIABETES AND HYPERTENSION OUTCOMES STATEWIDE. • INCREASE THE RURAL HEALTH WORKFORCE BY AT LEAST 20%. • STRENGTHEN MATERNAL, BEHAVIORAL, AND PREVENTIVE CARE ACCESS. CONCLUSION: THIS REPRESENTS A BOLD, DATA-DRIVEN TRANSFORMATION OF RURAL HEALTHCARE IN OHIO. THROUGH TECHNOLOGY, POLICY INNOVATION, AND CROSS-SECTOR COLLABORATION, THE PROGRAM WILL CREATE A SUSTAINABLE MODEL THAT IMPROVES CARE QUALITY, STRENGTHENS THE WORKFORCE, AND ENHANCES HEALTH OUTCOMES FOR RURAL OHIOANS. | health |
| 2026-03-20 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $200,535,353 | LIHEAP-2021 | social-services |
| 2026-04-20 | ARIZONA DEPARTMENT OF HEALTH SERVICES | Department of Health and Human Services | $200,156,165 | CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN | health |
| 2026-04-22 | STATE OF COLORADO - DEPT OF HEALTH CARE POLICY & FINANCING | Department of Health and Human Services | $200,105,604 | COLORADO RURAL HEALTH TRANSFORMATION PROGRAM - COLORADO IS DEDICATED TO ENSURING OUR RURAL RESIDENTS HAVE READY ACCESS TO THE SAME HIGH QUALITY, MULTIMODAL, AFFORDABLE HEALTH CARE AS THEIR URBAN COUNTERPARTS. THE COLORADO RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) IS THE LYNCHPIN BY WHICH WE CAN ENSURE THAT VISION BECOMES REALITY. BY STRENGTHENING PRIVATE-PUBLIC PARTNERSHIPS, INCREASING ACCESS, MODERNIZING DELIVERY, AND FOCUSING ON CHRONIC DISEASE PREVENTION WE CAN ADVANCE THE FUTURE OF HEALTH CARE IN OUR UNIQUELY RURAL AND FRONTIER COMMUNITIES. WORKING CLOSELY WITH RURAL HOSPITALS, RURAL CLINICS, AND LOCAL COMMUNITY ORGANIZATIONS, RHTP CAN HELP THESE COMMUNITIES TAKE CHARGE OF THEIR OWN HEALTH: PREVENTING CHRONIC DISEASE, IMPROVING ACCESS TO VITAL SERVICES, AND SUPPORTING RURAL PROVIDERS. RHTP WILL SUPPORT AND STRENGTHEN COLORADO’S COMMUNITY-DRIVEN INITIATIVES, KEEPING CARE LOCAL AND ADMINISTERING THE PROGRAM AT A LOW 2.98%. RHTP FUNDING WILL: -PROVIDE RURAL HOSPITALS AND CLINICS WITH RESOURCES TO HELP COMMUNITIES GET AND STAY HEALTHY TO REDUCE CHRONIC DISEASE. -INVEST IN TELEHEALTH, MOBILE HEALTH TOOLS AND MONITORING, EQUIPMENT AND SHARED DATA SYSTEMS TO CONNECT AND IMPROVE OUTCOMES FOR PATIENTS. -RECRUIT AND KEEP LOCAL PROVIDERS INCLUDING BUT NOT LIMITED TO PHYSICIANS, NURSES, PARAMEDICS, LOCAL EDUCATION PARTNERSHIPS, AND BEHAVIORAL HEALTH PROFESSIONALS, THROUGH STREAMLINED CREDENTIALING PROCESSES, CROSS-TRAINING, AND ASSESSING AND SUPPORTING WORKFORCE NEEDS. -BRING TOGETHER PHYSICAL, BEHAVIORAL, PUBLIC HEALTH, SCHOOLS, AND LOCAL BUSINESSES TO PARTNER TO IMPROVE OUTCOMES AND AFFORDABILITY FOR RURAL COLORADANS. -STRENGTHEN ACCESS TO CARE, ENSURING THAT RURAL COLORADANS HAVE ESSENTIAL SERVICES INCLUDING PRIMARY CARE, WELLNESS, EMERGENCY, BEHAVIORAL HEALTH, AND MATERNITY CARE SERVICES IN RURAL COMMUNITIES. -TRANSFORM INNOVATIVE CARE MODELS TO MEET RURAL COMMUNITY NEEDS WHILE PROVIDING SUSTAINABILITY, AFFORDABILITY AND LASTING INFRASTRUCTURE. EXPECTED IMPACT WITH THE INVESTMENT OF RHTP, 2031 LOOKS BRIGHT IN BOTH COLORADO’S RURAL PLAINS AND MOUNTAIN COMMUNITIES. COLORADO’S RHTP WILL LEAVE A LASTING LEGACY: A SUSTAINABLE, EFFICIENT, AND ROBUST RURAL HEALTH SYSTEM WORTHY OF THE PEOPLE IT SERVES. | health |
| 2026-05-05 | DEPARTMENT OF HEALTH HUMAN SERVICES | Department of Health and Human Services | $200,030,252 | TRANSFORMING RURAL HEALTHCARE IN SOUTH CAROLINA - SOUTH CAROLINA PROPOSES A BOLD AND COMPREHENSIVE RURAL HEALTH TRANSFORMATION (RHT) PLAN TO ADDRESS LONGSTANDING DISPARITIES IN HEALTH CARE ACCESS, QUALITY, AND OUTCOMES ACROSS ITS RURAL COMMUNITIES. WITH APPROXIMATELY 1.75 MILLION RESIDENTS—32.6% OF THE STATE’S POPULATION—LIVING IN RURAL AREAS, THE STATE FACES DISPROPORTIONATE RATES OF CHRONIC DISEASE, MATERNAL MORTALITY, AND LIMITED ACCESS TO CARE DUE TO PROVIDER SHORTAGES; AGING INFRASTRUCTURE; AND THE GEOGRAPHIC AND LOGISTICAL CHALLENGES INHERENT TO RURAL COMMUNITIES. SOUTH CAROLINA’S RHT PLAN IS DESIGNED TO TRANSFORM THE RURAL HEALTH CARE LANDSCAPE THROUGH FIVE INTEGRATED, OUTCOMES-DRIVEN INITIATIVES: CONNECTIONS TO CARE – EXPANDS DIGITAL INFRASTRUCTURE BY IMPLEMENTING ELECTRONIC HEALTH RECORDS, REMOTE PATIENT MONITORING, TELEHEALTH SERVICES AND A STATEWIDE RESOURCE DATABASE PLATFORM TO IMPROVE CARE COORDINATION AND ACCESS. LEVELING UP – SCALES SUCCESSFUL PILOT PROGRAMS STATEWIDE, FOCUSING ON CHRONIC DISEASE MANAGEMENT, PEDIATRIC CARE QUALITY, AND WORKFORCE DEVELOPMENT. WELLNESS WITHIN REACH – DEPLOYS MOBILE HEALTH UNITS, CRISIS RESPONSE TEAMS, AND POP-UP CLINICS TO BRING CARE DIRECTLY TO UNDERSERVED POPULATIONS. SHORING UP TO SUSTAINABILITY – STRENGTHENS RURAL HEALTHCARE SYSTEMS THROUGH TARGETED INVESTMENTS IN WORKFORCE RECRUITMENT AND RETENTION, FACILITY UPGRADES, AND PROVIDER TRAINING. TECH CATALYST FUND – SUPPORTS RURAL HEALTH TECHNOLOGY STARTUPS AND COMMUNITY-BASED INNOVATIONS TO DRIVE LONG-TERM HEALTH AND ECONOMIC IMPROVEMENTS. LED BY THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOUTH CAROLINA’S PLAN AND ITS FIVE INITIATIVES, ALIGNS WITH THE RHT’S FIVE STRATEGIC GOALS: MAKE RURAL AMERICA HEALTHY AGAIN, SUSTAINABLE ACCESS, WORKFORCE DEVELOPMENT, INNOVATIVE CARE, AND TECH INNOVATION. THE PROGRAM EMPHASIZES ONE-TIME, HIGH-IMPACT INVESTMENTS THAT REMOVE SYSTEMIC BARRIERS AND BUILD LONG-TERM CAPACITY, WITH A FOCUS ON IMPROVING CHRONIC DISEASE AND MATERNAL HEALTH OUTCOMES ACROSS ALL RURAL COUNTIES. TO IMPLEMENT THIS TRANSFORMATIVE VISION, SOUTH CAROLINA IS REQUESTING $1 BILLION IN FEDERAL FUNDING. THIS INVESTMENT WILL ENABLE THE STATE TO MODERNIZE RURAL HEALTHCARE INFRASTRUCTURE, EXPAND ACCESS TO ESSENTIAL SERVICES, AND BUILD A RESILIENT, SUSTAINABLE HEALTHCARE SYSTEM THAT DELIVERS MEASURABLE IMPROVEMENTS IN HEALTH OUTCOMES FOR GENERATIONS TO COME. | health |
| 2026-04-06 | WEST VIRGINIA DEPARTMENT OF HEALTH | Department of Health and Human Services | $199,476,099 | THE WV RURAL HEALTH TRANSFORMATION PROGRAM LAUNCHES A ONCE-IN-A-GENERATION EFFORT TO IMPROVE HEALTHCARE OUTCOMES, BUILD A HEALTHY AND LONG-LASTING RURAL WORKFORCE, AND DEVELOP A MORE VIBRANT ECONOMY. - LEAD APPLICANT: WEST VIRGINIA DEPARTMENT OF HEALTH TOTAL ESTIMATED BUDGET: $1 BILLION (AS DIRECTED BY CMS FOR APPLICATION DEVELOPMENT) SUB-AWARDS: DISTRIBUTED THROUGH A MIX OF COMPETITIVE GRANTS AND DIRECT STATE AGENCY AWARDS THE WEST VIRGINIA RURAL HEALTH TRANSFORMATION (WV RHT) PROGRAM LAUNCHES A ONCE-IN-A-GENERATION EFFORT TO DRAMATICALLY IMPROVE OUR HEALTHCARE OUTCOMES TO FACILITATE THE CREATION OF A LARGER, MORE PRODUCTIVE, AND HEALTHIER WORKFORCE. ENABLED BY STRATEGIC INVESTMENTS IN TECHNOLOGY AND UNPRECEDENTED COLLABORATION WITH OUR RURAL COMMUNITIES, IMPROVED HEALTHCARE OUTCOMES WILL SERVE AS THE FOUNDATION OF WEST VIRGINIA’S NEW ECONOMIC STRENGTH AND OUR COMEBACK STORY. WEST VIRGINIA WILL BUILD UPON THE INDOMITABLE SPIRIT OF ITS PEOPLE AND IGNITE TRANSFORMATIONAL OPPORTUNITIES TO GROW OUR WORKFORCE, STRENGTHEN RURAL HEALTH, AND IMPROVE OUR STANDARD OF LIVING—OVERCOMING DECADES OF BARRIERS TO PRODUCTIVITY. WEST VIRGINIA FACES THE NATION’S TOUGHEST RURAL HEALTH AND ECONOMIC CHALLENGES. POOR HEALTH AND DISABILITY ARE THE TOP REASONS THAT WEST VIRGINIANS CITE FOR NOT WORKING. REVERSING THAT REALITY IS AT THE HEART OF THIS PLAN. THE STATE WILL TACKLE FOUNDATIONAL HEALTH BARRIERS THAT HOLD BACK WORKFORCE PARTICIPATION (INCLUDING ADDICTION, DIABETES, HYPERTENSION, CARDIOVASCULAR DISEASE, COPD, AND ASTHMA), MAKE WEST VIRGINIA A HUB FOR RURAL HEALTH INNOVATION, AND MODERNIZE CARE DELIVERY AND PAYMENT SYSTEMS TO DRIVE HEALTHCARE VALUE AND ENSURE LONG-TERM SUSTAINABILITY. THE RHT PLAN WILL CENTER ON SEVEN FLAGSHIP INITIATIVES: 1) CONNECTED CARE GRID WILL BRING HEALTHCARE ACCESS DIRECTLY TO PEOPLE—BOTH IN PERSON AND DIGITALLY—BY INTEGRATING TELEHEALTH, REMOTE MONITORING, AND LOCAL CARE COORDINATION. 2) RURAL HEALTH LINK WILL UNIFY MEDICAL AND COMMUNITY TRANSPORTATION INTO A ONE-STOP SYSTEM SO DISTANCE AND MOBILITY ARE NEVER BARRIERS TO CARE. 3) MOUNTAIN STATE CARE FORCE WILL ATTRACT TOP CLINICAL TALENT WHILE TRAINING AND RETAINING WEST VIRGINIA’S OWN FUTURE PROVIDERS. 4) SMART CARE CATALYST WILL EQUIP RURAL PROVIDERS WITH PAYMENT AND DATA TOOLS THAT FREE TIME FOR PATIENTS AND SUSTAIN PROVIDER VIABILITY. 5) HEALTH TO PROSPERITY PIPELINE WILL CONNECT RECOVERY, CARE MANAGEMENT, AND EMPLOYMENT PROGRAMS TO HELP EVERY WEST VIRGINIAN FIND WORK AND PROSPERITY. 6) PERSONAL HEALTH ACCELERATOR WILL USE EDUCATION AND INCENTIVES TO EMPOWER WEST VIRGINIANS TO LEAD HEALTHY, PRODUCTIVE LIVES THROUGH PREVENTION, NUTRITION, AND EXERCISE. 7) HEALTHTECH APPALACHIA WILL INCUBATE LEAP-FROG TECHNOLOGIES THAT IMPROVE OUTCOMES AND GENERATE GROWTH, ESTABLISHING WEST VIRGINIA AS A HUB FOR HEALTH INNOVATION. BUILDING ON THE STATE’S LEADERSHIP IN ADVANCING MAKE AMERICA HEALTHY AGAIN PRIORITIES, THIS WV RHT PLAN INVESTS IN PROACTIVE CARE TO PREVENT THE VERY CONDITIONS THAT LEAD TO PUBLIC SPENDING. AS ACCESS AND OUTCOMES IMPROVE, MORE RESIDENTS WILL REJOIN THE WORKFORCE, HEALTHCARE SYSTEMS WILL STABILIZE FINANCIALLY, AND PRIVATE INVESTMENT WILL FLOW—REVERSING THE DECADES-LONG TREND OF POOR HEALTH AND POVERTY AND CREATING A DURABLE CYCLE OF HEALTH AND PROSPERITY ACROSS THE STATE. | health |
| 2026-04-06 | DEPARTMENT OF SOCIAL SERVICES CONNECTICUT | Department of Health and Human Services | $199,430,781 | 2026 TANF | social-services |
| 2026-04-06 | NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $198,936,970 | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER THREAT FROM WORKFORCE SHORTAGES, FINANCIALLY FRAGILE FACILITIES, WIDENING OUTCOME GAPS FOR TRIBAL AND FRONTIER COMMUNITIES, AND FRAGMENTED DATA AND TECHNOLOGY THAT BLOCK INNOVATION. OUR RURAL HEALTH TRANSFORMATION PLAN (RHTP) IS A FIVE-YEAR, STATEWIDE ROADMAP TO STRENGTHEN AND STABILIZE RURAL WORKFORCE, BRING HIGH QUALITY HEALTH CARE CLOSER TO HOME, CONNECT TECH, DATA AND PROVIDERS AND MAKE NORTH DAKOTA HEALTHY AGAIN. BUILT ON BROAD STAKEHOLDER INPUT, OUR RHTP CONFRONTS IMMEDIATE THREATS TO RURAL HEALTH WHILE BUILDING LASTING SUSTAINABILITY. GOALS/OUTCOMES 1. REBUILD AND RETAIN A RURAL HEALTH WORKFORCE • INCREASE RURAL PROVIDER RETENTION • EXPAND REMOTE MONITORING AND AI-ASSISTED CARE • REDUCE HEALTH PROFESSIONAL SHORTAGES 2. PREVENT CHRONIC DISEASE, RESTORE HEALTH, AND REDUCE COST • INCREASE ACTIVITY AND REDUCE OBESITY • REDUCE CHRONIC DISEASE • PREVENT SUICIDE 3. BRING HIGH QUALITY CARE CLOSER TO HOME • INCREASE TELEHEALTH AND REMOTE MONITORING USE • IMPROVE CARE COORDINATION • IMPROVE TIMELINESS OF CARE 4. GAIN EFFICIENCY WITH MODERN TECH AND DATA • INCREASE TRANSPARENCY AND MODERNIZE AND CROSS-LINK DATA • CREATE SAVINGS FROM COOPERATIVE PURCHASING • EXPAND REMOTE MONITORING AND AI-ASSISTED CARE HOW NORTH DAKOTA WILL USE THE FUNDS 1. STRENGTHEN AND STABILIZE RURAL HEALTH WORKFORCE ($162.4M) – TRAIN AND RETAIN A HIGH-SKILLED WORKFORCE THROUGH NEW RESIDENCIES, GROW-YOUR-OWN WORKFORCE PIPELINES, RECRUITMENT AND RETENTION GRANTS, AND TRAINING TO DEVELOP THE EXISTING WORKFORCE TO WORK AT THE TOP OF THEIR LICENSE. 2. MAKE NORTH DAKOTA HEALTHY AGAIN ($85.9M) – LAUNCH EAT WELL ND AND ND MOVES TOGETHER TO PUT EVIDENCE-BASED PRACTICES IN NUTRITION, PHYSICAL ACTIVITY AND BEHAVIORAL HEALTH AT THE CENTER OF EVERYDAY LIFE. SUSTAIN PROGRESS THROUGH MULTIPAYER FOCUS ON INNOVATIVE CARE MODELS AND PAYMENT MECHANISMS. 3. BRING HIGH-QUALITY HEALTH CARE CLOSER TO HOME ($583.8M) – TRANSFORM CARE MODELS WITH NEW TECH TOOLS TO REDUCE RELIANCE ON PHYSICAL WORKFORCE AND FOSTER EFFICIENCY BY DEPLOYING TELEHEALTH HUBS, MOBILE CLINICS, REMOTE PATIENT MONITORING, WHILE ALIGNING TO NEW CARE COORDINATION MODELS AND FOCUSING ON SUSTAINABILITY THROUGH REVENUE DIVERSIFICATION AND RIGHT-SIZING CARE DELIVERY. 4. CONNECT TECH, DATA AND PROVIDERS FOR A STRONGER ND ($168.0M) – CUT COSTS BY MODERNIZING TECH INFRASTRUCTURE AND BRINGING PROVIDERS TOGETHER TO SUPPORT SHARED INFRASTRUCTURE AND IMPROVED DATA SHARING. NORTH DAKOTA IS TAKING BOLD STEPS TO RESTORE HEALTH, OPPORTUNITY, AND DIGNITY TO OUR PRAIRIES. NORTH DAKOTA’S RHTP DELIVERS PRACTICAL INVESTMENTS THAT HONOR LOCAL AND TRIBAL VALUES, PROTECT RURAL INDEPENDENCE, AND GET AMERICA BACK TO WHAT MATTERS: HEALTHY PEOPLE, PROSPEROUS COMMUNITIES, AND COMMON-SENSE SERVICE DELIVERY. | health |
| 2026-03-20 | OREGON HEALTH AUTHORITY | Department of Health and Human Services | $197,271,578 | OREGON RURAL HEALTH TRANSFORMATION PROGRAM - THE RURAL HEALTH TRANSFORMATION (RHT) PROGRAM OFFERS A PIVOTAL OPPORTUNITY FOR OREGON TO STRENGTHEN ITS RURAL HEALTHCARE SYSTEM, IMPROVE ACCESS, AND SUPPORT LOCAL COMMUNITIES AND ECONOMIES ACROSS THE STATE. AS THE 9TH LARGEST STATE, WITH 33% OF ITS POPULATION LIVING IN RURAL AND FRONTIER COMMUNITIES, THE STATE FACES ONGOING CHALLENGES RELATED TO HEALTHCARE WORKFORCE SHORTAGES, LIMITED PREVENTATIVE CONNECTIONS, AND THE FINANCIAL STABILITY OF RURAL HOSPITALS AND CLINICS. OREGON ENVISIONS HEALTHY RURAL COMMUNITIES WHERE PEOPLE, PARTNERS, AND TECHNOLOGY COME TOGETHER TO BUILD THRIVING COMMUNITIES OF CARE – ROOTED IN PREVENTION, STRENGTHENED BY REGIONAL COLLABORATION, SUSTAINED BY A RESILIENT WORKFORCE, AND GUIDED BY SMART DATA FOR BETTER HEALTH AND WELL-BEING. TO ENSURE ALL PEOPLE AND COMMUNITIES IN RURAL OREGON CAN ACHIEVE OPTIMUM PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AT EVERY LIFE STAGE, WE WILL ANCHOR OUR EFFORTS IN THESE GOALS: IMPROVING HEALTH ACCESS AND OUTCOMES; FOSTERING WORKFORCE INNOVATION; SUPPORTING TECHNOLOGICAL AND DATA-DRIVEN SOLUTIONS; BUILDING STRATEGIC PARTNERSHIPS; AND USHERING IN A FUTURE OF FINANCIAL SUSTAINABILITY. THROUGH THIS COOPERATIVE AGREEMENT, OREGON AND OUR FEDERAL PARTNERS WILL BUILD ON A STRONG FOUNDATION OF COMMUNITY PARTNERSHIPS AND PRACTICAL HEALTH REFORMS TO ENHANCE CARE DELIVERY IN RURAL AREAS. OREGON WILL DO THIS THROUGH FIVE INITIATIVES: (1) REGIONAL PARTNERSHIPS & SYSTEM TRANSFORMATION (2) HEALTHY COMMUNITIES & PREVENTION (3) WORKFORCE CAPACITY & RESILIENCE (4) TECHNOLOGY & DATA MODERNIZATION AND (5) TRIBAL INITIATIVE. THESE INITIATIVES ALL ALIGN WITH OREGON’S COMMITMENT TO LOCAL AND REGIONAL CONTROL, IMPROVING CARE EFFICIENCY, AND RESPONSIBLE USE OF FEDERAL RESOURCES. THE OREGON HEALTH AUTHORITY (OHA) WILL BE THE LEAD AGENCY RESPONSIBLE FOR IMPLEMENTATION AND ADMINISTRATION OF THE PROGRAM. OHA IS INCLUSIVE OF THE STATE’S PUBLIC HEALTH AGENCY, MEDICAID AGENCY, MARKETPLACE, AND BEHAVIORAL HEALTH AGENCY, WHICH ALLOWS OHA TO BE WELL POSITIONED FOR CROSS-SECTOR PARTNERSHIPS AND A COMPREHENSIVE VIEW OF THE HEALTH OF RURAL OREGONIANS. OHA PROPOSES A BUDGET OF $200 MILLION DOLLARS ANNUALLY FOR FIVE YEARS. OHA WILL PROVIDE A SET-ASIDE TO THE NINE FEDERALLY RECOGNIZED TRIBES OF OREGON AND USE FUNDS TO MAKE AWARDS TO RURAL HEALTH ORGANIZATIONS TO IMPLEMENT THE FIRST FOUR INITIATIVES IN TWO PHASES. THE TWO-PHASE APPROACH FOR FUND DISTRIBUTION, WITHIN EACH INITIATIVE, ALLOWS OREGON TO SUPPORT RURAL ORGANIZATIONS THAT HAVE BEEN WAITING FOR AN OPPORTUNITY LIKE THIS AND BUILD LONGER, SUSTAINABLE APPROACHES TO SOME OF RURAL OREGON’S MOST IMPACTED SECTORS, SUCH AS TECHNOLOGY AND WORKFORCE. IN THE FIRST PHASE, OREGON WILL FUND IMMEDIATE PROJECTS AND UPLIFT OTHER PROJECTS THAT CAN BE EXECUTED WITHIN TWO YEARS. WHILE THOSE PROJECTS ARE OCCURRING, OHA AND ITS REGIONAL PARTNERS WILL WORK TOGETHER TO DEVELOP LONGER-TERM VENTURES THAT WILL BE IMPLEMENTED DURING THE SECOND PHASE OF THE PROGRAM AND BEYOND. ALL AWARDS WILL ENSURE THAT INVESTMENTS AND INITIATIVES ARE COMMUNITY-DIRECTED AND ADDRESS LOCAL AND REGIONAL NEEDS. WITH A PROVEN RECORD OF INNOVATION AND COLLABORATION BETWEEN FEDERAL PARTNERS, STATE AGENCIES, HEALTHCARE PROVIDERS, TRIBAL AND RURAL LEADERS, OREGON IS WELL-POSITIONED TO USE RHT PROGRAM FUNDING TO STRENGTHEN RURAL HEALTHCARE, CREATE JOBS, AND PROMOTE SELF-SUFFICIENT, SUSTAINABLE COMMUNITIES ACROSS THE STATE. | health |
| 2026-03-20 | OHIO DEPARTMENT OF JOB & FAMILY SERVICES | Department of Health and Human Services | $196,618,187 | ADPTASST-2024 | social-services |
| 2026-03-05 | DISTRICT OF COLUMBIA, GOVERNMENT OF | Department of Health and Human Services | $196,469,018 | MEDICAID ENTITLEMENT FOR 12 - FY 2026 - T19 | health |
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