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Federal awards
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4,456 awards
Showing 1001–1050
| Action date | Recipient | Agency | Amount | Description | Sector |
|---|---|---|---|---|---|
| 2026-05-12 | WALSH CONSTRUCTION COMPANY II, LLC | Department of Veterans Affairs | $212,402,055 | CONSTRUCTION LONG TERM SPINAL CORD INJURY VAMC NORTH DALLAS, TX | — |
| 2026-03-05 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $212,155,562 | LIHEAP-2023 | — |
| 2026-04-27 | TEXAS DIVISION OF EMERGENCY MANAGEMENT | Department of Homeland Security | $212,108,238 | GRANT TO LOCAL GOVERNMENT FOR REPAIR OR REPLACEMENT OF DISASTER DAMAGED FACILITIES | — |
| 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. | — |
| 2026-04-28 | CADDELL CONSTRUCTION CO. (DE), LLC | Department of State | $211,927,514 | CONSTRUCTION NEW CONSULATE COMPOUND | — |
| 2026-04-17 | HEALTH & HUMAN SVC COMMN TX | Department of Agriculture | $211,689,429 | WIC ADMIN EXPENSES | — |
| 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. | — |
| 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 | — |
| 2026-04-21 | EMERGENT BIODEFENSE OPERATIONS LANSING LLC | Department of Health and Human Services | $211,409,788 | CHIMERIX INC: AR&D FOR SMALLPOX ANTIVIRAL | — |
| 2026-04-20 | NEVADA STATE VETERANS HOME | Department of Veterans Affairs | $211,400,060 | VHA CBO PURCHASED CARE | — |
| 2026-04-27 | STATE OF FLORIDA DIVISION OF EMERGENCY MANAGEMENT | Department of Homeland Security | $211,152,837 | GRANT TO LOCAL GOVERNMENT FOR REPAIR OR REPLACEMENT OF DISASTER DAMAGED FACILITIES | — |
| 2026-03-05 | GENERAL ELECTRIC COMPANY | National Aeronautics and Space Administration | $211,063,273 | THE REQUIREMENT IS TO ASSIST NASA IN ACCELERATING THE INTRODUCTION OF MEGAWATT CLASS EAP SYSTEMS INTO FUTURE AIRCRAFT PRODUCTS BY U.S. INDUSTRY. THIS EFFORT HELPS TO IDENTIFY CERTIFICATION GAPS, AND ADDRESS GAPS THROUGH GROUND TEST AND FLIGHT TESTS. | — |
| 2026-05-12 | GUIDEHOUSE LLP | Department of State | $210,659,338 | AWARD THE PROGRAM MANAGEMENT SUPPORT SERVICE BODY SHOP CALL ORDER TO GUIDEHOUSE, LLP. | — |
| 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 | — |
| 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. | — |
| 2026-03-03 | DEPARTMENT OF AGRICULTURE NEVADA | Department of Agriculture | $209,702,348 | CNP CN BLOCK PROG | — |
| 2026-05-08 | NUCLEAR FUEL SERVICES INC | Department of Energy | $209,699,873 | ENRICHED URANIUM CONVERSION AND PURIFICATION SERVICES | — |
| 2026-05-11 | CACI, INC. - FEDERAL | National Aeronautics and Space Administration | $209,173,488 | NASA CONSOLIDATED APPLICATION AND PLATFORM SERVICES (NCAPS) | — |
| 2026-03-20 | 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). | — |
| 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 | — |
| 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. | — |
| 2026-03-18 | GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC. | General Services Administration | $208,146,587 | GUARD ENTERPRISE CYBER OPERATIONS SUPPORT ORIGINAL AWARD. | — |
| 2026-03-23 | OHIO DEPARTMENT OF JOB & FAMILY SERVICES | Department of Labor | $207,771,510 | UNEMPLOYMENT INSURANCE | — |
| 2026-04-20 | ARIZONA DEPARTMENT OF ECONOMIC SECURITY | Department of Labor | $206,941,609 | UNEMPLOYMENT INSURANCE | — |
| 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. | — |
| 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. | — |
| 2026-04-13 | SALIENT CRGT, INC. | Department of Veterans Affairs | $206,859,204 | NETWORK ENGINEERING, DESIGN, IMPLEMENTATION AND INFRASTRUCTURE SUPPORT. | — |
| 2026-04-06 | 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. | — |
| 2026-05-12 | NORTH DAKOTA, STATE OF | Department of Homeland Security | $206,675,349 | GRANT TO LOCAL GOVERNMENT FOR REPAIR OR REPLACEMENT OF DISASTER DAMAGED FACILITIES | — |
| 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 | — |
| 2026-04-17 | WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION | Department of Agriculture | $206,460,379 | CNP CN BLOCK PROG | — |
| 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 | — |
| 2026-04-29 | TELEDYNE BROWN ENGINEERING, INC. | National Aeronautics and Space Administration | $206,254,524 | IGF::OT::IGF LAUNCH VEHICLE/STAGES ADAPTER | — |
| 2026-04-28 | ALASKA ENERGY AUTHORITY | Department of Energy | $206,105,546 | BIPARTISAN INFRASTRUCTURE LAW (BIL) - RAILBELT INNOVATION RESILIENCY PROJECT THE RAILBELT INNOVATION RESILIENCY PROJECT (RIR) AIMS TO ENHANCE RESILIENCY AND TRANSFER CAPABILITY ALONG THE RAILBELT. THE RAILBELT HAS EXPERIENCED DECREASING FREQUENCY REGULATION, SLOWED DISTURBANCE RESPONSE AND INCREASED MAGNITUDE NATURAL FREQUENCY OSCILLATIONS. THE CURRENT CONFIGURATION OF THE RAILBELT SYSTEM RESTRICTS THE ADOPTION OF CLEAN ENERGY, DIVERSIFICATION OF THE FUEL SUPPLY, AND ALASKA'S PREPARATION FOR A SUSTAINABLE CARBON-FREE FUTURE. A KEY PRIORITY TO ACHIEVE THIS OBJECTIVE IS TO REINFORCE INTERCONNECTIONS BETWEEN THE PRIMARY REGIONS OF THE RAILBELT BY ADDING PARALLEL LINES AND IMPLEMENTING BATTERY ENERGY STORAGE SYSTEMS (BESS) TO RESOLVE LONG-STANDING FREQUENCY CONTROL AND INSTABILITY ISSUES. ALONG WITH THE HIGH VOLTAGE DIRECT CURRENT (HVDC) SUBMARINE CABLE, THESE ADDITIONS WILL ALLEVIATE TRANSMISSION CONGESTION AND OPTIMIZE INTERREGIONAL TRANSFER CAPABILITY. THE PROJECT'S INNOVATIVE SOLUTIONS HOLD THE PROMISE OF CURBING ESCALATING ENERGY PRICES, WHICH CURRENTLY RANK AMONG THE HIGHEST IN THE NATION, WHILE PROVIDING RURAL RESIDENTS AND DISADVANTAGED COMMUNITIES WITH AN OPPORTUNITY TO ENHANCE COMMUNITY VIABILITY. SHARING THESE SOLUTIONS WITH OTHER COMMUNITIES WILL SUPPORT COLLECTIVE EFFORTS TOWARD ACHIEVING CLEAN, RELIABLE, AND AFFORDABLE ENERGY FOR ALL. | — |
| 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 | — |
| 2026-03-25 | CALIFORNIA INSTITUTE OF TECHNOLOGY | National Aeronautics and Space Administration | $205,872,985 | MARS RECONNAISSANCE ORBITER: PHASE E 62-10131 | — |
| 2026-04-17 | TRANSPORTATION NORTH CAROLINA DEPARTMENT | Department of Transportation | $205,524,894 | PROJECT TITLE: NEW ROUTE - FORSYTH COUNTY :::: PROJECT DESCRIPTION: NORTHERN BOUND EASTERN SECTION (FUTURE I-74) FROM I-40 BUS/US 421; DRAINAGE, GRADING, PAVING, SIGNALS, STRUCTURES | — |
| 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) | — |
| 2026-04-06 | OHIO DEPARTMENT OF CHILDREN AND YOUTH | Department of Health and Human Services | $205,353,151 | FOSTER-2026 - FOSTER CARE | — |
| 2026-04-24 | OGLALA LAKOTA HOUSING AUTHORITY | Department of Housing and Urban Development | $205,105,921 | INDIAN HSG BLOCK GR | — |
| 2026-05-11 | NELNET SERVICING LLC | Department of Education | $205,093,502 | OPERATIONS AND MAINTENANCE (O&M) TASK ORDER FOR STUDENT LOAN SERVICING IN ACCORDANCE WITH THE REQUIREMENTS OF THE USDS CONTRACT. ALL WORK AND DELIVERABLES PROVIDED BY THE USDS SERVICER MUST BE IN ACCORDANCE WITH THE REQUIREMENTS OF THE CONTRACT F | — |
| 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. | — |
| 2026-02-20 | PA DEPARTMENT OF HUMAN SERVICES | Department of Health and Human Services | $204,704,101 | LIHEAP-2022 | — |
| 2026-04-20 | FRESNO COUNTY ECONOMIC OPPORTUNITIES COMMISSION | Department of Health and Human Services | $204,617,223 | HEAD START AND EARLY HEAD START | — |
| 2026-02-20 | PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF | Department of Health and Human Services | $204,223,477 | PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) COOPERATIVE AGREEMENT | — |
| 2026-03-27 | IDEMIA NATIONAL SECURITY SOLUTIONS LLC | Department of State | $204,164,500 | PASSPORT CARD STOCK AND RELATED EQUIPMENT AND SERVICESIGF::OT::IGF | — |
| 2026-04-29 | VETERANS EVALUATION SERVICES, INC | Department of Veterans Affairs | $204,000,000 | MEDICAL DISABILITY EXAMINATIONS (MDES) UNDER SECTION 504 OF THE VETERANS BENEFITS IMPROVEMENTS ACT OF 1996 (PUBLIC LAW 104 275 38 U.S.C. 5101), REGION 2 (SOUTHEAST) | — |
| 2026-05-11 | MCKESSON SPECIALTY DISTRIBUTION LLC | Department of Health and Human Services | $203,925,445 | CENTRALIZED VACCINE DISTRIBUTION | — |
| 2026-05-12 | AXIENT LLC | General Services Administration | $203,915,768 | DEVELOPMENT CORPS STS3 | — |
| 2026-04-30 | CGS ADMINISTRATORS, LLC | Department of Health and Human Services | $203,909,831 | JURISDICTION J15 A/B MAC | — |
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