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Rural Health Transformation Program
Your state is handing out RHTP money right now.
All 50 states hold an award. Most rural organizations find out about their state's round after it closes. We'll tell you where yours stands, in writing, in five business days.
No procurement commitment. The first three steps cost you a conversation.
Find your state
All 50 states, alphabetically. What each is actually buying with its award differs sharply — and so does the case you need to make. State names in red link to a full breakdown; the rest link out to the official state program.
| State | Award | What it funds | Status |
|---|---|---|---|
| Alabama | $203.4M ~$1.02B projected / 5 yrs |
Collaborative EHR/IT/cybersecurity, rural/specialty telehealth, maternal-fetal care, workforce, cancer screening, EMS, behavioral health, community medicine, and rural health practice expansion. | Implementing State program ↗ |
| Alaska | $272.2M ~$1.36B projected / 5 yrs |
Maternal/child health, expanded rural access, prevention and healthy communities, value-based fiscal sustainability, workforce pipelines, and digital health/cybersecurity infrastructure. | Implementing State program ↗ |
| Arizona | $167.0M $166,988,956 (FY2026) |
Rural health education and training; Behavioral health; Maternal health; Chronic disease | Implementing, closes in 5 days State program ↗ |
| Arkansas | $208.8M ~$1.04B projected / 5 yrs |
HEART prevention and healthy living, PACT access/coordination, RISE workforce development, and THRIVE telehealth/RPM/EMS technology modernization. | Implementing State program ↗ |
| California | $233.6M ~$1.17B projected / 5 yrs |
Hub-and-spoke transformative care models, rural workforce development, telehealth/e-consults, EHR/HIE modernization, cybersecurity, and rural technical assistance. | Applications open State program ↗ |
| Colorado | $200.1M ~$1.00B projected / 5 yrs |
Chronic disease prevention, rural health networks, EMS and delivery-system strengthening, workforce expansion, data/evaluation infrastructure, value-based care pilots, and telehealth/RPM/cybersecurity. | Implementing State program ↗ |
| Connecticut | $154.2M ~$771.2M projected / 5 yrs |
Population health, rural workforce incentives and training, HIE/predictive analytics/RPM, mobile clinics, crisis stabilization, PACE, and care-transformation/value-based payment. | Implementing State program ↗ |
| Delaware | $157.4M ~$787.0M projected / 5 yrs |
Rural hope centers, community health hubs, school-based health centers, food-is-medicine, library telehealth access, VBP readiness, telehealth/RPM, medical education, and workforce data/HIT. | Implementing State program ↗ |
| Florida | $209.9M ~$1.05B projected / 5 yrs |
Rural/satellite clinics, mobile health, community paramedicine, behavioral telehealth, tele-specialties, eICU, telestroke, workforce training, RPM, value-based purchasing, HIE/ENS, diagnostics and dual-eligible outreach. | Implementing State program ↗ |
| Georgia | $218.9M ~$1.09B projected / 5 yrs |
Sustainable rural health system transformation, continuum-of-care strengthening, telepods/mobile/telehealth access, workforce pipelines, cybersecurity/EMR upgrades, consumer tech, and EMS treat-versus-transport. | Implementing State program ↗ |
| Hawaii | $188.9M ~$944.5M projected / 5 yrs |
Rural Health Information Network, Pili Ola telehealth, rural care-access infrastructure, HOME RUN workforce pipeline, medical respite, and value-based innovation/AHEAD readiness. | Implementing State program ↗ |
| Idaho | $186.0M ~$929.9M projected / 5 yrs |
Telehealth/interoperability/EHR/cybersecurity, diagnostic kiosks and remote monitoring, workforce ladder payments and rural service commitments, chronic disease and behavioral health, facility renovations, and regional networks. | Applications open State program ↗ |
| Illinois | $193.4M ~$967.1M projected / 5 yrs |
Regional care transformation, community care infrastructure, disease prevention, EMS/mobile healthcare, virtual care technology, clinician incentives, non-traditional worker training, and rural education pipelines. | Implementing State program ↗ |
| Indiana | $206.9M ~$1.03B projected / 5 yrs |
GROW initiatives including care coordination, Indiana 211 referrals, interoperability, pediatric/OB readiness, cardiometabolic care, bedside medications, teleconsult/telehealth, workforce academies, behavioral health workforce, and regional grants. | Implementing State program ↗ |
| Iowa | $209.0M ~$1.05B projected / 5 yrs |
Healthy Hometowns: hub-and-spoke health hubs, cancer prevention/treatment, co-located communities of care, HIE expansion, and mobile integrated EMS/community care. | Applications open State program ↗ |
| Kansas | $221.9M ~$1.11B projected / 5 yrs |
Prevention/food-as-medicine, local access to primary care, rural workforce, value-based care readiness, transport and care coordination, RPM, telehealth navigators, HIE/APCD, and emerging technology/AI. | Implementing State program ↗ |
| Kentucky | $212.9M $212,900,000 (FY2026) |
Rural Community Hubs; PoWERing maternal and infant health; Rapid Response to Recovery and EmPATH; Rooted in Health dental access | Implementing State program ↗ |
| Louisiana | $208.4M $208,404,000 (FY2026) |
Rural Clinician Credit Bank: recruitment and retention incentives; Telehealth infrastructure; Capital improvement; Collaborative provider models | Applications open State program ↗ |
| Maine | $190.0M ~$950.0M projected / 5 yrs |
Population health and mobile/co-located care, workforce recruitment/retention and simulation, telehealth/RPM/AI/EMR/cybersecurity, access affordability supports, rural hospital stabilization, and multi-payer alternative payment models. | Applications open State program ↗ |
| Maryland | $168.2M ~$840.9M projected / 5 yrs |
Workforce apprenticeships/AHEC/data clearinghouse, primary/specialty access, local agency revenue, trauma response, school-based health, HIE/CRISP, telehealth/mobile health/VBC, and food systems/nutrition infrastructure. | Applications open State program ↗ |
| Massachusetts | $162.0M ~$810.0M projected / 5 yrs |
Population health/CDM networks, closed-loop referrals, RPM/Hospital-at-Home, mobile/specialty/telehealth models, THRIVE workforce, public health/shared services, EMS integration, HIE/cybersecurity, and facility modernization. | Implementing State program ↗ |
| Michigan | $173.1M ~$865.6M projected / 5 yrs |
Community hubs and partnerships, CHW/CIE/HIE integration, workforce pipelines and EMS/maternal training, rural interoperability, secure telehealth/messaging, transportation access, healthy aging, and behavioral health blueprints. | Implementing State program ↗ |
| Minnesota | $193.1M ~$965.5M projected / 5 yrs |
Preventive and chronic disease management, rural workforce pipelines, telehealth access points/mobile units/frontline roles, regional behavioral/OB/EMS care models, AI/data/cybersecurity/revenue-cycle tools, and rural health data networks. | Implementing State program ↗ |
| Mississippi | $205M $1B+ over five years |
Telehealth adoption and provider support; Health technology advancement and modernization; BRIDGE infrastructure; Coordinated regional integrated systems | Applications open State program ↗ |
| Missouri | $216.3M ~$1.08B projected / 5 yrs |
ToRCH Care hubs/regional coordinating networks, alternative payment models, digital backbone and social referrals, rural workforce programs, EMS investment, RPM/ambient AI, and strategic renovations. | Applications open State program ↗ |
| Montana | $233.5M ~$1.17B projected / 5 yrs |
Workforce recruitment/training/retention, facility sustainability and shared services, innovative care/payment models, community preventive infrastructure, school/mobile access, tribal CHAP, data tools, EHR interoperability, telehealth, and RPM. | Implementing State program ↗ |
| Nebraska | $218.5M ~$1.09B projected / 5 yrs |
Food-as-medicine and school kitchens/food hubs, regionalized access/navigation, rural workforce acceleration, eHealth/mobile/RPM, rural emergency behavioral health, ALF modernization, and rural health technology catalyst projects. | Applications open State program ↗ |
| Nevada | $179.9M ~$899.7M projected / 5 yrs |
Rural health outcomes accelerator, system flex fund, workforce recruitment and rural access, rural innovation/technology grants, telehealth, cybersecurity, data sharing, interoperability, and digital health pilots. | Implementing State program ↗ |
| New Hampshire | $204.0M ~$1.02B projected / 5 yrs |
Population health, integrated primary/behavioral/specialty access, EMS/perinatal care, workforce recruitment/retention, digital health/EMR/RPM/AI, and rural financial solvency/value-based models. | Applications open State program ↗ |
| New Jersey | $147.3M ~$736.3M projected / 5 yrs |
Rural workforce, infrastructure capacity/stability for CCBHCs/FQHCs/hospitals, technology such as telehealth/RPM/mobile care, prevention programs, EMS improvements, public dashboards, and chronic disease grants. | Implementing State program ↗ |
| New Mexico | $211.5M $211,540,000 (FY2026) |
Rooted in New Mexico workforce initiative; Rural Health Innovation Fund; Healthy Horizons; Rural, frontier and Tribal community access | Applications open State program ↗ |
| New York | $212.1M ~$1.06B projected / 5 yrs |
Rural community health integration, technology-enhanced primary care, Rural Roots workforce development, eConsult/telehealth and cybersecurity enhancements, care coordination and partnerships. | Implementing State program ↗ |
| North Carolina | $213.0M ~$1.07B projected / 5 yrs |
NC ROOTS hubs, primary care/prevention/chronic disease, behavioral health and SUD integration, rural workforce and care teams, VBP/fiscal sustainability, AI/HIE/digital literacy/RPM and chronic care management. | Implementing State program ↗ |
| North Dakota | $198.9M ~$994.7M projected / 5 yrs |
Rural workforce stabilization, nutrition/physical activity and behavioral health prevention, clinics-without-walls/mobile/telehealth/EMS/NEMT, unified data/EHR/APCD/pharmacy hubs, RPM, kiosks, and AI. | Applications open State program ↗ |
| Ohio | $202.0M ~$1.01B projected / 5 yrs |
School-based health centers, vision/hearing/dental services, rural innovation hubs/CINs, EMS treat-in-place/alternate transport, workforce pipelines, home visiting, hospital TA, pharmacy EMR access, and healthier lifestyle initiatives. | Applications open State program ↗ |
| Oklahoma | $223.5M $223,500,000 (FY2026) |
OKSHINE health information exchange expansion; Certified EHR adoption; Data and analytics; AI-enabled analytics and dashboards | Implementing State program ↗ |
| Oregon | $197.3M ~$986.4M projected / 5 yrs |
Regional partnerships/system transformation, healthy communities and prevention, workforce capacity/resilience, technology/data modernization, RPM, telehealth, cybersecurity, CIE/closed-loop referrals, and tribal initiatives. | Implementing State program ↗ |
| Pennsylvania | $193.3M ~$966.5M projected / 5 yrs |
Technology and infrastructure, maternal health hubs, behavioral health/crisis capacity, aging and access, EMS/transportation, mobile and telehealth, workforce scholarships/apprenticeships/rotations, and community wellness hubs. | Applications open State program ↗ |
| Rhode Island | $156.2M ~$780.8M projected / 5 yrs |
Integrated rural population health hubs/networks, mobile/community services, accessibility improvements, EMS mobile integrated health, hospital-at-home, behavioral health crisis/recovery services, oral health, tribal health, workforce, VBP, HIT modernization, and data tracking. | Applications open State program ↗ |
| South Carolina | $200.0M ~$1.00B projected / 5 yrs |
Connections to Care technology/RPM/telehealth, Leveling Up proven pilots and GME, Wellness Within Reach mobile/community care, sustainability/workforce and facility upgrades, and a Tech Catalyst Fund. | Implementing State program ↗ |
| South Dakota | $189.5M ~$947.4M projected / 5 yrs |
EHR/HIE/telehealth/data atlas, workforce incentives/education, CHW/CHR expansion, training hub, Medicaid primary care transformation, access/quality grants, chronic disease management, maternal/infant hubs, CCBHC/collaborative care, and EMS sustainability. | Applications open State program ↗ |
| Tennessee | $206.9M ~$1.03B projected / 5 yrs |
Service-line expansion/co-location, workforce incentives and pipelines, local health department and safety-net access, dementia care, community health workforce, dental, maternal/child health, VBP, nutrition/environment grants, transportation, HIE/telehealth/AI/cybersecurity, closed-loop referrals and eConsults. | Applications open State program ↗ |
| Texas | ~$281M/yr ~$1.4B over five years |
Chronic disease prevention; Patient-centered technology; Advanced AI and telehealth; Rural workforce investment | Implementing State program ↗ |
| Utah | $195.7M ~$978.7M projected / 5 yrs |
PATH prevention/nutrition/built environment, RISE workforce, SHIFT infrastructure and mobile/EMS/provider networks, FAST value-based care/revenue-cycle optimization, LIFT telehealth, SUPPORT shared digital/admin infrastructure and cybersecurity, and LINCS interoperability. | Applications open State program ↗ |
| Vermont | $195.1M ~$975.3M projected / 5 yrs |
Regionalization and urgent/mobile/community paramedicine, shared EMR/HRIS/eConsult/referral/transfer tools, primary care modernization, workforce training/aid/housing, pharmacy test-to-treat, and cost/quality/access dashboards. | Implementing State program ↗ |
| Virginia | $189.5M ~$947.7M projected / 5 yrs |
CareIQ health tech/AI/EHR/cybersecurity/RPM, Homegrown Health Heroes workforce pipelines, Connected Care mobile/telehealth/community paramedicine/maternal models, and Live Well Together food pharmacy/digital health/community activity/digital tools. | Applications open State program ↗ |
| Washington | $181.3M ~$906.3M projected / 5 yrs |
Rural hospital innovation/value-based models/AI/cybersecurity, prevention and community care, Native family health, provider technology fund for telehealth/RPM/AI/population health analytics, rural workforce, and behavioral health/OTP workforce incentives. | Applications open State program ↗ |
| West Virginia | $199.5M ~$997.4M projected / 5 yrs |
Connected Care Grid telehealth/RPM/EMS/data spine, Rural Health Link mobility platform, Mountain State Care Force workforce, Smart Care Catalyst/VBP shared services, health-to-work supports, prevention/food/lifestyle wellness, and HealthTech Appalachia. | Implementing State program ↗ |
| Wisconsin | $203.7M ~$1.02B projected / 5 yrs |
Rural workforce recruitment/retention, CHW pilot and training, interoperability modernization, rural health collaborative, HIE/CIE/navigation portal, digital/telehealth access, regional care coordination, behavioral health data, Medicaid PPS updates, dual-eligible integration, and tribal funds. | Applications open State program ↗ |
| Wyoming | $205.0M ~$1.03B projected / 5 yrs |
Emergency access/EMS/labor and delivery incentives, workforce education awards and GME/service commitments, technology adoption challenge, telespecialist/NEMT/EMS billing platforms, integrated FQHC primary care, chronic care RCT, and health promotion. | Implementing State program ↗ |
Award figures are the CMS FY2026 / Budget Period 1 amounts announced for all 50 states. Five-year figures are a projected run-rate (FY26 award × 5), not a guaranteed total — CMS has stated that future-year amounts may vary with state progress, continuation funding and performance. Status reflects whether a state had at least one RHTP opportunity open at the verification date. Sources: CMS award announcement, state program pages, RHIhub and NRHA trackers. Verified 2026-08-25. Confirm current requirements with your state agency before relying on any figure in an application.
Want yours mapped against what you're actually planning? Book 30 minutes and we'll put it in writing.
How this works
Three steps before anyone signs anything.
1
30-minute call
We map your workforce and coordination gaps against your state's published priorities and open rounds.
2
Written alignment brief
Two pages, in five business days, naming the specific initiatives in your state's plan your project maps to. Drop it into your narrative.
3
Scoped pilot
Only if it fits. We define the baseline metrics and reporting cadence your grant will need from day one.
Go deeper
The reference detail, moved somewhere it can be read properly.
Reference
The four pillars
Workforce Development, Sustainability, Innovation and Access — what each pillar funds, and the language that maps a project to it.
Read the pillars → ExamplesTwelve use cases
Concrete scenarios from nursing onboarding to EMS workforce to regional care coordination, each mapped to the outcome a state plan will fund.
See the use cases →Request an RHTP Fit Assessment
Thirty minutes with Erica on our team. You get a 30-minute call and a two-page written alignment brief within five business days.
Book 30 minutes with EricaOpens in a new tab. Free, no procurement commitment. Prefer email? [email protected]
Questions
The ones we get most. Skim the headings.
What is the Rural Health Transformation Program (RHTP)?
The Rural Health Transformation Program (RHTP) is a federal initiative designed to help rural healthcare organizations strengthen workforce capacity, improve clinical quality, modernize technology infrastructure, expand access to care, and build long-term sustainability. Established under Section 71401 of P.L. 119-21, the program represents more than $50 billion in federal investment. CMS announced awards to all 50 states on December 29, 2025, with $10 billion available each year through 2030.
Who qualifies for RHTP funding?
Organizations that may benefit include state health departments, rural health offices, rural health networks, critical access hospitals, rural hospitals and health systems, EMS organizations, home health agencies, nursing schools and academic programs, workforce development organizations, and community-based healthcare organizations. Eligibility and funding structures vary by state and program implementation, so organizations should review state-specific guidance and funding announcements for detailed qualification requirements.
How much RHTP funding is available?
The program represents more than $50 billion in federal investment, with $10 billion distributed each year through 2030. First-year state awards averaged approximately $200 million, ranging from $147 million to $281 million. Half of the funding is distributed equally among all approved states, and half is allocated based on state rurality metrics, rural health system characteristics, state policy actions, and the projected impact of proposed initiatives. Actual funding opportunities and award amounts vary depending on state implementation plans.
How can nursing programs participate in RHTP?
Nursing schools and workforce development programs support rural healthcare transformation through workforce readiness and capacity building. Participation opportunities include: Competency-based nursing education Faculty development initiatives Clinical skills training programs Rural healthcare workforce pipeline programs NCLEX® preparation and readiness programs Continuing education and certification tracking Clinical placement partnerships with rural providers By aligning educational programs with workforce shortages and regional healthcare needs, nursing programs help strengthen the future rural healthcare workforce.
How can home health agencies benefit from RHTP?
Home health agencies face many of the same workforce and coordination challenges as hospitals and rural clinics. RHTP-aligned initiatives can help home health organizations improve staff recruitment and retention, enhance care coordination, strengthen secure communication between providers, reduce administrative burden, improve patient transitions of care, expand workforce training opportunities, and support quality reporting and performance measurement.
What technology investments are eligible under RHTP?
While funding opportunities differ by state, technology investments supporting rural healthcare transformation commonly focus on: HIPAA-secure communication platforms Care coordination solutions Telehealth and virtual care Clinical decision support tools Workforce training platforms Competency management systems Quality reporting infrastructure Workflow automation technologies Secure document and file sharing AI-enabled efficiency tools These investments support the RHTP priorities of innovation, workforce support, sustainability, and expanded access to care.
How can rural hospitals reduce workforce shortages?
Addressing workforce shortages requires a comprehensive strategy focused on recruitment, retention, training, and support. Successful approaches often include accelerated onboarding programs, competency-based training, workforce readiness initiatives, continuing education opportunities, clinical decision support resources, professional development pathways, burnout reduction initiatives, improved communication and collaboration tools, and recruitment partnerships with nursing schools. Context matters: national RN turnover reached 17.6% in 2025, and each percentage point of RN turnover is worth roughly $295,000 per year to the average hospital.
What workforce development strategies align with RHTP?
The Workforce Development pillar focuses on building and sustaining a skilled workforce capable of meeting rural community needs. Key strategies include nursing workforce development, workforce readiness programs, clinical competency management, certification tracking, continuing education, leadership development, recruitment and retention initiatives, allied health workforce training, EMS workforce support, and workforce pipeline partnerships.
How does Skyscape support Rural Health Transformation Program initiatives?
Skyscape provides technology solutions aligned with the key priorities of rural healthcare transformation, including workforce development, clinical decision support, secure communication, care coordination, and workforce readiness. Skyscape supports state agencies, healthcare organizations, nursing programs, EMS agencies, and workforce development organizations pursuing transformation goals.
Which Skyscape solutions align with the RHTP framework?
Three primary solution areas align with RHTP: Nursing SkillsHub™ — workforce development through competency-based training, onboarding, certification tracking, and readiness programs. Skyscape® Medical Library — evidence-based clinical decision support and point-of-care references. Buzz™ — HIPAA-secure communication, collaboration, file sharing, telehealth support, e-signatures, and care coordination across distributed teams.
Can Skyscape help support RHTP grant planning efforts?
Yes. Skyscape offers grant application alignment support and provides examples of how its solutions align with workforce development, sustainability, innovation, and healthcare access priorities. Organizations can use these alignment statements when evaluating technologies that support rural healthcare transformation objectives.
How does Buzz™ support the Innovation pillar of RHTP?
Buzz™ supports healthcare organizations by providing secure communication, team collaboration, document sharing, telehealth capabilities, workflow efficiency tools, and care coordination features. These capabilities help reduce communication barriers and improve collaboration across rural healthcare teams.
How does Nursing SkillsHub™ support workforce development goals?
Nursing SkillsHub™ supports workforce development by helping organizations improve onboarding, track competencies, manage certifications, and deliver workforce readiness training programs. These initiatives align closely with the workforce development goals described within the RHTP framework.
How does the Skyscape® Medical Library support rural clinicians?
The Skyscape® Medical Library provides access to evidence-based medical references, drug guides, clinical manuals, and point-of-care decision support resources. These tools help clinicians make informed care decisions, especially in rural settings where access to specialists may be limited.