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Rural Health Transformation Program (RHTP)

NACDS is offering optional, one-on-one, state-specific support sessions to assist chain members with their Rural Health Transformation Program (RHTP) efforts. Sessions are available every Wednesday, with four 30-minute time slots focused on state-level RHTP pharmacy engagement opportunities.
Interested chain members may schedule a session.

Schedule a Session

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

Alaska

The Rural Health Transformation Program Year 2 Fall 2026 funding cycle application opened on September 30. Applications for planning and implementation projects will be accepted through October 28 at 11:59 pm Alaska time. Information about the fall 2026 funding cycle, including application materials, updated applicant guidance and other resources, is available online.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

October 2, 2026|Alaska|

New Hampshire

Medicaid is seeking qualified vendors working with state-licensed clinical pharmacists and primary care teams to conduct comprehensive medication reviews and improve care coordination. The initiative aims to reduce medication-related risks associated with polypharmacy, overprescribing, behavioral health medications and opioids. See RFP-2027-DMS-01-MEDIC: Medicaid Medication Risk Reduction Initiative | New Hampshire Department of Health and Human Services for more information.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

October 2, 2026|New Hampshire|

Pennsylvania

The Commonwealth of Pennsylvania released a new Rural Health Transformation Program (RHTP) Resource Guide, which consolidates key Pennsylvania and federal Rural Health Transformation Program (RHTP) resources and links in one location. The guide is intended to help stakeholders access information and resources related to RHTP implementation more easily. View the Pennsylvania RHTP Resource Guide for more information.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

October 2, 2026|Pennsylvania|

Iowa

The Department of Health and Human Services released a new funding opportunity under the Healthy Hometowns Rural Health Transformation Program to establish Cardiovascular Health Hub and Spoke Networks. Through RFP# COMPADM26007, the state is seeking qualified applicants to develop networks that expand access to high-quality cardiovascular care for rural residents. The initiative will support cardiovascular diagnostics, interventional procedures, disease management, rehabilitation, tele-cardiology and chronic disease prevention and management.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 25, 2026|Iowa|

Mississippi

The state’s Rural Health Transformation Program has launched a Rural Health Transformation Program (RHTP) Stakeholder Survey to gather feedback on opportunities to make health information exchange safer, faster and more useful for Mississippians. Stakeholders are encouraged to complete a private, confidential, independently administered survey and provide input that will help inform the state’s health information exchange efforts. The survey deadline is October 31.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 25, 2026|Mississippi|

South Carolina

The Department of Health and Human Services is seeking public input to help guide future funding decisions for the state’s Rural Health Transformation Program. The survey is intended for health care providers, health care professionals, residents and others with experience or interest in rural health in the state. The survey closes October 2. 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 25, 2026|South Carolina|

Alaska

Join the Alaska Department of Health on September 23 from 10:00 am to 3:00 pm at the Dena'ina Center, Anchorage (in-person or virtual), for a day dedicated to connecting Rural Health Transformation Program (RHTP) applicants and preparing for the Year 2 funding cycle: Register for the Alaska RHTP Applicant Convening: Celebrating Year 1, Looking Ahead to Year 2 

The next Advisory Council meeting is scheduled for September 23 from 8:00 am to 10:00 am: Register for the September 23 RHTP Advisory Council meeting. The recording, agenda and meeting materials will be available on the RHTP Advisory Council web page. 

On September 11, the Department of Health hosted a public webinar that focused on reflections from the Year 1 funding cycle and provided a high-level overview of the approach for the upcoming Year 2 funding cycle. Watch the recording of the RHTP Funding Cycle Updates meeting 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 18, 2026|Alaska|

South Carolina

The Department of Health and Human Services (SCDHHS) announced 228 projects totaling approximately $167.3 million in Year One Rural Health Transformation Program (RHTP) awards. The agency selected awards from 712 applications and supported projects across four state initiatives: Connections to Care, Leveling Up, Wellness Within Reach and Shoring Up to Sustainability. 

Funding includes about $58.4 million for remote patient monitoring and health IT modernization; $6.8 million to expand chronic disease programs; $23.1 million to expand community care sites and mobile crisis response; and $79 million for facility enhancements, healthcare workforce initiatives and training. 

Review the details: 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 18, 2026|South Carolina|

California

The State Office of Rural Health (SORH) will host a virtual Effective Grant Writing Strategies Workshop on September 29-30, designed to help rural health stakeholders strengthen grant applications and improve access to funding opportunities. The workshop will cover federal funding strategies, rural health programs and using data and visualization tools to support compelling grant proposals. Please register in advance: Webinar Registration – Zoom.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 11, 2026|California|

Indiana

The state's regional grant initiative, known as GROW, channels federal RHTP funding to local communities to develop locally driven solutions. The program published its August newsletter, which may include updates on regional grant timelines and initiative progress. Stakeholders can sign up for email updates to receive future announcements on funding opportunities, RFPs and programming milestones. 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 11, 2026|Indiana|

Louisiana

The Department of Health posted Advisory Council Meeting slides from September 3 along with a rurality definition and methodology document. A webinar is scheduled for October 1 with registration now open; slides from the August 6 and July 2 sessions are also available on the program page. Three active stakeholder surveys remain open: an EPIC Interest Survey, an EHR & Interoperability Planning Survey and a Rural Provider Value-Based Care & APM Readiness Survey. Pharmacies and other rural health providers interested in technology-driven innovation may also want to explore the Rural Tech Catalyst Fund, listed among the state’s active funding opportunities.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 11, 2026|Louisiana|

Wisconsin

Members with eligible operations in rural or semi-rural Wisconsin are encouraged to review this opportunity and consider completing the Wisconsin Statewide EHR Interest Survey. The survey lets you signal interest to the Department of Health Services and helps inform the continued development and implementation of the statewide EHR system.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 11, 2026|Wisconsin|

Idaho

The Department of Health & Welfare recently posted the Healthcare Infrastructure Support subgrant solicitation, which is open to pharmacies. See the link for all relevant information and webinar materials. HIS 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 4, 2026|Idaho|

Michigan

Michigan announced a new partnership between the Michigan Department of Health and Human Services (MDHHS) and the Department of Labor and Economic Opportunity (LEO) to advance the state's Rural Health Transformation Program. Funded through Michigan's $173 million CMS rural health award, the collaboration will invest in workforce development, telehealth, remote patient monitoring, broadband expansion, and health information exchange initiatives. A key focus of the partnership is investing in rural infrastructure that supports care delivery, including telehealth, remote patient monitoring, broadband expansion, health information exchange, and technology-enabled care coordination.  

The state also plans to offer direct and competitive grants to rural providers and community organizations in the coming months. For more information, visit Michigan.gov/MIHI and Michigan.gov/ORP. 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 4, 2026|Michigan|

Washington

The Washington Health Care Authority (HCA) is accepting a second round of applications for the Opioid Treatment Programs (OTP) Workforce Incentive Program, with a deadline of September 8 at 2:00 p.m. Applicants who submitted materials in the first round do not need to resubmit. New applicants can visit  HCA's bids and contracts page to access application details. Providers and organizations seeking additional participation pathways — including those relevant to pharmacy — can consult the state's  guide on how to participate in the RHT Program.  

The state will host its next quarterly public webinar on September 16 from 1:00–2:00 p.m., hosted on Microsoft Teams.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

September 4, 2026|Washington|

South Dakota

Recently, the Trump administration announced a new rural health award to South Dakota through the federal Rural Health Transformation Program.  South Dakota’s $90 million award will fund health IT modernization, cybersecurity upgrades and interoperability improvements across rural and tribal communities. The state’s plan also covers diagnostic and surgical capacity, maternal health resources and workforce recruitment. 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

August 28, 2026|South Dakota|

Utah

The following grant opportunities are available. Please view the grant information and online application for details. 

  • PATH 1.1 Rural Food Infrastructure | Open Date: July 21 – Closes August 31 
  • SHIFT 3.4 New Models of Care | Open Date: August 12 – Closes September 1 

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

August 28, 2026|Utah|

Arizona

Arizona has five active grant opportunities open through the Arizona Health Care Cost Containment System (AHCCCS) under its $166.9 million FY26 RHTP allocation. Two RFGAs released July 31 cover Adopt Shared Services Consortiums — supporting shared staffing, data systems, purchasing and compliance functions across rural and Tribal health organizations — and Behavioral Health & SUD Expansion, which funds mobile and digital behavioral health services, workforce development and community prevention programming. The Opioid Antagonist Distribution Initiative RFGA, released July 10, is a pharmacy-relevant opportunity that funds procurement and distribution of naloxone kits, overdose response training and Tribal partnership support across rural counties, frontier clinics and small fire districts. Two additional RFGAs released July 24 — the Rural Health Innovative Care Pilot Program and Technical Assistance for Operational & Fiscal Performance — both carry an application deadline of August 21; the former supports mobile and satellite care expansion, community health worker programs and alternative payment models, while the latter targets revenue cycle optimization, network governance and value-based care readiness.

The AHCCCS RHTP hub remains the primary source for new NOFOs and RFPs as additional priority areas are released by AHCCCS, the Office of Economic Opportunity and the Arizona Department of Health Services (ADHS).

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

August 7, 2026|Arizona|

North Carolina

North Carolina needs your insight to shape the future of rural health innovation and digital health modernization. The Department of Health and Human Services, the Department of Information Technology and other partners are designing a statewide approach to strengthen rural care delivery through improved data connectivity, modern digital‑health infrastructure, telehealth expansion, interoperability upgrades and adoption of advanced tools like AI‑supported workflows. Your feedback will directly influence the tools, resources and support offered to help practices improve connectivity, upgrade technology and adopt new innovations.

  • Who should participate: Practices based in rural areas or serving predominantly rural patient populations.
  • Time commitment: About five minutes.
  • Take the survey online today!

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

August 7, 2026|North Carolina|

South Carolina

As described in the Medicaid bulletin issued April 2 (MB# 26-009), the Department of Health and Human Services (SCDHHS) published funding opportunities available through the state’s Rural Health Transformation Program (RHTP). The RHTP was created pursuant to Section 71401 of Public Law 119-21 under the Working Families Tax Cut legislation, also known as the One Big Beautiful Bill Act. The opportunities were available through four of the state’s RHTP initiatives: Connections to Care, Wellness Within Reach, Leveling Up and Shoring Up to Sustainability.

SCDHHS has issued Notices of Award Determination for the 712 applications received under the four funding opportunities. Applicants should check their email for notice detailing:

  • Whether funding was awarded;
  • If funding was awarded, the funding amount and next steps; and
  • If funding was not awarded, information about the determination.

Information about the program is available on the SCDHHS’ RHTP page. Questions about RHTP should be directed to Grants@scdhhs.gov.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

August 7, 2026|South Carolina|

Alabama

The Alabama Rural Health Transformation Program (ARHTP) announced the opening of applications for the final Year 1 initiatives under the ARHTP. Applications opened on July 17 and will remain available through August 7 at 5:00 pm CT.

This funding round includes five initiatives aimed at improving rural health care delivery across the state:

ARHTP encourages eligible organizations to review the Notice of Funding Opportunity (NOFO) for each initiative to understand program goals, permitted uses of funds and applicant eligibility requirements.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

July 24, 2026|Alabama|

Arizona

The Arizona Health Care Cost Containment System (AHCCCS) released two new Rural Health Transformation Program (RHTP) Requests for Grant Applications (RFGAs) to support medical diagnostic equipment, electronic health record (EHR) upgrades, data sharing, telehealth infrastructure and Care Coordination in rural and Tribal communities. AHCCCS will host a virtual pre-application conference on July 24 to review eligibility, funding tiers, application requirements and timelines. Please register in advance.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

July 24, 2026|Arizona|

Colorado

The Department of Health Care Policy and Financing (HCPF) opened the RHTP Request for Application (RFA), with a submission deadline of 11:59 pm on August 3. Applicants should review the updated eligibility document (revised July 15) and the RHTP FAQs before applying. Organizations seeking co-applicant partnerships may submit the Potential Grantee Partnership Interest Form, with results posted to a public partnership interest spreadsheet.

Several near-term engagement opportunities remain before the application deadline. RHTP Office Hours are scheduled for July 21 (12:00 pm–1:00 pm), July 23 (1:00 pm–2:00 pm), and July 27 (12:00 pm–1 pm), with the RHTP Advisory Committee meeting also convening on July 27 from 10:00 am–11:30 am. The most recent webinar recording, How to Fill Out the Work Plan and Budget (July 8), is now posted alongside earlier sessions covering allowable costs, budgeting and partnership structures. The July 15 program newsletter is also available. Pharmacies and other eligible rural health providers are encouraged to confirm eligibility and explore the Available Vendor Partnership List for potential collaborators.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

July 24, 2026|Colorado|

Minnesota

The Office of Rural Health and Primary Care (ORHPC)’s July newsletter highlights the growing importance of supporting clinical training capacity to address healthcare workforce shortages, while also spotlighting funding opportunities and resources designed to strengthen rural health systems across the state.

For more information, contact NACDS’ Jermaine Smith at 703–837–4388.

July 24, 2026|Minnesota|
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