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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.

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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.

2026-08-07T10:48:40-04:00August 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.

2026-08-07T10:48:13-04:00August 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.

2026-08-07T10:47:35-04:00August 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.

2026-07-24T14:10:04-04:00July 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.

2026-07-24T14:09:14-04:00July 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.

2026-07-24T14:08:48-04:00July 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.

2026-07-24T14:08:12-04:00July 24, 2026|Minnesota|

Oregon

The Oregon Health Authority (OHA) announced that 85 organizations have been selected as intended Catalyst Award awardees, representing $80 million in RHTP funding directed toward rural health improvement. The awards followed a competitive Request for Grant Proposals (RFGP 6244) open from April 10 through May 26, which drew 353 proposals requesting more than $830 million against $160 million available across two budget years. OHA noted that individual grant amounts and project scopes will be finalized after award negotiations are completed this summer. Organizations not selected are encouraged to monitor future RHTP funding opportunities.

Oregon’s broader RHTP distribution strategy includes three pathways:

  • Catalyst Awards (competitive RFGP process)
  • Immediate Impact Awards (direct awards, no application required)
  • Regional Sustainability Awards (subcontractor-facilitated technical assistance for developing rural health networks ahead of Phase 2 funding)

Pharmacy and other health care entities interested in future opportunities can submit a Vendor Interest Form or view the Vendor Interest Database. The program’s allowable uses of funds are broad — encompassing workforce, telehealth infrastructure, prevention, behavioral health and IT advances — with no restrictions on entity type, meaning pharmacies and pharmacy-adjacent organizations may be eligible to participate as subgrantees or contractors.

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

2026-07-24T14:07:25-04:00July 24, 2026|Oregon|

Alabama

Five new Notices of Funding Opportunities (NOFOs) have been posted on the AlabamaRHTP Resources page, with a submission deadline of August 7 at 5:00 p.m. CT. Applicants should review the available materials, including the ARHTP Project Narrative, eligible rural counties list and proposed launch timeline to assess eligibility and program fit.

The Department of Economic and Community Affairs (ADECA) will host in-person application workshops on July 21 and 22 covering the second round of five approved ARHTP initiatives. See the memo for details: ARHTP Application Workshops Round 2 Announcement.

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

2026-07-17T11:15:02-04:00July 17, 2026|Alabama|
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