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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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Missouri

The Rural Health Transformation Team released a survey to help design the Rural Health Transformation Program’s multicounty Hub structure. Regional Hubs, which will comprise about three to five counties each, will coordinate clinical and nonclinical services among hospitals, clinics, pharmacies, EMS and community-based organizations. To ensure these Hubs align with how communities naturally collaborate across county lines, the Department of Social Services gathered perspectives through the short survey. Responses were due by March 12.

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

2026-03-13T11:19:50-04:00March 13, 2026|Missouri|

Montana

The Department of Public Health and Human Services (DPHHS) and the Department of Administration (DOA) hosted a live Zoom webinar on March 11 for vendors interested in upcoming Requests for Proposals (RFPs) for the RHTP. The webinar aimed to ensure a transparent and efficient funding process. During the webinar, state officials detailed the five core RHTP initiatives and anticipated procurements, followed by a Q&A session. 

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

2026-03-13T11:19:17-04:00March 13, 2026|Montana|

Nebraska

The Department of Health and Human Services posted the Request for Applications (RFA) for three grant opportunities under the Rural Health Transformation Program (RHTP) in the state. These include the following: 

RHTP-1.2 Make Rural Nebraska Healthy Again Through Food as Medicine aims to assess the landscape of food cooperatives and food pantries that procure locally grown items used in school nutrition programs and identify readiness for partnerships with schools by strengthening regional and local food aggregation hubs through the development of procurement tools for producers. Eligible applicants include producers (farmers and ranchers), food cooperatives, non-profit entities, and food pantries interested in partnering with schools. Applications are due April 8.  

RHTP-3.3 Rural Health Care Workforce Incentive and Sustainability Model aims to strengthen Nebraska's health care workforce by supporting the development and expansion of Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) third-party partners focused on health care career pathways. Eligible entities include local governments, Indian tribes, institutions of higher education, and nonprofit or for-profit entities. Applications are due June 1.  

RHTP-4.4A Chronic Disease Management Navigation and Education Initiative aims to connect people in need with resources to promote healthy living and strengthen coordination among patients and health systems. Eligible applicants include rural clinics, federally qualified health centers, certified community behavioral health clinics, local health departments, critical access hospitals, rural emergency hospitals, rural hospitals, tribal health facilities, and more. Applications are due by March 17.  

To learn more, visit https://dhhs.ne.gov/Pages/Rural-Health-Transformation.aspx.  

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

2026-03-13T11:18:44-04:00March 13, 2026|Nebraska|

North Carolina

The Department of Health and Human Services is accepting applications from qualified organizations to serve as ROOTS Hub Leads for the North Carolina Rural Health Transformation Program. ROOTS Hubs are regional, locally governed networks that coordinate care and implement initiatives to improve rural health across primary care, behavioral health, workforce development, value‑based payment and digital health. Up to six organizations will be selected to represent the six North Carolina Medicaid regions. Applicants must demonstrate the capacity to serve as the regional programmatic and fiduciary lead. Interested applicants are encouraged to review the Request for Applicants documents for eligibility criteria and additional details as well as the ROOTS Hub Leads RFA webinar. Applications must be submitted by 5:00 pm on April 2. 

The NC Rural Health Transformation Program (NCRHTP) Frequently Asked Questions, details related to the NC ROOTS Hub Lead Request for Applications (RFA), and additional NCRHTP resources are available on the Rural Health Transformation Program webpage. Please continue to check this page for upcoming information, updates and resources. 

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

2026-03-13T11:18:09-04:00March 13, 2026|North Carolina|

Pennsylvania

Pennsylvania has secured over $193 million in first-year funding to support implementation of the state’s Rural Health Transformation Plan. Stakeholders are encouraged to sign up for the RHTP ListServ to receive program updates and announcements. For questions regarding the program, inquiries can be submitted through the RHTP Inquiry Form.

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

2026-03-13T11:17:26-04:00March 13, 2026|Pennsylvania|

Vermont

The Vermont Rural Health Transformation Program (RHTP) has launched its Request for Proposals (RFPs) and Notice of Funding Opportunities (NOFOs) webpage, where stakeholders can access active funding opportunities and procurement announcements. Click here to view the current requests. Please note you must subscribe to the listserv to access the information.

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

2026-03-13T11:16:48-04:00March 13, 2026|Vermont|

Alaska

The state's first Letter of Interest (LOI) period for the Rural Health Transformation Program (RHTP) opened February 17 and closes March 11. Community organizations must submit an LOI through the Alaska Community Foundation's online portal, which the Department of Health is using to administer the subrecipient application and award process. 

The LOI is a required first step for this initial funding opportunity and is intended to help the Department assess project concepts, organizational readiness and appropriate funding pathways. All applicants will use the same LOI portal. Additional LOI periods are planned, creating future opportunities to pursue RHTP funding. Sign up for RHTP updates. 

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

2026-02-20T08:51:23-05:00February 20, 2026|Alaska|

Michigan

The state announced that Grant Funding Opportunities (GFOs) will be released soon to support its Rural Health Transformation (RHT) efforts. Details regarding eligibility, timelines and application requirements will be shared once the GFOs are officially published. To receive updates as soon as the RHT GFOs are released, stakeholders are encouraged to sign up for the RHT listserv.

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

2026-02-20T08:50:47-05:00February 20, 2026|Michigan|
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