Rural Health Transformation Grant Tracker

Rural Health Transformation Grant Tracker

Big movements in Idaho, Alaska, New Mexico, and Vermont

The spending calendar is bearing down on states on the Tuesday after Memorial Day

Daniel X. O'Neil's avatar
Daniel X. O'Neil
May 26, 2026
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In this issue:

  • Connecticut: Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence

  • Tennessee launches HART grants

  • Idaho puts out a detailed procurement overview

  • Alaska LOI update: advancing to full application stage

  • New Mexico Extends ASO RFP Deadline, Splits Evaluation Methodology for Federal Funds

  • Vermont opens floodgates with eight RFPs and NOFOs Friday afternoon

Things are heating up in the Rural Health Transformation world. To receive new posts and support my work, consider becoming a free or paid subscriber.

Connecticut: Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence

Connecticut’s Office of Health Strategy posted the state’s first Rural Health Transformation Program NOFO on May 22, 2026 — a $1.8 million Year 1 solicitation (#26OHS001) for AI-enabled remote patient monitoring and care coordination, with applications due July 7, 2026.

Awards will range from $100,000 to $1,000,000 with up to five grants in Year 1, renewable for up to five years pending CMS continuation funding. Eligible applicants are Connecticut-licensed providers — hospitals, FQHCs, behavioral health providers, EMS, pharmacists, oral health, maternity programs, municipal health agencies, academic medical centers, multi-entity consortia, and federally recognized Tribes — with technology vendors restricted to subcontractor roles. Every funded project must integrate bidirectionally with Connie, the state’s HIE. CT Office of Health Strategy

The procurement arrives in unusual administrative circumstances. Per Public Act 26-68, effective July 1, 2026 — right in the middle of the application window — OHS will be dissolved and its functions absorbed into the Office of Policy and Management. The NOFO explicitly names OPM as successor Grantor, requiring applicants to plan for a grant agreement with an agency that does not yet exist in its post-merger form. This is the first RHTP procurement we’ve seen go out under an issuing agency that’s simultaneously being wound down. CT NOFO 26OHS001, Section 1.1

Connecticut’s broader RHTP plan — funded at $154,249,105.53 in Year 1 by CMS award RHTCMS332073 — encompasses 30+ named projects across 11 state agencies, organized in four initiatives: Population Health Outcomes, Workforce, Data & Technology, and Care Transformation & Stability. The last bucket alone absorbs $85.6 million in Year 1, with rural hospital right-sizing grants anticipated for Charlotte-Hungerford, Day Kimball, Sharon, and Windham hospitals. DSS is the lead agency under a new Division of Rural Health Transformation, with Daniel Sinclair confirmed as Project Director per CMS’s April 16 revised Notice of Award. CMS Notice of Award RHTCMS332073-01-02 Governor’s Office

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