Note: the RHTP Q3 2026 Quarterly Report is out now— see link below. Any paid subscription gets access.
In this issue:
Virginia Works posts its Earn to Learn Initiative (RFA #128140) Q&A: no extension, no indirect, and 100% recoupment on the five-year rural commitment
Kansas tells its implementation advisory group that 24 agreements worth about $32 million were unsigned as of October 1, and names five Year 2 RFAs
North Carolina announces more than $17 million for mental health services through its Rural Health Transformation Program, naming one vendor and no grantees
Rhode Island’s Office of the Health Insurance Commissioner opens the RI RHTP APM Incentive Payment Application
Mississippi opens the Statewide Health Information Exchange/Health Data Utility (HIE/HDU) RFP, due November 3
Virginia Works posts its Earn to Learn Initiative (RFA #128140) Q&A: no extension, no indirect, and 100% recoupment on the five-year rural commitment
We covered the $4.68 million RFA in the September 24 issue. The Q&A runs about 50 answers. The ones that change a bid:
No extension: due October 16, 5 PM ET, at eVA 128140. One application per applicant; multiple occupations go in it
Indirect costs are “not eligible for Earn to Learn funding under any category”; a 10% administrative cap applies, and mentor wages and stipends are out
$500,000 minimum award, so smaller providers are told to partner through intermediaries; $13,000 per apprentice per year, all costs in
Reimbursement only: up to 80% of apprentice wages on a sliding scale, other approved costs up to 100%
Out-of-state technology companies can participate as subcontractors named in the Budget Narrative, not as applicants
Nurse practitioners, nurse educators, PTs and OTs are not apprenticeable; PTAs and OTAs are
On the five-year service commitment, the commitment follows the apprentice, not the employer, and a participant who leaves rural Virginia without extenuating circumstances means CMS “may seek to recoup 100% of the funds awarded to the apprentice.” Virginia says a participant’s failure alone is not a subrecipient compliance failure. That’s the same rule Maine’s Year 2 narrative asks CMS to soften, which we covered yesterday.
