New Jersey posts RFA, and Utah and Wyoming advance implementation
Rural Health Transformation Program Daily Brief, February 21, 2026
Application Materials and Program Guidance
New Jersey
Posted an RFA titled “Rural Health Transformation Program-Advancing Technology, Prevention, and Workforce Capacity 2026” on its RHTP page at https://www.nj.gov/health/fhs/primarycare/rural-health/.
Published a 21-page Technical Assistance Questions and Answers document dated January 13, 2026, covering activities, allowable costs, and SAGE application submission details: https://www.nj.gov/health/fhs/primarycare/rural-health/TA-Questions-and-Answers-2026.pdf.
The TA document states “The responses provided in this Q&A are for informational purposes only and do not alter or replace the official guidance in the Request for Applications (RFA)” and notes “Future versions of the Q&A may be released if additional questions are asked or if revisions are made to this document.”
Updated its Rural Health Transformation Program Vendor Resource Directory to version dated February 2, 2026: https://www.nj.gov/health/fhs/primarycare/rural-health/RHT-Resource-Directory-2-2-26.pdf.
The directory states “Information included in this directory was collected through a survey of vendors interested in participating in the RHT Networking Session hosted by NJDOH on December 4, 2025” and includes vendors by service type and contact information.
Posted an excerpt of its RHTP application dated November 2025, outlining five initiative areas: https://www.nj.gov/health/fhs/primarycare/rural-health/2025-12-03EXCERPT%20NJRHT_Application.pdf
RHT1 (workforce recruitment and retention)
RHT2 (funding for CCBHCs, FQHCs, and hospitals)
RHT3 (telehealth and mobile care partnerships)
RHT4 (community preventive health)
RHT5 (chronic disease interventions and data integration)
According to the excerpt, “DMAHS is the State’s Medicaid Agency and is applying on behalf of New Jersey to receive $1 billion in federal funding through the Rural Health Transformation Program.”
New Jersey’s RHTP page shows a CAPTCHA rotation change — the only substantive update detected this week.
Program Updates and Implementation Planning
Utah
Posted a webinar recording from February 12, 2026, providing “updates on the program’s development and planning process since receiving the Notice of Award on December 29, 2025” at https://dhhs.utah.gov/ruralhealth/.
According to the page, the webinar covered “Building Utah’s core RHTP team,” “Utah’s Notice of Award (NOA),” and “Year 1 funding plan.”
The page lists Utah’s first-year award as $195,743,566.
Utah’s Notice of Award document at https://dhhs.utah.gov/wp-content/uploads/NOA_RHTCMS332051-01-00.pdf shows a budget period start date of December 29, 2025, and end date of October 30, 2026, with a period of performance extending through October 30, 2030.
The NOA lists Kate Sapra as Acting Deputy Director and katherine.sapra@cms.hhs.gov as the program official contact.
Wyoming
Updated its RHTP page at https://health.wyo.gov/admin/rural-health-transformation-program/ with a detailed timeline for 2026 implementation activities.
According to the timeline, “Revised budget due to CMS (actual award)” is scheduled for January 30, 2026, and “Initial meetings with CMS project staff” for January–February.
The timeline shows “Requests for Applications (RFAs) and Requests for Proposals (RFPs) posted” for March–April, with “Informational webinars and Q & A sessions will be held prior to posting.”
Wyoming’s timeline indicates “Awards made; funds drawn down” for May–June and “Contracts executed” for July–August.
The state lists “2026 interim” activities as “Interim topics with Joint Labor Health and Social Services – scope of practice and compact issues.”
Wyoming’s first-year award is listed as $205,004,742.95, according to its Notice of Award at https://health.wyo.gov/wp-content/uploads/2026/01/NOA_RHTCMS332082-01-00-redacted.pdf
What to Watch
New Jersey’s RFA application deadline and subsequent award announcements.
Utah’s Year 1 funding plan details following the February 12 webinar.
Wyoming’s March–April RFA and RFP postings with accompanying webinars.
States’ revised budget submissions to CMS reflecting actual award amounts versus application estimates.


