Oklahoma NOFO, 6 Iowa NOIs, Maryland funding opportunities, Tennessee details
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Oklahoma launches Rural Regional Reorientation (RRR) Program NOFO
Oklahoma State Department of Health posted the Rural Regional Reorientation (RRR) NOFO on April 20. In a companion applicant webinar, OSDH Program Manager for Health Systems Nicole Hall laid out the program’s terms: $20 million in competitive grants of up to $4 million per application to clinical and social service providers serving communities under 55,000 — partnerships preferred but individual applicants eligible. Year 1 participation is not a prerequisite for Years 2–5, which OSDH says will emphasize “coordinated and sustained partnerships that require more intensive planning.” Priority for Year 1 goes to shovel-ready projects demonstrating impact within 12 months, with all funds expended by September 30, 2027.
OSDH Grants Management PM Morgan Hamilton walked through the mechanics: applications run through a Smartsheet form (250 MB per-file cap, and notably no save-and-resume — applicants must complete in a single sitting), merit scoring across five weighted criteria (Implementation at 30 points is the heaviest), and a two-stage review that knocks out any request exceeding $4M, any incomplete application, or any prohibited-use budget line. Applications are due June 12, 2026, with a FAQ webinar on May 7 and Q&A closing May 8. The real operational deadline worth circling: Year 1 funds must be obligated by October 20, 2026 — about six weeks after the late-August/early-September notice of award — before the September 30, 2027 spend-down. Awardees get a designated OSDH grant specialist.
One data point worth flagging: OK’s project narrative pegged Year 1 RRR at $27.5M, but this NOFO releases only $20M, and OSDH explicitly reserves the right to reallocate or add funds.
Application
Please read NOFO and attachments thoroughly for all application information.
Deadline to apply: 11:59 p.m. CT, June 12, 2026
Notice of Funding Opportunity: RHTP2026002 (.pdf)
Attachment A: Rural-Eligible Populations (.xlsx)
Attachment B: Subrecipient Responsibilities (.pdf)
Attachment C: Expenditure Budget Summary (.xlsx)
Attachment D: Grants Management Packet (.pdf)
Iowa publishes six Notices of Intent to Release
Several new Notices of Intent to Release (NOIs) have been posted to the Iowa HHS Funding Opportunities page. We encourage interested applicants and partners to review the upcoming opportunities listed below:
Notice of Intent to Release for School Based Services, RFP # MEDIOMC26023 (161.72 KB).pdf
Notice of Intent to Release for Mobile Integrated Health, RFP # PHTHOET27001 (190.93 KB).pdf
Notice of Intent to Release for Maternal Health Hub and Spoke, RFP # COMPADM26006 (151.26 KB).pdf
Notice of Intent to Release for Communities of Care Co-Location, RFP # COMPADM26005 (147.27 KB).pdf
Detailed breakdown as follows:
Cardiovascular Health Hub and Spokes (RFP # COMPADM26007) Expected to launch in July or August 2026, this RFP mirrors the Maternal Health initiative but is dedicated to establishing hub and spoke networks for cardiovascular health care. Activities will include forming strategic rural partnerships, advancing telehealth access, and establishing referral agreements among non-affiliated providers. It will also include specific requirements centered on chronic disease prevention and management.
School Based Services (RFP # MEDIOMC26023) Releasing on or around July 2026, this initiative focuses on delivering medical, mental/behavioral, and dental health services by utilizing rural Iowa schools directly as the sites of service.
Mobile Integrated Health (RFP # PHTHOET27001) Anticipated for release in July 2026, this RFP will fund approximately seven projects aimed at expanding EMS-led community care. These initiatives will equip EMS agencies with telehealth connectivity, clinical tools, and training to deliver preventive, acute, chronic disease, and prenatal/postpartum care directly to Iowans in their homes. The primary objective is to reduce avoidable emergency department utilization and build dependable care-delivery patterns across rural regions.
Maternal Health Hub and Spoke (RFP # COMPADM26006) Slated for release in July 2026, this procurement establishes a framework for maternal healthcare delivery networks in Iowa. Funding will be used to form rural provider strategic partnerships, advance telehealth, establish referral networks, recruit providers, and purchase necessary equipment. Successful applicants must also fulfill activities related to providing behavioral health care specifically tailored to the maternal health population.
High-Risk OB and Neonatal Transport (RFP # PHTHOET27002) Releasing on or around July 2026, this RFP will fund roughly three projects to strengthen Iowa’s rural perinatal system. The funding will expand EMS capacity to safely transport high-risk pregnant individuals and newborns to appropriate facilities by equipping agencies with specialized training, tele-OB support, and neonatal-specific equipment.
Communities of Care Co-Location (RFP # COMPADM26005) Anticipated for release on or around July 2026, this RFP will fund pilot projects to develop co-located service delivery sites. The core strategy is to allow individuals to access multiple appointments across various service delivery lines in one place, specifically focusing on chronic disease prevention and management. Furthermore, applicants will be required to embed Community Health Workers (CHWs) to enhance care coordination for patients.
Maryland posts slides on upcoming funding opportunities
Maryland RHTP Update and Anticipated Funding Opportunities: April 17, 2026. Click here for the presentation slides.
Tennessee posts video of April 15 webinar
Second RHTP webinar previews four project-based opportunities and three TDMHSAS partnerships — no RFP dates yet, but “next few days and weeks”
Here’s a thorough review of the provided transcript with cues about ipcoming opportunities:
Tennessee’s Department of Health held its second Rural Health Transformation webinar on April 15, led by Deputy Commissioner JW Randolph — the state’s RHTP PI.
The session drew on the 1,000+ who attended the April 1 kickoff and spent most of its time on FAQs plus a preview of opportunities not covered the first time around.
The substantive news is a lineup of four project-based grants beyond the Healthcare Resiliency Program (HRP) umbrella:
Safety Net Expansion (>$60M over five years to extend TN’s uninsured-adult safety net into 21 counties that currently have no provider)
Rural FIMR ($4.5M total at $300K/year/award max, RFGP anticipated Spring 2026 — 38 of Tennessee’s 56 birthing hospitals are rural and 22 have >70% Medicaid births)
Pregnancy & Postpartum mobile app build (HIPAA-compliant; for-profit, nonprofit, or special-purpose corporations eligible)
MCAN Hub and Spoke ($7.5M for a dementia-care network modeled on Georgia and Florida — one central hub, five satellite spokes, telehealth-enabled)
TDMHSAS partner grants round out the package:
Project Rural Recovery adds two mobile health units across ten counties (Henry, Houston, Carroll, Benton, Humphreys, Warren, Van Buren, Bledsoe, Grundy, Sequatchie)
Behavioral Health Workforce co-location program embeds crisis counselors, peer recovery specialists, case managers, and therapists in rural EDs and health departments
Behavioral Health Careers pipeline trades graduate-student support for multi-year rural service commitments.
FIMR is tagged Spring 2026 and multiple HRP categories will hit “upcoming months.” Tennessee punched above its weight in the award round — $206.9M for budget period one against the $200M baseline states applied for — and has now staffed the program office with a coordinating director who started three days before the webinar
California’s April 25 webinar registration is full
Hopefully you registered when I posted about it on March 28.