Rural Health Transformation Grant Tracker

Rural Health Transformation Grant Tracker

Rural Maryland Council names 20 Fiscal Year 2027 Rural Health Transformation Program Grant Recipients, $4,684,777

West Virginia’s Released Awards reaches 64 awards and $100.7 million, three of the new ones to Marshall University Research Corporation

Daniel X. O'Neil's avatar
Daniel X. O'Neil
Nov 11, 2026
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Note: Year 2 numbers landed Monday and the state pages spent Tuesday catching up, with the award lists moving faster than the press releases. RHTP Verified Intelligence reads every page so you don’t have to.

In this issue:

  • Montana takes down its notice that Year 2 funding would be delayed

  • Minnesota recounts its applicant pool as 20 standard and 8 flex, and keeps the window open

  • Texas adds a contract execution package for Year 1 grantees, including Docusign guidance

  • Kansas confirms $225,896,116.63 for Year 2, down to the cents

  • Colorado puts dollar figures on its Year 1 contractors in its Overview of Budget Year 1 Implementation

  • South Carolina’s SCRA names four companies in its inaugural Tech Catalyst Fund awards, $2.2 million

  • Rural Maryland Council names 20 Fiscal Year 2027 Rural Health Transformation Program Grant Recipients, $4,684,777

  • West Virginia’s Released Awards reaches 64 awards and $100.7 million, three of the new ones to Marshall University Research Corporation

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Montana takes down its notice that Year 2 funding would be delayed

We quoted the notice on November 3: DPHHS had posted that “On Oct. 30, 2026, the Centers for Medicare & Medicaid Services (CMS) told States that their announcement of Year 2 RHTP funding will be delayed.” It came off the program page overnight, and the funding statement under it was rewritten at the same time.

Montana gained $6,231,310 in Year 2, third most in the country. Its RHTP-RFPs page was unchanged overnight, so nothing new is posted yet. Lesson: listening everywhere wins :-)

Minnesota recounts its applicant pool as 20 standard and 8 flex, and keeps the window open

MDH updated its count November 10:

As of November 9, 2026, MDH has received 20 standard applicants and 8 flex applicants. We have reopened the application process until 30 eligible applications are received. Applications will be approved on a first come, first served basis.

The line it replaced said 27 eligible applications as of October 26. 20 plus 8 is 28, so the pool grew by one in two weeks against a 30-application target. Two slots left, first come first served, no deadline.

Texas adds a contract execution package for Year 1 grantees, including Docusign guidance

New on the program page:

  • Docusign Guidance (.pdf)

  • Contract Routing and Execution (.pdf)

  • Docusign Grant Agreement Example (.pdf)

  • Sample Contract_Initiatives Att A and B (.zip)

  • Sample Initiatives_Att C to J (.zip)

Texas holds the largest Year 2 award in the country at $281,976,026. If you are subcontracting under a Texas grantee, the Att C to J bundle is where your flow-down terms will come from.

Kansas confirms $225,896,116.63 for Year 2

KDHE linked the Governor’s release from the program page:

Governor Laura Kelly today announced that Kansas has received an additional $225,896,116.63 for Year 2 of the Rural Health Transformation Program (RHTP), a federal grant administered by the Centers for Medicare & Medicaid Services

Yesterday’s CMS table carried Kansas at $225,896,117. Same award; if you are reconciling a Kansas budget revision against the Notice of Award, use the state’s figure.

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