Rural Health Transformation Grant Tracker

Rural Health Transformation Grant Tracker

Virginia opens Rural Health Innovation Grants, RFA #852P028, $8.6 million for youth health technology, due December 17

Wyoming reopens 1.2. EMS Regionalization through July 1, 2027

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Daniel X. O'Neil
Nov 13, 2026
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Note: Year 1 money is out the door, and the states are now telling us when they’ll announce Year 2 winners. RHTP Verified Intelligence tracks all this so you don’t have to.

In this issue:

  • New Mexico marks five procurements Selection complete and dates the announcements, November 20 to December 30

  • Missouri’s five pillars account for $168.2 million of its $216 million first-year award

  • Michigan’s Subrecipients list reaches 231 awards and $162.2 million as of October 1

  • Virginia opens Rural Health Innovation Grants, RFA #852P028, $8.6 million for youth health technology, due December 17

  • Wyoming reopens 1.2. EMS Regionalization through July 1, 2027

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New Mexico marks five procurements Selection complete on its Funding & Procurement Opportunities list, and dates the announcements November 20 to December 30

Every line that read “Currently under evaluation” now reads “Selection complete,” with a date:

  • Center for Rural Health Sustainability & Innovation (CRHSI): by November 20, 2026

  • Administrative Services Organization (ASO) RFP: by November 30, 2026

  • Rooted in New Mexico: expected by December 18, 2026

  • Rural Health Data Hub (Administrator): expected by December 18, 2026

  • Rural Health Innovation Fund: by December 30, 2026

The Stakeholder Advisory Committee, which closed applications September 10, gets named by December 11.

Four of the five are management contracts, an outside organization running contract administration, financial tracking and reporting for an initiative; the Rural Health Innovation Fund line is the community awards themselves. HCA describes CRHSI in the same words as the ASO. Healthy Horizons is the only initiative with its operators already public, six Regional Hubs and more than $74 million, which we covered in September. The procurement documents for the other five are no longer linked from the page.

HCA also updated its funding footnote to $422,529,376.25, which puts the Year 2 award at $211,044,635.36 against Year 1’s $211,484,740.89.

Missouri‘s five pillars account for $168.2 million of the award in Missouri Commits $216 Million in First-Year Rural Health Investments to Strengthen Care Across Rural Communities

DSS sent it as a GovDelivery bulletin Thursday. The new part is the split:

ToRCH Care Hub Activation — $26 million supporting local planning and system improvements. Alternative Payment Models — $8.2 million developing value-based approaches that reward quality care. Digital Backbone — $61 million modernizing technology and data sharing across rural providers. Rural Health Workforce Programs — $31 million strengthening healthcare talent pipelines statewide. Provider Transformation — $42 million supporting strategic renovations and service expansions at rural hospitals.

Those add to $168.2 million. The award in the release’s own footnote is $216,276,817.66, which leaves about $48.1 million, or 22%, outside the five named pillars. The release doesn’t say where it sits.

Two named hospitals: Scotland County Hospital (HVAC, roofing, facility systems) and Missouri Delta Medical Center in Sikeston (labor and delivery, behavioral health, diagnostics). Year 2 is “approximately $218 million.” The $55 million pipeline, the $11 million Hub workforce money and the November 17 Digital Backbone webinar are all ones we’ve already covered.

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