Rural Health Transformation Grant Tracker

Rural Health Transformation Grant Tracker

Washington reopens RFA 2026HCA9, the Opioid Treatment Programs (OTP) Workforce Incentive Program, for a second round closing September 8

Virginia‘s Northern Shenandoah Valley Regional Commission opens RFA-RHTP-2026-02, Mobile and Hybrid Care, $4.2 million and at least five awards

Daniel X. O'Neil's avatar
Daniel X. O'Neil
Aug 31, 2026
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Note: We’re monitoring dozens more websites across all 50 states— the RFP and information pages for “delegated administrators”— subrecipients, regional hubs, fiscal agents, sister agencies, and other key partners who run opportunites and spend RHTP money. See more the first results of this work below from Virginia and New Jersey.

Also: we have a new automated subaward monitoring system in place that just ran this morning. So far we’ve logged 673 subawards for $1,340,333,856 in 21 states. This morning 81 subawards were reported and 33 were updated, If you want details and relevant upshots, take a look at RHTP Verified Intelligence and book time to talk.

In this issue:

  • Washington seats its Rural Health Transformation Advisory Committee — 13 members, quarterly meetings, and no decision-making authority

  • Washington reopens RFA 2026HCA9, the Opioid Treatment Programs (OTP) Workforce Incentive Program, for a second round closing September 8 at 2 p.m. PT

  • South Dakota names 13 RHTP recipients on OpenSD, $5,618,367 against $121.5 million announced

  • Alaska announces another $16.8 Million for 24 Projects — see full award list

  • New Jersey’s $21.7M public health institute grant is now paying clinicians directly through Invest Rural NJ, up to $200,000 for a physician on a five-year rural commitment

  • Nebraska removes the award caps on RHTP 1.1 and 1.3 days before both close today

  • New Jersey’s $21.7 million public health institute grant is paying physicians $200,000 through Invest Rural NJ, and Cohort 3 review closes today

  • Virginia’s Northern Shenandoah Valley Regional Commission opens RFA-RHTP-2026-02, Mobile and Hybrid Care, $4.2 million and at least five awards

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Washington seats its Rural Health Transformation Advisory Committee — 13 members, quarterly meetings, and no decision-making authority

We told you on April 2 that HCA was recruiting for this committee with an April 24 application deadline. Their August 27 bulletin contains the roster. It also narrows the job: April’s recruitment pitch said the RHT-AC “will help prioritize projects, make policy recommendations, and play a driving role for the RHT Program.” The bulletin says the committee is not a decision-making body. It held its first meeting in June and meets quarterly; members serve an initial two-year term.

The next quarterly public webinar is September 16, 1 to 2 p.m., on Teams.

Washington reopens RFA 2026HCA9, the Opioid Treatment Programs (OTP) Workforce Incentive Program, for a second round closing September 8 at 2 p.m. PT

Amendment 3 was issued August 28 and does one thing: it adds a Round 2. We covered 2026HCA9 when the packet posted on July 18, and the wildfire extension that moved it from August 12 to August 26 on August 7. Round 1 closed on schedule August 26. Two days later HCA reopened it.

Here is HCA’s own language on the program page:

We’re accepting a second round of applications for the Opioid Treatment Programs (OTP) Workforce Incentive Program until September 8 at 2 p.m. If you’ve already applied, we’ll evaluate your application as soon as possible. You don’t need to resubmit. If you were interested in this opportunity but couldn’t prepare an application for the first round, we encourage you to apply now.

The revised schedule, verbatim from Amendment 3:

  • Date of Issue — July 20, 2026

  • Applicant Questions Due — July 28, 2026, 2 p.m. PST

  • HCA Response to Questions — August 4, 2026

  • Round 1 Applications Close Date — August 26, 2026, 2 p.m. PST

  • Round 2 Applications Close Date — September 8, 2026, 2 p.m. PST

  • Evaluation Time Frame — August 26, 2026 to September 15, 2026

  • Applicants Award Notification — no later than September 16, 2026

  • Estimated Work Order #1 Start Date — September to October 2026, but no later than October 30, 2026

  • Estimated Work Order #2 Start Date — as early as October 31, 2026

Of course, none of the back end moved. Award notification is still September 16 — the same day as the quarterly webinar — and Work Order #1 still cannot start later than October 30. The thirteen extra days come entirely out of the evaluation window, which now has to score a second round in the eight days between September 8 and September 15. If you sat out Round 1 because the wildfire extension still wasn’t enough time, this is the door, and it is the last one.

South Dakota names 13 RHTP recipients on OpenSD, $5,618,367 against $121.5 million announced

On August 20 we wrote that South Dakota had announced 110 RHTP awards worth $121.5 million across two rounds without naming a single grant recipient, and that OpenSD’s contract search returned three RHT-numbered records. It now returns thirteen — ten contracts and three grants — with begin dates going back to April 15. Ten new records in nine days.

The full list, by begin date:

  • 26RHT00002 North Star Solutions LLC, 4/15/2026, $1,462,802 — contract

  • 27RHT00001 Black Hills Special Services, 5/1/2026, $503,000, project management for the Chronic Disease Management initiative — contract

  • 26RHT00003 Business Concepts and Apps Inc, 5/1/2026, $250,000, project management and coordination — contract

  • 26RHT00006 South Dakota State University, 5/1/2026, $225,000 — contract

  • 26RHT00004 Community Health Worker Collaborative, 5/7/2026, $399,013, technical assistance and professional development — contract

  • 27RHT00005 Guidehouse Inc, 6/1/2026, $567,350, Statewide Maternal Health Access and Services Assessment — contract

  • 27RHT00007 Myers and Stauffer LLC, 6/1/2026, $450,000, population health development — contract

  • 27RHT00012 Health Management Associates, 6/1/2026, $425,000, evaluating billing and data collection — contract

  • 27RHT00008 Active Generation, 7/1/2026, $226,930, Caregiver Concierge mobile application — grant

  • 27RHT00009 SD Foundation for Medical Care, 7/1/2026, $130,571, recruitment from priority and underserved communities — grant

  • 27RHT00010 SD Foundation for Medical Care, 7/1/2026, $170,816 — grant

  • 27RHT00013 SD Foundation for Medical Care, 7/17/2026, $719,085, regional EMS hubs — contract

  • 27RHT00011 Southeast Technical College, 8/1/2026, $88,800, “specialized training and certificaiton/education for CHWs and CHRs” — contract

I have a FOIA in to SD so stay tuned.

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