Rural Health Transformation Grant Tracker

Rural Health Transformation Grant Tracker

West Virginia posts Health to Prosperity, Utah and Texas ready to drop new opps

New Hampshire choose NORC at the University of Chicago for evaluation-- see the scoring rubric and DQ status for all 15 applicants

Daniel X. O'Neil's avatar
Daniel X. O'Neil
Jul 07, 2026
∙ Paid

Yesterday I published a huge set of data and analysis from RHTP.

  • 2026 Q2 Newsletter Activity Index: state-by state, topic-by-topic deeplinks

  • Q2 RFP Review / Q3 RFP Watcher: Every procurement from Q2, near-term contracting outlook, and state-by-state analysis

  • The 50-State RHTP Field Guide: downloadable PDF with RHT personality, program maturity, federal outlays, open procurements, engagement activity, rural geography, and contacts

In this issue:

  • Legislation Watch: MI

  • Colorado RHTP office hours are today

  • New York posts Answers 375 Questions about Its $76M Rural Grant— here’s the upshots

  • West Virginia posts Health to Prosperity - Restoring WV’s Workforce through Health-to-Work Programs for Substance Use Disorder opp

  • Utah set to post RISE 2.5: Recruit and Retain today

  • New Hampshire chose NORC at the University of Chicago for evaluation

  • Wisconsin opens two RHTP funding channels

  • North Carolina adds $105 and 10 days to North Carolina Minority Diabetes Prevention Program (NC MDPP) RFANorth Carolina adds $105 and 10 days to North Carolina Minority Diabetes Prevention Program (NC MDPP) RFA

No one publishes deep vendor analysis or captures more RHTP data. Consider becoming a paid subscriber.

Legislation Watch: MI

Michigan — SB878: the fiscal year 2026-27 omnibus appropriations bill funding multiple departments, including the Department of Health and Human Services (Article 6), which carries Michigan’s $173,128,201 first-year Rural Health Transformation Program award as federal receive-and-expend authority with boilerplate directing the timely allocation of those funds — both chambers adopted the conference report on July 3, 2026 with immediate effect (Senate 27-9, House 99-7), and the bill was re-returned to the Senate for enrollment before heading to Governor Gretchen Whitmer. Michigan Advance, July 3, 2026

Colorado RHTP office hours are today

Tuesday, July 7, 8 to 9 a.m. Join here.

New York Answers 375 Questions about Its $76M Rural Grant— here’s the upshots

New York State drops a big update on its Rural Community Health Integration (RCHI) funding — the first of its four Rural Health Transformation Program initiatives. On July 6, 2026, the Department of Health posted Addendum #2, a 375-question Q&A that supersedes the July 2 version and settles most of what applicants have been asking about eligibility and money. The application deadline stays at Tuesday, July 14, 2026 (4:00 PM EST, by email to rchi@health.ny.gov — no portal).

What the money actually looks like

The Q&A finally nails down the award structure. Planning grants run up to $500,000 per county, and multi-county applicants can stack them — three counties means up to $1.5 million. Implementation grants are capped at $3 million per application (not per county), covering up to three projects combined. Administrative costs are held to 5% in aggregate across the lead applicant and every partner and subcontractor, and capital/infrastructure spending is capped at 20%.

RCHI’s slice of New York’s Budget Period 1 award is $76 million of the state’s total $212,058,207.80 from CMS/HHS. Notably, implementation dollars don’t flow in BP1 — they arrive in Budget Periods 2 through 5, with BP2 beginning November 1, 2026.

Who can lead

The location rule is strict: the Lead Applicant must be physically present or legally domiciled in an eligible county — serving the county, or claiming it as a service area, isn’t enough. A satellite site can itself be the Lead Applicant, and an out-of-state parent system (say, a Pennsylvania-based network) can participate only if the in-county hospital or clinic site is the actual applicant and funds flow directly to qualifying sites, never passing through the parent or an ineligible-county location. Partner organizations, by contrast, can sit anywhere — including out of state — as long as their work benefits eligible counties.

The Yates fix and the county count

New York confirms the eligible-county list now stands at 47 rural counties. Yates County, omitted in error earlier, is back in — corrected in the Funding Guidance. Columbia and Ulster counties are also confirmed eligible.

Timeline

Award announcements are anticipated by the end of August 2026, with all contracts executed by September 30, 2026. Projects must be complete by June 30, 2027, funds fully expended by September 30, 2027, and final vouchers and reports submitted by July 31, 2027.

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