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Rural Health Information Hub

State Rural Health Transformation Programs and Applications

The Centers for Medicare & Medicaid Services (CMS) offers a collection of state Rural Health Transformation Program project narratives, summaries, and related information, including a list of all 50 state project abstracts.

RHIhub provides links to additional RHTP resources and information.

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Alabama Rural Health Transformation Program
Provides information on Alabama's Rural Health Transformation Program. Includes a link to Alabama's project narrative submitted in the application for the program.
Additional links: Project Narrative
Sponsoring organization: Alabama Department of Economic and Community Affairs
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Alaska's Rural Health Transformation Program (RHTP) Initiatives
Provides information on Alaska's Rural Health Transformation Program (RHTP). Presents a summary of proposed initiatives, frequently asked questions, webinar records, information regarding the Alaska Rural Health Transformation Program Advisory Council, and details on the state RHTP funding opportunities.
Additional links: Potential Uses of Funds, Project Narrative and Supporting Documents
Sponsoring organization: Alaska Department of Health
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Arizona Rural Health Transformation Program Toolkit
Offers links to resources on Arizona's Rural Health Transformation Program and rural healthcare throughout the state. Covers, rural population factors, rural and tribal healthcare facilities, graduate medical education (GME), and more.
Additional links: Revised Project Narrative
Sponsoring organization: Arizona Center for Rural Health
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Arkansas Rural Health Transformation Program
Arkansas's application for the Rural Health Transformation Program. Discusses the rural health landscape in the state, proposed initiatives and uses of funds, metrics and evaluation plans, sustainability plan, and more.
Sponsoring organizations: Arkansas Department of Finance and Administration, Office of Governor Sarah Huckabee Sanders
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California Rural Health Transformation Program
Provides information on California's application for the Rural Health Transformation Program. Discusses proposed initiatives and stakeholder engagement.
Additional links: Budget Narrative, Notice of Award, Project Summary, Revised Project Narrative
Sponsoring organization: California Department of Health Care Access and Information
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Colorado Rural Health Transformation Program
Provides information on Colorado's Rural Health Transformation Program. Includes links to Colorado's application materials, recordings of advisory committee meetings, program newsletters, and more.
Additional links: Budget Narrative, Other Supporting Documents, Project Narrative, Project Summary
Sponsoring organization: Colorado Department of Health Care Policy and Financing
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Connecticut Rural Health Transformation Program
Provides information on Connecticut's Rural Health Transformation Program. Includes links to the state's application materials.
Additional links: Budget Narrative, Project Narrative
Sponsoring organization: Connecticut Department of Social Services
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Delaware's Rural Health Transformation Program
Provides information on Delaware's Rural Health Transformation Program (RHTP). Includes a summary of projects, programs, and initiatives, links to Delaware's application materials, and details on the state RHTP funding opportunities.
Additional links: Executive Budget Summary, Project Narrative
Sponsoring organization: Delaware Health and Social Services
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Florida Rural Health Transformation Program
Provides information on Florida's Rural Health Transformation Program. Presents an overview of goals and key initiatives, a regional map, latest news and resources, upcoming events, and links to Florida's application. Shares details on the state RHTP funding opportunities.
Additional links: Application
Sponsoring organization: Florida Agency for Health Care Administration
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GREAT Health Program (Georgia's Rural Health Transformation Program)
Provides information on Georgia's Rural Health Transformation Program. Includes links to Georgia's application, webinar recordings, and public comments received by the Georgia Department of Community Health to inform the development of the state's application.
Additional links: Revised Project Narrative
Sponsoring organization: Georgia Department of Community Health
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Hawaiʻi's Rural Health Transformation Plan
Provides information on Hawaii's Rural Health Transformation Program. Summarizes proposed initiatives and includes links to Hawaii's application.
Additional links: Application
Sponsoring organization: Executive Office of the State of Hawaii
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Healthy Hometowns - Iowa's Rural Health Transformation Plan
Provides information on Iowa's Rural Health Transformation Program. Presents an overview of proposed initiatives, links to Iowa's application materials, and funding opportunities.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Iowa Department of Health and Human Services
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Idaho Rural Health Transformation Program Grant
Provides information on Idaho's Rural Health Transformation Program. Includes a summary of initiatives, links to Idaho's application materials and revised budget, meeting summaries, and information regarding the collaborative approach taken to inform the development of the application.
Additional links: Budget Narrative, Project Narrative, Revised Budget
Sponsoring organization: Idaho Department of Health and Welfare
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Illinois Rural Health Transformation Program
Provides information on the Illinois Rural Health Transformation Program. Presents an overview of proposed initiatives and includes links to information about the state's application materials.
Additional links: Project Narrative
Sponsoring organization: Illinois Department of Healthcare and Family Services
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Improving Rural Health in Pennsylvania
Provides information on Pennsylvania's Rural Health Transformation Program. Presents an overview of how Pennsylvania plans to address the five goals of the program and links to the state's project narrative.
Additional links: Project Narrative
Sponsoring organization: Pennsylvania Department of Human Services
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Indiana Rural Health Transformation
Provides information on Indiana's Rural Health Transformation Program. Presents an overview of program initiatives, including Growing Rural Opportunities for Well-being (GROW) regional grants, and strategic goals. Includes links to Indiana's application materials.
Additional links: Budget Narrative, Project Narrative, Project Summary
Sponsoring organizations: Indiana Department of Health, Indiana Family and Social Services Administration
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Kansas Rural Health Transformation Program
Provides information on Kansas's application for the Rural Health Transformation Program (RHTP). Includes links to Kansas's application, webinar recordings, news, and details on the state RHTP funding opportunities.
Additional links: Application
Sponsoring organization: Kansas Department of Health and Environment
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Kentucky ​​​​​​​​​​​​​​​​​​​​​​​​​​​Rural Health Transformation
Provides information on Kentucky's Rural Health Transformation Program. Presents an overview of program initiatives, key policy priorities, and links to Kentucky's program application and other resources.
Additional links: Project Narrative, Project Summary, Supporting Documentation
Sponsoring organization: Kentucky Cabinet for Health and Family Services
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Louisiana Rural Health Transformation Program (RHTP)
Provides information on Louisiana's application for the Rural Health Transformation Program. Includes links to Louisiana's application and statistics and data about the state's rural health landscape.
Additional links: Project Narrative
Sponsoring organization: Louisiana Department of Health
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Maine Rural Health Transformation Program
Provides information on Maine's Rural Health Transformation Program. Includes links to Maine's application and recordings of public webinars that gathered stakeholder and community engagement to inform the development of the state's application.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Maine Department of Health and Human Services
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Maryland Rural Health Transformation Program (RHTP)
Provides information on Maryland's application for the Rural Health Transformation Program (RHTP). Includes links to Maryland's application, resources used for stakeholder and community listening sessions to inform the development of the state's application, and details on the state RHTP funding opportunities.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Maryland Department of Health
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Massachusetts Rural Health Transformation Program (RHTP)
Provides information on Massachusetts's Rural Health Transformation Program. Includes links to the state's application and a list of state partners.
Additional links: Application Summary and Project Narrative
Sponsoring organization: Massachusetts Executive Office of Health and Human Services
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Michigan Rural Health Transformation Program (RHTP)
Provides information on Michigan's Rural Health Transformation Program (RHTP). Presents an overview of the program structure, includes links to Michigan's application, and details on the state RHTP funding opportunities.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Michigan Department of Health and Human Services
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Minnesota Rural Health Transformation Program
Provides information on Minnesota's Rural Health Transformation Program. Includes links to a Minnesota's application, frequently asked questions, funding opportunities, and public comments received during the development of the application.
Additional links: Fact Sheet, Project Narrative
Sponsoring organization: Minnesota Department of Health
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Mississippi Rural Health Transformation Program
Project narrative from Mississippi's application for the Rural Health Transformation Program. Discusses the rural health landscape in the state, proposed initiatives and uses of funds, metrics and evaluation plans, sustainability plan, and more.
Sponsoring organization: Office of Governor Tate Reeves
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Missouri Rural Health Transformation Program
Provides information on Missouri's Rural Health Transformation Program (RHTP). Includes links to Missouri's application materials, information about Missouri's initiatives, and upcoming feedback and procurement opportunities.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Missouri Department of Social Services
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Montana Rural Health Transformation Program
Provides information on Montana's Rural Health Transformation Program. Includes links to Montana's application, frequently asked questions, a summary of the program's five core initiatives, and more.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Montana Department of Public Health and Human Services
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Nebraska Rural Health Transformation
Provides information on Nebraska's Rural Health Transformation Program. Describes program initiatives and timelines. Includes links to Nebraska's project abstract and project narrative.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Nebraska Department of Health and Human Services
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Nevada Rural Health Transformation Program
Provides information on Nevada's Rural Health Transformation Program. Includes links to Nevada's application materials, upcoming events and announcements, summaries of program initiatives, and more.
Additional links: Budget Narrative, Executive Summary, Program Fact Sheet, Project Narrative
Sponsoring organization: Nevada Health Authority
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New Hampshire Rural Health Transformation Program
Provides information on New Hampshire's Rural Health Transformation Program. Includes links to a summary of New Hampshire's application, frequently asked questions, presentation slides from a session to gather public input, and a map of safety net healthcare programs and facilities across the state.
Additional links: Application Summary, Project Narrative
Sponsoring organization: New Hampshire Department of Health and Human Services
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New Jersey Rural Health Transformation Program Application
New Jersey's application for the Rural Health Transformation Program. Discusses the rural health landscape in the state, rural residents' healthcare needs, proposed initiatives and uses of funds, and more.
Date: 11/2025
Sponsoring organizations: New Jersey Department of Health, New Jersey Department of Human Services
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New Mexico Rural Health Transformation Program
Provides information on New Mexico's Rural Health Transformation Program. Includes links to New Mexico's application, requests for information from stakeholders, and resources used for stakeholder and community engagement to inform the development of the state's application.
Additional links: Application
Sponsoring organization: New Mexico Health Care Authority
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North Carolina Rural Health Transformation Program
Provides information on North Carolina's Rural Health Transformation Program. Includes links to North Carolina's application, frequently asked questions, town hall recordings, and presentation slides.
Additional links: Project Abstract/Summary and Narrative
Sponsoring organization: North Carolina Department of Health and Human Services
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North Dakota Rural Health Transformation
Provides information on North Dakota's Rural Health Transformation Program. Includes links to North Dakota's application materials, as well as resources and presentations used to engage stakeholders and legislators in the development of the state's application.
Additional links: Appendices, Budget Narrative, Project Narrative, Project Summary
Sponsoring organization: North Dakota Department of Health and Human Services
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Ohio Rural Health Transformation Program
Provides information on Ohio's Rural Health Transformation Program. Presents a summary of strategic goals, eligible activities, and links to Ohio's application materials.
Additional links: Executive Summary, Project Narrative
Sponsoring organization: Ohio Department of Health
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Oklahoma Rural Health Transformation Program
Provides information on Oklahoma's Rural Health Transformation Program. Presents an overview of proposed initiatives, frequently asked questions, upcoming engagement opportunities, links to components of Oklahoma's program application, and more.
Additional links: Application Summary, Budget Narrative, Project Narrative
Sponsoring organization: Oklahoma State Department of Health
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Oregon Rural Health Transformation Program
Provides information on Oregon's Rural Health Transformation Program. Includes links to Oregon's application, webinar recordings, and frequently asked questions.
Additional links: Budget Narrative, Project Summary and Project Narrative
Sponsoring organization: Oregon Health Authority
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Rhode Island Rural Health Transformation Project
Provides information on Rhode Island's Rural Health Transformation Program. Includes links to Rhode Island's application materials.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Rhode Island Department of Health
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Rural Health Access for Tennessee's Future
Provides information on Tennessee's application for the Rural Health Transformation Program (RHTP). Presents an overview of proposed initiatives, a link to Tennessee's application, and details on the state RHTP funding opportunities.
Additional links: Project Narrative
Sponsoring organization: Tennessee Department of Health
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South Carolina Rural Health Transformation Program
Provides information on South Carolina's application for the Rural Health Transformation Program. Includes links to South Carolina's application materials, as well as presentation recordings to engage stakeholders and inform the public of the development of the state's application.
Additional links: Budget Narrative, Project Abstract Summary, Project Narrative
Sponsoring organization: South Carolina Department of Health and Human Services
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South Dakota Rural Health Transformation Project
Provides information on South Dakota's Rural Health Transformation Project. Presents an overview of proposed initiatives and includes links to South Dakota's application narrative and summary, initiative summaries, and more.
Additional links: Project Narrative, Project Summary
Sponsoring organization: South Dakota Department of Health
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Texas Rural Health Transformation Program
Provides information on Texas's Rural Health Transformation Program. Presents a summary of proposed initiatives and includes links to initial and revised components of Texas's program application, including the project narrative and budget narrative.
Additional links: Budget Period 1 Revised Budget Narrative, Other Supporting Materials, Project Abstract Summary, Revised Project Narrative
Sponsoring organization: Texas Health and Human Services
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Transforming Rural Healthcare in New York
Provides information on New York's Rural Health Transformation Program. Presents an overview of initiatives and links to New York's application summary.
Additional links: Project Abstract, Project Narrative
Sponsoring organization: New York State Department of Health
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Utah Rural Health Transformation Program
Provides information on Utah's Rural Health Transformation Program. Includes links to Utah's application, frequently asked questions, webinar and stakeholder meeting recordings, funding opportunities.
Additional links: Application, Application Summary
Sponsoring organization: Utah Department of Health and Human Services
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Vermont H.R.1/Rural Health Transformation Fund
Provides information on Vermont's Rural Health Transformation Program. Includes links to Vermont's application, frequently asked questions, and active request for proposals and notice of funding opportunities.
Additional links: Application Activity Details, Overview, Revised Project Narrative
Sponsoring organization: Vermont Agency of Human Services
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Virginia's Rural Health Care Transformation
Provides information on VA Rural Vitality, Virginia's Rural Health Transformation Program. Includes links to Virginia's application for the program.
Additional links: Application Summary, Project Narrative
Sponsoring organizations: Office of the Virginia Secretary of Health and Human Resources, Virginia Department of Medical Assistance Services (DMAS)
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Washington Rural Health Transformation Program
Provides information on Washington's Rural Health Transformation Program. Includes links to Washington's application materials, news and announcements, as well as resources and presentations used for stakeholder and community engagement to inform the development of the state's application.
Additional links: Notice of Award Budget Revision, Project Narrative
Sponsoring organizations: Washington State Department of Health, Washington State Department of Social and Health Services, Washington State Health Care Authority
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West Virginia Rural Health Transformation Program
Provides information on West Virginia's Rural Health Transformation Program. Includes links to West Virginia's application, upcoming events, and current grant opportunities.
Additional links: Project Narrative, Project Summary
Sponsoring organization: West Virginia Department of Health and Human Resources
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Wisconsin Rural Health Transformation Program
Provides information on Wisconsin's Rural Health Transformation Program. Presents an overview of proposed initiatives and information related to program implementation. Includes links to Wisconsin's application materials.
Additional links: Application, Project Summary
Sponsoring organization: Wisconsin Department of Health Services
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Wyoming's Rural Health Transformation Program
Provides information on Wyoming's application for the Rural Health Transformation Program. Includes links to Wyoming's application notes from in-person and virtual town hall meetings conducted to inform the development of the state's application.
Additional links: Project Narrative
Sponsoring organization: Wyoming Department of Health
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