Rural Health Transformation Program

RHT Program
CFDA 93.798 Active Grant
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Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$10B FY2026
$10B
FY26*
* estimated

Who has received this funding

Organizations awarded under CFDA 93.798 (USAspending.gov).

Program Objective

The Rural Health Transformation (RHT) Program aims to support communities in transforming their health care delivery systems and improving access & health outcomes.

Eligibility

Eligible Applicants

  • State

Each State should submit one official application on behalf of the State. Within a State, the Governor will typically designate a lead agency or office to develop and submit the application (for example, the State’s Department of Health, Department of Human Services, or State Medicaid Agency).

How to Apply

Award Procedure

Following receipt of applications, CMS will review applications and whether they fulfill the criteria for selection. Assistance will be distributed as defined in statute (50% to all approved states, 50% among all States in an amount to be determined by the Administrator in accordance with statute).

Application review period will take 30-40 days.

Program details & compliance

Description

The Rural Health Transformation (RHT) Program funding is available to States to support communities in transforming their health care delivery systems and improving access & health outcomes.

Mission Categories

Primary: General Health and Medical

Use of Funds

Allowed Uses

• Promoting evidence-based, measurable interventions to improve prevention and chronic disease management.
• Providing payments to health care providers for the provision of health care items or services, as specified by the Administrator.
• Promoting consumer-facing, technology-driven solutions for the prevention and management of chronic diseases.
• Providing training and technical assistance for the development and adoption of technology-enabled solutions that improve care delivery in rural hospitals, including remote monitoring, robotics, artificial intelligence, and other advanced technologies.
• Recruiting and retaining clinical workforce talent to rural areas, with commitments to serve rural communities for a minimum of 5 years.
• Providing technical assistance, software, and hardware for significant information technology advances designed to improve efficiency, enhance cybersecurity capability development, and improve patient health outcomes.
• Assisting rural communities to right size their health care delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute inpatient care, outpatient care, and post-acute care service lines.
• Supporting access to opioid use disorder treatment services (as defined in section 1861(jjj)(1)), other substance use disorder treatment services, and mental health services.
• Developing projects that support innovative models of care that include value-based care arrangements and alternative payment models, as appropriate.
• Additional uses designed to promote sustainable access to high quality rural health care services, as determined by the Administrator.

Required Documentation

State-level submissions only. States must submit an application to the Administrator that includes information including a plan for the State to use its allotment to carry out 3 or more Use of Funds defined in statute. States must also submit annual reports on the use of allotments.

Reporting & Compliance

Audit Required
Yes — Annual
Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart F — Audit Requirements

Contacts

Emily Chen
(301) 708-1030
Hubert H. Humphrey Building, Washington, DC 20201
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-16. Spec v2.0. Last synced: 2026-05-29 05:43:51.