Rural Health Transformation Program – Transforming Rural Healthcare Delivery, Healthcare Transformation Collaboratives
Can you apply?
This grant is for existing Healthcare Transformation Collaboratives in Illinois seeking to scale proven rural healthcare delivery models. Eligible applicants must be established HTCs that have already launched services and demonstrated initial success. Organizations must be prepared to implement transformational, person-centered healthcare changes that improve access, quality, and outcomes in rural Illinois communities.
Funding targets counties in central, southern, and eastern Illinois. Applicants will work through the Euna application system and partner with the Illinois Department of Healthcare and Family Services for grant administration.
Cost sharing is not required. Awards range from $1,000,000 to $3,000,000 annually for one-year terms, subject to continued federal and state funding approval.
This grant is for existing Healthcare Transformation Collaboratives in Illinois seeking to scale proven rural healthcare delivery models. Eligible applicants must be established HTCs that have already launched services and demonstrated initial success. Organizations must be prepared to implement transformational, person-centered healthcare changes that improve access, quality, and outcomes in rural Illinois communities.
Funding targets counties in central, southern, and eastern Illinois. Applicants will work through the Euna application system and partner with the Illinois Department of Healthcare and Family Services for grant administration.
Cost sharing is not required. Awards range from $1,000,000 to $3,000,000 annually for one-year terms, subject to continued federal and state funding approval.
Program description
The Rural Health Transformation (RHT) Program was designed to empower states to strengthen rural communities by improving healthcare access, quality, and outcomes through transforming the healthcare delivery ecosystem.
Illinois’ Rural Health Transformation Program will support rural communities across the State of Illinois in improving healthcare access, quality, and outcomes by transforming healthcare delivery. This program will provide funding to existing Healthcare Transformation Collaboratives to scale models that have demonstrated initial success in improving access, quality, health outcomes and/or cost effectiveness, especially in counties in central, southern and eastern Illinois.
All RHT applicants must complete the Euna application. Once the completed application is received and approved, the Illinois Department of Healthcare and Family Services will collaborate with each subaward to complete the grant award process.
Note: Stevens Amendment Acknowledgment
This funding opportunity is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $193,418,216.21 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.
Through this opportunity the state is seeking to award a grant to scale community-based care models implemented by existing Healthcare Transformation Collaboratives that improve healthcare access, care coordination, resolution of health-related social needs (HRSN), and outcomes for rural populations. Through this opportunity HFS is seeking to award up to $8 million annually for five years, subject to program funding and continued approval.
The purpose of the Healthcare Transformation Collaboratives (HTC) initiative is to establish local, integrated networks of health and social service providers to build transformational services and programs that reduce care gaps and health disparities in socially vulnerable communities across Illinois. Transformational is defined as a thorough or dramatic change in the delivery of healthcare at a community level. HFS provided funding to enable the launch of these networks and their proposed services. HTCs services are expected to be person-centered, holistic, integrated, and driven by community input.
HFS’ overall rural healthcare transformation objectives include:
1. “Right-size” rural healthcare delivery by filling care gaps and transforming services
2. Shift treatment to lower-cost settings
3. Improve rural population health outcomes
4. Catalyze value-based care models, regional health care partnerships in the hospital and primary care practice spaces, practice transformation, and population health improvement This program utilizes federal CMS Rural Health Transformation (RHT) Program. Total amount of funding expected to be awarded through this opportunity is up to $8,000,000 per year subject to ongoing funding and program approval, with approximately $1,000,000 – $3,000,000 for each eligible HTC for one year. Funding in future years is subject to CMS’s continuation, review, and award of future Rural Health Transformation Program funding. The release of this NDFI does not obligate the Department to make an award. Federal Assistance Listing: 93.798. Administered by the Illinois Department of Healthcare and Family Services via the Illinois GATA Catalog of State Financial Assistance (CSFA 478-00-3950).
Who can apply
Eligible applicants
Demographic focus
Details
This grant is for existing Healthcare Transformation Collaboratives in Illinois seeking to scale proven rural healthcare delivery models. Eligible applicants must be established HTCs that have already launched services and demonstrated initial success. Organizations must be prepared to implement transformational, person-centered healthcare changes that improve access, quality, and outcomes in rural Illinois communities.
Funding targets counties in central, southern, and eastern Illinois. Applicants will work through the Euna application system and partner with the Illinois Department of Healthcare and Family Services for grant administration.
Cost sharing is not required. Awards range from $1,000,000 to $3,000,000 annually for one-year terms, subject to continued federal and state funding approval.
How to apply
Application links
Required documents
- Completed Euna application
- Project narrative describing HTC history and proven model
- Implementation plan for scaling activities
- Budget and budget narrative
- Documentation of prior outcomes or initial success metrics
Program contact
- 👤 Dani Mendez
Funding track record
Recent awards under CFDA 93.798 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$281,319,361
-
$272,174,856
-
$233,639,308
-
$233,509,359
-
$223,476,949
-
$221,898,008
-
$218,862,170
-
$218,529,075
-
$216,276,818
-
$213,008,356
Top States by Funding
- TX 1 awards $281.3M
- AK 1 awards $272.2M
- CA 1 awards $233.6M
- MT 1 awards $233.5M
- OK 1 awards $223.5M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
FAQ
Who can apply for this grant?
Only existing Healthcare Transformation Collaboratives (HTCs) that have already launched and demonstrated initial success can apply. Other organizations cannot apply.
What geographic areas does this cover?
The program prioritizes counties in central, southern, and eastern Illinois. Only Illinois-based HTCs are eligible.
What activities are supported?
Funding supports scaling proven models that improve healthcare access, reduce care gaps, coordinate care, address health-related social needs, and shift care to lower-cost settings.
Is cost sharing required?
No cost sharing is required for this grant.
What is the funding range?
Awards typically range from $1,000,000 to $3,000,000 per HTC for one year, subject to continued federal funding and state approval.
💡 Tips for applicants
- Highlight specific, measurable outcomes your HTC has already achieved in improving access, quality, or cost effectiveness.
- Demonstrate how your model is person-centered, holistic, and integrated across health and social services.
- Show clear community input and engagement in your transformation approach.
- Explain how your scaled model will address health-related social needs and fill documented care gaps.
- Build a detailed implementation plan that shows realistic timelines and resource allocation for year one.
⚠️ Common mistakes
Applying without demonstrated initial success or prior HTC establishment. Not clearly connecting your proposed scaling to rural population health improvements. Failing to show integration of health and social services or community-driven design.
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