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Tags Posts tagged with "Rural Health Transformation Plan"

Rural Health Transformation Plan

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Photo by Markus Winkler on Unsplash

Friday, April 10 at 5:00 pm is the deadline to complete and submit nominations for the Rural Health Transformation Plan (RHTP) Advisory Council and RHTP Rural Care Collaboratives (RCC).

Advisory Council (Statewide): This is a not a decision-making body.
The Advisory Council will provide subject matter expertise (SME) to the RCCs. The Council’s feedback is intended to inform and enhance RCC regional plans to ensure planned projects have the best chance of succeeding and will be sustainable after the 5-year RHTP funding is no longer available.

  • Meeting Cadence: The Advisory Council will meet once a month during the RCC plan development period. Once plans are solidified, the Advisory Council will meet quarterly to help address implementation concerns.
  • Council Member Expectations: Provide technical assistance (TA) to the RCCs in the member’s identified area of expertise. TA can be provided in multiple formats. This could be open discussion during RHTP meetings, written questions and answers, or a more hands-on knowledge transfer.
  • Conflict of Interest: If chosen for the Advisory Council, members must provide their formal CV for documentation, a brief bio, and disclosure of any conflicts of interest. All conflicts of interest also must be communicated verbally during meetings and TA communication with RCCs.

The Advisory Council needs SME representation in:

  • Aging and Access
  • Behavioral Health
  • EMS and Transportation
  • Technology and Infrastructure
  • Maternal Health
  • Workforce

Rural Care Collaboratives (Regional): This is a planning body.
There will be 8 RCCs established with the purpose of:

  • Identifying regional priorities based on healthcare gaps;
  • Developing a regional plan to address prioritized needs; and
  • Recommending/identifying projects to the RHTP interagency project team to operationalize the regional plan that works towards Pennsylvania’s identified outcomes.

Complete the RHTP Advisory Council and RCC Nomination form here.

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The Department of Human Services (DHS) held a “kickoff” webinar to discuss the Rural Health Transformation Plan (RHTP) and have released the recording and slides for the presentation, which are available here. DHS is currently awaiting the release of the Request for Proposal (RFP) for the first phase of Year 1 implementation.

Year 1 Funding Mechanisms will include:

  • Expansion of existing programs;
  • Program payments;
  • Intergovernmental agreements; and
  • Grant agreements.

If your organization has an interest in these RFPs, RCPA will provide updates as appropriate, but we also encourage you to sign up directly for the DHS listserv info. Direct RHTP inquiries can be sent here.

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Yesterday, March 31, 2026, the Department of Human Services (DHS) held a “kickoff” webinar to discuss the Rural Health Transformation Plan (RHTP). The slides have not been released; however, RCPA will share the PowerPoint with members once they are available.

The webinar did not provide definitive next steps in terms of which category of Request for Proposal (RFP) would be released and when. RFPs will be periodically rolled out, and DHS indicated that the first RFP release would be in the next two weeks. The Department also shared the broad categories of project areas for consideration, stating that all RFP responses should closely tie back to their approved CMS plan.

DHS touched on the fact that RHTP funding and compliance will be achieved through continual cooperative agreements with CMS. Below is a broader timeline highlighting certain reporting and funding dates, as well as broader categorical areas the state is pursuing.

  • End of First Reporting Period – July 31, 2026
  • First Annual Report Due to CMS – August 31, 2026
  • Obligation of Year 1 Funding – October 30, 2026
  • Year 2 Funding – October 31, 2026
  • Quarterly Reports Due to CMS – November 29, 2026; March 1, 2027, May 30, 2027
  • Spending Deadline for Year 1 – September 30, 2027
    • By March 31, 2028, CMS will begin determining the amount of unused funds from the prior period to redistribute them to other states.

Year 1 Funding Mechanisms will include:

  • Expansion of existing programs;
  • Program payments;
  • Intergovernmental agreements; and
  • Grant agreements.

If your organization has an interest in these RFPs, RCPA will provide updates as appropriate, but we also encourage you to sign up directly for the DHS listserv info. Direct RHTP inquiries can be sent here.

If you have further questions, please contact your RCPA Policy Director.

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RCPA has been a long-time partner of the Center for Health Care Strategies (CHCS), a policy design and implementation organization devoted to improving outcomes for people enrolled in Medicaid. Our collaborative efforts across the arena of Medicaid and the pending impacts of HR 1 remain a critical connection point to ensure access in Pennsylvania.

On behalf of CHCS, RCPA would like to share this update on resources related to the Rural Health Transformation Project. Per the update:

The federal Rural Health Transformation Program (RHTP), authorized under the 2025 budget reconciliation act (P.L. 119-21), will distribute $50 billion to all 50 states from 2026 to 2030 — serving as a partial offset to Medicaid cuts. In designing and launching RHTP plans, state agencies must meet ambitious federal expectations and timelines. Experiences from other large-scale statewide efforts — such as the American Rescue Plan Act, Opioid Settlement Funds, multisector plans for aging (MPA), and the Centers for Medicare & Medicaid Services’ (CMS) State Innovation Models (SIM) demonstration — can help inform state planning.

This brief provides practical recommendations to help states establish the administrative infrastructure needed to implement their RHTP plans. Drawing on insights from state officials involved with similar transformation efforts, as well as the Center for Health Care Strategies’ (CHCS) experience supporting this work, the brief highlights best practices and common pitfalls across four core domains:

  1. Governance;
  2. Stakeholder engagement and communications;
  3. Budget tracking, reporting, and contracting; and
  4. Data and evaluation.

While not exhaustive, this brief outlines practical lessons that state staff can use to guide RHTP activities during the critical first six to nine months of program design and implementation, helping states build a strong foundation for long-term success.

Additionally, CHCS published a series of tip sheets to aid stakeholders in exploring strategies and initiatives within the project. The tip sheets offer resources for strengthening rural health, including workforce and access issues.

If members have any questions regarding this update or the Rural Health Transformation Plan, please contact RCPA COO Jim Sharp.

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Following the creation of the Rural Health Transformation (RHT) Program under President Trump’s Working Families Tax Cut legislation, the Centers for Medicare and Medicaid Services (CMS) has announced the establishment of the Office of Rural Health Transformation (ORHT). This new office will be located within the Center for Medicaid and CHIP Services (CMCS) and will continue overseeing the RHT Program. The RHT Program is a $50 billion initiative to strengthen rural health systems and expand access to care nationwide. As noted in RCPA’s Alert from December 30, 2025, Pennsylvania will receive nearly $200 million in 2026.

ORHT, which announced approved awardees on December 29, 2025, will guide states in implementing their rural health transformation plans, provide technical assistance, coordinate federal and state partnerships, and ensure strong oversight and accountability throughout the five-year program, which will run through September 30, 2031.

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From Pennsylvania Capital-Star “Pa.’s Rural Health Application Reveals Priorities in Federal Funding Request,” November 20, 2025:

Pennsylvania is hoping to secure its own slice of a $50 billion rural health fund in the face of federal Medicaid cuts, with a focus on bolstering a beleaguered workforce and expanding health access for more than two million people.

The Rural Health Transformation Fund was a last-minute addition to President Donald Trump’s summer budget bill that imposed Medicaid work requirements and cut upwards of $51 billion in funding to the commonwealth over the next decade. That new fund is worth roughly 37% of the estimated lost Medicaid funding in rural areas…

The 67-page application requests up to $200 million in annual funding over the next five years, totaling $1 billion. Its six focuses include: technology and infrastructure, workforce, maternal health services, behavioral health services, aging and access, and emergency medical services and transportation.

The U.S. Department of Human Services is expected to award funding by the end of the year.

Key objective targets are:

  • Access to care: More than 85% of Pennsylvanians can get a routine primary care appointment within four weeks and urgent care appointments within one week.
  • Digital connectivity and telehealth: More than 85% of rural hospitals and clinics will have broadband and telehealth functionality. More than 50% of rural hospitals and clinics connected via Fast Healthcare Interoperability Resources.
  • Workforce adequacy: Reduce rural hospital vacancy rates by 10% for key direct care roles. Add three new rural training programs.
  • System sustainability: More than 60% of systems partnered with rural Community Health Centers for specialty care.
  • Health outcomes: Reduce the number of pregnant women living in rural areas with inadequate prenatal care by 20%.

From the PA Rural Health Transformation (RHT) Program Application:

Pennsylvania’s rural health transformation strategy is grounded in a balance of statewide coordination and regional leadership and collaboration. Pennsylvania’s “Health Hub” state agencies (Human Services, Health, Aging, Insurance, Drug and Alcohol Programs), and other partner agencies will establish clear strategic priorities focusing on access, workforce, maternal health, aging, behavioral health, EMS and infrastructure. Pennsylvania will leverage statewide technical expertise, evaluation, and financial oversight and support. Strong regional rural care collaborative will be composed of a roster of regional stakeholders that prioritize local needs, develop effective local sustainable solutions, and leverage existing resources and assets.

Pennsylvania will leverage established regional entities that coordinate regional economic development. These Partnerships for Regional Economic Performance (PREP) organizations are long-standing, quasi-governmental organizations that convene regional stakeholders, administer federal and state grants, collect local data, report outcomes, and catalyze public and private partnerships for regional economic development. They bring established governance structures, convening power, and a track record of successful cross-sector collaboration. PREPs (Figure 2) will convene regional stakeholders to create Rural Care Collaborative (RCCs) to align initiatives with regional economic planning and development – making the RHTP investments sustainable and promoting long-term partnerships.

If you have any questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp.

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Image by Dirk Wouters from Pixabay

Thank you for your participation in Pennsylvania’s rural health ecosystem, including those who attended a regional rural health summit. As a next step, DHS is gathering information, concepts, and additional ideas to shape the Commonwealth’s Rural Health Transformation Plan and reflect what they heard from rural providers, partners, and residents.

What DHS is asking for:

  1. Information and concepts in these summit-affirmed areas: Maternal Health, Mental and Behavioral Health, Aging and Access, Transportation and EMS, and the Rural Healthcare Workforce.
  2. Other ideas that improve access to care in rural communities, even if they fall outside those five areas.

Who can submit:

  • Hospitals and health systems;
  • Healthcare professionals;
  • FQHCs and rural health clinics;
  • State offices of rural health;
  • Grantees providing services in rural areas;
  • Healthcare leadership and administrators;
  • Healthcare consumers;
  • Community action organizations;
  • Public and private business owners and organizations;
  • EMS and transportation providers;
  • Behavioral health, aging, and disability services partners, county commissioners, and other local or state government representatives, single county authorities, economic development organizations, professional organizations, community-based and faith-based organizations, philanthropy, and higher education and health provider training partners; and
  • Other interested parties.

What to include:

Information to assist DHS in enhancing and transforming rural health, including core concepts, target problems, or opportunities for improvement, intended impact and success metrics, evidence or prior experiences, feasibility of ideas for rural settings, partners, costs and resources, innovation or adaptation, and sustainability.

Submit by: August 29, 2025
Find the Form Here
Questions or Accessibility Needs: Email

DHS may use the information gathered through this process in the development of future implementation; however, the Departments do not guarantee that this will occur.

Respondents should be aware that the responses will be public information and that no claims of confidentiality will be honored. DHS is not requesting, and does not require, confidential, proprietary information, or other competitively sensitive information to be included as part of a submission. Ownership of all data, material and documentation originated, prepared, and provided to the Departments during this process will belong exclusively to the Departments.

Please contact your RCPA Policy Director with any questions.

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