State-Led Funding. State-Specific Strategy.
RHTP funds flow through the states, and each state is setting its own priorities, deadlines, and award process. PYA helps rural healthcare organizations and state hospital associations make sense of those requirements, identify where organizations fit, and prepare for RFAs, RFPs, grants, subawards, or partnerships. From opportunity assessment to application planning, implementation readiness, and post-award compliance, PYA helps turn state-level priorities into practical next steps.
What Organizations Should Be Doing NowOrganizations considering RHTP opportunities should begin preparing before individual opportunities are released. Many state-level funding opportunities may have compressed response windows, and successful applications are likely to require more than a basic description of need. Strong preparation may include:
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RHTP Application SupportFrom opportunity assessment to final submission, PYA helps organizations prepare materials that are practical, defensible, and connected to the realities of rural healthcare operations. RHTP applications are likely to require clear alignment among community need, proposed activities, implementation capability, measurable outcomes, and sustainability. PYA can assist with:
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Talk With PYA About RHTP PlanningRHTP opportunities are moving quickly, and application windows may be short. Whether your organization is evaluating potential funding opportunities, preparing an application, or planning for implementation and post-award compliance, PYA can help you think through the next step. |
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Common RHTP Focus AreasEach state’s priorities will vary, but CMS has identified broad uses of funds tied to rural health transformation. Healthcare organizations may see funding opportunities related to:
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Download RHTP ResourcesRHTP Funding GuideA state-agnostic guide to help healthcare organizations understand RHTP funding opportunities, application planning considerations, and post-award needs. Download the RHTP Funding Guide (coming soon) Tennessee RHTP Funding OpportunitiesA Tennessee-specific one-pager outlining current 2026 funding opportunities, key dates, application considerations, and ways PYA can help. |
Post-Award Support and Long-Term Readiness
RHTP responsibilities do not end when funding is awarded. Organizations may need to manage implementation, documentation, reporting, compliance, and audit readiness in accordance with state award terms and applicable federal requirements. PYA can help organizations establish practical processes for monitoring performance, tracking use of funds, documenting progress, and preparing for post-award review.
PYA can support:
- Implementation planning and project governance
- Reporting calendars, documentation workflows, and evidence collection
- Internal controls and audit readiness
- Data, metrics, dashboards, and outcomes assessment
- Technology, cybersecurity, and interoperability considerations
- Reimbursement, budget, and financial sustainability planning
- Stakeholder engagement and leadership reporting
- Sustainability planning after the funding period ends
RHTP FAQ:
What is the Rural Health Transformation Program?
The Rural Health Transformation Program is a federal program that provides funding to states to support rural healthcare transformation. States use the funding to advance initiatives that may improve access, strengthen sustainability, modernize care delivery, support workforce needs, improve technology, and improve outcomes in rural communities.
Can healthcare organizations apply directly to CMS for RHTP funding?
No. States are the direct CMS award recipients. Healthcare organizations may participate through state-level grants, RFAs, RFPs, subawards, contracts, partnerships, or other structures, depending on how their state distributes or manages RHTP funds.
Are RHTP deadlines the same in every state?
No. Each state sets its own priorities, processes, funding structures, and deadlines. Organizations should monitor official state RHTP sources and begin preparing before individual funding opportunities are released.
What should organizations prepare before an RFA or RFP is released?
Organizations should be ready to define community need, identify target populations, outline proposed initiatives, develop workplans, define measurable outcomes, identify data sources, prepare sustainability plans, and gather supporting materials.
What happens after RHTP funding is awarded?
Post-award responsibilities may include implementation, use-of-funds tracking, milestone reporting, outcome measurement, documentation, compliance monitoring, and audit readiness. Specific requirements will depend on the state’s award structure and the terms of the grant, subaward, contract, or partnership.
How can PYA help with RHTP?
PYA helps organizations evaluate RHTP opportunities, prepare application materials, develop workplans, define metrics, plan implementation, assess operational and financial sustainability, and prepare for reporting, compliance, and audit readiness.
PYA serves to solve our members’ most challenging problems. Over the years they have proven to be experts in rural health, of the highest integrity, and responsive to their clients’ needs. Like our members, PYA is driven by a passion for ensuring local access to high-quality healthcare services.
