# Alabama RHTP Maternal and Fetal Health Initiative

Supports practical, scalable strategies that strengthen maternal healthcare delivery systems across rural Alabama through the establishment and enhancement of regional maternal and fetal referral hubs, expansion of telerobotic ultrasound capacity, and facility readiness upgrades to improve access and outcomes for expectant mothers and infants.

## Key facts

- Status: Closed
- Type: NOFO
- Issued by: Alabama Department of Economic and Community Affairs (ADECA) (Alabama)
- Posted: 2026-07-01
- Application due: 2026-08-07
- Eligible applicants: Nonprofit, Public Agency, Healthcare Organization, Hospital, Critical Access Hospital, Rural Emergency Hospital, Rural Health Clinic, Federally Qualified Health Center, Health System
- How to apply: Online via the ARHTP portal (https://alabamarhtp.com/apply); portal opens on or about July 17, 2026.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Maternal-and-Fetal-Health_FinalADA.pdf

## Eligibility

Eligible applicants include hospitals, critical access hospitals, rural emergency hospitals, rural health clinics, federally qualified health centers, health systems, and healthcare organizations capable of carrying out a Maternal and Fetal Health Initiative project and complying with all applicable award requirements. Applicants do not need to be physically located in a rural area but must demonstrate that the project is designed to benefit rural Alabama communities, expectant mothers, infants, healthcare providers, or facilities in regional referral networks.

## Requirements

Applicants must have a valid UEI and maintain an active SAM.gov registration throughout the award. Applications must include all required documentation such as a current Certificate of Existence from the Alabama Secretary of State (within 30 days of application), SAM.gov registration, IRS Form W-9, Alabama Vendor Disclosure Statement, written policies and procedures (conflict of interest, financial management, procurement, standards of conduct), financial statements for the past three fiscal years, single/program-specific audit reports, project plan (ADECA template), grant budget workbook, documentation of matching funds (if applicable), and any other project-specific or required supporting materials. Indirect/administrative costs may not be included.

## Required attachments

- Certificate of Existence (AL Secretary of State, dated within 30 days)
- SAM.gov registration documentation
- IRS Form W-9
- Alabama Vendor Disclosure Statement
- Written policies (conflict of interest, financial management, internal controls, procurement, standards of conduct)
- Financial statements (last three fiscal years)
- Single Audit or program-specific audit reports (last three years)
- Project plan (ADECA template)
- Grant budget workbook and narrative
- Documentation for matching funds/in-kind contributions (if applicable)
- Other project/initiative-specific documentation required by ADECA

## Application package and source documents

- [AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity Alabama RHTP Maternal And Fetal Health Initiative (Official NOFO PDF)](https://www.ruralcarejourney.com/api/documents/95c2c287-10f5-421d-b81c-31406cebe21a/file) (primary) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Maternal-and-Fetal-Health_FinalADA.pdf
- [MI - 2026 - RHTP State Application Summary State-level Initiatives & Proposed Activities December 2025 (RHTP State Application Summary (award evidence))](https://www.ruralcarejourney.com/api/documents/3fd73193-5a2a-43fc-86a5-fa7648b02b6c/file) — official: https://nrha-prod-eastus-be.azure.silvertech.net/NationalRuralHealth/media/Documents/Advocacy/2025/RHTP%20Application%20Materials%202025/RHTP-State-Tracking-Guide_Final.pdf
- [AL - 2026 - Governor Ivey Announces Additional Alabama RHTP Grants Totaling Nearly $55 Million (Official Alabama second-round award announcement)](https://www.ruralcarejourney.com/api/documents/6ddd9008-9316-4ea3-bb97-2cc979f9376e/file) — official: https://governor.alabama.gov/newsroom/2026/10/governor-ivey-announces-additional-alabama-rural-health-transformation-program-grants-totaling-nearly-55-million
- [AL - 2026 - SUPPORTING file — see associated NOFO for primary program details (Official ARHTP Round 2 award announcement)](https://www.ruralcarejourney.com/api/documents/e61fbcaf-616f-49e7-8e91-a73d2c93cb4e/file) — official: https://governor.alabama.gov/newsroom/2026/10/governor-ivey-announces-additional-alabama-rural-health-transformation-program-grants-totaling-nearly-55-million/

More Alabama RHTP activity: https://www.ruralcarejourney.com/states/al (markdown: https://www.ruralcarejourney.com/states/al.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/alabama-rhtp-maternal-and-fetal-health-initiative--2ad5320020 — data as of 2026-08-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.