# Alabama Rural Health Practice Initiative The Alabama Rural Health Practice Initiative is a competitive funding opportunity under the Alabama Rural Health Transformation Program (ARHTP), funded by the Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation Program and administered by ADECA. A total of $6,935,000 is available for competitive subawards to support projects that expand rural clinic capacity, recruit and retain rural healthcare workforce, implement telehealth, and develop school-based health clinics. This initiative aims to advance rural healthcare access, innovation, and the long-term sustainability of health services across Alabama's rural communities. For questions, contact info@alabamarhtp.com. Round 1 results announced Aug 24, 2026: $7,786,128 awarded across 14 grants under this initiative. ## Key facts - Status: Closed - Type: NOFO - Issued by: Alabama Department of Economic and Community Affairs (ADECA) (Alabama) - Posted: 2026-06-03 - Application due: 2026-06-26 - Funding: $6.9M - Eligible applicants: Rural Health Clinics, Federally Qualified Health Centers, Critical Access Hospitals, Public Entities, Nonprofit Organizations - How to apply: Online portal (https://portal.alabamarhtp.com). All application materials must be submitted electronically via the ARHTP portal by 5:00 PM CT, June 26, 2026. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Rural-Health-Practice-Initiative_Final_06012026_ADA.pdf ## Eligibility Eligible entities are: (1) Rural Health Clinics located in or proposing to serve rural census tracts in Alabama; (2) Federally Qualified Health Centers (FQHCs) currently operating rural satellite sites; (3) Critical Access Hospitals; (4) Public or nonprofit entities with demonstrated ability to provide primary care or behavioral health services in rural settings. Applicants must show a history of serving rural and medically underserved populations and maintain compliance with state and federal regulations. Projects must benefit rural, medically underserved areas as defined in the NOFO. ## Requirements Applicants must submit the following via the ARHTP online portal: completed application form, project narrative (up to 10 pages), detailed budget and justification, evidence of rural designation or service area, organizational chart, letters of support, and documentation of organizational eligibility. Proposals must focus on at least one of: expansion of rural clinic capacity, workforce recruitment/retention, telehealth implementation, school-based health clinics. Awardees are required to provide quarterly progress reports and comply with monitoring and evaluation requirements. ## Required attachments - Completed Application Form - Project Narrative - Budget and Budget Justification - Evidence of Rural Designation / Service Area - Organizational Chart - Letters of Support - Documentation of Eligibility ## Application package and source documents - [AL - 2026 - Notice Of Funding Opportunity (NOFO): Alabama Rural Health Practice Initiative (Primary NOFO Document)](https://www.ruralcarejourney.com/api/documents/d196122b-f681-4603-a410-e51514e0f844/file) (primary) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Rural-Health-Practice-Initiative_Final_06012026_ADA.pdf - [AL - 2026 - Governor Ivey Announces First Grants in Major NEW Rural Healthcare Program Totaling More Than 144 Million (Round 1 Award Announcement (Aug 24, 2026))](https://www.ruralcarejourney.com/api/documents/0fe9373c-289a-4266-bd77-44fe7bd15ea6/file) — official: https://governor.alabama.gov/newsroom/2026/08/governor-ivey-announces-first-grants-in-major-new-rural-healthcare-program-totaling-more-than-144-million/ - [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 More Alabama RHTP activity: https://www.ruralcarejourney.com/states/al (markdown: https://www.ruralcarejourney.com/states/al.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/alabama-rural-health-practice-initiative--bdfb81044f — data as of 2026-08-26. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.