# Alabama Rural Health Transformation Program (ARHTP), Rural Health Initiative

ADECA will make $60.9 million in federal RHTP funds available through competitive subawards to eligible Alabama rural health providers. Projects may include telehealth service expansion, provider infrastructure improvements, network development, and transportation access. Quarterly and final reporting is required for compliance and performance tracking. The Rural Health Initiative, under ARHTP, aims to strengthen provider networks, improve service access, and promote sustainable rural healthcare delivery across Alabama. Key contacts: info@alabamarhtp.com. Round 1 results announced Aug 24, 2026: $59,982,278 awarded across 57 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: $100,000 – $60.9M
- Eligible applicants: Nonprofit, Healthcare Provider, Public Agency, Rural Hospital, Federally Qualified Health Center, Rural Health Clinic
- How to apply: Online submission via ARHTP application portal at https://portal.alabamarhtp.com.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Rural-Health-Initiative_Final_06012026_ADA.pdf

## Eligibility

Eligible applicants include rural hospitals, federally qualified health centers, rural health clinics, public and nonprofit rural primary care facilities, and other health providers located in rural or health professional shortage areas in Alabama, as defined in Section III, Eligibility Information, of the NOFO.

## Requirements

Applicants must submit a complete application using the ARHTP portal by the stated deadline (06/26/2026, 5:00 PM CT), provide proposed budgets, statements of need, project narratives outlining alignment with Rural Health Initiative goals, and documentation of rural provider or facility status. Successful applicants are required to participate in quarterly and final reporting per program guidelines.

## Required attachments

- Proof of rural provider/facility status
- Project narrative
- Budget justification
- Letters of support (if applicable)
- Organizational chart
- Most recent audited financial statements

## Application package and source documents

- [AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Rural Health Initiative (Primary NOFO Document)](https://www.ruralcarejourney.com/api/documents/e0bb1996-f6e9-4743-89ed-58461a495be7/file) (primary) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_Rural-Health-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/
- [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-rural-health-transformation-program-arhtp-rural-health-initiative--80a5952226 — data as of 2026-08-24.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.