Arizona RHTP: Telehealth Digital Transformation, Adoption, & Care Coordination Grant

Requirements Checklist

• Applicants must propose projects that represent new or expanded activities beyond current operations. All funded projects must support one or more of: establishment/expansion of telehealth hubs, mobile health units (primarily for telehealth/virtual care), remote monitoring capability, modernization of digital infrastructure, acquisition of telehealth equipment, integration of services into care coordination platforms, and tele-behavioral health or chronic disease management. Administrative costs (direct/indirect combined) are capped at 7% of the award per subrecipient (with an overall 10% administrative cap for the program, of which 3% is retained by AHCCCS). Additional federal limitations include: provider payment-related expenditures (max 15%); infrastructure/capital expenditures (max 20%, with special approvals); and, if applicable, electronic health record replacement (max 5% if HITECH-certified system already in place by 9/1/2025). Applications require an implementation plan, budget planning template, risk assessment, self-attestation, data collection and evaluation forms, and required insurance and acceptance documentation. All submissions must be made online via Euna Grants (formerly eCivis) by the deadline; late submissions are not accepted.

Required attachments

• Exhibit A - Pre-Application Risk Assessment
• Exhibit B - Self-Attestation
• Exhibit C - AHCCCS Standard Data Collection Form
• Exhibit D - Implementation Plan
• Exhibit E - Budget Planning Template
• Exhibit F - Insurance Requirements
• Exhibit G - Offer and Acceptance
• Exhibit H - Confidential Information Designation

Submission Instructions

Online via Arizona's Euna Grants (formerly eCivis) grant management system

Source Documents