# AZRHTP - Adopt Shared Services Consortiums

AHCCCS issues this sixth public solicitation under the Arizona Rural Health Transformation Program (RHTP): Request for Grant Applications (RFGA) YH-27-0025, to support Adopt Shared Services Consortiums. This RFGA funds development and implementation of shared service models among rural and Tribal healthcare providers across rural Arizona. Projects may feature shared staffing models (joint employment, traveling clinicians, locum tenens), shared training/education programs, joint IT/data infrastructure, centralized billing/coding, common scheduling, co-located service hubs, supply chain cooperatives, shared compliance functions, and regional service networks, aiming to reduce operational costs, eliminate duplication, and enhance financial and clinical capacity. Three funding tiers support projects from two organizations up to regional hub models: Tier 1 ($10,000–$95,000) is for small-scale, single-function arrangements (2–3 orgs); Tier 2 ($95,001–$500,000) supports multi-function projects with formal governance (4–6 orgs); Tier 3 ($500,001–$1,500,000) is for comprehensive regional hubs (7+ orgs/networks). Administrative and capital expenditure caps apply—grantee administrative costs are capped at 7%; provider payments at 15%; capital/infrastructure at 20%; EMR/EHR replacements at 5%. Funded projects must create new or expanded shared-service activities, not supplant or duplicate existing service or funding streams. All costs must be obligated within the budget period and liquidated per federal deadlines. Tribal partnerships are encouraged and prioritized and eligible for scoring bonuses in review.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Arizona Health Care Cost Containment System (AHCCCS) (Arizona)
- Posted: 2026-07-31
- Questions due: 2026-08-10
- Application due: 2026-08-28
- Funding: $5.0M
- Eligible applicants: Small rural clinics, Tribal health programs, 638 Tribal facilities, Community-based organizations, Rural EMS agencies, Fire departments, School-based health centers in rural areas, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Critical Access Hospitals, County health departments, Rural provider consortiums
- How to apply: Applications must be submitted electronically through Arizona EUNA (formerly eCivis) by August 28, 2026, 3:00 PM Arizona Time. Late submissions will not be accepted.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://gn.ecivis.com/GO/gn_redir/T/xyejj8x3xw4i

## Eligibility

Eligible applicants are limited to small rural clinics, Tribal health programs and 638 facilities, community-based organizations (including providers) serving rural populations, rural EMS agencies and fire departments, school-based health centers in rural areas, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), small Critical Access Hospitals, county health departments, and rural provider consortiums. Tribal facilities and inter-Tribal consortiums may apply to any tier for which they qualify. Eligibility extends only to entities serving HRSA-designated rural service areas in Arizona (see https://data.hrsa.gov/topics/rural-health/rural-health-eligibility for HRSA definition). Applicants must comply with the RFGA’s full eligibility criteria.

## Requirements

Projects must establish new or expanded shared-service activities such as shared staffing, training, billing/coding, IT/data systems, scheduling, facilities, joint procurement, or regional hub models. Tier 1 supports small-scale, single-function arrangements (2–3 orgs), Tier 2 supports multi-function projects with formal governance (4–6 orgs), Tier 3 supports comprehensive regional hubs (7+ orgs/networks). Activities may not duplicate, sustain, replace, or supplant existing funding/services or services already reimbursed by Medicaid/Medicare/other third-party payers. Administrative costs by grantee are capped at 7% per award; additional direct and indirect cost restrictions apply to capital/infrastructure (20%), provider payments (15%), and EMR/EHR replacements (5%). Projects must be implemented in HRSA-designated rural areas. All costs must be obligated within the budget period and liquidated by federal deadlines. Compliance with budget-period obligation, reporting, and Stevens Amendment public communication rules required.

## Required attachments

- Signed Solicitation Amendment #1
- Exhibit B - Self-Attestation of Demonstrated Fiscal Stewardship
- Exhibit C - AHCCCS Standard Data Collection Form
- Letters of Tribal support (if applicable)

## Application package and source documents

- [AZ - 2026 - Exhibit A - Pre-Application Risk Assessment FINAL.xlsx (Exhibit A - Pre-Application Risk Assessment FINAL.xlsx)](https://www.ruralcarejourney.com/api/documents/590601c6-913a-4304-9ff1-de15223bde09/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/%2DVWeUnTrdBE%7E
- [AZ - 2025 - Exhibit B - Self-Attestation of Demonstrated Fiscal Stewardship (Exhibit B - Self-Attestation FINAL.pdf)](https://www.ruralcarejourney.com/api/documents/b956438e-d09b-498a-ad53-976fb24e5be2/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/5aBVVisREAA%7E
- [AZ - 2025 - Exhibit C - AHCCCS Standard Data Collection Form FINAL (Exhibit C - AHCCCS Standard Data Collection Form FINAL.pdf)](https://www.ruralcarejourney.com/api/documents/2a8173e0-2b1e-4a28-8c6c-1998e75f5842/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/0j9SQa0fk6Q~
- [AZ - 2026 - Implementation Plan (Exhibit D - Implementation Plan FINAL.docx)](https://www.ruralcarejourney.com/api/documents/b0ef2439-5f0f-476a-af4f-e9c4f95d33b5/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/LNfv04044QY%7E
- [AZ - 2026 - Exhibit E- Budget Planning Template FINAL.xlsx (Exhibit E- Budget Planning Template FINAL.xlsx)](https://www.ruralcarejourney.com/api/documents/fa233d79-ff27-42d4-a58d-58124d497006/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/BiTRjO8WdM8%7E
- [AZ - 2026 - Exhibit F - Insurance Requirements FINAL (Exhibit F - Insurance Requirements FINAL.pdf)](https://www.ruralcarejourney.com/api/documents/a19fe11f-985c-429c-937a-1565c3a10e3c/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/dIF3NZLQmAA%7E
- [AZ - 2025 - AZRHTP - Expansion of Mobile Digital Services, Training & Recruitment, and Prevention Programs Addressing Suicide, Trauma, Substance Use (Exhibit G Offer and Acceptance FINAL.docx)](https://www.ruralcarejourney.com/api/documents/0e7930f8-d467-422c-aec3-710255e5faa0/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/L%2DZnZ7OgUcU%7E
- [AZ - 2025 - Exhibit H - Confidential Information Designation (Exhibit H - Confidential Information Designation FINAL.pdf)](https://www.ruralcarejourney.com/api/documents/53c2b9b7-c557-4686-809f-057fcb34cec9/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/Qs0QeM%2DUDy4%7E
- [AZ - 2025 - Frequently Asked Questions: Arizona RHT Program Application and Award Guidance (FAQ_10.31.2025-rhtp-program-office-hour-faqs.pdf)](https://www.ruralcarejourney.com/api/documents/3a2112d1-2da4-4c1f-9ec1-f64347538053/file) — official: https://www.cms.gov/files/document/rural-health-transformation-frequently-asked-questions.pdf
- [US - 2026 - RHTP Post-Award Frequently Asked Questions (FAQs) April 2026 (FAQ_rhtp-post-award-faq_march-2026.pdf)](https://www.ruralcarejourney.com/api/documents/d3fa16a9-d71d-47eb-9b02-1215d0f19080/file) — official: https://www.cms.gov/files/document/frequently-asked-questions-april-2026.pdf
- [AZ - 2026 - YH27-0025 RFGA Questions and Answers Form.docx (YH27-0025 RFGA Questions and Answers Form.docx)](https://www.ruralcarejourney.com/api/documents/adbcb091-2307-4af4-aedd-28a4d361d75f/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/b%5Fc%2DKrcLB04%7E
- [AZ - 2026 - Solicitation Amendment #1 YH27-0025 Application Due Date Amendment for Adopt Shared Services Consortiums (YH27-0025 Sol Amend 1 Adopt Shared Services Consortiums.pdf)](https://www.ruralcarejourney.com/api/documents/f42171e9-5250-4050-a30a-616cc5dbaea8/file) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/F7s52X97y4Q%7E
- [AZ - 2026 - AHCCCS RFGA YH27-0025 Adopt Shared Services Consortiums (YH-27-0025 Adopt Shared Services Consortiums.pdf)](https://www.ruralcarejourney.com/api/documents/6c673504-c579-4bdd-8ea3-96581e517c8b/file) (primary) — official: https://gn.ecivis.com/GO/srmng_downloadSolicitationFileExt/SOLICITATIONFILEID/77iAxdnJViE%7E
- [AZ - 2026 - Arizona AZRHTP - Adopt Shared Services Consortiums Overview Eligibility Financial Contact Files ID: FAIN# RHTCMS332059 Title: AZRHTP - Adopt Shared Services Consortiums Application Start Date: 07/31/2026 Application End Date:…](https://www.ruralcarejourney.com/api/documents/c0118e82-8882-4cc0-a73b-70dbb09d40a0/file) — official: https://gn.ecivis.com/GO/gn_redir/T/xyejj8x3xw4i

More Arizona RHTP activity: https://www.ruralcarejourney.com/states/az (markdown: https://www.ruralcarejourney.com/states/az.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/azrhtp-adopt-shared-services-consortiums--256c866a88 — data as of 2026-10-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.