Supports rural providers in planning, training, and building infrastructure to implement whole person health and alternative care models that improve access and long-term sustainability in rural and frontier communities. Activities are intended to enhance equity and health outcomes by modernizing technology-enabled services, expanding provider capacity, and supporting value-based care transformation under Colorado’s RHTP, a five-year CMS initiative. The 2026 cycle provides $40,011,564 for this track, with requirements for advisory board participation, outreach, and collaboration across rural hospitals, behavioral health, tribal health, rural health associations, and state department partners.
Eligibility
Eligible Lead Applicant Organizations (LAOs) are qualified rural health care providers serving Colorado’s rural/frontier counties as defined by HRSA/FORHP. Eligible organizations include: Critical Access Hospitals (CAHs); Rural Emergency Hospitals (REHs); Rural PPS and Sole Community Hospitals; Federally Qualified Health Centers (FQHCs) and Look-Alikes; Rural Health Clinics (RHCs); Community Mental Health Centers (CMHCs); Certified Community Behavioral Health Clinics (CCBHCs); Opioid Treatment Programs (OTPs); physician or non-physician practitioner groups; and EMS organizations. LAOs must have legal authority, a TIN, a Colorado Secretary of State registration in good standing, and an active SAM.gov registration. Mobile, telehealth, home-based, and community-based providers are eligible if enrolled as Colorado Medicaid Providers in an eligible type. Collaborative and third-party applications require a Letter of Attestation.
Critical Access Hospitals (CAHs)Rural Emergency Hospitals (REHs)Rural Prospective Payment System (PPS) HospitalsSole Community Hospitals and other CMS-designated rural hospitalsFederally Qualified Health Centers (FQHCs)FQHC Look-Alikes
Rural Health Clinics (RHCs)
Community Mental Health Centers (CMHCs)
Certified Community Behavioral Health Clinics (CCBHCs)
Opioid Treatment Programs (OTPs)
Physician / Non-physician practitioner groups
Emergency Medical Services (EMS) organizations
Mobile, telehealth, home-based, and community-based Medicaid providers serving rural/frontier
Tribal health organizations (where eligible)
Rural health associations
State departments (where eligible as LAO or partners)
Requirements Checklist
Applicants must demonstrate plans for implementing, training, and building infrastructure for whole-person health and alternative care models to improve access and sustainability. LAOs are responsible for application, contract execution, and fiscal management. The project narrative must address five-year goals but detailed work plan and budget are required for Budget Year One (~12 months). Requirements include active collaboration with relevant advisory boards, partner agreements, and participation in information sharing and outreach. Applicants must upload a Certificate of Good Standing, current W-9, compliance with federal audit requirements (if applicable), and an attestation letter for collaborative/third-party applications. All activities and spending must occur within Colorado’s rural/frontier counties.
Required attachments
Program Narrative (Five-year goals, year one work plan & budget)
Certificate of Good Standing (CO Secretary of State)
IRS W-9
SAM.gov/UEI registration proof
Statement of Assurances
Letter of Attestation (if collaborative or third-party application)
Letters of Support (optional)
Submission Instructions
Online portal (https://coloradorhtp-rfa.my.site.com/apply) linked from RHTP website. Applicants must create an account to submit. Applicants may save progress and return before final submission. Submit questions to hcpf_rhtp@state.co.us.
Source Documents
Primary: 1Supporting: 4Reference: 1
Sign in to download all as ZIP
RFAPDF
Additional files
DOCX
PDF
PDF
HTML
PDF
Application Prep
Application #: Not specified
Reference: RHTP Grant Program RFA Activities Overview
Program: Rural Health Transformation Program (RHTP)
Match: Not specified
Performance: Budget Year One (start 2026, ends by Sep 30, 2027)
Key Dates:
RFA Issued: Jun 15, 2026
Application Deadline: Aug 3, 2026 (11:59 PM MT)
RFA Webinar: Jun 23, 2026
Office Hours: Jun 23 & 25, 2026
Budget Period 1 funds must be spent by Sep 30, 2027
Review Criteria:
Program narrative (long-term goals, activities, outcomes, sustainability)