# FAST 4.1: Support for Rural Providers to Transition to Value-Based Care (VBC) Models The purpose of this request (Opportunity #URHTP-2651-2026) is to select one Grantee via a competitive application to support rural health systems in transitioning to, or expanding existing, value-based care (VBC) models through targeted technical assistance, training, and operational support. The selected Grantee will conduct a comprehensive assessment of rural providers' readiness to adopt or enhance VBC and provide expert guidance on implementation and operationalization of VBC models. Up to $6,000,000 available in Year 1 (up to $15,000,000 over 5 years); one anticipated award. Agreement period: September 8, 2026 - September 30, 2031. ## Key facts - Status: Closed - Type: GRANT - Issued by: Utah Department of Health and Human Services (DHHS) (Utah) - Posted: 2026-06-24 - Questions due: 2026-07-20 - Application due: 2026-07-22 - Eligible applicants: Non-Profit 501(c)(3) (Utah-based), Accountable Care Organization (ACO), Clinically Integrated Network (CIN), Healthcare Consulting Firm/Consortium - How to apply: Apply using the Qualtrics application portal and linked budget template. Only submissions via the portal received before the application deadline will be considered. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://dhhs.utah.gov/wp-content/uploads/Utah-RHTP-FAST-4.1-Value-Based-Care-RFGA-packet_updated.pdf ## Eligibility Eligible applicants must be Utah-based non-profit 501(c)(3) entities, Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), or professional healthcare consulting firms/consortiums with documented, direct operational histories in value-based care architecture. The lead applicant or core technical partners must demonstrate a minimum of three consecutive years (as of January 2026) actively managing network governance, executing clinical/financial integration strategies, or building multi-facility data reporting platforms. Applicants must not be debarred, suspended, or otherwise excluded from receiving federal or state funding. ## Requirements Applications must be submitted via the specified portal and include required documentation of eligibility, legal entity status, operational history, and financial audits. Only Utah-based applicants meeting all minimum eligibility requirements will be reviewed. Budgets must not exceed the maximum award. Administrative costs are capped at 6% of the total budget (including direct and indirect costs). Complete and responsive applications must include all required uploads, responses to application questions, and must be submitted by the stated deadline. ## Required attachments - Legal status documentation - Operational history evidence - Participatory records (MSSP/commercial VBC) - Corporate tax returns or audited financials - Executed network participation agreements ## Application package and source documents - [UT - 2026 - funding opportunities (Funding opportunities listing page)](https://www.ruralcarejourney.com/api/documents/a437348c-cd37-4c10-837f-bc1bd9f46aa8/file) — official: https://dhhs.utah.gov/ruralhealth/funding-opportunities - [UT - 2025 - Utah RHTP | RFGA Value-Based Care Models (RFGA packet (Opportunity #URHTP-2651-2026))](https://www.ruralcarejourney.com/api/documents/fc683504-e9ac-49e6-98c2-dd96bde414ca/file) (primary) — official: https://dhhs.utah.gov/wp-content/uploads/Utah-RHTP-FAST-4.1-Value-Based-Care-RFGA-packet_updated.pdf - [UT - 2026 - FAST 4.1: Value-Based Care RFGA Q & A (RFGA Q&A document)](https://www.ruralcarejourney.com/api/documents/c2f5bb2d-31d9-4bb0-a0c4-aba89471d5ae/file) — official: https://docs.google.com/document/d/1Gb1cYcwTFaNnF7Chccs05sSt03NawjqR8px15q_XyeU/export?format=docx More Utah RHTP activity: https://www.ruralcarejourney.com/states/ut (markdown: https://www.ruralcarejourney.com/states/ut.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/fast-4-1-support-for-rural-providers-to-transition-to-value-based-care-vbc-model--fcc558fd7b — data as of 2026-08-11. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.