# Hawaii Federal RHTP Award: Year 1 (FY 2026)

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to Hawaii: $188,892,439.75, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; Hawaii's Year 2 award is $189,615,723.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (Hawaii)
- Funding: $188.9M
- Eligible applicants: Primary Care Practice, FQHC, RHC, Hospital System (with global budget), PCF Demonstration Practice
- How to apply: Apply per CMS AHEAD NOFO instructions; details not specified in document.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## Eligibility

Primary care practices, FQHCs, and RHCs located in Hawai`i and eligible to bill Medicare; hospital-affiliated practices require hospital participation in associated global budget; practices in Primary Care First (PCF) demonstration eligible.

## Requirements

Must participate in Medicare FFS Enhanced Primary Care Payment (EPCP). Must participate in Medicaid Primary Care Advanced Payment Model. Must implement care transformation requirements. Must adhere to quality performance measures, some customizable by state. Cannot bill overlapping care management codes.

## Application package and source documents

- [US - 2026 - CMS RHTP](https://www.ruralcarejourney.com/api/documents/e04c82f9-6d26-4d92-8db9-7715c2a38d4a/file) (primary) — official: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf
- [US - 2026 - RHT Program Overview](https://www.ruralcarejourney.com/api/documents/e6dd59cf-4228-45ce-8888-31634918e482/file) — official: https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
- [HI - 2026 - Hawai‘i RHT Plan (RHTP) (Migrated from duplicate federal row)](https://www.ruralcarejourney.com/api/documents/544b9001-c5c4-4a7f-91c7-8053d9d1070f/file) — official: https://engage.hawaii.gov/wp-content/uploads/2026/01/Compiled-RHT-Application_Redacted29.pdf
- [HI - 2024 - AHEAD](https://www.ruralcarejourney.com/api/documents/f2a264f0-f969-4666-a842-8db11268546e/file) — official: https://health.hawaii.gov/shpda/files/2026/02/2026-02-03-Steering-Committee-Meeting-Presentation.pptx
- [HI - 2026 - Steering Committee Agenda](https://www.ruralcarejourney.com/api/documents/d8f4dbbd-e9dc-4a2b-955a-66bdb26b2a88/file) — official: https://health.hawaii.gov/shpda/files/2026/03/2026-03-03-Steering-Committee-Agenda.pdf
- [HI - 2025 - Med-QUEST Medicaid Hospital Quality Program, Hospital Global Budgets, and RHTP Alignment](https://www.ruralcarejourney.com/api/documents/2eb8907a-9182-46ed-9ca1-ef3e53576e99/file) — official: https://health.hawaii.gov/shpda/files/2026/03/2026-03-03-Steering-Committee-Presentation-Med-QUEST-Global-Budgets.pdf
- [HI - 2026 - Steering Committee Meeting Agenda](https://www.ruralcarejourney.com/api/documents/c56f8f44-9d9f-43a2-8af3-b99945997589/file) — official: https://health.hawaii.gov/shpda/files/2026/04/2026-04-07-Steering-Committee-Meeting-Agenda.pdf
- [HI - 2026 - Hawai‘i RHTP](https://www.ruralcarejourney.com/api/documents/6f1a617f-fe31-4e9d-af79-db3c22a247e0/file) — official: https://health.hawaii.gov/shpda/files/2026/04/2026-04-07-Steering-Committee-Presentation-HGB-and-RHTP.pdf
- [HI - 2026 - $58M in federal investment coming to Hawai‘i to strengthen rural health care (8M in federal investment coming to Hawaii)](https://www.ruralcarejourney.com/api/documents/82cd9d5a-274d-4d29-9f38-5a9680d91b12/file) — official: https://bigislandnow.com/2026/09/01/58m-in-federal-investment-coming-to-hawaii-to-strengthen-rural-health-care/
- [CA - 2026 - Gov. Green announces $58 Million federal investment to strengthen rural healthcare across Hawaiʻi](https://www.ruralcarejourney.com/api/documents/0bd7a444-67a0-43e9-bb58-a0b625dc44bf/file) — official: https://mauinow.com/2026/09/01/gov-green-announces-58-million-federal-investment-to-strengthen-rural-healthcare-across-hawai%CA%BBi/

More Hawaii RHTP activity: https://www.ruralcarejourney.com/states/hi (markdown: https://www.ruralcarejourney.com/states/hi.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/hawaii-federal-rhtp-award-year-1-fy-2026--a5e4d24f37 — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.