# Improve Health Outcomes Through Nutrition and Lifestyle

The State of West Virginia, through its Department of Health's Rural Health Transformation Program (RHTP), announces this competitive Announcement of Funding Availability (AFA) for qualified organizations to design, implement, and operate clinically integrated nutrition and lifestyle intervention programs statewide, targeting rural, high-risk populations. Supported by CMS/HHS under the Personal Health Accelerator (PHA) flagship initiative, funded programs must deliver measurable health improvements in key domains including chronic disease reduction, enhanced workforce participation, and reduced healthcare utilization and costs. All programs must establish provider referral pathways; deliver structured, evidence-based interventions; track participant engagement and outcomes; regularly report performance metrics; and integrate data with the state’s Connected Care Grid Data Spine. Funding is milestone-based, time-bound, and subject to performance accountability, with clear requirements for scalability and long-term sustainability through payer/value-based care alignment. Programs will be held to administrative cost limitations, matching/cost share preferences, and stringent privacy/security standards. Applicants may propose one or more of seven defined program options spanning metabolic & cardiovascular health, respiratory health, SUD, and senior care, each with specific engagement, outcome, and reporting benchmarks. The initiative aims to engage approximately 23,000–25,000 rural West Virginia adults in Year 1 and up to 120,000 cumulatively over Years 1–5. Funded solutions must meet defined performance targets within State-established timelines, including participant-level improvements in clinical indicators (e.g., A1C, BMI, hypertension rates). Awards are subject to milestone reduction or reallocation for non-compliance. Programs must demonstrate ability to scale statewide and a credible plan for post-award financial sustainability. All awarded funds must be expended and invoiced by July 31, 2027.

## Key facts

- Status: Closed
- Type: RFP
- Issued by: West Virginia Department of Health, Rural Health Transformation Program (West Virginia)
- Posted: 2026-07-20
- Application due: 2026-07-22
- Eligible applicants: Healthcare organizations, Federally Qualified Health Centers (FQHC) / Community Health Centers (CHC), Non-profit organizations, Hospitals and health systems, Integrated delivery systems, Payers and Medicaid-aligned entities, Provider groups, Local health alliances, Home health agencies, Pharmacies, WV-based coalitions/consortia/collaboratives (with single non-governmental accountable lead), Qualified third-party vendors
- How to apply: WV Oasis Advantage4 Procurement Portal: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-6&attachment=Final_GFO_0506_2600000000293_6_WV_ARFP_FORM.PDF
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-6&attachment=Final_GFO_0506_2600000000293_6_WV_ARFP_FORM.PDF

## Eligibility

Eligible applicants: Healthcare providers, community-based organizations, non-profits, payers (including Medicaid-aligned entities), integrated delivery systems, FQHC/CHCs, hospitals/health systems, local health alliances, home health agencies, pharmacies, multi-partner collaboratives with a single accountable non-governmental lead, and other qualified vendors with demonstrated capacity to scale nutrition and lifestyle intervention programs. State agencies are NOT eligible. Preference for applicants with demonstrable ability to impact population health statewide, formal collaborations with WV-based coalitions, and those able to provide a committed, verifiable private funding match (1:1 preferred; no in-kind match allowed).

## Requirements

• Design and implement evidence-based, structured nutrition and lifestyle intervention(s) for high-risk populations in West Virginia, aligned with program option targets. • Establish provider referral pathways and coordinate with local providers/partners. • Deliver interventions to eligible participants, promoting measurable behavior change and clinical improvement (e.g., structured 12-week intervention minimum, or as appropriate by program type). • Track and report participation, engagement, outcomes, and progress towards milestones using state-approved measures and tools; integrate with WV Connected Care Grid Data Spine. • Achieve minimum engagement and adherence benchmarks as specified for each program option and funding milestone. • Maintain per-person-per-year (PPPY) intervention costs at or below $650, unless a higher, justified exception is approved; segregate non-programmatic budget elements. • Submit mandatory monthly and quarterly programmatic and financial reports. • Meet administrative cap limits (10%) and other budget/billing terms defined by the AFA. • Ensure HIPAA, 42 CFR Part 2 (as applicable), and other privacy/security requirements. • Demonstrate a credible plan for scale to statewide impact (by Years 3-5) and post-award financial sustainability via payer/value-based care alignment.

## Required attachments

- Application Narrative (per Program Option applied for)
- Detailed Line-Item Budget (per Program Option)
- Budget Narrative/Justification (per Program Option)
- Contact Information Form
- County-Level Service Form
- Letters of Commitment/MOUs identifying coalition partners (if applicable)

## Application package and source documents

- [WV - 2026 - Improve Health Outcomes Through Nutrition and Lifestyle AFA 1](https://www.ruralcarejourney.com/api/documents/22380c4a-7414-41fa-ac7a-af4a2acdb2ee/file) (primary) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-6&attachment=Final_GFO_0506_2600000000293_6_WV_ARFP_FORM.PDF
- [WV - 2026 - To extend the response date to Improving Health Outcomes July 16, 2026 at 11:59 p.m](https://www.ruralcarejourney.com/api/documents/85d6e879-1dfc-48c3-9722-063f6a7e15dd/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-4&attachment=Final_GFO_0506_2600000000293_3_WV_ARFP_FORM.PDF
- [WV - 2026 - Improve Health Outcomes Through Nutrition and Lifestyle AFA 1](https://www.ruralcarejourney.com/api/documents/2ac0785d-3525-41d4-a7c8-9623d0f06053/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-4&attachment=Final_GFO_0506_2600000000293_4_WV_ARFP_FORM.PDF
- [WV - 2027 - Announcement of Funding Availability (AFA) RHT-AFA-06-24-2026-PHA — Application Guidance and Instructions](https://www.ruralcarejourney.com/api/documents/738d54b1-4f23-43ce-9ad5-078aef5e60da/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-2&attachment=Improve%20Health%20Outcomes%20Through%20Nutrition%20and%20Lifestyle%20AFA_1.pdf
- [WV - 2026 - Rural Health Tansformation Program 681-542-4971](https://www.ruralcarejourney.com/api/documents/ca1e8af4-675a-4d97-ae8c-526330422ddf/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-5&attachment=Final_GFO_0506_2600000000293_5_WV_ARFP_FORM.PDF
- [WV - 2026 - New Procurement Opportunity: Personal Health Accelerator – Increase Home Dialysis Access](https://www.ruralcarejourney.com/api/documents/9e0e069e-e4ab-4fef-bdf1-9609caf6cbd1/file)
- [WV - 2026 - State of West Virginia Grant Funding Opportunity RHT-AFA-05-27-2026-PHA (Final_GFO_0506_2600000000260_6_WV_ARFP_FORM)](https://www.ruralcarejourney.com/api/documents/6f2b7def-9e28-4939-8594-521a61f1b2a6/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000260-6&attachment=Final_GFO_0506_2600000000260_6_WV_ARFP_FORM.PDF

More West Virginia RHTP activity: https://www.ruralcarejourney.com/states/wv (markdown: https://www.ruralcarejourney.com/states/wv.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/improve-health-outcomes-through-nutrition-and-lifestyle--d5836e2080 — data as of 2026-09-02.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.