# Improve Health Outcomes Through Nutrition and Lifestyle AFA 1

Announcement of Funding Availability (AFA) RHT-AFA-06-24-2026-PHA under the West Virginia Rural Health Transformation Program (RHTP) Personal Health Accelerator (PHA) initiative. Approximately $24,020,000 is available to fund clinically integrated nutrition and lifestyle intervention programs serving high-risk and rural populations throughout West Virginia. The primary aim is to reduce the state's chronic disease burden—including diabetes, obesity, hypertension, cardiovascular and respiratory diseases, substance use disorder, and long-term care needs—while improving measurable health outcomes, increasing workforce participation, and advancing value-based care. Funded projects must demonstrate evidence-based, scalable, and sustainable solutions that address upstream root causes through prevention, nutrition, physical activity, behavior change, and integration with healthcare technology and coordinated care models. All funded interventions are performance-based and tied to achieving State-defined milestones, outcome targets, and timely reporting. Grantees must coordinate with the State's Connected Care Grid Data Spine, comply with all CMS/HHS requirements, and deliver population-level impact consistent with the Seven RHTP flagship initiatives. The award offers seven Program Options, with applicants required to submit option-specific narratives, detailed budgets, and county-level service forms per option. All counties in West Virginia are eligible, with priority for high-need rural areas identified by chronic disease burden and access gaps. Full program details, funding requirements, and reporting schedules are provided in the AFA and Q&A.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: DIVISION OF HEALTH Rural Health Tansformation Program (West Virginia)
- Posted: 2026-06-24
- Questions due: 2026-06-29
- Application due: 2026-07-20
- Eligible applicants: Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), Hospitals and health systems, Integrated delivery systems, Non-profit organizations, Payers (including Medicaid-aligned entities), Local partners (health alliances, home health agencies, pharmacies, multi-partner collaboratives with a single accountable lead), Other third-party vendors supporting clinical and wellness interventions and navigation in WV
- How to apply: Submit all application materials through WV Oasis Vendor Self Service at the Application Portal link.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-5

## Eligibility

Eligible applicants are: Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), hospitals and health systems, integrated delivery systems, non-profit organizations, payers (including Medicaid-aligned entities), local partners (health alliances, home health agencies, pharmacies, multi-partner collaboratives with a single prime applicant), and other third-party vendors supporting clinical/wellness interventions and navigation in WV. Applicants must be non-governmental (state agencies are NOT eligible). Preference given to organizations demonstrating statewide scalability and a verifiable, cash-based private funding match (minimum 1:1 preferred; required to be cash match, verified and committed prior to disbursement; in-kind match is not permitted). All applicants must demonstrate measurable health impact. See AFA Section Two and Q&A for full details.

## Requirements

For each Program Option applied to, applicants must submit: (1) a standalone Narrative describing intervention design, engagement and adherence strategies, scalability and sustainability, and data integration; (2) a Detailed Line Item Budget (DLIB) using the State template; (3) a Budget Narrative-Justification; (4) a Grantee Contact Information Form; and (5) a County-Level Service Form. Administrative costs are capped at 10% of RHTP funds. In-kind match (e.g., donated staff time, facility use) is not allowed; all match must be cash, committed, and verified prior to disbursement. Each application must identify a single prime applicant (accountable lead), specifying clear roles and accountability for any coalition or collaborative. All proposed interventions must track and deliver performance/outcomes as described in the AFA. Payments are tied to required milestones and outcome indicators. See AFA for budget instructions, compliance, and privacy/security protocols.

## Required attachments

- Completed Narrative for each Program Option
- Detailed Line Item Budget Worksheet (DLIB) for each Program Option
- Budget Narrative-Justification for each Program Option
- Grantee Contact Information Form
- County-Level Service Form
- AFA Question and Answer (Q&A) Form (if submitting questions)
- Financial reports (post-award per schedule)
- Programmatic reports (post-award per schedule)

## Application package and source documents

- [WV - 2027 - Announcement of Funding Availability (AFA) RHT-AFA-06-24-2026-PHA — Application Guidance and Instructions (Primary AFA document)](https://www.ruralcarejourney.com/api/documents/738d54b1-4f23-43ce-9ad5-078aef5e60da/file) (primary) — 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 - CCG – Hub & Spoke Model Solicitation Announcement](https://www.ruralcarejourney.com/api/documents/406a2078-c423-44a8-b39f-2fa3451b241d/file)
- [WV - 2026 - PHA – Integrated Wellness Data & Closed-Loop Referral Program Operator Opportunity Announcement](https://www.ruralcarejourney.com/api/documents/f7dcdaf2-3b06-4e6a-ad04-e25c99fe3707/file)
- [WV - 2025 - West Virginia (Attachment: Final_GFO_0506_2600000000293_2_WV_ARFP_FORM.PDF)](https://www.ruralcarejourney.com/api/documents/6fc2eb98-1952-4ff9-8261-75c1d9e47128/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4
- [WV - 2026 - West Virginia Landing Page (updated: June 23, 2026) (Attachment: CountyLevelServiceForm.xlsx)](https://www.ruralcarejourney.com/api/documents/277e3de5-7d5f-408c-8b1d-07de1de792d9/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000290-1&attachment=CountyLevelServiceForm.xlsx
- [WV - 2026 - West Virginia Department of Health RHTP Grantee Contact Information (Attachment: RHTP Grantee Contact Information Form.pdf)](https://www.ruralcarejourney.com/api/documents/8d134acb-125e-46b0-9c4f-7280fd5d3994/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000223-1&attachment=RHTP%20Grantee%20Contact%20Information%20Form.pdf
- [WV - 2026 - Announcement of Funding Availability (AFA) RHT-AFA-05-08-2026-SCC: SmartCare Catalyst Provider Productivity Support Fund (Attachment: RHTP DLIB Budget Instructions.pdf)](https://www.ruralcarejourney.com/api/documents/39dd65ba-9689-4ae7-a390-fa7253b20f66/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000243-1&attachment=FINAL%20SCC%20AFA%20-%20Provider%20Productivity%20Support%20Fund.pdf
- [WV - 2025 - West Virginia RHTP Detailed Line Item Budget Worksheet (Revised: Aug 2025) (Attachment: RHTP Detailed Line Item Budget.xlsx)](https://www.ruralcarejourney.com/api/documents/e79f74b0-56ae-47aa-9ab5-e83bb02aa4b9/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000223-1&attachment=RHTP%20Detailed%20Line%20Item%20Budget.xlsx
- [WV - 2026 - To extend the response date to Improving Health Outcomes July 16, 2026 at 11:59 p.m (Attachment: Final_GFO_0506_2600000000293_3_WV_ARFP_FORM.PDF)](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 - PHA Improve Health Outcomes Q&A #1 (Attachment: PHA Improve Health Outcomes_QA1.pdf)](https://www.ruralcarejourney.com/api/documents/622bacc8-ed0e-4e2e-adcf-e836d3c9ab2b/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-4&attachment=PHA%20Improve%20Health%20Outcomes_QA1.pdf
- [WV - 2026 - Improve Health Outcomes Through Nutrition and Lifestyle AFA 1 (Attachment: Final_GFO_0506_2600000000293_4_WV_ARFP_FORM.PDF)](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 - 2026 - Rural Health Tansformation Program 681-542-4971 (Attachment: Final_GFO_0506_2600000000293_5_WV_ARFP_FORM.PDF)](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 - Improve Health Outcomes Through Nutrition and Lifestyle AFA 1 (Attachment: Final_GFO_0506_2600000000293_6_WV_ARFP_FORM.PDF)](https://www.ruralcarejourney.com/api/documents/22380c4a-7414-41fa-ac7a-af4a2acdb2ee/file) — official: https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4#solicitation=GFO-0506-2600000000293-6&attachment=Final_GFO_0506_2600000000293_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-afa-1--d725b0c96e — data as of 2026-08-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.