Kentucky Federal RHTP Award: Year 1 (FY 2026)

Summary

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to Kentucky: $212,905,590.56, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; Kentucky's Year 2 award is $211,330,599.

Eligibility

Only the Kentucky Cabinet for Health Services is eligible for this award, as referenced in the formal CMS Notice of Award. The award is conditioned upon an approved application submitted in response to the Rural Health Transformation Program NOFO (CMS-RHT-26-001) and the acceptance of all terms and conditions.

Requirements Checklist

• Award conditions include compliance with Terms and Conditions outlined in the Notice of Award and referenced NOFO; submission of a revised budget by January 30, 2026 for CMS approval prior to fund drawdown; quarterly and annual reporting via GrantSolutions; demonstration of initiative progress and state policy actions; participation in CMS meetings; non-competing continuation applications required each budget period; expenditures limited to NOFO-approved activities and program-specific funding restrictions.

Required attachments

• Revised Budget (SF-424, SF-424A, Budget Narrative)
• Project Narrative (as needed if changed since application)