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

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.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (Kentucky)
- Posted: 2025-12-29
- Funding: $212.9M
- Eligible applicants: State Health Department
- How to apply: Reports and amendments submitted via GrantSolutions; financial reports through Payment Management System (PMS), as specified in the Notice of Award.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## 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

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)
- Cover Letter signed by Authorized Organizational Representative

## 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

More Kentucky RHTP activity: https://www.ruralcarejourney.com/states/ky (markdown: https://www.ruralcarejourney.com/states/ky.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/kentucky-federal-rhtp-award-year-1-fy-2026--9664ca4d19 — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.