# Maryland RHTP Pillar 2 Award Offers — Budget Period 1 ($78.6M to 41 Organizations)

Maryland RHTP Pillar 2 ("Promote Sustainable Access and Innovative Care") issued Budget Period 1 award offers totaling $78,625,071 to 41 organizations across all rural and semi-rural counties. Awards are split between two sub-programs: Transformation Funds (33 organizations, $72,412,038 issued by the Maryland Department of Health and Maryland Health Services Cost Review Commission) and Expand Primary Care Access (8 organizations, $6,213,033 issued by the Maryland Health Care Commission). Pillar 2 supports advancing technology enablement, integrated primary and behavioral care, care navigation, oral health, paramedicine, closed-loop referrals, and rural practice expansion. Awarded projects include EHR modernization, infrastructure for behavioral health, oral healthcare, chronic disease management using paramedicine and CHW networks, and the launch or expansion of primary care clinics incorporating telehealth, behavioral health integration, and workforce transformation. The program prioritizes upstream prevention, data-driven innovations, new clinical networks, sustainable financial models, and addressing rural health disparities.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Maryland Department of Health; Maryland Health Services Cost Review Commission; Maryland Health Care Commission (Maryland)
- Posted: 2026-08-07
- Funding: $78.6M
- Eligible applicants: Healthcare Provider, Local Health Department, Federally Qualified Health Center, Rural Hospital, Health Center, Rural Health Consortium
- How to apply: No competitive application is required. Each organization must sign and return the official award acceptance form and provide compliance and financial documentation as specified in their individual award notice.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://health.maryland.gov/pophealth/Documents/Rural%20Health/RHTP/Pillar-2-Transformation-Fund-BP1-Award-Offers.pdf

## Eligibility

Eligible applicants include healthcare providers, local health departments, federally qualified health centers, rural hospitals, health centers, and multi-entity rural health consortia serving rural or semi-rural Maryland counties, as defined in program documentation. Organizations must be recipients of Pillar 2 award offers as identified in the official Maryland RHTP Pillar 2 Award Offer documents.

## Requirements

Recipients must implement projects that develop sustainable healthcare access and innovative care models as described in each award offer letter. Requirements include modernization of data/EHR infrastructure, behavioral health integration, expanding team-based and primary care services, workforce enhancement, care navigation, and service delivery to rural and semi-rural residents. Additional scope and reporting requirements are detailed for each organization in the official award offer letters.

## Required attachments

- Official award acceptance form (executed)
- Required compliance and financial documentation as listed in award notice

## Application package and source documents

- [MD - 2025 - Maryland RHTP Pillar 2: Promote Sustainable Access and Innovative Care Transformation Funds Award Offers, Budget Period 1 (Pillar 2 Transformation Funds — Award Offers, Budget Period 1)](https://www.ruralcarejourney.com/api/documents/80588a2a-0532-41c4-a2a4-4d8d0344819d/file) (primary) — official: https://health.maryland.gov/pophealth/Documents/Rural%20Health/RHTP/Pillar-2-Transformation-Fund-BP1-Award-Offers.pdf
- [MD - 2026 - Maryland RHTP Pillar 2: Promote Sustainable Access and Innovative Care - Expand Primary Care Access Award Offers, Budget Period 1 (Pillar 2 Expand Primary Care Access — Award Offers, Budget Period 1)](https://www.ruralcarejourney.com/api/documents/8216a9c7-e52a-41cf-b3d3-5c83c4ee675d/file) — official: https://health.maryland.gov/pophealth/Documents/Rural%20Health/RHTP/Pillar-2-Expand-Primary-Care-Access-BP1-Award-Offers.pdf

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/maryland-rhtp-pillar-2-award-offers-budget-period-1-78-6m-to-41-organizations--2359818b2c — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.