# Michigan Rural Health Tribal Initiative - 2027

As part of RHTP, the 5% Tribal Carve-out will strengthen regional partnerships to better align service delivery and promote sustainable care models. This initiative will support the development of care teams and infrastructures that integrate health professionals with community health workers to address culturally specific needs. It will also advance technology and interoperability to improve care coordination, and establish referral networks that connect residents to local care, prevention, and wellness resources that foster long-term healthy living.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: Michigan Department of Health and Human Services — Policy Planning and Access (Michigan)
- Posted: 2026-09-09
- Application due: 2026-09-16
- Eligible applicants: Tribal Governments, Nonprofit Tribal Organizations
- How to apply: Applications must be submitted electronically via the EGrAMS portal.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://egrams-mi.com/mdhhs/user/searchgrants.aspx

## Eligibility

Eligible applicants are Michigan federally recognized Tribal Nations and organizations serving rural Tribal populations, as specified in the funding announcement.

## Requirements

Applicants must submit a completed application form and comply with the standard agreement language. Required documentation may include an indirect cost and cost allocation plan, organizational information, project narrative, budget justification, and assurances regarding service delivery and reporting.

## Required attachments

- Application Form
- Indirect Costs and Cost Allocation Plan (if applicable)
- Standard Agreement Language Acceptance

## Application package and source documents

- [MI - 2027 - Rural Health Tribal Initiative - 2027 — Application Form (Application Form)](https://www.ruralcarejourney.com/api/documents/642a9746-6a04-49a3-b556-14ce58e58849/file) (primary) — official: https://egrams-mi.com/mdhhs/designer/viewPDF.aspx?DownLdCat=PP&DownLdPgmId=4730
- [MI - 2027 - Standard Agreement Language (Standard Agreement Language)](https://www.ruralcarejourney.com/api/documents/d590a1ed-177a-47a9-bab2-e0eacb65d7e5/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=STD-SB27%20-%20Stnd%20FY27%20Single-%20Bureau%20Agmt.pdf&PublishLoc=Y
- [MI - 2027 - Attachment B3 - Equipment Inventory Schedule (Attachment B3 - Equipment Inventory Schedule)](https://www.ruralcarejourney.com/api/documents/521a8d70-7578-4b23-833b-b4a005b43f75/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=Att_B3_FY27.pdf&PublishLoc=Y
- [MI - 2027 - Attachment B4 - Indirect Cost De Minimis Rate Calculation Form (Attachment B4 - Indirect Cost De Minimis Rate Calculation Form)](https://www.ruralcarejourney.com/api/documents/599f5a8c-77a9-4038-9e72-274499222fc1/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=Att_B4_FY27%20Budget%20DeMinimis%20Calculator.xlsx&PublishLoc=Y
- [MI - 2027 - Attachment C - Performance/Progress Report Requirements (Attachment C - Performance/Progress Report Requirements)](https://www.ruralcarejourney.com/api/documents/d7b9b97b-c1ff-4ab0-aabc-945f126407c6/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=RHTP+FY2027+Att+C.pdf&PublishLoc=Y
- [MI - 2027 - Attachment F - Federal Funding Accountability and Transparency Act (FFATA) Reporting (Attachment F - Federal Funding Accountability and Transparency Act (FFATA) Reporting)](https://www.ruralcarejourney.com/api/documents/050c8a90-d2da-4345-89bb-53db50f24f37/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=Att_F%20FFATA27_UEI.docx&PublishLoc=Y
- [MI - 2027 - Fiscal Review Questionnaire (Fiscal Review Questionnaire)](https://www.ruralcarejourney.com/api/documents/ea758d23-43fe-4e0e-bcd6-da495c05714c/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=Fiscal%20Questionnaire%20FY%202027_4.28.26.docx&PublishLoc=Y
- [MI - 2027 - Indirect Costs and Cost Allocation Plan Instructions (Indirect Costs and Cost Allocation Plan Instructions)](https://www.ruralcarejourney.com/api/documents/dd835fbc-1894-4524-afe9-18a4cbb7bc4c/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=FY_27_INDCA_Instr.pdf&PublishLoc=Y
- [MI - 2027 - Pre-Award Risk Assessment Questionnaire (Pre-Award Risk Assessment Questionnaire)](https://www.ruralcarejourney.com/api/documents/5321959e-0195-45dc-880a-3c5aa367afa2/file) — official: https://egrams-mi.com/mdhhs/designer/OpenAttachment.aspx?FileName=Pre-Award%20Questionnaire.docx&PublishLoc=Y

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/michigan-rural-health-tribal-initiative-2027--7c47492370 — data as of 2026-09-19.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.