# Nevada Rural Health Systems Flex Fund (RHTP)

The Nevada Rural Health System Flex Fund (BP1, Round 1) offers up to $35,986,322 in subawards for projects that modernize, enhance, and expand rural health care infrastructure statewide, including technology, equipment, mobile health units, EMS, renovations/alterations, remote care solutions, and workforce initiatives. Eligible projects address critical gaps and strengthen access and quality for rural, frontier, and tribal populations. Awards are competitive and prioritize measurable outcomes, collaboration, sustainability, and embedded rural partnerships. Infrastructure improvements, capital expenditures, and administrative costs are allowed (admin max 10% of budget; no construction, broadband or indirect costs). Applicants must be Nevada-registered vendors and either serve rural Nevadans directly or demonstrate documented partnerships with rural health providers.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Nevada Health Authority (NVHA) (Nevada)
- Posted: 2026-03-24
- Application due: 2026-04-30
- Funding: $230,000 – $36.0M
- Eligible applicants: Health Provider, Organization with partnerships serving rural Nevadans, Rural Hospital, Rural Clinic, EMS Provider, Community Health Program, Non-emergency Medical Transportation Entity, Mobile Health Provider, CAH, FQHC, CCBHC, School-Based Health Center, Primary Care Provider, Mental Health Provider, County/Local Government, Tribal Organization, University/College, Vendor (Nevada-registered), Non-rural entity (with rural partner MOU/letter of commitment)
- How to apply: Online via NVHA Rural Health Transformation Program application portal (https://www.nvha.nv.gov/RHTP/rht-nofos/); Email submission to RHTP@nvha.nv.gov also accepted if portal access issues. See RFA and Attachment A for forms and instructions.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/final-rht-request-for-applications-flex-funds_announcement-2.pdf

## Eligibility

Eligible applicants are health care providers and entities currently serving rural Nevadans, or organizations with documented partnerships (Memorandum of Understanding or Letters of Commitment) with rural health providers. Rural hospitals (including CAHs), clinics, EMS, FQHCs, CCBHCs, school-based health centers, tribal organizations, county/local governments, universities, and vendors registered with the State of Nevada may apply. Non-rural entities must provide signed MOUs/letters of commitment from rural partners; applicants must not be suspended/debarred and must be in good standing with the State of Nevada and federal government. If requesting >$1M in federal funds annually, applicants must submit their most recent Single Audit. All applicants must obtain a State Vendor Identification Number prior to funding.

## Requirements

Applicants must submit a complete application by April 30, 2026, including: Nevada Rural Health System Cover Sheet (Attachment A), Project Narrative & Scope of Work (Attachment B), Budget Plan & Budget Narrative (Attachment C), all required supporting documents (quotes, MOUs/letters of commitment, proof of vendor registration). Projects must benefit rural populations, demonstrate sustainability, and align with RHTP goals. Administrative costs are capped at 10% of budget; indirect costs are not allowed; no new construction or broadband infrastructure permitted. All applications must include justification of expenditures, detailed goals/objectives (SMART format), data collection and reporting plans, and sustainability strategies post-award. Non-rural applicants must attach formal MOUs/letters of commitment from rural partners.

## Required attachments

- Nevada Rural Health System Cover Sheet (Attachment A)
- Project Narrative and Scope of Work (Attachment B)
- Budget Plan and Budget Narrative (Attachment C)
- Quotes (if available, for capital/equipment purchases)
- Letters of Commitment or Memorandum of Understanding (if non-rural applicant)
- Proof of Nevada State Vendor Registration
- Recent Single Audit (if >$1M in annual federal funds requested)
- Goals & Objectives Template
- Data Collection & Reporting Plan
- Sustainability Plan

## Application package and source documents

- [NV - 2026 - Nevada RHTP - Rural Health System Flex Fund (Consolidated support doc)](https://www.ruralcarejourney.com/api/documents/ee61de8a-af21-43ef-87b8-fef256f04243/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/nevada-rht-flex-fund-initiatives-march-2026.pdf
- [NV - 2026 - Nevada RHT Program](https://www.ruralcarejourney.com/api/documents/006136b2-cf4d-442e-be19-33153b5aaf19/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/nvha-rht-rfa-qa-4.10.26.pdf
- [NV - 2026 - Nevada Rural Health System Flex Fund (final-attachment-b-rht-request-for-applications-flex-funds-scope-of-work-template)](https://www.ruralcarejourney.com/api/documents/3ff91592-36a4-4e75-a414-c986bc0ab3c4/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/final-attachment-b-rht-request-for-applications-flex-funds-scope-of-work-template.docx
- [NV - 2026 - Nevada Rural Health System Flex Fund](https://www.ruralcarejourney.com/api/documents/0e9ab181-6ac7-4054-8089-f47534459019/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/attachment-b_rht-request-for-applications-flex-funds---2026_scope-of-work-example.docx
- [NV - 2026 - Nevada RHTP (nvha-rht-rfa-qa-4.24.2026)](https://www.ruralcarejourney.com/api/documents/b19f3a09-b5ed-4c65-8f29-733fcb5632db/file)
- [NV - 2026 - Nevada RHTP (nvha-rht-rfa-qa-4.17.2026-1)](https://www.ruralcarejourney.com/api/documents/c7c4d631-8880-429a-9899-be6fb414c939/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/april-2026/nvha-rht-rfa-qa-4.17.2026-1.pdf
- [NV - 2025 - Nevada RHTP – Rural Health System Flex Fund](https://www.ruralcarejourney.com/api/documents/b7c5030c-a501-4086-8d00-b0ccbb74b000/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rhtsc/meeting-3.11.2026/draft-rht-rfa-flex-funds---2026.pdf
- [NV - 2026 - Nevada Rural Health System Flex Fund (rhtsc-flex-rfa-03.11.2026)](https://www.ruralcarejourney.com/api/documents/4f4a63b0-8d26-423f-a970-984f3c5dd5bb/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rhtsc/meeting-3.11.2026/rhtsc-flex-rfa-03.11.2026.pdf
- [NV - 2026 - Nevada RHTP – Rural Health System Flex Fund](https://www.ruralcarejourney.com/api/documents/f8419329-055c-46e9-add5-e7f559873e5b/file) (primary) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/final-rht-request-for-applications-flex-funds_announcement-2.pdf
- [NV - 2026 - RHT Grant Program (Attachment A: Cover Page)](https://www.ruralcarejourney.com/api/documents/2a3f1c22-f3b4-49ea-b259-1bb671c7dc4f/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/march-2026/final-attachment-a-rht-request-for-applications_cover-sheet.pdf
- [NV - 2026 - Nevada RHTP Implementation Project (Attachment C: Budget Plan Template)](https://www.ruralcarejourney.com/api/documents/d1cafbe6-3e6c-45dc-b9b0-34302d6cf68c/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rht_nofos/april-2026/final-attachment-c-rht-budget_plan_template_4.22.2026.xlsx
- [NV - 2026 - RHT Funded Projects - Budget Period 1 (BP1 Funded Projects)](https://www.ruralcarejourney.com/api/documents/e1f1e2d1-5902-4433-8b66-68f6aad6ffb4/file) — official: https://www.nvha.nv.gov/RHTP/rht-funded-projects---bp1
- [NV - 2026 - RHT Steering Committee Non-Compete Continuation Application, Quarterly & Annual Reports](https://www.ruralcarejourney.com/api/documents/57d575f7-70de-4eaa-9dc0-48055818fd2b/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/rhtsc/meeting-6.9.26/rhtsc-6.9.26-ncc-quarterly-annual-reporting-2.pdf
- [NV - 2025 - Nevada RHT Grant Application](https://www.ruralcarejourney.com/api/documents/9e3f0bf3-15b9-4a73-8edb-f850f3b4859f/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/bp2/project-narrative-bp2-ncc-ada-rem.pdf
- [NV - 2026 - Nevada RHTP (revised-project-narrative-01.30.2026)](https://www.ruralcarejourney.com/api/documents/f58e30b7-0d47-462b-a446-1384fe441e20/file) — official: https://www.nvha.nv.gov/siteassets/content/community/rhtp/revised-project-narrative-01.30.2026.pdf
- [NV - 2026 - Nevada RHTP (Project_Narrative)](https://www.ruralcarejourney.com/api/documents/ea401c86-697c-4a49-bf4c-709034f8038d/file) — official: https://www.nvha.nv.gov/siteassets/content/community/Project_Narrative.pdf
- [NV - 2026 - Nevada Invests Over $50 Million to Strengthen Rural Healthcare Workforce and Expand Access Across the State (nevada-invests-over-$50-million-to-strengthen-rural-healthcare-workforce-and-expand-access-across-the-state-new) (Nevada Rural Health Flex Fund award announcement)](https://www.ruralcarejourney.com/api/documents/be006ff4-9219-4f69-af66-d2e55b702784/file) — official: https://www.gov.nv.gov/press-releases/nevada-invests-over-$50-million-to-strengthen-rural-healthcare-workforce-and-expand-access-across-the-state-new/

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/nevada-rural-health-systems-flex-fund-rhtp--99a47fc923 — data as of 2026-09-05.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.