# Nevada Rural Reentry FLEX Request for Applications Nevada Medicaid's Rural Reentry FLEX RFA offers $5,775,316.97 in Rural Health Transformation funding to help rural Nevada correctional and detention facilities and their partners prepare to deliver Medicaid reentry services. It funds equipment and care capacity: clinical, diagnostic, treatment and telehealth equipment, clinical workstations, secure medication-management equipment, mobile care resources, approved minor patient-care facility improvements, and equipment replacement or upgrades. New construction, major expansion, demolition, cosmetic-only work and broadband infrastructure are not allowed. Released October 29, 2026; questions due November 23; applications due December 15, 2026; anticipated award date January 13, 2027. ## Key facts - Status: Open - Type: RFA - Issued by: Nevada Health Authority, Division of Nevada Medicaid (Nevada) - Posted: 2026-10-29 - Questions due: 2026-11-23 - Application due: 2026-12-15 - Funding: $5.8M - Eligible applicants: Rural county governments, Rural correctional and detention facilities (adult and youth), Organizations partnering with those facilities - How to apply: Email the signed cover sheet, scope/work plan, budget and narrative, reporting plan, certifications and supporting documents to MedicaidReentry@nvha.nv.gov by December 15, 2026, subject "Reentry Flex RFA – County/Organization – Project Title". - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.medicaidreentry.nv.gov/rural-funding-opportunity/ ## Eligibility Nevada rural counties, rural correctional or detention facilities serving adults and/or youth, and organizations partnering with those facilities. County governments apply on behalf of their sheriff's department, jail, juvenile services department or other county-operated facility. "Rural" means a Nevada county, correctional facility or partner serving a rural jail or rural reentry population eligible under the Nevada Rural Health Transformation initiative; the applicant must name the rural county and facility that benefits. A non-rural lead applicant must show the benefit to eligible rural communities and provide rural partners' commitment letters when required. FLEX funds equipment and approved minor improvements; payment for clinical services reimbursable through insurance is not allowed. Reimbursement-based: no costs may be incurred before the subaward is executed; all Budget Period 1 work and spending must be complete by August 30, 2027. Indirect costs are not allowed; administrative costs are capped at 10% and must be itemized. The same cost cannot be paid by another funding source. UEI and state vendor number may be pending at application but are required before funding. Future-year funding is not guaranteed. ## Required attachments - Signed applicant cover sheet (Attachment A) - Scope and work plan - Detailed Flex budget and line-item narratives - Measures and reporting plan - Quotes, estimates or other price support - Partner commitment letters, when applicable ## Application package and source documents - [NV - 2026 - Nevada Rural County Reentry Funding (Official program page (Nevada Medicaid Reentry rural funding opportunity))](https://www.ruralcarejourney.com/api/documents/6f436bc7-115a-4493-934e-a2bffa722a32/file) (primary) — official: https://www.medicaidreentry.nv.gov/rural-funding-opportunity/ - [NV - 2026 - Nevada Rural Reentry FLEX Request for Applications (Application package - FLEX Request for Applications and application)](https://www.ruralcarejourney.com/api/documents/f482ed67-f4e7-4d2b-8a6e-95faa5e50bcb/file) — official: https://www.medicaidreentry.nv.gov/contentassets/fd946e25184148ac85509feadc20594c/documents/flex_rfa_application_corrected.pdf - [NV - 2026 - Nevada Rural Reentry FLEX Request for Applications (flexcover) (Application package - Attachment A: Cover)](https://www.ruralcarejourney.com/api/documents/f6674bef-5d51-4e68-bed4-600cab9c54f6/file) — official: https://www.medicaidreentry.nv.gov/contentassets/fd946e25184148ac85509feadc20594c/documents/flexcover.pdf - [NV - 2027 - Attachment B: Budget Narrative – Nevada Rural Reentry Flex Funding Application (Application package - Attachment B: Budget Narrative)](https://www.ruralcarejourney.com/api/documents/508cf4a5-0ec9-45c9-ac86-a011980a569a/file) — official: https://www.medicaidreentry.nv.gov/contentassets/fd946e25184148ac85509feadc20594c/documents/flex-budget_narrative_attachment_b.pdf - [NV - 2027 - Attachment C Nevada Rural Reentry Flex Budget Plan And Narrative — Bp1 (Application package - Attachment C: Budget Plan)](https://www.ruralcarejourney.com/api/documents/915ba785-b393-4267-a659-bf5b5fa7e597/file) — official: https://www.medicaidreentry.nv.gov/contentassets/fd946e25184148ac85509feadc20594c/documents/flex-attachment_c_budgeplan.xlsx - [NV - 2026 - Attachment D Project Narrative Guidance RHIT RFA Project Narrative Nevada RHT Funding Application (Application package - Attachments D & E: Narrative & Work Plan (shared by RHIT and Flex))](https://www.ruralcarejourney.com/api/documents/76bbe537-e7f1-44c9-b801-4b0c291c44e3/file) — official: https://www.medicaidreentry.nv.gov/contentassets/fd946e25184148ac85509feadc20594c/documents/rhit_rfa_attachments_d_and_e_flex.pdf - [NV - 2026 - Nevada Rural County Reentry Funding Advance Information for County Managers (Workshop 1 handout: advance information for county managers (Sept 2026))](https://www.ruralcarejourney.com/api/documents/502636dc-5b16-4c2f-846c-8347cbe48855/file) — official: https://www.medicaidreentry.nv.gov/siteassets/county-manager-rural-reentry-funding_final_10_6_2026.pdf - [NV - 2026 - RHT Funding Opportunity for Nevada Counties – Rural County Leadership Briefing (Workshop 1 slides: RHT funding opportunity for Nevada counties (Oct 2026))](https://www.ruralcarejourney.com/api/documents/c35dd6a1-555d-45f7-a38d-6005765a0b90/file) — official: https://www.medicaidreentry.nv.gov/siteassets/rht-county-funding-opportunity_ppt.pdf More Nevada RHTP activity: https://www.ruralcarejourney.com/states/nv (markdown: https://www.ruralcarejourney.com/states/nv.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/nevada-rural-reentry-flex-request-for-applications--da06b56acc — data as of 2026-11-03. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.