New York Rural Community Health Integration (RCHI) Funding Opportunity

Eligibility

Lead Applicant must be: (1) a registered not-for-profit 501(c)(3) organization or municipal hospital; (2) have a 3+ year history of regulatory compliance with DOH rules; (3) be located in an eligible rural county (see Attachment 1); and (4) include at least one hospital as lead or partner. Each application must have a Lead Applicant, Partner Organization(s), and at least one general or rural emergency hospital. Eligible entity types include: • Hospitals: safety net, general, sole community, rural emergency, and critical access hospitals • Federally Qualified Health Centers (FQHCs) • Certified Community Behavioral Health Clinics (CCBHCs) • Rural Health Networks • Primary care or multi-specialty practices • Diagnostic and treatment centers • Urgent care centers • OMH-licensed facilities • OASAS-licensed facilities • Developmental disability service providers • Long-term care providers • Hospice and palliative care providers • Ambulatory surgery centers • Independent Practice Associations (IPAs) • Emergency Medical Service (EMS) providers Eligible counties: Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Montgomery, Oneida, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming, Yates

Requirements Checklist

• Applications must:
• Address at least one key area: (1) increased access/reduced preventable ER visits; (2) decreased readmissions; or (3) increased preventive care/colorectal screenings
• Priority given to projects addressing maternity/maternal-child health, behavioral health integration, or substance use disorder prevention
• Include a completed Eligibility Attestation (Attachment 3) confirming lead applicant eligibility
• Be jointly submitted by a Lead Applicant and at least one Partner Organization
• Include at least one hospital (as lead or partner)
• Use deliverable-based, cost-reimbursable budget
• Submit all required attachments (see below)
• Projects for planning (up to $500,000/county): must result in an implementation-ready plan, community engagement, needs assessment, feasibility, and governance development
• Projects for implementation (up to $3,000,000, up to three per application): must support care/system redesign completable and vouchered by July 31, 2027
• Grantees must participate in statewide learning collaboratives
• Contracts must be executed by October 30, 2026.
• (Source: RCHI Funding Guidance, Application Template)

Required attachments

• Attachment 1: Eligible Counties (reference list; includes Broome and Yates per Addendum #1)
• Attachment 2: Application Cover Sheet (required with submission)
• Attachment 3: Lead Applicant Eligibility Attestation (signed by authorized official)
• Attachment 4: Application Checklist (added per Addendum #1, July 2, 2026)
• Project Work Plan and Budget Narrative

Submission Instructions

Submit completed application package (including Application Cover Sheet, Application Checklist, and Attestation) via email to rchi@health.ny.gov by 4:00 PM EST on July 14, 2026. Questions must be submitted to rchi@health.ny.gov by June 18, 2026; answers will be posted at https://www.health.ny.gov/facilities/transforming_rural_healthcare/ on or about July 1, 2026. (Source: RCHI Funding Guidance Addendum #1, Application Template)

Source Documents