# New York Rural Community Health Integration (RCHI) Funding Opportunity New York State Department of Health is allocating $76,190,022 in Budget Period 1 (Sept 1, 2026 – June 30, 2027) of the Rural Health Transformation Program to support Rural Community Health Integration (RCHI) — Initiative 1 of NY's five-year RHTP. RCHI establishes coordinated rural health partnerships to improve care coordination, patient access, financial sustainability, and health outcomes across rural communities. Applications may request up to $500,000 per county for planning and up to $3,000,000 for up to three implementation projects. The minimum geographic unit is a county; multi-county collaborative applications are encouraged. Funded by CMS/HHS as part of a $212,058,207.80 total federal award. Implementation update: Ellenville Regional Hospital is using a $3,000,000 RCHI award to implement NY-VISTA (New York Virtual Integrated Specialty Telehealth Access), an 11-hospital rural specialty-access collaborative. The model combines shared clinical workflows, telehealth and EHR infrastructure, workforce training, and common performance measurement while preserving local clinical decision-making. Read the implementation announcement: https://www.wsil.marketminute.com/article/accwirecq-2026-9-29-ellenville-regional-hospital-awarded-3-million-to-expand-rural-specialty-access-across-new-york ## Key facts - Status: Closed - Type: RFA - Issued by: New York State Department of Health (New York) - Posted: 2026-06-11 - Questions due: 2026-06-18 - Application due: 2026-07-14 - Funding: $76.2M - Eligible applicants: HOSPITAL, FQHC, RURAL_HEALTH_NETWORK, BEHAVIORAL_HEALTH, LONG_TERM_CARE, PRIMARY_CARE_PRACTICE, COMMUNITY_ORGANIZATION, EMS - How to apply: 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/f… - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.health.ny.gov/facilities/transforming_rural_healthcare/docs/rchi_funding_guidance.pdf ## 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,… ## Requirements 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 ## Application package and source documents - [NY - 2026 - New York Rural Community Health Integration (RCHI) Funding Opportunity (RCHI Funding Guidance (NY DOH))](https://www.ruralcarejourney.com/api/documents/9100b737-11e9-4fbc-a0fe-c0b0ce5b67da/file) (primary) — official: https://www.health.ny.gov/facilities/transforming_rural_healthcare/docs/rchi_funding_guidance.pdf - [NY - 2026 - Rural Community Health Integration Planning and Implementation Application (rchi_application) (RCHI Application Template (Planning & Implementation))](https://www.ruralcarejourney.com/api/documents/c1606ef8-b5c8-4562-a747-6f34d42e8e96/file) — official: https://www.health.ny.gov/facilities/transforming_rural_healthcare/docs/rchi_application.pdf - [NY - 2026 - Rural Community Health Integration Planning and Implementation Application (RCHI Application Addendum #1 (July 2, 2026))](https://www.ruralcarejourney.com/api/documents/0c1fe243-9b8d-497c-bb9f-637d48af753c/file) — official: https://www.health.ny.gov/facilities/transforming_rural_healthcare/docs/funding_application_addendum_1.pdf - [NY - 2026 - Rural Community Health Integration Funding Guidance and Application Instructions (RCHI Funding Guidance Addendum #1 (July 2, 2026))](https://www.ruralcarejourney.com/api/documents/32055bf1-94e9-47b5-8254-4e878e7663c1/file) — official: https://www.health.ny.gov/facilities/transforming_rural_healthcare/docs/funding_guidance_addendum_1.pdf - [NY - 2026 - Rural Community Health Integration Awardees List (511e1a) (RCHI Awardees List (NY DOH))](https://www.ruralcarejourney.com/api/documents/3b693605-b716-4da1-9f78-ce88a2d0e59b/file) — official: https://health.ny.gov/facilities/transforming_rural_healthcare/awardees.htm - [NY - 2026 - Ellenville Regional Hospital awarded $3 million for NY-VISTA specialty access collaborative under New York Rural Community Health Integration initiative (ViTel Net announcement — Ellenville Regional Hospital $3M NY-VISTA award)](https://www.ruralcarejourney.com/api/documents/b25d2d4a-b82e-44c2-88ba-72bc8cb42c83/file) — official: https://www.vitelnet.com/ellenville-regional-hospital-awarded-3-million-to-expand-rural-specialty-access-across-new-york/ More New York RHTP activity: https://www.ruralcarejourney.com/states/ny (markdown: https://www.ruralcarejourney.com/states/ny.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/new-york-rural-community-health-integration-rchi-funding-opportunity--f91c1cf0bb — data as of 2026-09-29. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.