# Oklahoma Rural Health Transformation – Rural Regional Reorientation (RRR) Subawards The Oklahoma State Department of Health (OSDH) Rural Regional Reorientation (RRR) Program, part of the RHTP, will distribute over $223,476,947 in federal funds (100% funded by CMS/HHS) through competitive subawards up to $4,000,000 per project. The RRR program aims to strengthen sustainability, access, and quality of rural healthcare across Oklahoma (excluding Oklahoma and Tulsa counties), focusing on clinical transformation, partnership development, capital improvements, and innovative care models serving communities under 55,000 residents. Eligible applicants include healthcare and social service providers, Tribal organizations, local governments, hospital systems, FQHCs, Critical Access Hospitals, and partnerships of two or more eligible entities. Funds are reimbursement-only; no cost share or match is required. Awards cannot cover direct personnel compensation or vehicle purchases. Subrecipients must comply with federal (2 CFR 200, Buy America) and OSDH program requirements, including reporting and monitoring. Applications must be received via email by 5:00 PM CT on June 12, 2026. ## Key facts - Status: Closed - Type: NOFO - Issued by: Oklahoma State Department of Health (OSDH) (Oklahoma) - Application due: 2026-06-12 - Funding: $1 – $4 - Eligible applicants: Nonprofit Organization, Tribal Organization, Federally Recognized Tribe, Local Government, Federally Qualified Health Center (FQHC), Critical Access Hospital, Health System, Social Service Entity, Partnership (multiple eligible entities) - How to apply: Submit the complete application package by email to RHTP@health.ok.gov no later than 5:00 PM CT on June 12, 2026. Package must include required forms and attachments as detailed in NOFO and instructions. Late or incomplete applications will not be considered. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFOvFINAL.pdf ## Eligibility Eligible applicants are health care provider organizations, federally recognized Tribes and Tribal organizations, local government agencies, Federally Qualified Health Centers, Critical Access Hospitals, social service providers, hospital systems, and partnerships of two or more such entities. Applicants must deliver care to rural populations in Oklahoma counties (excluding Oklahoma and Tulsa counties) and communities under 55,000 residents (see NOFO Attachment A for specific eligibility). Partnerships are strongly encouraged. Applicants must be capable of improving healthcare access, system quality/sustainability, and serving rural Oklahoman populations. ## Requirements Applicants must: (1) Complete and sign the Application Form; (2) Attach a Budget Summary & Justification (using Attachment C template); (3) Provide a signed Subrecipient Questionnaire (Attachment B); and (4) Submit an attestation of review of subrecipient terms and responsibilities (Attachments B, C, D, E). Proposals must demonstrate expansion of access, improvement of quality and sustainability, and support for rural partnerships. Ineligible costs include direct personnel compensation (salary/fringe for staff, paid staff time), vehicle purchases, and any costs not aligned with program priorities or not compliant with federal regulations. Awardees must comply with federal requirements (2 CFR Part 200, Buy America), financial/outcome reporting, and OSDH terms. Maximum allowable request per application is $4,000,000. ## Required attachments - OSDH RRR Application Form - Budget Summary & Justification (Attachment C) - Subrecipient Questionnaire (Attachment B) - Attestation of review (Attachments B, C, D, E) - Requested Exceptions (if any, using Attachment E) ## Application package and source documents - [Subrecipient questionnaire (SRQ) (Subrecipient questionnaire (SRQ))](https://www.ruralcarejourney.com/api/documents/cfdd0c75-91e4-49d2-832b-392b6b71092c/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/01-SRQ-BLANK.pdf - [Requested Exceptions to OSDH Subrecipient (Attachment E - Requested Exceptions)](https://www.ruralcarejourney.com/api/documents/917ac4b9-af5a-4726-82c2-e376cc5eacd4/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/Attachment%20E%20REQUESTED%20EXCEPTIONS%20TO%20OSDH%20TERMS.docx - [OK - 2026 - OSDH Subrecipient Terms & Conditions (Attachment E - Terms and Conditions)](https://www.ruralcarejourney.com/api/documents/f53d79a1-9d41-4738-a918-f4459be50ede/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/Attachment%20E%20Subrecipient%20Terms%20and%20Conditions.docx - [OK - 2026 - RRR Frequently Asked Questions (FAQ) and NOFO Policy Clarifications for Oklahoma RHTP (RRR FAQs)](https://www.ruralcarejourney.com/api/documents/a74703b7-01fa-44cb-8908-c5461393b8b5/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20FAQs.pdf - [OK - 2026 - Oklahoma RHTP (OK RHTP) (Attachment A)](https://www.ruralcarejourney.com/api/documents/1f08d617-26c6-4738-917f-4733fecb310b/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFO%20Attachment%20A%20Final.xlsx - [OK - 2025 - CMS RHTP - Oklahoma (Attachment B)](https://www.ruralcarejourney.com/api/documents/da0d654e-9a40-4288-8c05-746be61dab8d/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFO%20Attachment%20B%20Final.pdf - [OK - 2026 - Rural Regional Reorientation Expenditure (Attachment C)](https://www.ruralcarejourney.com/api/documents/f8f81974-ed9e-4aa5-b0c9-0bb49f9f8a65/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFO%20Attachment%20C%20Final.xlsx - [Oklahoma Attachment D Grants Management Packet Document Instructions RHTP Application (Attachment D)](https://www.ruralcarejourney.com/api/documents/17c1ea1a-d03d-4362-92eb-2b90e11381a8/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFO%20Attachment%20D%20Final.pdf - [OK - 2026 - RHTP - Rural Regional Reorientation (RRR) (Notice of Funding Opportunity)](https://www.ruralcarejourney.com/api/documents/26bf1084-9316-425b-a0cf-0cf483282feb/file) (primary) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20NOFOvFINAL.pdf - [OK - 2026 - Rural Regional Reorientation (RRR) (Sample Application Concepts)](https://www.ruralcarejourney.com/api/documents/b03fb3d5-049f-4454-bfe4-69cf3a48e14f/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/RRR%20application%20concept%20examples.pdf - [Sample Organizational Responses (Sample Organizational Responses)](https://www.ruralcarejourney.com/api/documents/18ded28f-c2c8-4e7f-84a4-6bc5dfce4178/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/rrr/Sample%20RRR%20Organizational%20Responses.pdf - [OK - 2026 - RHTP Frequently Asked Questions](https://www.ruralcarejourney.com/api/documents/ccea45ec-42de-4465-bac9-d013b910fc8d/file) — official: https://oklahoma.gov/health/rhtp/rhtp-faqs.html - [OK - 2024 - RHTP Funding Recipients (OK - 2024 - RHTP Funding Recipients)](https://www.ruralcarejourney.com/api/documents/aa5cd577-652b-4f73-b4b1-ce2162e3caea/file) — official: https://oklahoma.gov/health/rhtp/rhtp-funding-recipients.html More Oklahoma RHTP activity: https://www.ruralcarejourney.com/states/ok (markdown: https://www.ruralcarejourney.com/states/ok.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/oklahoma-rural-health-transformation-rural-regional-reorientation-rrr-subawards--e0c93461e8 — data as of 2026-08-18. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.