# Promoting Access, Coordination, and Transformation (PACT)

The Arkansas Department of Finance and Administration (DF&A) requests proposals for the Promoting Access, Coordination, and Transformation (PACT) initiative, a core part of the Arkansas Rural Health Transformation Program. PACT is designed to modernize Arkansas’s rural health system, expand access to care, and improve provider coordination through integrated networks, workforce alignment, and technology-enabled infrastructure. Competitive, multi-category grants are available to eligible rural entities demonstrating collaborative and system-wide impact.

## Key facts

- Status: Closed
- Type: NOFO
- Issued by: Arkansas Department of Finance and Administration (DF&A) (Arkansas)
- Posted: 2026-06-01
- Application due: 2026-07-10
- Funding: $93.7M
- Eligible applicants: Healthcare Providers, Hospitals, Clinics, Behavioral Health Providers, EMS, Public Health Agencies, Community Partners
- How to apply: Applications must be submitted via the THRIVE application portal (https://arkansasrhtp.com/thrive-portal), as required in the NOFO.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://arkansasrhtp.com/wp-content/uploads/2026/06/ADA_FINAL_NOFO_PACT-06.01.26.pdf

## Eligibility

Eligible applicants include healthcare providers, hospitals, clinics, behavioral health providers, EMS, public health agencies, and community partners serving rural and underserved areas of Arkansas. Applicants must demonstrate organizational readiness and, where applicable, participation in regional or collaborative initiatives. Standalone efforts are not eligible.

## Requirements

Applicants must submit a proposal describing their implementation approach, measurable outcomes, organizational readiness, and—if relevant—plans for collaboration or participation in regional partnerships. Proposals must directly align with PACT priority objectives, including expanding access, improving care coordination, strengthening trauma/emergency response, and supporting systems/infrastructure. The NOFO details required attachments and documentation, such as budget templates, facility information, project plan templates, and financial disclosures.

## Required attachments

- Budget Template
- Facility Information Template
- Financial Information Template
- Project Plan Template

## Application package and source documents

- [AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP (AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP)](https://www.ruralcarejourney.com/api/documents/3ecb159f-293e-470c-973f-d3215a2cd835/file) — official: https://arkansasrhtp.com/pact
- [AR - 2026 - Notice of Funding Opportunity: Promoting Access, Coordination, and Transformation (PACT) (AR - 2026 - View the PACT NOFO document here.)](https://www.ruralcarejourney.com/api/documents/f9ed8d15-1d69-4f27-a06a-bc81ae09ae67/file) (primary) — official: https://arkansasrhtp.com/wp-content/uploads/2026/06/ADA_FINAL_NOFO_PACT-06.01.26.pdf
- [AR - 2026 - Project Plan Template.xlsx (Project Plan Template - PACT)](https://www.ruralcarejourney.com/api/documents/59b78b01-b091-460a-83f9-81d5671a2662/file) — official: https://apply.arkansasrhtp.com/program-info/b644a4c0-b111-f111-8406-00224802b9c0
- [AR - 2025 - Sanders Announces Arkansas’ Application for Rural Health Funding](https://www.ruralcarejourney.com/api/documents/3f01ce26-8eb1-4256-806e-3f793e789e91/file) — official: https://governor.arkansas.gov/news_post/sanders-announces-arkansas-application-for-rural-health-funding
- [AR - 2025 - Mercy Fort Smith to Receive $19 Million in RHTP Funding; Arkansas Announces $149 Million in Statewide Rural Health Awards](https://www.ruralcarejourney.com/api/documents/f6c7ab78-5f57-4a3d-ad8c-83e9aab25260/file) — official: https://talkbusiness.net/2026/08/mercy-fort-smith-receives-more-than-19-million-for-rural-health-initiatives/
- [AR - 2026 - NYITCOM-Arkansas Receives $1.5 Million Grant for Maternal Health Initiative (NYITCOM-Arkansas PACT maternal-health award announcement)](https://www.ruralcarejourney.com/api/documents/98340918-ff0b-4d2e-87f2-77e635064121/file) — official: https://www.nyit.edu/news/articles/nyitcom-arkansas-receives-1-5-million-grant-for-maternal-health-initiative/

More Arkansas RHTP activity: https://www.ruralcarejourney.com/states/ar (markdown: https://www.ruralcarejourney.com/states/ar.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/promoting-access-coordination-and-transformation-pact--d326d5d010 — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.