# Rural Health Transformation Program - Facility Upgrades to Support Regionalization

Grant opportunity for rural health care facilities in Vermont to support facility upgrades and regionalization. The program aims to strengthen rural health care delivery through minor physical renovations and refurbishments, enabling network and workforce enhancements, technology advancement only as part of facility upgrades, and improved access for Vermonters. Eligible projects support service realignment, shared operations, and integrated care delivery envisioned under Vermont’s regionalization strategy. Upgrades must comply with federal and state requirements, including safety standards, building codes (ADA Accessibility Standards), and reporting. Year 1 grants support expenditures within the grant period. Funding restrictions exclude pre-award costs, construction/expansion, demolition, cosmetic upgrades that materially increase property value, and supplanting existing funding.

## Key facts

- Status: Closed
- Type: RFP
- Issued by: State of Vermont Agency of Human Services (Vermont)
- Posted: 2026-06-19
- Questions due: 2026-06-26
- Application due: 2026-08-17
- Eligible applicants: Hospital, Primary Care Provider, Specialty Care Provider, Home Health Agency, Hospice Agency, Skilled Nursing Facility, Long-Term Care Provider, Adult Day Center, Mental Health Provider, Substance Use Disorder Provider, Community Retail Pharmacy
- How to apply: Submit the online application form using the Vermont Business Registry portal and email required attachments to ahs.contracts@vermont.gov with subject: “Facility Upgrades Grant Application, [Organization Name]”.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73876

## Eligibility

Eligible applicants are hospitals and nonhospital providers physically located in Vermont, including but not limited to primary care and specialty care practices, home health and hospice agencies, skilled nursing and long-term care providers, adult day centers, mental health and substance use disorder providers, and community retail pharmacies. Providers located in rural ZIP codes (Appendix B Table 1) are eligible. Federally Qualified Health Centers (FQHCs), home health and hospice agencies, and community mental health centers in non-rural/urban ZIP codes (Appendix B Table 2) are also eligible. Applicants must have full SAM registration and a valid Unique Entity Identifier (UEI) to be eligible.

## Requirements

Applicants must submit a completed online application, Year 1 project costs in the Budget Workbook (Appendix A), W-9 Tax Form signed within the last 12 months, Federally Negotiated Indirect Cost Rate Letter (NICRA) if applicable, and third-party project cost estimates if applicable. All proposed facility upgrade activities must clearly support regionalization objectives, comply with relevant ADA Accessibility Standards, and relevant regulations. Applicants may include supporting documentation, such as letters of support and prior financial statements. Applications must adhere to state and federal compliance (e.g., 2 CFR Part 200, 2 CFR Part 300, HIPAA).

## Required attachments

- Online Application Form
- Year 1 Budget Workbook (Appendix A)
- W-9 Tax Form (signed within last 12 months)
- Federally Negotiated Indirect Cost Rate Letter (NICRA) if applicable
- Third-party project cost estimates if applicable

## Application package and source documents

- [VT - 2026 - RHTP Subrecipient Grant to Healthcare Providers for Facility Upgrades to Support Regionalization (VT - 2026 - RHTP Facility Upgrades to Support Regionalization NOFO (RHT_AHSCO_009_FY26))](https://www.ruralcarejourney.com/api/documents/714a8c8f-3a74-442e-936f-2d8f206ee484/file) (primary) — official: https://www.vermontbusinessregistry.com/bidAttachments/73876/RHT_AHSCO_009_FY26.pdf
- [VT - 2026 - RHTP Appendix A Budget Template (BidIDs 73876 and 73877) (VT - 2026 - RHTP Facility Upgrades Appendix A Budget Template)](https://www.ruralcarejourney.com/api/documents/970f7879-5992-4a63-b066-f237510df6d2/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73876/Appendix_A.xlsx
- [VT - 2026 - RHT _AHSCO_0009_FY26 Facility Upgrades to Support Regionalization Questions and Answers (0009 Facility Upgrades_Q&A.pdf)](https://www.ruralcarejourney.com/api/documents/a9d3c338-9aa5-42d2-8ca2-53b3efa18601/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73876/0009%20Facility%20Upgrades_Q&A.pdf
- [VT - 2026 - Appendix A RHTP Subrecipient Grant Budget Template (Appendix A RHTP Subrecipient Grant Budget Template.pdf)](https://www.ruralcarejourney.com/api/documents/16e8a143-da3e-4b65-a34b-1c3ad2b6992d/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73876/Appendix%20A%20RHTP%20Subrecipient%20Grant%20Budget%20Template.pdf
- [VT - 2026 - RHT_AHSCO_009_FY26 Addendum 1 (RHT_AHSCO_009_FY26 Addendum 1.pdf)](https://www.ruralcarejourney.com/api/documents/86deb79e-ce06-4a3b-a791-b8887a6a243e/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73876/RHT_AHSCO_009_FY26%20Addendum%201.pdf
- [VT - 2026 - Home Health Care Workforce Development (rht-year-1-executed-agreements-and-contracts) (VT RHT Year 1 Executed Agreements and Contracts (award recipients))](https://www.ruralcarejourney.com/api/documents/5a925dbd-9358-4091-aa12-2a3627dbfdb2/file) — official: https://healthcarereform.vermont.gov/rht-year-1-executed-agreements-and-contracts

More Vermont RHTP activity: https://www.ruralcarejourney.com/states/vt (markdown: https://www.ruralcarejourney.com/states/vt.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-facility-upgrades-to-support-regionalization--kz1j9cjmnm — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.