# Rural Health Transformation Program Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care This opportunity supports Vermont healthcare providers in implementing regional care strategies, advancing technology, enhancing shared operations, strengthening the rural health workforce, and building sustainable rural health networks. Funding is provided under Vermont's $195 million Year One Rural Health Transformation (RHT) grant, entirely federal CMS/HHS funded, to catalyze health system transformation. Proposals must address care innovation, technology and interoperability, shared services, or hospital designation/service transformation that coordinates care across geographic regions. Eligible uses may include redesign of service delivery (e.g., shifts from hospital to outpatient settings, regional workforce models, health IT upgrades), but funds cannot be used for capital construction, duplicative activities, or services reimbursable by insurance. Program goals emphasize improved health outcomes, population health, care quality, provider stabilization, affordability, and workforce sustainability. Grants are for 10-11 months (depending on start), with up to four 1-year extensions possible with AHS/CMS approval. ## Key facts - Status: Closed - Type: NOFO - Issued by: Vermont Agency of Human Services (Vermont) - Posted: 2026-06-19 - Questions due: 2026-06-26 - Application due: 2026-08-17 - Eligible applicants: Hospitals, Primary care practices, Specialty care providers, Home health agencies, Hospice agencies, Skilled nursing providers, Long-term care providers, Adult day centers, Mental health providers, Substance use disorder providers, Federally Qualified Health Centers, Community mental health centers, Provider consortiums, Trade associations representing Vermont providers - How to apply: Online application form link (see NOFO); supporting attachments (Budget Workbook, W-9, NICRA, partner letters) submitted by email to ahs.contracts@vermont.gov with subject line: 'Care Transformation Grant Application, [Organization Name]'. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73877 ## Eligibility Eligible applicants are Vermont-based hospitals and nonhospital healthcare providers physically located in Vermont, including but not limited to primary care, specialty care, home health, hospice, skilled nursing, long-term care providers, adult day centers, mental health and substance use providers, as well as provider consortiums or trade associations. Partnership proposals require a Vermont-based lead applicant with letters of commitment from all partners. Providers in rural ZIPs (Appendix B, Table 1) or select non-rural FQHCs, home health and hospice agencies, and community mental health centers (Appendix B, Table 2) are eligible. All applicants must have full SAM registration and a valid UEI. ## Requirements Applicants must submit: (1) an online application via the provided Microsoft Forms link; (2) Year 1 Project Costs in the Budget Workbook (Appendix A); (3) a signed W-9 form (last 12 months); (4) Federally Negotiated Indirect Cost Rate Letter (NICRA), if applicable; (5) letters of commitment from partner organizations, if applicable. Proposals must include narrative, budget, demonstrate organizational and financial capacity, and compliance with federal and Vermont AHS requirements. Active Vermont Business Registry registration, full SAM registration, and Unique Entity Identifier (UEI) are required. ## Required attachments - Completed online application form (Microsoft Forms link in NOFO) - Appendix A: Budget Workbook (Year 1 project costs) - Signed W-9 Tax Form (last 12 months) - Federally Negotiated Indirect Cost Rate Letter (NICRA, if applicable) - Letters of commitment from partner organizations (if applicable) ## Application package and source documents - [VT - 2026 - RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care (VT - 2026 - RHTP Transform, Innovate, and Regionalize Care NOFO (RHT_AHSCO_0008_FY26))](https://www.ruralcarejourney.com/api/documents/97e29b4b-f2be-4aad-a179-f321cf51b94e/file) (primary) — official: https://www.vermontbusinessregistry.com/bidAttachments/73877/RHT_AHSCO_0008_FY26.pdf - [VT - 2026 - RHTP Appendix A Budget Template (BidIDs 73876 and 73877) (VT - 2026 - RHTP Transform, Innovate, and Regionalize Care 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 - Questions and Answers: RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care (NOFO RHT_AHSCO_0008_FY26) (008 Care Transformation_Q&A.pdf)](https://www.ruralcarejourney.com/api/documents/6f4736f0-102a-478c-b478-6ba31397472b/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73877/008%20Care%20Transformation_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 - ADDENDUM 1 RHTP Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care Subrecipient activities #4 and #19 RHT –… (RHT_AHSCO_0008_FY26 Addendum 1.pdf)](https://www.ruralcarejourney.com/api/documents/0b276d35-c085-4a0a-8efa-6d2bd650be9e/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73877/RHT_AHSCO_0008_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 - [VT - 2026 - Request for amendment to Certificate of Need Docket No. GMCB-014-23con: Southwestern Vermont Medical Center development of an inpatient mental health unit for adolescents (Southwestern Vermont Medical Center RHTF award evidence)](https://www.ruralcarejourney.com/api/documents/0f573142-2b74-4cd8-881b-0d072170080c/file) — official: https://gmcboard.vermont.gov/document/request-material-change-2 More Vermont RHTP activity: https://www.ruralcarejourney.com/states/vt (markdown: https://www.ruralcarejourney.com/states/vt.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-subrecipient-grant-to-healthcare-providers-t--kzcl68qcds — data as of 2026-08-18. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.