Rural Medicaid Alternative Payment Model Program (Initiative 3)

Summary

The Louisiana Department of Health (LDH), through the Office of Rural Health Transformation and Sustainability, will provide up to $30M in Year 1 funding for rural providers to implement the target primary-care-led Medicaid value-based care (VBC) model in rural Louisiana. The program supports investment in infrastructure, care coordination, care delivery transformation, performance monitoring, and provider readiness for value-based payments with the long-term goal of progressing toward total cost of care (TCOC) accountability.

Eligibility

Eligible applicants are: (1) rural Medicaid-serving providers in Louisiana, including FQHCs, RHCs, Rural Hospitals/CAHs, independent rural primary care providers, and provider-led coalitions (ACOs, CINs, IPAs, etc.); (2) applicants must demonstrate they serve rural ZIP codes defined as RUCA 4–10 and satisfy LDH rural provider, licensure, and access-need requirements. Lead applicants may partner with technology or care management vendors, community-based organizations, and other operational partners, but only patient-facing care delivery and readiness activities are fundable.

Requirements Checklist

• Applicants must: submit a Statement of Work (per Appendix B); complete the TCOC readiness (Appendix C); provide a detailed budget and narrative; demonstrate a 10% cost share/match; attach required registrations; execute required agreements if selected; incur allowable costs before reimbursement; and submit quarterly and annual reporting on measurable outcomes. Applicants must explain non-duplication and provide data sufficient for tracking quality and TCOC metrics.

Required attachments

• Statement of Work (Appendix B compliant)
• APM applicant budget template and budget narrative
• IRS Form W-9
• Louisiana Vendor Profile Data Form
• Applicable LDH license and registration documents
• Board Resolution (if applicable)
• Disclosure of Ownership from LA Secretary of State (if applicable)
• SAM (System for Award Management) registration

Submission Instructions

Submit questions and application online at https://ldh.la.gov/page/rhtp-funding-opportunities per instructions in the NOFO. See full NOFO for required forms and documents.

Source Documents

What changed

Status, deadline, award, and content changes RCJ has recorded for this opportunity, newest first.

1. Deadline changedJul 1, 2026

   Version 1.a timeline: Questions deadline 2026-07-07; submission deadline 2026-08-07

   Version 1.0 timeline: Questions deadline 2026-07-06; submission deadline 2026-08-05