# South Dakota Federal RHTP Award: Year 1 (FY 2026)

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to South Dakota: $189,477,607.26, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; South Dakota's Year 2 award is $187,653,446.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (South Dakota)
- Funding: $189.5M
- Eligible applicants: Federally Qualified Health Center, Look-Alike FQHC, Critical Access Hospital, Rural Hospital, Tribal Clinic, Community-Based Mental Health Center, Ambulatory Clinic, Specialty Clinic, Rural Health Clinic, Long-Term Care Facility, Home Health Agency, Hospice Agency, Non-profit Network, University, Association, Other Healthcare Provider, CAH, Technology Partner
- How to apply: Details to be provided in forthcoming RFA (expected electronic submission via SD procurement portal: www.sd.gov/bhra) State grant portal (details not specified).
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## Eligibility

Federally Qualified Health Centers (FQHCs) and Look-Alikes; Critical Access Hospitals (CAHs) and Rural Hospitals; Tribally Operated Clinics and Facilities; Community-Based Mental Health Centers; Ambulatory, Specialty, and Rural Health Clinics; Long-Term, Post-Acute Care Facilities; Home Health and Hospice Agencies; Other healthcare service providers and organizations physically located in South Dakota or with eligible SD locations. Non-profit networks, universities, and associations may also apply under certain conditions. Rural health providers, technology partners.

## Requirements

Applicants must: - Register with the SD Office of Procurement Management and complete the SB198 Vendor Certification Form - Ensure active SAM.gov registration and Unique Entity Identifier (UEI) - Align projects with grant period dates and ensure completion by the spending deadline - Submit a needs assessment, project narrative for each funding tier requested, implementation plan, and sustainability plan - Use sample worksheet for required applicant profile, project leads, and budget Submit project proposals with technology plans and budget justification.

## Required attachments

- Project Narrative
- Needs Assessment
- Implementation Plan
- Project Budget
- Sustainability Plan
- Organizational Profile
- Funding Tier Narrative
- Budget Justification

## Application package and source documents

- [US - 2026 - CMS RHTP](https://www.ruralcarejourney.com/api/documents/e04c82f9-6d26-4d92-8db9-7715c2a38d4a/file) (primary) — official: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf
- [US - 2026 - RHT Program Overview](https://www.ruralcarejourney.com/api/documents/e6dd59cf-4228-45ce-8888-31634918e482/file) — official: https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
- [SD - 2026 - Background & Legislative Authority and Transformation Strategy Overview for South Dakota Federal RHTP Award (FY2026-FY2030) (Migrated from duplicate federal row)](https://www.ruralcarejourney.com/api/documents/a748074c-974c-439a-94d5-19819cbb4af4/file) — official: https://doh.sd.gov/media/xvkhl2oa/rural-health-transformation-program-slide-deck-webinar.pdf
- [SD - 2026 - South Dakota RHT Project (rural-health-transformation-program-slide-deck_short)](https://www.ruralcarejourney.com/api/documents/6d89b1e6-a95c-4a45-ad59-266871890a16/file) — official: https://doh.sd.gov/media/2t2deqsn/rural-health-transformation-program-slide-deck_short.pdf
- [SD - 2026 - South Dakota RHTP Project Narrative](https://www.ruralcarejourney.com/api/documents/f18348d9-24b6-4061-ab9f-25d46490d48d/file) — official: https://doh.sd.gov/media/lyfbrd2k/sd_rhtproject-narrative-final.pdf
- [SD - 2026 - Building a Stronger, Healthier Rural South Dakota Year 1 Funding](https://www.ruralcarejourney.com/api/documents/932b2507-b5a1-467c-97b7-4d6f107a9c3a/file) — official: https://doh.sd.gov/media/aavl2i1l/rht-legislative-one-pager.pdf

More South Dakota RHTP activity: https://www.ruralcarejourney.com/states/sd (markdown: https://www.ruralcarejourney.com/states/sd.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/south-dakota-federal-rhtp-award-year-1-fy-2026--e9d15f6422 — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.