Washington State Health Care Authority · Posted July 23, 2026
Amendment 1: application deadline moved to September 3
Washington HCA issued Amendment 1 on August 6, 2026. The application deadline is now September 3, 2026 at 2:00 PM Pacific. Applicants should use the replacement RFA schedule.
View official amendmentApplication Due
September 3, 2026
Activity 1.4: Sustain and strengthen maternal, emergency, and specialty services at risk in rural areas We plan to use $9.5 million per year of RHT funding to incentivize hospitals to develop comprehensive strategies to sustain essential services. Prioritized services include: Maternity and obstetrics care Emergency services Other specialty care Example : A hospital may request funds to develop remote monitoring for low-risk pregnancies, paired with capacity payments for midwives and birth centers located in rural areas. RHT funds would support start-up and implementation costs for hospitals, but applications will require a long-term sustainability plan. Learn more in Washington’s RHT Project Narrative .
Must be licensed to do business in the state of Washington (or commit to becoming licensed within 30 days of award); must have a physical location in Washington providing direct health care services; must be a rural hospital or a hospital that serves a rural population. Providers barred by CMS from Medicaid/Medicare participation are not eligible.
Email submission only to HCAProcurements@hca.wa.gov (Exhibits A/B as Word or PDF; Exhibit C, if redlined, as Word only; Exhibit D as Excel; no zip files).
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Application Prep
Key Dates: Application Due: September 3, 2026
Portal: https://www.hca.wa.gov/assets/program/2026hca14-rfa-rural-hospitals.pdf
Budget Range
Contact
RFA Coordinator Megan Clark, HCAProcurements@hca.wa.gov