The Rural Health Transformation Program (RHTP) aims to incentivize and stabilize workforce capacity among behavioral health agencies and licensed Opioid Treatment Programs (OTPs) serving rural Washington communities. Incentives may include recruitment and retention bonuses, relocation support, childcare/dependent stipends, approved alternative incentives, and are tied to a five-year service commitment. Awards in this round range from $100,000 to $500,000 per applicant location, with all other original RFA requirements and evaluation criteria unchanged. Only entities already licensed as WA OTP providers delivering OUD services in accordance with state law are eligible. Round 1 (closed 8/26/2026) and Round 2 share identical application forms, budget caps, and review processes. Applications must include thorough responses to all required elements, completed forms, and mandatory attachments as described in the RFA and amendments.
Eligibility
Applicants must: (A) be licensed to do business in Washington state, or provide a written commitment to become licensed within thirty (30) calendar days of selection; (B) be a Behavioral Health Agency licensed by the Washington State Department of Health AND licensed as a Washington State Opioid Treatment Program currently providing Opioid Use Disorder services compliant with Chapter 18.205 RCW and 246-811 WAC; (C) employ at least one clinician (e.g., SUDP counselor, mental health professional, nurse, medical prescriber, or certified SUD peer) licensed in WA and meeting state requirements; (D) be willing to offer services to Medicare and Medicaid patients; AND (E) be an entity that includes providers working with Washington rural health clients and delivery of care services. Applicants must answer YES to all eligibility questions (see Exhibit A, Section 1: Eligibility Criteria Checklist) or will be deemed non-responsive.
Behavioral Health AgencyLicensed Opioid Treatment Program Provider
Requirements Checklist
Applicants must submit: Exhibit A (Applicant Forms and Certifications, including pass/fail eligibility checklist, organizational information, certifications/assurances), Exhibit B (Application Questions addressing: Organizational Background and Experience; Demographics and Community; Implementation Plan; Sustainability and Long-Term Financial Stability; Budget Proposal & Narrative), Exhibit C (Sample Draft Contract—redlined, if requesting changes, as Word file with track changes enabled), and Exhibit D (Budget Proposal Template, distinctly showing budgets for Performance Period #1 and, optionally, Performance Period #2). All forms must be submitted as prescribed (see application instructions); zipped files are not accepted. Budgets under $100,000 or over $500,000 per organization will not be considered. Applications must include detailed narrative justifying incentive types and amounts, demonstrate alignment to workforce retention goals, provide for a five-year service commitment for incentivized staff, and adhere to all format, completeness, and eligibility requirements outlined in the solicitation and amendments. Applicants must be prepared to provide supporting documentation upon request and, if selected, submit required verification for federally approved indirect rates, licensure, and service commitments.
Required attachments
Exhibit A: Applicant Forms and Certifications
Exhibit B: Application Questions
Exhibit C: Sample Draft Contract (Redlined, if applicable)
Exhibit D: Budget Proposal Template
Submission Instructions
Electronic submission via email to the RFA Coordinator (HCAProcurements@hca.wa.gov). Attachments required as Microsoft Word (.doc) for Exhibits A, B, and (if redlined) C; Excel (.xls) for Exhibit D; PDF accepted for Exhibits A & B. Zipped files will not be accepted.
Source Documents
Primary: 1Supporting: 17
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Application Prep
Application #: 2026HCA9
Reference: RHTCMS332044
Program: Rural Health Transformation – OTP Workforce Incentive Program
Match: Not specified
Performance: Work Order #1 contract estimated September-October 2026 through September 30, 2027; Work Order #2 contract October 31, 2026 through September 30, 2028
Key Dates:
Date of Issue 07/20/2026
Applicant Questions Due 07/28/2026 2PM PT
HCA Response to Questions 08/04/2026
Round 1 Due 08/26/2026 2PM PT
Round 2 Due 09/08/2026 2PM PT
Evaluation 08/26–09/15/2026
Award Notification NLT 09/16/2026
Estimated Work Order #1 Contract Start NLT 10/30/2026
Review Criteria:
Pass/fail eligibility checklist
Organizational Background and Experience
Demographics and Community Impact
Implementation Plan
Sustainability & Long-Term Financial Stability
Budget Proposal & Narrative
Responsiveness to stated requirements
Adherence to instructions and completeness (see RFA Section 4.2 Evaluation and Scoring)