Alabama

ADECA is announcing a competitive funding opportunity under Alabama's Rural Health Transformation Program to address critical workforce shortages in rural communities. Approximately $33 million in federal funds will be distributed via subawards to support innovative and practical workforce development, recruitment, incentive, and training projects in rural healthcare. Projects must serve rural Alabama and align with defined strategy categories including GME expansion, EMS workforce development, workforce education, recruitment incentives, and Certified Nurse Midwife training. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - ARHTP website - Application Deadline - 06/26/2026 - 5:00 PM CT - ARHTP portal - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027

In December 2025, Alabama was awarded $203 million for the first year of the Alabama Rural Health Transformation Program through a cooperative agreement with CMS. ADECA serves as the lead agency. This is a five-year program, with budget awards and program plans subject to annual review and update.

This Notice of Funding Opportunity (NOFO) launches Alabama’s first competitive RHT Program rural workforce funding round with approximately $25 million available. Eligible applicants include hospitals, health systems, EMS agencies, educational institutions, and rural healthcare providers proposing projects to increase rural workforce capacity. The initiative prioritizes GME expansion, EMS workforce training, education, and recruitment incentives tied to rural service. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - www.alabamarhtp.com ARHTP Portal - Application Deadline - 06/26/2026 - 5:00 PM CT - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027

Event schedule: - , 2026 M E M O R A N D U M TO: All Interested Parties FROM: Kenneth W. Boswell Director RE: Alabama Rural Health Transformation Program (ARHTP) Application Workshops The Alabama Department of Economic and Community Affairs (ADECA) will host in-person application workshops for the first five of the approved ARHTP initiatives. The workshops will also be accessible via Microsoft Teams at the same dates/times identified below. The one-hour workshop sessions will provide participants with a comprehensive overview of the Notice of Funding Opportunity (NOFO) and application process for each of the below initiatives. Each session will begin with a review of the key components of the NOFO, including the initiative’s goals and objectives, eligibility criteria, funding levels, subaward structure, and reporting requirements. The session will then transition to the application process and will include a walkthrough of important submission details such as navigating the online application portal, understanding required documentation, and preparing a complete and competitive application. Additionally, we will outline the application review process, highlight important dates in the award timeline, and discuss what applicants can expect during the post-selection phase. Each workshop will conclude with an opportunity for participants to ask questions during a live Q&A session. June 9, 2026 • 10:00 AM – Collaborative EHR, IT and Cybersecurity Initiative • 1:00 PM – Rural Health Initiative • 3:00 PM – Rural Workforce Initiative - June 4 - 10:00 AM - M E M O R A N D U M Page 2 , 2026 June 10, 2026 • 10:00 AM – Mental Health Initiative • 1:00 PM – Rural Health Practice Initiative Sessions will be held at: Alabama Center for Commerce 401 Adams Avenue, Montgomery, AL 36104 th 7 Floor Auditorium The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 988648. All individuals who will be attending a workshop in-person must pre-register at https://app.smartsheet.com/b/form/019e8addd36e7023bd945ae81c6de538 . The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration. Due to space constraints, live participation will be capped at approximately 100 participants, so individuals who wish to attend in-person are encouraged to register as soon as possible. Individuals joining a workshop virtually must register for each at the sites identified below. A link to the workshop will be emailed to the registrant when registration is completed. • Collaborative EHR, IT, and Cybersecurity Initiative - https://bit.ly/RHTP_EHR_9June_Workshop_2026 • Rural Health Initiative - https://bit.ly/RHTP_RHI_9June_Workshop_2026 • Rural Workforce Initiative - https://bit.ly/RHTP_RWI_9June_Workshop_2026 • Mental Health Initiative - https://bit.ly/RHTP_MHI_10JuneWorkshop_2026 • Rural Health Practice Initiative - https://bit.ly/RHTP_RHPI_10June_Workshop_2026 Please submit any questions concerning this notice to info@alabamarhtp.com. Thank you for your attention to this matter. KWB:CGT:km - June 4

The document outlines a detailed timeline and phased approach for Alabama's Rural Health Transformation Program launch in 2025, including outreach, application, review, and award phases. Systems development milestones for application and monitoring portals are also highlighted. Event schedule: - Applications Due - 06/26/2025 - Initial Award Notifications - 07/17/2025 - Program Year 1 Reporting to CMS - 08/31/2026

This CMS summary document outlines FY26 Rural Health Transformation Program applications from numerous states, each proposing large-scale, multi-initiative plans to address access, workforce, health information technology, quality, and population health in rural and frontier communities. Strategic goals and spotlights include maternal health, chronic disease, digital modernization, telehealth, workforce expansion, and hospital stabilization. Proposed funding amounts per state range from ~$150M to over $270M, but are for reference only at the application stage.

Hosted by the Alabama Department of Economic and Community Affairs, the RHTP launched with an overview workshop across multiple Alabama locations in May 2026. The program includes 11 initiatives focusing on areas such as EHR/IT modernization, workforce, mental health, and rural health practice. Application workshops and resources are available to support rural health stakeholders. Key contacts: Info@AlabamaRHTP.com Event schedule: - Alabama RHTP Overview Workshop (Montgomery) - May 26, 2026 - CT - Montgomery - Alabama RHTP Roadshow - May 26-28, 2026 - CT - Multiple Alabama locations - RHTP Application Workshops - June 2026 - CT

The document lists 58 counties in Alabama that are eligible or partially eligible for funding under the Rural Health Transformation Program. It indicates the geographic scope of the sustainable rural healthcare initiatives planned.

ADECA was named as Alabama’s primary agency for ARHTP, collaborating with the Governor’s Office, Department of Finance, Medicaid Agency, and State Health Planning and Development Agency. The plan follows federal guidelines and is reviewed annually, with $203 million awarded for the first year. ARHTP features yearly funding and potential plan adjustments as determined by CMS review. Event schedule: - ARHTP Application Workshops - 06/09/2026 - ARHTP Application Workshops - 06/10/2026

ADECA serves as the lead agency coordinating with multiple state departments and the Governor’s Office. The program received $203 million for its first year and includes eleven initiatives designed to transform rural health in Alabama. Workshops are held to provide detailed program information and updates. Event schedule: - ARHTP Roadshow Workshop - May 26-28, 2026 - Various locations including Montgomery (Gordon Persons Building)