Screenshot 2026-09-24 at 10.54.09 AM
Added Sep 25, 2026
HHS Region 6 · Arkansas Governor's Office — RHTP
Program Overview
Arkansas’s Rural Health Transformation Program is actively implemented, with funding applications open for HEART, RISE, PACT, and THRIVE initiatives. It targets high-need rural populations—including Delta, Ozarks, and southwest regions—and supports hospitals, clinics, FQHCs, and behavioral health organizations. Major focus areas include improving access, population health, telehealth expansion, workforce development, and care coordination, with current awards distributed statewide to numerous health-related projects. Behavioral health services and community partnership networks remain priorities under a structured plan tracking multiple initiatives and strategic goals. Current structured plan tracks 4 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across Arkansas — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (75)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Pulaski County | 399,818 | 16.7% | 12.7% |
| Benton County | 303,632 | 7.6% | 5.4% |
| Washington County | 256,765 | 14.6% | 8.5% |
| Sebastian County | 128,900 | 16.0% | 11.0% |
| Faulkner County | 127,717 | 14.5% | 9.9% |
| Saline County | 127,479 | 8.8% | 6.2% |
| Craighead County | 113,249 | 20.1% | 14.5% |
| Garland County | 100,035 | 15.8% | 11.0% |
| White County | 77,838 | 17.5% | 14.1% |
| Lonoke County | 75,272 | 10.4% | 7.6% |
| Jefferson County | 64,802 | 18.6% | 14.8% |
| Pope County | 64,131 | 16.9% | 12.3% |
AI source: AR - 2026 - Arkansas RHTP Awardee Procurement and Reimbursement Training Resources
AI auto-updated Nov 12, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in Arkansas?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $416,568,306.28 (Year 1 $208.8M + Year 2 $207.8M)
Initiatives (4)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). Complete In progress Not started
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
No related documents
No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
Due Oct 31, 2025
6 related documents
1,191,671 rural residents
Year 1 THRIVE, PACT, RISE ARKANSAS, and HEART awards have been made and subrecipient projects are progressing with impact data being collected and shared. Over $54 million has been distributed to dozens of organizations, with county-level outcomes reported. Additional grants, including $3.7 million for new rural residency programs, are advancing workforce capacity, and subrecipient training and compliance support is ongoing. Concrete progress on local implementation, data collection, and operational subrecipient management continues. State opportunities: 4 total (4 past/closed), $149.3M listed funding. Key opportunities: Promoting Access, Coordination, and Transformation (PACT); THRIVE - Telehealth, Health Monitoring, and Response Innovation for Vital Expansion (LIFELINE); Healthy Eating, Active Recreation, and Transformation (HEART). Strategy alignment: supports workforce, telehealth, care access priorities.
Arkansas’s RHTP strategy continues to prioritize integrated, results-driven rural health improvement for Medicaid members and at-risk populations, focusing on the Delta, Ozarks, and other high-need counties. Phased, competitive grants support facility infrastructure, supported housing, behavioral health, prevention, and technology through the major initiatives: HEART, PACT, RISE AR, and THRIVE. Collaborative applications, technical assistance, compliance oversight, and quarterly public dashboards reinforce regional coordination and transparency.
Model
A statewide, grant-funded model requires rural-serving organizations to demonstrate operational capability in behavioral health, substance abuse, supported housing, prevention, rural health delivery, and health technology. Service delivery is coordinated through partnerships—schools, providers, community groups, and faith organizations—targeting infrastructure, telehealth, workforce, and population health needs, with compliance protocols for long-term impact. Current funding priorities also reinforce clinical training capacity, workforce development at rural hospitals, and encourage regionally aligned and collaborative applications.
Key Initiatives (4)CMS official list ↗
Supporting activities (12)
• Construct or renovate youth substance abuse treatment facilities in high-need rural areas, with phased planning, service expansion, outcome measurement, and multi-year evaluation.
• Award competitive grants to providers for supported housing units for Medicaid-eligible young adults with behavioral health needs transitioning from group or state custody, with required reporting and evaluation.
Timeline: Major RHTP facility construction, renovation, and milestone-based initiative launches—including HEART, PACT, RISE AR, and THRIVE—remain staged 2024 through at least September 2027. Application and funding cycles align with annual NOFO schedules (2024–2026), state and CMS award dates, project deadlines (e.g., Youth Substance Abuse Facilities/Supported Housing by September 2026), and ongoing evaluation and compliance. Workforce and new residency projects launched under recent RISE AR awards are expected to run through 2027. Infrastructure grant recipients generally have one year from award to use funds, with initial rounds active through September 2027. Ongoing reporting is conducted quarterly via public dashboards and outcome summaries.
Healthy Eating, Active Recreation, & Transformation (HEART)
Promoting Access, Coordination, and Transformation (PACT)
Recruitment, Innovation, Skills, and Education for Arkansas (RISE AR)
Telehealth, Health-monitoring, and Response Innovation for Vital Expansion (THRIVE)
State Policy Action commitments (4 of 19)
High-need counties in the Delta, Ozarks, and southwest regions exhibit the greatest challenges and are prioritized for interventions.
Rural counties in the Delta, Ozarks, and southwest Arkansas experience high hospital vulnerability and poverty levels, affecting access and outcomes.
Higher rates of chronic diseases are prevalent in targeted rural counties necessitating coordinated health transformation efforts.
AR - 2026 - Arkansas Federal RHTP Award (FY2026-FY2030)
Auto-grouped context match (38%)
AR - 2026 - Accessibility Statement for Arkansas RHTP
Auto-grouped context match (38%)
AR - 2026 - Newsroom - Arkansas Governor - Sarah Huckabee Sanders
Auto-grouped context match (37%)
AR - 2026 - Sanders Announces Applications are Open for $209 Million in RHT Funds
Auto-grouped context match (37%)
AR - 2026 - Sanders Announces Nearly $150 Million Awarded in RHT Funds (2026-08-28-listserv-RHTP News Digest)
Sanders Announces Nearly 150M Awarded in RHT Funds
AR - 2025 - Letter of Intent for CMS-RHT-26-001
Arkansas Letter of Intent (CMS-RHT-26-001)
Arkansas Department of Finance and Administration (DF&A)
Due Aug 7, 2026
2 related documents
AR - 2026 - Healthy Eating, Active Recreation, and Transformation (HEART) Notice of Funding Opportunity
Primary source
AR - 2026 - Arkansas RHTP Award Allocations by Recipient
Year 1 recipient allocation table
Arkansas Department of Finance and Administration (DF&A)
Due Jul 24, 2026
4 related documents
AR - 2026 - Recruitment, Innovation, Skills, and Education for Arkansas (RISE AR) Notice of Funding Opportunity
Primary source
Arkansas Department of Finance and Administration (DF&A)
Due Jul 10, 2026
6 related documents
AR - 2025 - Sanders Announces Arkansas’ Application for Rural Health Funding
Auto-grouped context match (43%)
By budget period: BP1 $202.9M · Period unknown $3.0M (from the award date, the source's publish date, or RCJ having recorded the award before Budget Period 2 began)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026BP1 | Arkansas Rural Health Partnership Arkansas RHTP Year 1 (RISE AR/HEART) | $2.0M | RISE AR / HEART | |
| 2026BP1 | Arkansas Rural Health Partnership Arkansas RHTP Year 1 (THRIVE/PACT) | $18.8M | THRIVE/PACT | |
| 2026BP1 | Baxter Health Arkansas RHTP Year 1 (THRIVE/PACT) | $19.7M | THRIVE/PACT | |
| 2026BP1 | St. Bernards Development Foundation Arkansas RHTP Year 1 (RISE AR/HEART) | $4.8M | RISE AR / HEART | |
| 2026BP1 | St. Bernards Development Foundation Arkansas RHTP Year 1 (THRIVE/PACT) | $14.6M | THRIVE/PACT | |
| 2026BP1 | Mercy Health Fort Smith Communities Arkansas RHTP Year 1 (THRIVE/PACT) | $19.1M | THRIVE/PACT | |
| 2026BP1 | Baptist Health Arkansas RHTP Year 1 (RISE AR/HEART) | $419K | RISE AR / HEART | |
| 2026BP1 | Baptist Health Arkansas RHTP Year 1 (THRIVE/PACT) | $16.9M | THRIVE/PACT | |
| 2026BP1 | University of Arkansas for Medical Sciences Arkansas RHTP Year 1 (RISE AR/HEART) | $5.1M | RISE AR / HEART | |
| 2026BP1 | University of Arkansas for Medical Sciences Arkansas RHTP Year 1 (THRIVE/PACT) | $12.0M | THRIVE/PACT |
The University of Arkansas College of Education and Health Professions faculty received further support for rural health initiatives, reflecting ongoing efforts to advance rural health in Arkansas.
Arkansas Governor Sarah Huckabee Sanders announced the opening of a portal for proposals under the Rural Health Transformation Program.
Arkansas received a $3 million state grant through RHTP to support the launch of a family medicine residency program targeting rural Delta counties. This philanthropic donation of $1.25 million complements the grant and aims to build a sustainable rural physician workforce.
Core Initiatives
The document announces a total of $87 million in RHTP funding awarded to 129 rural healthcare providers. No further detailed information on state-specific awards or program implementation is provided.
Arkansas submitted a letter of intent to apply for the CMS-RHT-26-001 funding opportunity. The Arkansas Department of Finance and Administration will serve as the designated agency for application submission. Key contacts: Jim Hudson Jim.Hudson@dfa.arkansas.gov
Contacts
This application narrative requires organizations to detail their structure, leadership, Medicaid provider status, operational experience, populations served, services offered, and staffing. Special emphasis is placed on behavioral health transition services and community partnership networks.
This document outlines required attestation statements for organizations applying to a grant aimed at increasing services for Arkansas Medicaid members. Applicants must agree not to use funds for existing costs or Medicaid-reimbursable services and ensure compliance with reporting and grant requirements. Authorized signatories must provide a signed cover letter detailing their mission and grant objectives.
This guide provides Arkansas Rural Health Transformation Program awardees with detailed documentation requirements and examples for expenditures across categories such as personnel, fringe, travel, equipment, supplies, contractual services, construction, training, other, and indirect costs. By organizing documentation guidance by expense type, the document aims to streamline compliance and support accurate reporting. Awardees are instructed to adhere to both federal regulations and program-specific policies.
Core Initiatives
This guidance requests applicants to describe sustainability plans for their supportive living programs beyond the grant period, particularly for staff, services, and partnerships, as well as handling construction cost overages.
Arkansas’s RHT Program addresses urgent rural health challenges including high rates of chronic disease, maternal mortality, and hospital closure risk. The plan utilizes evidence-based preventive interventions, modernizes technology infrastructure, expands telehealth and workforce, and launches community-driven initiatives such as the HEART and PACT programs. Over five years, Arkansas aims to reduce health disparities in rural regions, strengthen provider networks, and ensure sustainable access to care. Event schedule: - Version 6 document update - 03/31/2026 - Presidential Fitness Test implementation target - 12/31/2028 - Arkansas public schools - Pharmacist scope of practice legislative enactment target - 12/31/2027 - Arkansas State Legislature - HEART Initiative Stage 0 - FY26 Q1 - HEART Initiative Stage 1 - FY27 Q1 - HEART Initiative Stage 2 - FY28 Q3 - HEART Initiative Stage 3 - FY30 Q1 - HEART Initiative Stage 4 - FY31 Q1
Core Initiatives
This document details the distribution of approximately $54.7 million in combined federal and matching funds among various Arkansas rural health organizations and initiatives. The funds are split nearly equally between federal and match contributions across a wide array of health-related recipients.
This document presents a county-level visualization of RISE & HEART application impacts across Arkansas counties, indicating counts ranging from 10 to 18 applications per county. It reflects geographic distribution but does not provide specific award or program details.
This FAQ provides detailed procurement and reimbursement guidance for AR RHTP subrecipients. It outlines federal and state procurement standards, thresholds, documentation requirements, and affirmative outreach steps. The document explains reimbursement timelines, controlled advance requests, and compliance expectations for awardees.
Core Initiatives
Reference: NYE Chief of Staff DFA Caldwell Direct Rhtp Link: https://armoneyandpolitics.com/nye-chief-of-staff-dfa-caldwell-direct-rhtp/
Reference: College of Education and Health Professions Faculty Earn Further Support for Rural Health Initiatives Link: https://news.uark.edu/articles/83118/college-of-education-and-health-professions-faculty-earn-further-support-for-rural-health-initiatives
This document highlights Rural Health Transformation funding received by researchers at the Arkansas College of Education and Health Professions. It provides informational content about RHTP-related funding in the state of Arkansas.
This document highlights concerns about lack of transparency in a $50 billion rural health program, emphasizing the need for transparent reporting to track funds, outcomes, and program sustainability. It calls for consistent measurement across states to enable comparison and replication of successful models.
The program targets rural residents in high-need counties including the Delta, Ozarks, and southwest regions, focusing on vulnerable hospitals and communities impacted by poverty and chronic diseases. Key initiatives include HEART (Healthy Eating, Active Recreation, & Transformation), RISE (Recruitment, Innovation, Skills, and Education), PACT (Promoting Access, Coordination, and Transformation), and THRIVE (Telehealth, Health-monitoring, and Response Innovation for Vital Expansion). Year 1 includes funded projects across multiple counties through THRIVE, PACT, RISE AR, and HEART awards.
December 31, 2028
Presidential Fitness Test in schools target
Arkansas will seek to reestablish the Presidential Fitness Test in schools by December 31, 2028.
December 31, 2027
Pharmacist scope of practice expansion target
Legislation to expand scope of practice for pharmacists and others is targeted for enactment by December 31, 2027.
September 30, 2027
RHTP Year 1 performance period end
The performance period for Program Year 1 ends September 30, 2027.
September 30, 2027
Program Year 1 funds spent deadline
All Program Year 1 funds must be spent by this date.
September 30, 2027
Year 1 performance period ends
The performance period for Program Year 1 runs from the award through September 30, 2027.
2027
All Year 1 budget dollars must be spent by September 30th
All Year 1 budget dollars must be spent by September 30th in 2027.
October 30, 2026
RHTP Year 1 funds obligated deadline
All funds for Program Year 1 must be obligated by October 30, 2026.
October 30, 2026
All funds obligated deadline
All Program Year 1 funds must be obligated by this date per CMS rules.
October 30, 2026
Year 1 funds obligation deadline
All funds must be obligated by October 30, 2026.
Oct 9, 2026
CMS issues first report on RHTP state spending
CMS issues the first report on states spending Rural Health Transformation Program funding.
Oct 9, 2026
CMS report on RHTP funding
CMS issues first report on states spending Rural Health Transformation Program funding.
Oct 9, 2026
CMS issues first RHTP spending report
CMS issues its first report on states spending Rural Health Transformation Program funding.
AR RHTP site updated — 2 new, 1 existing source(s) refreshed
AR - 2025 - Arkansas State Rural Health Program Receives $3 Million Grant for Residency Startup
AR - 2026 - The Trump Administration announced $87 million in RHTP funding
Oct 30, 2026 16:46
·EmailAR state summary updated: transformationStrategy initiatives: 12 -> 4
Arkansas’s RHTP strategy maintains its focus on integrated, results-driven rural health improvement for Medicaid members and at-risk populat…
AR RHTP site updated — 2 new, 0 existing source(s) refreshed
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
AR - 2027 - procurement announcements
HTML
AR - 2026 - PCS TGS Training – AASIS Users
2020-2022 · PPTX
AR - 2026 - Commodity Management
AR - 2026 - Checklist for Contract Submissions
AR - 2026 - Services Contract (SRV-1) Fillable Form
AR - 2026 - Procurement Laws and Rules
2026 · PDF
AR - 2026 - Standard Amended Commodities Contract Template
DOCX
AR - 2026 - Standard Commodities Contract Template
DOCX
AR - 2026 - Amendment to Services Contract (SRV-1A) Fillable Form
AR - 2020 - Contract and Grant Disclosure Form (EO 98-04)
AR - 2020 - Technology Access Clause
AR - 2026 - Statewide Organizational Chart
AR - 2026 - NYE Chief of Staff DFA Caldwell Direct Rhtp
HTML
AR - 2026 - The Official Website of the State of Arkansas
HTML
AR - 2026 - College of Education and Health Professions Faculty Earn Further Support for Rural Health Initiatives
HTML
AR - 2025 - One year into the RHT Fund, what's working and what's next?
2025-2026 · HTML
AR - 2026 - NYITCOM at A-State Awarded $3.7M in RHTP Grants for Rural Residency and EMS Initiatives
HTML
Arkansas AHA Submits Requests To House For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference
2027 · HTML
Arkansas AHA Submits Requests To Senate For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference
2027 · HTML
AR - 2026 - Arkansas Awards RHTP Funds for Rural Telehealth Readiness Project
HTML
AR - 2026 - Mercy Fort Smith to Receive Over 19 Million AS Part of Arkansas Rural Health Transformation Program
HTML
AR - 2026 - 91 Cfbac919 C9f3 4e98 A0aa 268a579dec23
HTML
AR - 2026 - Arkansas RHTP Award and Sub-Award Summary
AR - 2026 - ARPA Grants - Arkansas Department of Human Services
HTML
AR - 2026 - Handbook
2022 · PDF
AR - 2026 - Arkansas Comprehensive Unwinding Plan
2023 · PDF
AR - 2026 - 15 Community Action Agencies
DOCX
AR - 2026 - Budget Plan
XLSX
Arkansas April 29, 2026 The Honorable Shelley Moore Capito Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S.
2027 · PDF
Arkansas April 29, 2026 The Honorable Robert Aderholt Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S. House
2027 · PDF
AR - 2024 - RHTP Application Step-by-step Applicant Guide
2024 · PDF
Google Alert - rural health transformation
Screenshot 2026-09-24 at 10.54.09 AM
Added Sep 25, 2026
map-arkansas-projects
Added Aug 28, 2026
AR - 2026 - Arkansas RHTP (arkansasrhtp.com)
Program page
AR - 2026 - NYITCOM-Arkansas Receives Two Grants for New Residency Program, EMS Training Initiative
NYITCOM-Arkansas RISE awards announcement
AR - 2026 - Arkansas RHTP Award Allocations by Recipient
Year 1 recipient allocation table
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Notice of Funding Opportunity: Promoting Access, Coordination, and Transformation (PACT)
AR - 2026 - View the PACT NOFO document here.
AR - 2025 - Mercy Fort Smith to Receive $19 Million in RHTP Funding; Arkansas Announces $149 Million in Statewide Rural Health Awards
Auto-grouped context match (43%)
AR - 2026 - Project Plan Template.xlsx
Project Plan Template - PACT
AR - 2026 - NYITCOM-Arkansas Receives $1.5 Million Grant for Maternal Health Initiative
NYITCOM-Arkansas PACT maternal-health award announcement
Arkansas announced a portal for stakeholders to submit proposals for the state's Rural Health Transformation Program application. The Governor submitted a letter of intent to CMS on September 30, 2025, signaling intent to pursue funding. The announcement encourages broad stakeholder engagement ahead of the October 10 proposal submission deadline. Event schedule: - Submissions deadline - 10/10/2025 - State federal funding application deadline - 11/05/2025
Event Schedule
Core Initiatives
NYITCOM-Arkansas has received a $1.5 million RHTP grant to launch a mobile maternal health initiative targeting rural areas in Mississippi and Poinsett Counties. The program will use new mobile clinics, transportation vehicles, and telehealth to reduce access barriers for mothers and develop new workforce capacity. It aims to address persistent rural maternal health issues in underserved portions of Arkansas. Key contacts: Brad Nye; Tiffny Calloway; Brookshield Laurent; Amanda Deel Event schedule: - News Staff - September 2, 2026 - Explore
Event Schedule
Contacts
Core Initiatives
Core Initiatives
This document serves as guidance for Arkansas RHTP subrecipients regarding proper procurement and reimbursement processes. It details federal and state procurement rules, documentation standards, requirements for affirmative outreach to MBE/WBEs, and the steps for procurement review and approval. Subrecipients must use the AR RHTP Procurement Portal for all documentation submissions and are reminded of key compliance risks. Key contacts: BDO GS info@arkansasrhtp.com Event schedule: - Subrecipient Training: Procurement & Reimbursement Processes - 10/16/2026 - 11:30 a.m. CST
Event Schedule
Contacts
Core Initiatives
Arkansas's RHTP budget narrative organizes $208M across four major initiatives addressing nutrition, care access, workforce, and telehealth/infrastructure. BDO GS is the third-party administrator for contracting and oversight; all subawards will be competitively issued under CMS guidance. The strategy emphasizes transparent processes, measurable outcomes, and programmatic alignment with federal rural health priorities. Key contacts: Brad Nye Event schedule: - BDO GS Hiring Deadline - 03/21/2026
Contacts
Core Initiatives
Arkansas’s Rural Health Transformation Program (RHTP) addresses dire rural health access, hospital sustainability, and chronic disease, aiming to transform systems over five years with $150 million in coordinated state and federal funding. Major goals include improving maternal, chronic, and behavioral health, deploying new telehealth and information technology, building integrated care networks, and expanding the rural health workforce. Selected initiatives include large-scale prevention efforts (nutrition, activity, chronic disease), transportation and EMS upgrades, workforce education, and facility improvement strategies.
Event Schedule
Core Initiatives
Arkansas received a $208.8 million Year 1 award under the RHTP, distributed across four strategic initiatives to improve telehealth, care coordination, population health, and workforce development in rural areas. Award amounts were publicly announced in August and September 2026, with detailed dashboards provided for transparency. Residual funds support administrative costs. Event schedule: - THRIVE and PACT awards announced - 08/27/2026 - Arkansas Governor’s Office - HEART and RISE AR awards announced - 09/24/2026 - Arkansas Governor’s Office
Event Schedule
Core Initiatives
Event Schedule
Core Initiatives