Idaho’s Rural Health Transformation Program is currently in the initial implementation phase, following a collaborative planning process led by the Department of Health and Welfare with significant stakeholder input. The program prioritizes recruitment of clinical workforce, rightsizing rural health systems, and deploying evidence-based interventions for prevention and chronic disease management, structured around five major initiatives: technology, care models, workforce, population-specific projects, and infrastructure partnerships. As of mid-2026, contracts and subgrants are being executed with Year 1 funds scheduled to be fully obligated by October 2026. Current structured plan tracks 7 key initiatives and 7 strategic goals.
Idaho has received the federal Rural Health Transformation Program grant, completed its application, and is now conducting budget revisions and awaiting contract execution. Stakeholder engagement and planning through the Idaho Rural Health Application Task Force have been carried out, but state-level procurement to providers has not yet begun. The program is officially started, entering initial implementation planning and preparatory steps. State opportunities: 14 active (13 open, 1 closing soon), $159.0M listed funding. Key opportunities: Idaho RHTP Contracted Administrator for Third-Party Ladder Payments; Idaho RHTP Facility Technology Assessment; Rural Behavioral Health Prevention Infrastructure Subgrants. Strategy alignment: supports workforce, telehealth, prevention priorities.
RHTP Strategy
Idaho’s RHTP strategy is grounded in a statewide, collaborative process informed by extensive stakeholder and public engagement. The Department of Health and Welfare, guided by a gubernatorial task force, targets rural workforce, technology, innovative care models, population health, and infrastructure. The approach emphasizes facility and technology modernization, recruitment and retention, evidence-based population health interventions, and rigorous infrastructure oversight. Continuous data analytics and independent verification are implemented to ensure accountability and measurable impact.
Model
Multi-faceted rural health transformation: advancing technology integration, innovative delivery models, targeted workforce development, infrastructure enhancement, and population health improvement through public-sector leadership and federal-state collaboration.
Key Initiatives
1Facility technology assessments and telehealth/EHR upgrades
2Implementation of innovative diagnostic, care, and workforce models
3Recruitment, retention, and advancement programs for rural healthcare workforce
4Population-specific, evidence-based health interventions in chronic disease, behavioral health, and maternal and child health
5Infrastructure renovations, equipment modernization, mobile health units, and tribal partnerships
6Data analytics and outcomes evaluation to monitor RHTP progress and impact
7Independent verification of rural health facility renovations
Timeline: Application submitted Nov 4, 2025; initial award Dec 29, 2025; budget revision Jan 30, 2026; funding restriction lifted Feb 11, 2026; RFPs May-June 2026; contracts executed Jul-Sep 2026; Year 1 funds obligated by Oct 30, 2026
Health Priority
Maternal & Perinatal Health: Initiatives include Perinatal Quality Collaborative and OB Readiness programs, with webinars and FAQs to aid rural providers.
Jun 26, 2026
Health Priority
Behavioral Health: Focus is on strengthening prevention infrastructure and pediatric psychiatry access in rural Idaho through new subgrants.
Jun 26, 2026
Health Priority
Facility & Technology Modernization: Facility renovation verification and technology assessments aim to improve safety, compliance, and service capacity in rural hospitals and clinics.
Jun 26, 2026
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2025
Award: $1.0B
ID - 2025 - Read the application summary.
Idaho RHTP federal application summary
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ID - 2025 - Idaho Rural Health Application Task Force, created by Governor Brad Little
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ID - 2026 - For Providers | Idaho Department of Health and Welfare
Idaho's Rural Health Transformation Program received nearly $186 million in CMS funding for its first year, launching five major initiatives aimed at advancing rural health technology, care models, workforce pipeline and retention, population health, and infrastructure. The strategy prioritizes telehealth, workforce incentives, EMS expansion, evidence-based population health interventions, and facility modernization. Competitive subgrant and procurement processes are being developed, with all Year 1 funds to be obligated by October 2026.
Event schedule:
- State application due - 12/31/2025
- Initial award received - 12/29/2025
- First annual report due - 08/30/2026
Primary Idaho RFP for Rural Health Facility Renovation Independent Verification under FFY26 RHTP. Includes RHRFP2603 / IPRO RFP1364, issue date June 24, 2026, and proposal closing August 5, 2026.
Idaho DHW RFP RHRFP2601 / IPRO RFP1360 for Data Analytics and Outcomes Evaluation (RHTP). Issue date June 11, 2026. Pre-proposal registration June 22, 2026. Questions due June 30, 2026. Proposal closing July 28, 2026 5:00 PM MT.
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ApplicationMay 24, 2026PDF2025
Idaho proposes a $1B 5-year RHTP statewide transformation. Key subgrants cover workforce, telehealth, cyber, maternal, tribal, and facility modernization. Implementation will be staged with outcome reporting, community and provider engagement, and extensive subawards.
Event schedule:
- Project Start Date - 12/31/2025 - MT - statewide
- Project End Date - 10/31/2030 - MT - statewide
The program offers a structured application process with required eligibility checks, an optional informational webinar, and regular opportunities for applicants to submit questions. Applicants must complete specific templates and certifications as part of the application, with all materials submitted by the stated deadline. Key contacts: IdahoRHTP@dhw.idaho.gov
Event schedule:
- Subgrant Application Deadline - June 17, 2026 - 5:00 PM MT
Idaho's RHTP award funds five strategic initiatives spanning telehealth expansion, EMS, workforce development, population health, rural facility upgrades, and a Tribal health set-aside. Year 1 budget is ~$187M. Multiple subgrants/contracts planned.
Event schedule:
- Year 1 Start - 12/29/2025
- Year 1 End - 10/30/2026
This summary reviews high-level elements of FY26 Rural Health Transformation Program (RHTP) applications from multiple states. Initiatives include strengthening maternal health, addressing chronic disease, workforce and infrastructure development, telehealth expansion, and population health improvement. All entries reflect state-level plans to use CMS RHTP funds; no specific subgrantee/recipient line awards are provided.
Core Initiatives
Make Rural America Healthy Again
Improve rural healthcare quality, access, and outcomes
Increase workforce capacity
Show all initiatives (39)
Make Rural America Healthy Again
Improve rural healthcare quality, access, and outcomes
Increase workforce capacity
Advance health IT and telehealth
Strengthen rural hospital and provider sustainability
Promote population health and disease prevention
Support value-based care delivery
Empower rural residents to achieve healthy living goals through expanded population health solutions
Expand the rural healthcare workforce and spread technologies to connect communities
Ensure affordable and sustainable care in rural areas through quality, efficiency, and fiscal durability measures
Transform rural health workforce through apprenticeships, improved IT, and pipeline programs
Promote sustainable access and innovative care delivery
Improve healthcare access through expanded primary, specialty, behavioral, and school-based care
Strengthen rural health systems via integrated, community-driven solutions
Address workforce shortages and digital infrastructure gaps
Improve cardiometabolic and chronic disease outcomes
Build coordinated regional integrated health systems
Promote hub-and-spoke models for rural healthcare
Strengthen healthcare workforce and financial sustainability
Focus on food-as-medicine programs and right-sizing the healthcare system
The Idaho RHTP offers competitive funding opportunities, including grants and RFPs for facility renovation verification, data analytics, project management, maternal and child health initiatives, and behavioral health programs. The program seeks to optimize procurement, compliance, and service delivery in Year 1, focusing on improving rural health systems, supporting maternal health, and expanding behavioral health access. Stakeholders can access step-by-step guides and webinar resources for RHTP participation.
Event schedule:
- Facility Renovation Independent Verification RFP Posted - 06/18/2026
- Data Analytics and Outcomes Evaluation RFP Posted - 06/11/2026
- Project Management Support Contract Posted - 06/05/2026
Idaho's RHTP strategy focuses on five key initiatives including rural access through technology, innovative care models, workforce development, population-focused projects, and rural health infrastructure investments. CMS goals such as improving access, outcomes, and technology innovation guide these initiatives. Oversight mechanisms include detailed regular reporting to CMS and the Idaho Legislature. Key contacts: IdahoRHTP@dhw.idaho.gov
Event schedule:
- RHTP Goals Date - 9/22/2025
- Use of Funds Date - 9/22/2025
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ReferenceMay 24, 2026PDF
This document identifies rural eligibility in Idaho for the Rural Health Transformation Program, stating that 36% of the state population (655,070 people) live in eligible rural areas covering approximately 96% of the state's land area.
Event schedule:
- Document date - 10/20/2025
Other Documents (2)
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OtherApr 23, 2026PDF2026-2027
Governor Brad Little’s 2026-2027 budget address prioritizes rural health care access and workforce. The ENDURING IDAHO plan proposes investing nearly $1 billion in federal funds over five years to improve rural health care, including $150 million to strengthen the workforce pipeline and $1 million for graduate medical education. All allocations are budget proposals, not specific RHTP sub-awards.
Award: $1.0B
Core Initiatives
Balance the budget while preserving essential services, including rural healthcare access.
Strengthen Idaho’s health care workforce pipeline serving rural communities.
Improve the accessibility and affordability of rural health care in Idaho.
Show all initiatives (4)
Balance the budget while preserving essential services, including rural healthcare access.
Strengthen Idaho’s health care workforce pipeline serving rural communities.
Improve the accessibility and affordability of rural health care in Idaho.
Address the physician shortage via increased graduate medical education support.
The Idaho Governor issued an executive order establishing a Rural Health Taskforce to advise on the application of the RHTP in Idaho. The taskforce aims to coordinate rural health transformation and improve healthcare access and workforce in rural areas, leveraging federal RHTP funds.
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House Concurrent Resolution No. 11 Recognizing 988 as the Universal Mental Health and Suicide Prevention Crisis Phone Number
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ID - 2026 - worksheet
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ID - 2026 - Funding Opportunities for RHT
Idaho funding opportunities page
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ID - 2026 - Slides from 6/15 call with lobbyists and stakeholders
Stakeholder call slides (timeline and award context)
ID - 2026 - Funding Opportunities for RHT
Idaho funding opportunities page
SupportingPDF2026No amount extracted
ID - 2026 - Slides from 6/15 call with lobbyists and stakeholders
Stakeholder call slides (timeline and award context)
Award: $1.0B
QUALITY_IMPROVEMENT · POPULATION_HEALTH · HEALTH_INFORMATION_TECHNOLOGY · WORKFORCE · OTHER
Core Initiatives
Improve rural access to care via technology
Ensure accessible, quality care through innovative models
Sustain rural workforce through training, recruitment, retention
Show all initiatives (5)
Improve rural access to care via technology
Ensure accessible, quality care through innovative models
Sustain rural workforce through training, recruitment, retention
Implement evidence-based population-specific health projects
Invest in rural health infrastructure and partnerships
Core Initiatives
Build long-term rural healthcare sustainability
Enhance delivery capacity via technology and workforce
Improve rural health outcomes
The meetings captured extensive discussion of anticipated uses for Idaho’s Rural Health Transformation funding, with priority placed on infrastructure and workforce investments, EMS and health extender support, clinical rotations and education, telehealth expansion, and technology upgrades for rural providers. Special consideration was given to equitable tribal set-asides, limiting administrative expenses, and ensuring both robust reporting and flexibility within CMS requirements. The state is focused on scalable models, data-driven program evaluation, and sustainability without ongoing state costs.
Event schedule:
- Task Force Meeting - 10/28/2025 - 9:00 AM MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/28/2025 - 1:00 PM MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/29/2025 - MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/30/2025 - 12:00 PM MT - ID State – presumed Boise or virtual
- Tribal Initiative Proposal Deadline - 01/31/2026
Increase access to and sustainability of rural health care services
Enhance rural health care workforce recruitment, training, and retention
Modernize rural health infrastructure and information technology
Show all initiatives (6)
Increase access to and sustainability of rural health care services
Enhance rural health care workforce recruitment, training, and retention
Modernize rural health infrastructure and information technology
Support chronic disease prevention and population health management
Foster EMS and health extender workforce development
Ensure meaningful reporting, data, and evaluation to improve program outcomes
Make Rural Nevada Healthy Again through value-based care models and workforce recruitment
Implement prevention-oriented strategies for behavioral health, perinatal care, chronic disease, oral health, and school-based wellness
Improve healthcare availability and foster flexible rural healthcare systems
Transform healthcare access and quality in rural areas through specialty care access and workforce development
Improve health outcomes through preventive care, partnership networks, and data sharing
Catalyze innovative care models and transform the rural care experience through care networks and behavioral health integration
Rebuild and retain rural health workforce through residencies, consumer-facing technologies, and workforce pipeline expansion
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, and mobile health care services, rural hospital improvements, and home visits.
Improve health outcomes through expansions of behavioral health services.
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management.
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic disease.
Make Rural America Healthy Again through increased provision of primary care services, oral health services, and nutrition education.
Promote sustainable access by focusing on the integration and comprehensive delivery of services leveraging technology and supporting workforce.
Build a future where every community has access to high-quality, locally grounded care connected through technology, supported by regional collaboration, and sustained by a strong rural workforce.
Recruit and retain providers via 'Grow-your-own' initiatives, expanded training opportunities, provider support, and innovative exchange programs.
Prioritize direct investment in provider capacity over creating new programs, recognizing rural providers understand their communities best.
Promote sustainable access and reduce care costs by developing integrated networks of hospitals, clinics, pharmacies, and other providers to improve timely access to quality care.
Increase healthcare access and quality for improved chronic disease management and health outcomes.
Address health-related barriers to workforce participation and establish West Virginia as a center for rural healthcare access through technology and partnership.
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