HHS Region 5 · Minnesota Dept of Health — Rural Health Transformation
Program Overview
The Minnesota Rural Health Transformation Program, administered by the Department of Health's Office of Rural Health and Primary Care, began implementation in December 2025 with milestones extending through October 2030. The program supports workforce expansion—including clinical fellowships and loan repayment—technology adoption, provider collaboration, and targeted improvements in chronic disease, maternal, and behavioral health outcomes for rural and Tribal communities. It actively engages Tribal partners and rural care sites through structured RFPs for hospitals, clinics, health centers, and clinicians, and oversees multiple initiatives aligned with strategic goals. Current structured plan tracks 11 key initiatives and 9 strategic goals.
Updated
County-level estimates averaged across Minnesota — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (87)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Hennepin County | 1,269,496 | 10.0% | 5.4% |
| Ramsey County | 542,945 | 12.3% | 8.3% |
| Dakota County | 445,771 | 5.8% | 3.6% |
| Anoka County | 370,349 | 7.0% | 4.8% |
| Washington County | 276,238 | 5.1% | 3.5% |
| St. Louis County | 200,123 | 13.2% | 6.6% |
| Olmsted County | 164,498 | 7.5% | 4.7% |
| Stearns County | 160,865 | 12.9% | 7.6% |
| Scott County | 154,557 | 4.6% | 2.8% |
| Wright County | 148,269 | 5.2% | 3.9% |
| Carver County | 110,041 | 4.4% | 3.0% |
| Sherburne County | 100,560 | 5.1% | 3.1% |
AI source: MN - 2026 - Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages Request for Proposals (FAQ/Clarifications)
AI auto-updated Aug 5, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
5 related documents
MN - 2025 - RHT Plan - Public Comments
Auto-grouped context match (38%)
1,260,920 rural residents
Minnesota continues active implementation of the Rural Health Transformation Program, with open RFPs for technical assistance and clinical fellowship programs as of August 2026. State-issued procurements targeting rural health care entities remain ongoing, supporting expanded access, workforce, and community linkage initiatives. Grant solicitations are open to rural health entities and provider partnerships, with defined deliverables and outcome metrics. The $193M CMS award remains the foundation for these activities. State opportunities: 1 active (1 open, 16 past/closed), $393.6M listed funding. Key opportunities: Minnesota State Loan Repayment Program; Minnesota RHTP Grants – Rural Certified Community Behavioral Health Clinics (CCBHCs) and Community Mental Health Centers (CMHCs); Minnesota Rural Health Transformation Program Grants – Tribal Nations. Strategy alignment: supports workforce, telehealth, prevention priorities.
Minnesota's RHTP continues to focus on strengthening regionally integrated, data-driven rural health delivery by enhancing workforce capacity, supporting provider sustainability, and improving equitable access to care. Core strategies include grantmaking and technical assistance to expand health IT and community-clinical linkages, loan forgiveness to improve workforce recruitment and retention, and the development of new rural care access points. The strategy maintains an emphasis on supporting Tribal Nations, compliance, value-based models, and stakeholder-driven planning.
Model
Regional, partnership-driven transformation emphasizing workforce expansion through structured fellowships and loan forgiveness; sustainable access innovations; value-based and collaborative care models; enhancement of health IT infrastructure; and rigorous compliance and accountability processes.
Key Initiatives
Timeline: 12/29/2025 to 10/30/2030
Focused efforts on maternal and child mental health and broad tele-buprenorphine access aim to address rural behavioral health access gaps.
Retention programs target rural clinicians and advanced practice providers to stabilize and grow the rural health workforce.
Expansion of telehealth access points and technology support improves rural residents' access to care.
MN - 2026 - Minnesota Department of Health RHTP Technical Advisory Services for Health Information Technology (HIT) Purchases Request for Proposals
Auto-grouped context match (38%)
MN - 2026 - Minnesota awarded $193 million for first year of RHTP
Auto-grouped context match (38%)
MN - 2025 - RHTP Project ECHO for Maternal and Behavioral Health RFP
Auto-grouped context match (38%)
MN - 2026 - Request for Proposal: RHTP: Project ECHO for Maternal and Behavioral Health
Auto-grouped context match (37%)
Minnesota Department of Health – Office of Rural Health and Primary Care
Due Sep 10, 2026
2 related documents
MN - 2026 - Minnesota Health Care Loan Forgiveness Program: Frequently Asked Questions
Auto-grouped context match (42%)
MN - 2026 - Minnesota State Loan Repayment Program Request for Proposal
GovDelivery RFP announcement
Minnesota Department of Health (MDH)
Due Aug 7, 2026
1 related document
MN - 2025 - Request for Proposals: Technical Assistance for RHTP Providers
RFP
Minnesota Department of Health – Office of Rural Health and Primary Care
Due Jul 31, 2026
2 related documents
MN - 2026 - RHTP: Rural Clinical Fellowship for Advanced Practice Providers and Other Clinicians Questions and Answers
Auto-grouped context match (43%)
This practical guide aims to assist rural health programs, practitioners, and partners in understanding and advancing innovation within rural health systems. It provides strategies, tools, and examples for designing, implementing, and scaling innovative approaches tailored to rural realities. Focus areas include community-centered design, workforce development, appropriate technology adoption, care models, partnerships, evaluation, financing, and leadership. Key contacts: Britta Anderson; Alycia Bayne; Alana Knudson; Luciana Rocha
Contacts
Core Initiatives
Minnesota has been awarded over $193 million for the first year of the CMS Rural Health Transformation Program, recognizing its plan to strengthen rural health. Funding targets technological innovation, workforce expansion, and improving outcomes for chronic diseases. The strategic plan was developed through broad stakeholder input and supports sustainable rural health delivery. Key contacts: Andrea Ahneman andrea.ahneman@state.mn.us Event schedule: - MDH application submitted - 11/04/2025 - News Release Date - 12/30/2025 - Implementation begins - Early 2026
Contacts
Core Initiatives
The Minnesota Health Care Loan Forgiveness Program offers up to $6,000 annually to licensed public health nurses working in rural areas. The program supports retention by requiring a minimum three-year service commitment in designated rural communities. Key contacts: Elizabeth Fenske health.loanforgiveness@state.mn.us; Dan Merkl health.loanforgiveness@state.mn.us; Gao Nue Xiong health.loanforgiveness@state.mn.us; Mai Ia Ong Vang health.loanforgiveness@state.mn.us Event schedule: - Application cycle open - 11/01/2026 - Application cycle close - 01/06/2027
Event Schedule
Contacts
Core Initiatives
Minnesota's Health Care Loan Forgiveness Program targets rural health workforce shortages by providing conditional loan forgiveness to eligible health professionals. Applications open in late 2026 for multiple professions including registered nurses and dental therapists. Key contacts: Office of Rural Health and Primary Care health.loanforgiveness@state.mn.us Event schedule: - Registered Nurses Loan Forgiveness Application Cycle Opens - 08/01/2026 - General Eligible Professions Application Cycle - 11/01/2026 to 01/06/2027
This Q&A addresses applicant questions for Minnesota’s RHTP-funded Healthcare Workforce Retention Program, clarifying eligibility, rural definitions, proposal requirements, budget parameters, and expectations for multi-year work. Up to 10 rural healthcare sites per year may be supported, focusing on mitigating clinical burnout and improving retention using evidence-based strategies. Rural is defined by RUCA 4-10, and applicants must demonstrate experience with Minnesota rural health systems. Event schedule: - Estimated Contract Execution - September 2026 - Budget Period 1 End Date - 09/30/2027
Event Schedule
Core Initiatives
Minnesota is soliciting public input to inform the state’s Rural Health Transformation Program, seeking ideas to sustainably improve rural health care delivery. Focus areas include emergency, primary, chronic, mental, and maternal health, as well as workforce and technology solutions. The document provides structured prompts for input on evidence-based interventions, innovative care models, workforce development, and technology use.
Core Initiatives
Minnesota seeks $1 billion over five years (2026-2030) from RHTP. The plan focuses on rural health workforce, new access points via telehealth and regional models, supporting financial sustainability, and expanding services. The application was shaped by over 40 stakeholder meetings and nearly 350 public comments.
This record documents the issuance of a federal-state Rural Health Transformation Program award to Maine. The program aims to make rural healthcare resilient and integrated, benefiting rural residents. No recipient sub-awards or further local allocations are announced here. Event schedule: - CMS award issue date - 08/07/2026
Event Schedule
Core Initiatives
The Rural Health Transformation Program (CFDA 93.798) is allocated $10 billion in federal discretionary funding for FY 2026. This is one of the largest competitive health grants in the HHS portfolio, focusing on rural hospital and Medicaid transformation.
This document provides general information about the Minnesota Office of Rural Health and Primary Care and notes the 2025 Minnesota Rural Health Award winners announced on November 20, 2025. It references National Rural Health Day annually in November but contains no specific RHTP award or funding details.
This is a new RHTP solicitation from the Minnesota Department of Health offering up to $4,000,000 for TA vendors that can support rural hospitals, clinics, and Tribal Nations. Around 125 organizations, including 94 rural hospitals and numerous FQHCs, CCBHCs, and Tribal Nations, are eligible to benefit. Priority areas include community-clinical linkages, workforce expansion, telehealth, and financial sustainability.
Core Initiatives
The Hospital Nurse Loan Forgiveness Program provides loan repayment for RNs committing to two years of full-time work in Minnesota nonprofit or public hospitals. Eligible candidates must work at least 30 hours per week in direct patient care and live in Minnesota during the contract period. Key contacts: health.loanforgiveness@state.mn.us Event schedule: - Applicant Notification Date - 03/31/2027
This document confirms subscription to the Rural Health Transformation Program updates from the Minnesota Department of Health. No funding or award details are included.
MN RHTP site updated — 1 new doc(s)
MN - 2026 - Rural Clinical Fellowship for Advanced Practice Providers and Other Clinicians
Jul 14, 2026 16:29
·EmailMN RHTP site updated — 2 new doc(s)
MN - 2026 - Minnesota State Loan Repayment Program Request for Proposal
Jul 9, 2026 18:47
·EmailMN RHTP site updated — 3 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 104.
slrpnconobl.pdf
MN - 2026 - Close Mobile Menu Skip to main content An official website of the United States government Here's how you know Search HOME Welcome ABOUT Who We Are SEARCH Explore TAGGS REPORTS The Rundown DATA SUBMISSION Submission Status…
HTML
Minnesota Health Care Loan Forgiveness Program
MN - 2026 - Request for Proposal: Rural Clinical Fellowship for Advanced Practice Providers and Other Clinicians
GovDelivery RFP announcement
Event schedule: - All applicants must be able to demonstrate applicable membership and compliance with their corresponding accrediting bodies. * *Applications Due:* , 4:30 p.m. More information is available: Rural Health Transformation... - *Application Deadline: , 2026* - July 17 - *Eligible Applicants:* State, county, city, township, and tribal governments; special district governments; independent school districts; public and private institutions of h...
Event Schedule
The Minnesota Rural Mental Health Professional Loan Forgiveness Program offers annual loan repayment to licensed mental health professionals serving rural regions, with funding up to $29,000 per year for psychologists and $11,000 per year for other qualifying professionals. The program aims to address workforce shortages and improve access to mental health care in underserved areas. Selection is competitive and based on application review, with preference for applicants closer to completing training and those demonstrating cultural competence. Key contacts: Elizabeth Fenske health.loanforgiveness@state.mn.us; Dan Merkl health.loanforgiveness@state.mn.us; Gao Nue Xiong health.loanforgiveness@state.mn.us; Mai Ia Ong Vang health.loanforgiveness@state.mn.us Event schedule: - Application Open - 11/01/2026 - Online Grants Portal - Application Close - 01/06/2027 - Online Grants Portal - Service Obligation Start Deadline - No later than March 31 following selection
Event Schedule
Contacts
Core Initiatives
Event Schedule
Contacts
Core Initiatives
This is a state-issued competitive funding opportunity seeking a vendor to develop a comprehensive performance measurement framework for HIT investments under Minnesota's Rural Health Transformation Program. The work will guide how rural health providers' use of federally funded technology is measured and tied to care improvements. The maximum budget for this project is $25,000, with a strong focus on value-based care readiness. Key contacts: Emma Distel rural.transformation.mdh@state.mn.us; Samantha Rowbottom Samantha.rowbottom@state.mn.us Event schedule: - Proposal Questions Due - 05/18/2026 - CT - rural.transformation.mdh@state.mn.us - Proposal Submission Deadline - 05/26/2026 - 4:30 PM CT - SWIFT Supplier Portal
Contacts
Core Initiatives
Event Schedule
Core Initiatives
Minnesota's Loan Forgiveness program opens for licensed pharmacists to apply for repayment assistance of qualified educational loans. The program seeks to strengthen the rural health workforce by incentivizing service in rural areas with up to $26,000 annually for a minimum three-year service commitment. Key contacts: Elizabeth Fenske health.loanforgiveness@state.mn.us; Dan Merkl health.loanforgiveness@state.mn.us; Gao Nue Xiong health.loanforgiveness@state.mn.us; Mai Ia Ong Vang health.loanforgiveness@state.mn.us Event schedule: - Application Open Date - 11/01/2026 - Application Close Date - 01/06/2027
Event Schedule
Contacts
Core Initiatives
Event Schedule
Contacts
Core Initiatives
HTML
Confirmation of Practice Form – Full-Time Practice Minnesota State Loan Repayment Program
Race/Ethnicity/Gender Survey Minnesota State Loan Repayment Program
Payment Verification Form for Minnesota State Loan Repayment Program (SLRP)
Confirmation of Practice Form – Half-Time Practice Minnesota State Loan Repayment Program
Minnesota State Loan Repayment Program Qualified Loan Form
MN - 2026 - Sample Contract: Technical Assistance for Rural Health Care Entities in Support of Community & Clinical Linkages (PDF)
MN - 2026 - ORHPC Health Care Funding - MN Dept. of Health
HTML
State of Minnesota Professional and Technical Services Contract
Minnesota Management & BudgetStatewide Operating Procedure RHTP 2011 Document
DOCX
Minnesota Management & BudgetStatewide Operating Policy RHTP 2011 Document
DOCX
Minnesota Statewide Operating Procedure RHTP 2012 Document
DOCX
Minnesota Statewide Operating Policy RHTP 2012 Annual Report
DOCX
Minnesota Statewide Operating Procedure RHTP 2012 Document
DOCX
Minnesota Statewide Operating Policy RHTP 2014 Document
DOCX
Minnesota QUICK REFERENCE GUIDE February 20, 2024 Run SWIFT Queries For Supplier Contract Data This Guide Provides A List Of SWIFT Queries Agencies Commonly Use To Look Up Informat
Appropriation Maintenance Application (AMA) Glossary
Minnesota RHTP 2014 Document
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Debt Management RHTP 2011 Document
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Budget Division Number 0306-01.1 Issued: January 16, 2014 Revised: N/A Legislative Ad
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Financial Reporting Unit Number: 0402-02 Issued: April 1, 2014 Last Major Revision: July 1, 2015 Last U
Minnesota Wire Transfer Request Part 1: Paying Agency Information Agency Requesting Wire: Business Unit: Part 2: Wire Instructions Date To Wire The Funds: Wire Amount In US Dollars
Minnesota Procedure Number #0802-02.1 Date Issued: 08/06/2015 Date Revised: 08/06/2024 Warrant Special Handling Authority: Minnesota Management And Budget, Vendor Payments Unit Req
Minnesota Appendix A – Risk Assessment Agencies Number Agency Name 1. Department Of Administration (Cabinet) 2. Department Of Agriculture (Cabinet) 3. Department Of Commerce (Cabin
Minnesota RHTP 2015 Document
Minnesota Sales and Use Tax - Direct Pay Authorization
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Accounting Services RHTP 2017 Document
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Budget Division Number 0301-01.2 Issued: June 24, 2015 Revised: N/A Modifying Appropr
Minnesota Statewide Operating Policy Owner: Minnesota Management And Budget, Budget Division Number: 0204-01 Issued: November 8, 2013 Last Major Revision: N/A Last Updated: Septemb
Minnesota Policy Number #0802-02 Date Issued: 08/06/2015 Date Revised: 08/06/2024 Warrant Special Handling Authority: Minnesota Management And Budget, Vendor Payments Unit Request
Minnesota RHTP 2015 Document
Minnesota Policy Number #0102-01 Date Issued: 08/02/2018 Date Revised: 03/09/2020 Internal Control System Authority: Minnesota Management And Budget, Internal Control And Accountab
Minnesota Management And Budget Statewide Operating Procedure Minnesota Management And Budget, Cash Management Unit Number 0601-01.1 Issued: January 16, 2015 Revised: N/A Request T
Minnesota RHTP 2011 Document
Minnesota RHTP 2015 Document
Minnesota QUICK REFERENCE GUIDE September 9, 2024 Troubleshooting Payments On Interagency Vouchers SWIFT Uses The Bilateral Netting Process To Issue Payments From One Agency To Ano
ORHPC General Grant Forms
HTML
State of Minnesota E-Verify Subcontractor Certification
DOCX