Program Overview
The South Carolina Rural Health Transformation Program is currently offering one-time infrastructure and capacity-building grants through four targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, and Shoring Up to Sustainability. The program focuses on expanding digital infrastructure, scaling successful pilot programs, deploying mobile health units, and strengthening healthcare systems in rural communities, with applications due June 1, 2026. The program is supported by over $200 million in federal funding and is guided by a structured plan tracking multiple initiatives and strategic goals. Current structured plan tracks 9 key initiatives and 9 strategic goals.
Updated
County-level estimates averaged across South Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (46)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Greenville County | 548,166 | 10.8% | 7.7% |
| Richland County | 422,117 | 17.2% | 11.5% |
| Charleston County | 420,264 | 11.3% | 7.0% |
| Horry County | 383,016 | 13.2% | 9.1% |
| Spartanburg County | 347,852 | 14.5% | 10.8% |
| Lexington County | 304,887 | 11.1% | 8.5% |
| York County | 293,673 | 8.4% | 6.2% |
| Berkeley County | 246,802 | 9.9% | 7.5% |
| Anderson County | 210,478 | 14.6% | 11.5% |
| Beaufort County | 195,289 | 9.6% | 7.1% |
| Aiken County | 174,160 | 14.3% | 10.1% |
| Dorchester County | 167,201 | 11.4% | 8.1% |
AI source: SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
AI auto-updated Jul 31, 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
9 related documents
SC - 2025 - Frequently Asked Questions – RHTP Application Guidance
728,561 rural residents
As of July 31, 2026, South Carolina has issued a Request for Applications and begun executing subrecipient agreements for RHTP funds. The executed agreements indicate that active implementation has started, with projects running from July 31, 2026 through September 30, 2027. State and subrecipient compliance, reporting, and audit processes are in place, and operational rollout is underway. No awards for the current cohort had been reported as fully made as of this date, but the program has clearly moved beyond planning. State opportunities: 2 active (2 closing soon, 5 past/closed), $87.7M listed funding. Key opportunities: South Carolina Cancer Screening Improvement Initiative; South Carolina Rural Enhancement Grant; RHTP: Shoring Up to Sustainability Initiative. Strategy alignment: supports workforce, prevention, telehealth priorities.
South Carolina's RHTP pursues a data-driven, capacity-building strategy leveraging one-time federal and state investments to modernize rural healthcare infrastructure, improve care delivery, and address systemic access barriers. Led by SCDHHS, the program deploys digital tools, scales proven pilots statewide, mobilizes care for underserved populations, strengthens workforce and facility sustainability, and accelerates rural health innovation. Special focus remains on chronic disease, behavioral health, maternal health, cancer screening, and equitable access.
Model
Targeted infrastructure and workforce transformation using digital innovation, mobile service delivery, scaling pilot programs, and financial stabilization, coordinated through time-limited grants, outcome-driven oversight, and public-private partnerships.
Key Initiatives
Timeline: Primary grant application window closes June 1, 2026. Additional Rural Enhancement Grant and Cancer Screening Initiative deadlines are July 31, 2026. Further Tech Catalyst Fund and Behavioral Health Crisis Stabilization Services opportunities, along with ongoing initiative timetables, will be announced in subsequent phases.
Focus on improving cancer screening rates in rural clinics through funding, education, and policy improvements.
This document is a model subrecipient award template for South Carolina’s implementation of the Rural Health Transformation Program. It outlines operational, communication, reporting, and compliance requirements for subrecipients under RHTP, with references to CMS strategic goals and federal regulations. The agreement signals implementation and oversight...
SCORH partners with the SC Center for Rural and Primary Healthcare to offer grants supporting technology upgrades, education, training, and quality improvement activities among rural providers. They also received funding to improve cancer screening rates across rural clinics by supporting collaborative learning and policy improvements over a three-year gr...
SC - 2025 - Budget Narrative
SC - 2025 - Transforming Rural Healthcare in South Carolina
SC - 2026 - Welcome! The meeting will begin shortly…
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SC - 2025 - South Carolina RHTP Application
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SC - 2028 - Centers for Medicare & Medicaid Services RHTP
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SC - 2025 - South Carolina RHTP
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SC - 2025 - OMB Number: 4040-0019 Expiration Date: 06/30/2028
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SC - 2026 - RHTP Grant Overview
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South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
South Carolina Department of Health and Human Services
Due Jun 1, 2026
1 related document
SC - 2026 - RHTP: Wellness Within Reach Initiative
Source listing page
South Carolina Department of Health and Human Services is announcing a new $15 million grant targeting rural and medically underserved areas, providing up to $3 million per selected facility for infrastructure projects. The initiative prioritizes primary care, maternal and infant care, pediatrics, and behavioral health. Facilities must operate for at least five years post-award and applications are due December 2023. Key contacts: grants@scdhhs.gov Event schedule: - Application Due Date - 12/04/2023 - Award Notification - 02/02/2024
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Core Initiatives
SCDHHS was awarded $17 million from CMS over ten years to improve maternal health care for Medicaid enrollees through the Transforming Maternal Health (TMaH) Model. Key priorities include reducing maternal mortality and extending postpartum Medicaid coverage. The effort is supported by a coalition of state and national health partners and builds on previous initiatives such as the Birth Outcomes Initiative. Key contacts: Jeff Leieritz Communications@scdhhs.gov Event schedule: - Grant Award Announcement - 01/08/2025 - ET - Columbia, SC
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Core Initiatives
SCORH partners with the SC Center for Rural and Primary Healthcare to offer grants supporting technology upgrades, education, training, and quality improvement activities among rural providers. They also received funding to improve cancer screening rates across rural clinics by supporting collaborative learning and policy improvements over a three-year grant period. Event schedule: - Application Announcement - July 2026 - Application Deadline - July 31, 2026 - Notification of Awards - August 2026 - Payment Disbursement - End of September 2026
Event Schedule
Core Initiatives
South Carolina Department of Health and Human Services (SCDHHS) is soliciting applications for up to $15 million in one-time grant funding to build or improve rural and medically underserved area health facilities. No match is required. Focus areas include expanding access to essential health services, improving health equity, and supporting sustainable facility operations.
The Rural Health Transformation Program in South Carolina will fund four major initiatives for rural populations, totaling $169 million in federal investment. Awards focus on health IT, chronic disease, pop-up clinics, workforce, and technology innovation; applications are open for rural providers. Timeline milestones include application deadlines in June 2026 and completion by September 2027. Key contacts: SCORH Team info@scorh.net Event schedule: - Applications Due - 06/01/2026 - Award Notices - 07/31/2026 - Project Completion - 09/30/2027
Contacts
Core Initiatives
South Carolina submitted a comprehensive RHT plan addressing rural health disparities with five integrated initiatives including digital infrastructure, mobile health units, and workforce strengthening. The state requests $1 billion federal funding to modernize rural healthcare, expand access, and build sustainability.
South Carolina's RHTP application requests $1 billion over five years to transform rural health outcomes via robust state-level initiatives. Funding will be competitively distributed through multiple programs including health IT modernization, mobile crisis response, facility upgrades, workforce incentives, and rural care expansion. Extensive oversight, compliance, and outcomes tracking are integral to the state's stewardship plan.
South Carolina proposes an ambitious, data-driven Rural Health Transformation plan centered on expanding digital health infrastructure (EHR, remote monitoring, telehealth), workforce initiatives, and financial stabilization for rural hospitals. Strategic efforts target improved access and chronic disease management for 1.75 million rural residents, with emphases on care coordination, maternal health, and cross-sector partnerships. Five flagship initiatives (e.g., Connections to Care) will modernize rural health systems and equip communities for sustainable transformation.
Event Schedule
Core Initiatives
South Carolina is distributing $35 million in one-time infrastructure grants to hospitals for creating specialized emergency units for mental health crisis stabilization. The program aims to add 56 new crisis beds and 111 spaces to address emergency psychiatric needs. Funding is limited to infrastructure and does not cover staffing or service provision.
Core Initiatives
The document outlines an $800 million award over four years dedicated to transforming rural healthcare in South Carolina. Budget details include personnel, fringe benefits, travel, supplies, and substantial contractual expenditures.
South Carolina is launching its Wellness Within Reach Initiative as part of the Rural Health Transformation Program, making $27.7M available to rural-serving organizations through subawards. The initiative focuses on expanding mobile crisis response and community care sites to improve healthcare access, quality, and outcomes in rural areas. Projects must demonstrate measurable impact and directly benefit rural residents.
South Carolina is submitting an application to CMS for the Rural Health Transformation Program, with Governor and SCDHHS leadership committed as the lead administrator and convener. The plan prioritizes stakeholder engagement, chronic disease management, infrastructure improvements, and sustainable care models in rural areas. Extensive coordination aims to leverage existing resources, avoid duplication with current federal and state rural health funding, and maximize health outcomes for rural residents.
Event Schedule
Core Initiatives
This document is a model subrecipient award template for South Carolina’s implementation of the Rural Health Transformation Program. It outlines operational, communication, reporting, and compliance requirements for subrecipients under RHTP, with references to CMS strategic goals and federal regulations. The agreement signals implementation and oversight responsibilities for distributing rural transformation funds. Key contacts: Eunice Medina Event schedule: - Agreement Effective Date - 07/31/2026 - Agreement End Date - 09/30/2027 - Quarterly Reporting Deadline - Monthly Project Plan Status Update - Execution of Subrecipient Agreement - 2026-07-31 - South Carolina
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Core Initiatives
The state is receiving significant funding through the RHTP to support improvements in medical service access and quality for rural and medically underserved communities. SCDHHS has also announced additional grant programs and allocations for rural health infrastructure, including $48.2 million and $15 million for targeted areas. Efforts are underway to expand mental health counselors and integrate behavioral health services, focusing on rural needs. Key contacts: info@scdhhs.gov Event schedule: - South Carolina Awarded $200 Million in RHTP Funding - December 30, 2025 - SCDHHS Awards $48.2 Million for Rural Healthcare Infrastructure - February 20, 2024 - SCDHHS Creates $15 Million Grant Program for Rural Areas - October 12, 2023
SC RHTP site updated — 1 new doc(s)
SC RHTP site updated — 7 new doc(s)
SC RHTP site updated — 6 new doc(s)
SC canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
SC canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×2, Jun 4–Jun 5)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 43.
SCDHHS Replacement MMIS RFI 4.pdf
SC - 2026 - Incentive Payment Example
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SC - 2020 - SC HOPES mental health and addictions support line
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
South Carolina received over $200 million in federal funding for its Rural Health Transformation Program in FY 2026. This award will support five major initiatives including digital infrastructure, scaling successful pilots, direct service expansion, system strengthening, and technology innovation. The goal is to make high-impact, one-time investments to modernize rural healthcare and improve outcomes for chronic disease and maternal health. Key contacts: Eunice Medina info@scdhhs.gov Event schedule: - Public Webinar (slides and recording available) - November, 2025 - https://scdhhs.gov/rhtp
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Core Initiatives
This document is a FY2026 Request for Applications (RFA) for the Rural Health Transformation Program: Shoring Up to Sustainability Initiative in South Carolina, under a $40M federal cooperative agreement from CMS. It aims to fund rural facility infrastructure enhancements, workforce recruitment/retention, and provider operational resilience through subawards to rural-serving entities. Three project tracks—facility enhancements, masterclass training, and workforce incentives—address key rural health barriers, building the sustainability of South Carolina’s rural healthcare delivery system.
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Core Initiatives
The South Carolina Office of Rural Health is announcing two funding opportunities aimed at enhancing rural healthcare: the Rural Enhancement Grant supports rural health providers with technology, training, and quality improvement activities; the Cancer Screening Improvement Initiative focuses on improving cancer screening rates in rural clinics through targeted quality improvement efforts. Application deadlines for both programs are in July 2026, with funding notification by August 2026. Key contacts: grants@scorh.net Event schedule: - Application Announcement - July 2026 - Application Deadline - 07/31/2026 - Notification of Approvals/Denials - August 2026 - Funding Payment - September 2026
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SC - 2020 - – RHC COVID Testing Process Step by Step October 2020
SC - 2020 - Screening Patients for Food Insecurity and Linking them to Nutritious Food Resources During COVID-19
SC - 2026 - Draft Replacement MMIS Pricing Tables
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SCDHHS_Replacement_MMIS_Notification_4.pdf
SC - 2026 - t Budget Template
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SC - 2020 - RHC COVID test reporting: Step-by-step guide
SC - 2015 - For questions related to Medicaid contract forms, contact 803-898-0376.
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SCPro Procurement System Overview
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Purchase Procurement Code Books
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2021 South Carolina Model School District Procurement Code
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Retired Clauses and Documents
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Research Resources Bibliography and Legal Materials on South Carolina Procurement Code
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South Carolina Procurement Code and Regulations - Legal Reference
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Audit & Certification Audit Reports and Procurement Regulations Overview
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SCPro South Carolina Procurement System Overview
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2021 Model School District Procurement Code and Large Districts Procurement Overview
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Purchase Procurement Code Books
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Retired Clauses and Documents | procurement.sc.gov
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Research Resources Bibliography and Procurement Code Amendments Reference
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Procurements Reported By State Agencies
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South Carolina Procurement Code & Regulations Overview and Amendments
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SC - 2015 - Debarment Form 1-2015
SC - 2025 - Healthy Connections Medicaid Managed Care | SCDHHS
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SC - 2025 - Tax Information | SCDHHS
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SC - 2025 - Grants | SCDHHS
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SC - 2025 - Resources | SCDHHS
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Download Healthy Connections Application Form (PDF)
SC - 2025 - Where to Go For Help | SCDHHS
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SC - 2025 - Provider Information | SCDHHS
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Standard Clauses & Provisions, Compendium Version 3.0 (May 2024)
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Standard Clauses and Provisions – South Carolina Division of Procurement Services (Compendium Version 3.0, May 2024)
2024 · HTML
SC - 2026 - SCDHHS MES Modernization Future State Assessment Summary Report
2024 · PDF
SC - 2026 - Adapting Pay-for-Success (PFS) Methods to Managed Care Incentives
2017 · PDF
Form 3400-01 Portuguese
2016 · PDF
SC - 2026 - Risk Assessment of Automated Data Processing Systems
2010 · PDF
SC - 2010 - Replacement Medicaid Management Information System Notification, October 15, 2010
2010 · PDF
SC - 2025 - Homepage (New) | SCDHHS
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