HHS Region 8 · Utah Department of Health and Human Services (DHHS)
Program Overview
Utah's Rural Health Transformation Program, administered by the Utah Department of Health and Human Services, is in early implementation as a five-year initiative funded by CMS, with all Year 1 funds successfully obligated. Current efforts include competitive funding to rural providers, coordinated oversight, and collaborative activities with state, local, tribal, and community stakeholders. Current structured plan tracks 7 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Utah — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (29)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Salt Lake County | 1,196,523 | 8.1% | 5.2% |
| Utah County | 705,400 | 8.7% | 5.6% |
| Davis County | 370,924 | 6.4% | 5.2% |
| Weber County | 269,648 | 8.1% | 5.8% |
| Washington County | 196,431 | 9.8% | 6.4% |
| Cache County | 140,046 | 12.0% | 6.7% |
| Tooele County | 79,347 | 5.2% | 3.2% |
| Iron County | 62,252 | 13.8% | 9.0% |
| Box Elder County | 61,246 | 8.4% | 5.5% |
| Summit County | 42,970 | 4.9% | 3.2% |
| Uintah County | 37,056 | 11.8% | 9.1% |
| Wasatch County | 36,642 | 4.7% | 3.1% |
AI source: UT - 2026 - RHTP Awardee Announcement
AI auto-updated Nov 10, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in Utah?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $387,666,618.65 (Year 1 $195.7M + Year 2 $191.9M)
Initiatives (7)
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
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No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
4 related documents
391,865 rural residents
Utah’s Rural Health Transformation Program continues active implementation with multiple open procurements and formal awardee announcements for key subgrants, such as those for rural food infrastructure, school-based wellness programs, active transportation, and the Community Care Hub. Numerous RHTP projects are in progress, contracted, or under submission review, with competitive RFAs and RFPs administered by fiscal agents and subaward funding opportunities open across all rural counties. The state has demonstrated 100% obligation of its Year 1 funding, with contracted partners advancing initiatives for workforce development, behavioral health integration, and infrastructure. State agencies maintain robust procurement cycles and progress tracking, supporting workforce and service priorities in rural communities. State opportunities: 23 total (23 past/closed), $114.3M listed funding. Key opportunities: RISE: 2.5 Recruit and Retain Rural Clinical Workforce RFGA; RISE 2.5: Recruit and Retain Workforce-Incentive Grant; Utah RISE Initiative 2.3: Grow Our Own Rural Health Pipeline. Strategy alignment: supports workforce priorities.
Utah’s Rural Health Transformation Program (RHTP), administered by the Department of Health and Human Services, continues its phased, milestone-driven strategy with formal stakeholder and fiscal agent partnerships to address persistent rural health challenges through seven integrated CMS initiatives. Leveraging CMS’s five-year funding, RHTP maintains investments in rural workforce development, infrastructure modernization, payment model innovation, telehealth expansion, and interoperable data systems. The program’s structure centers on annual competitive and public sub-awards, rigorous reporting, and formal evaluations to ensure accountability, measurable progress, and sustainability through FY2031.
Model
Regionally coordinated system transformation using seven core CMS initiatives covering prevention, workforce, innovation/access, and technology. Implementation is supported by competitive and public sub-awards managed by designated fiscal agents, milestone tracking, multi-type provider network participation, interoperable data systems, and formal governance aligned with federal and state standards.
Key Initiatives (7)CMS official list ↗
Supporting activities (7)
• Implement PATH to strengthen rural food infrastructure and access (PATH 1.1), scale school health and physical activity programs (PATH 1.2, 1.3), improve built environments for active transportation, develop Community Care Hub models in formal partnership with tribal and local partners (PATH 1.4), expand integrated behavioral health and primary care—including new RFGA for behavioral health-primary care integration (PATH 1.5), enforce administrative cost controls, and require sustainability planning.
• Modernize and connect rural care infrastructure, capital, broadband, equipment, and public health capacity via SHIFT, requiring integrated provider networks (minimum three facility types), supporting facility/EMS upgrades (including SHIFT 3.3 EMS), mobile and community paramedicine expansions, shared telehealth systems, transportation solutions, and piloting innovative care models—including maternal health, AI, skilled nursing, remote monitoring, and telehealth—with CMS spending and administrative caps. Fund innovative care delivery models under SHIFT 3.4, with clear outcome benchmarks, sustainability requirements, and partnership disclosure.
Timeline: FY2026–2030; CMS notice of award December 2025, annual implementation cycle with competitive and public sub-awards managed by fiscal agents, all four program phases completed by FY2031 deadline, milestone-driven reporting, annual progress reviews, midline evaluation by October 2028, quarterly progress reporting for grant awardees, and no ongoing state funding obligation
Financial Approaches for Sustainable Transformation (FAST)
Leveraging Innovation for Facilitated Telehealth (LIFT)
Leveraging Interoperability Networks to Connect Services (LINCS)
Making Rural Utahns Healthy: Preventive Action and Transformation for Health (PATH)
Rural Incentive and Skill Expansion (RISE)
Shared Utilities for Partnered Provider Operational Resources and Technology (SUPPORT)
State Policy Action commitments (1 of 19)
Initiative aims to foster lifelong wellness in rural Utah communities through integrated supports and improved access.
Efforts focus on building, recruiting, and retaining a strong rural healthcare workforce to address shortages and improve care quality.
Key initiatives promote scalable telehealth strategies and data infrastructure improvements to modernize rural healthcare delivery.
UT - 2026 - RHTP - Utah Department of Health and Human Services (ruralhealth)
UT DHHS rural health award announcement
UT - 2026 - Utah RHTP (Rural-Health-Transformation-Program-–-One-Pager-12.2025)
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UT - 2025 - Utah Rural Hospitals And RHTP 2026 Guidance
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UT - 2025 - Utah RHTP Situation 2025 Guidance
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Utah Board of Higher Education, Talent Ready Utah (TRU)
Due Oct 29, 2026
3 related documents
UT - 2026 - RISE RHTP 2.3 & 2.4 Frequently Asked Questions V2
RISE 2.3 & 2.4 Frequently Asked Questions
UT - 2026 - RISE Initiative 2.4 Expand Non-GME Rural Healthcare Pipeline RFP
RISE 2.4 Request for Proposals
UT - 2026 - funding opportunities (3f6dc2)
Utah RHTP Funding Opportunities table
Utah Board of Higher Education / Talent Ready Utah (TRU) / Utah Department of Health and Human Services
Due Oct 29, 2026
3 related documents
UT - 2026 - RISE RHTP 2.3 & 2.4 Frequently Asked Questions V2
RISE 2.3 & 2.4 Frequently Asked Questions
Utah Department of Public Safety, Bureau of Emergency Medical Services (BEMS)
Due Sep 21, 2026
2 related documents
UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative
Official Euna Grants application package
By budget period: BP1 $192.9M (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 | Utah Hospital Association (UHA) FAST 4.1: Value Based Care | $38.3M | — | |
| 2026BP1 | Utah Hospital Association (UHA) RISE 2.5: Recruit and Retain - Hospitals | $9.9M | — | |
| 2026BP1 | Utah Education and Telehealth Network (UETN) FAST 4.1: Value Based Care | $20.9M | — | |
| 2026BP1 | Utah Education and Telehealth Network (UETN) FAST 4.1: Value Based Care | $26.5M | — | |
| 2026BP1 | Department of Public Safety (DPS) SHIFT 3.3: Rural Emergency Medical Services | $12.5M | — | |
| 2026BP1 | HK Consulting FAST 4.1: Value Based Care | $11.0M | — | |
| 2026BP1 | Utah Department of Agriculture and Food (UDAF) PATH 1.1: Rural Food Infrastructure | $11.0M | — | |
| 2026BP1 | Utah Department of Transportation (UDOT) PATH 1.3: Physical Activity Infrastructure | $11.0M | — | |
| 2026BP1 | Association for Utah Health (AUCH) SHIFT 3.4: New Models of Care | $1.7M | — | |
| 2026BP1 | Association for Utah Health (AUCH) SHIFT 3.2: Rural Health Provider Networks | $450K | — |
A Utah hospital group was selected to manage $482 million in federal rural health funding, indicating a significant investment in rural health transformation in Utah.
Utah RHTP awarded $2 million to Comagine to launch a statewide Community Care Hub focused on social determinants of health, closed-loop referrals, and healthcare reimbursement. This award is part of the broader $195.7M Utah RHTP portfolio. The CCH hub will support rural clinics, hospitals, and community organizations in all 25 rural Utah counties. Event schedule: - Project Scope: Awards competitive subgrant funding to rural food producers, processors, cold storage facilities, and slaughterhouses; funds the USU Extension E-Commerce Accelerator; and executes the 'Utah's Own' rural... - Project Scope: Awards competitive subgrant RFPs pairing K-12 school districts and higher education institutions with rural healthcare employers to establish dual-enrollment credentials, career exposure, and high schoo... - Project Scope: Issues competitive subawards to technical colleges, universities, and rural healthcare employers to launch postsecondary non-GME clinical training, apprenticeships, and career ladders (CNAs, LPNs, medic... - Project Scope: Provides subgrants to rural EMS agencies for emergency vehicles and equipment upgrades, establishes Mobile Integrated Health / Community Paramedicine (MIH/CP) programs, funds EMT-to-Paramedic scholarshi... - Project Scope: Conducts a statewide telehealth needs assessment and awards competitive subgrants to rural hospitals, RHCs, CHCs, schools, and senior centers to scale direct-to-patient virtual care, remote patient moni...
Event Schedule
Core Initiatives
This document provides detailed instructions for filling out the interactive scoresheet used to evaluate vendor proposals for the Utah RHTP Monitoring and Evaluation Contract. It covers identification and prioritization of mandatory and technical criteria, scoring methods, and procedural guidelines for evaluation committees. It is a supporting guidance file for the RHTP procurement process.
Core Initiatives
Event Schedule
Utah received a $195.7 million Year 1 award through the Rural Health Transformation Program, investing in rural workforce, infrastructure, technology, population health, and financial reform. Competitive and state partner agreements are underway across seven strategic initiatives and more than 24 activities. Nearly 60% of Year 1 funding is dedicated to competitive community grants, with significant allocations to public entities and evaluation efforts. Key contacts: Krisann Humphreys; Christine Espinel; Jackie Patel; Michelle Geller Event schedule: - First annual progress report and Year 2 application due to CMS - 08/30/2026 - End of Budget Period 1 and deadline for obligation of funds - 10/30/2026 - CMS site visit - July 16, 2026 - CMS site visit - July 17, 2026
Event Schedule
Contacts
Core Initiatives
Utah Health Information Network received a $3,000,000 award under the Rural Health Transformation Program to strengthen interoperability and rural health information exchange. The LINCS Initiative aims to improve coordination and data flow for rural providers. The project is slated to operate from July 2026 through September 2028. Key contacts: ar@uhin.org Event schedule: - Award period start - 07/20/2026 - Award period end - 09/30/2028
Event Schedule
Contacts
Core Initiatives
A Utah Hospital Association subsidiary will manage $48.2 million in federal funding from the Rural Health Transformation Program, as part of the state's $195.7 million first-year award. The funds will be distributed through about 60 competitive contracts to rural hospitals and health care providers. Grants will focus on clinician recruitment, facility improvements, equipment purchases, and strengthening billing operations. The one-time grants require projects to be viable without ongoing state support.
The program includes the Utah Primary Care Grants Program, Medicare Rural Hospital Flexibility Program, and multiple workforce initiatives such as loan repayment and advisory councils. It supports rural health improvement through funding opportunities and workforce development strategies.
Event Schedule
The program includes the Utah Primary Care Grants Program, Medicare Rural Hospital Flexibility Program (Utah Flex), Small Rural Hospital Improvement Program (SHIP), and various loan repayment and workforce support programs. It is administered by the State Office of Rural Health and collaborates with multiple entities to enhance rural health workforce, primary care, and hospital sustainability.
Core Initiatives
Sept 30, 2031
Year 5 Expenditure Deadline
Expenditure Deadline Sept 30, 2031
Sept 30, 2030
Year 4 Expenditure Deadline
Expenditure Deadline Sept 30, 2030
Oct 31, 2029 – Oct 30, 2030
Year 5 Agreement Period
YEAR 5 Agreement Period Oct 31, 2029 – Oct 30, 2030
Sept 30, 2029
Year 3 Expenditure Deadline
Expenditure Deadline Sept 30, 2029
Oct 31, 2028 – Oct 30, 2029
Year 4 Agreement Period
YEAR 4 Agreement Period Oct 31, 2028 – Oct 30, 2029
Sept 30, 2028
Year 2 Expenditure Deadline
Expenditure Deadline Sept 30, 2028
Oct 31, 2027 – Oct 30, 2028
Year 3 Agreement Period
YEAR 3 Agreement Period Oct 31, 2027 – Oct 30, 2028
September 30, 2027
Budget Period 1 final spend deadline
Any funds awarded under Budget Period 1 can be spent through September 30, 2027.
Sept 30, 2027
Year 1 Expenditure Deadline
Expenditure Deadline Sept 30, 2027
Oct 31, 2026 – Oct 30, 2027
Year 2 Agreement Period
YEAR 2 Agreement Period Oct 31, 2026 – Oct 30, 2027
October 30, 2026
Budget Period 1 end (as listed)
Table 1 of the RFGA lists Budget Period 1 as ending on October 30, 2026.
Oct 30, 2026
Year 1 Agreement Period begins
YEAR 1 Agreement Period Oct 30, 2026
UT - 2026 - Rural Health Connect Improving the health of rural communities In this issue: November 4, 2026
Nov 4, 2026 13:03
·EmailUT RHTP site updated — 1 new, 1 existing source(s) refreshed
UT state summary updated: transformationStrategy initiatives: 8 -> 7
Utah’s Rural Health Transformation Program (RHTP), led by the Department of Health and Human Services, utilizes federal CMS funding to imple…
UT - 2026 - Rural Health Connect Improving the health of rural communities In this issue: October 7, 2026
Oct 7, 2026 12:04
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 94.
UT - 2026 - Utah Hospital Association to Oversee $48.2M in Federal Rural Health Funds
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UT - 2026 - UT - RHTP Application Preparation Resources
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UT - 2026 - Portal — Open Opportunities - U3P
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Portal — Open Opportunities - U3P
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Portal Security - U3P
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Open Public Opportunities
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DHHS26117 Attachment C (a) Conflict of Interest Form
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DHHS26117 Attachment F Score Sheet
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Grants Guarding Against Application Fraud
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Mobile Youth Film Concept
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UT - 2026 - SAMPLETimesheet EmplBi Wkly26PayPer hour
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UT - 2026 - SAMPLE Travel Expense Report
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Requests For Program Related Out Of State Travel
UT - 2026 - Request and Justification of Out of State Travel Form1
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UT - 2026 - Utah Landing Page (updated: July 21, 2026)
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MBCC Subrecipient Single Audit Certification Form Updated
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UT - 2026 - CESF Funding Disclosure Form
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Subgrantee Use Of Prepaid Cards
UT - 2025 - GrantAdjustRequestForm 7.1.2025
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UT - 2024 - Revised Budget Form 2024
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UT - 2026 - Financial Resource Disclosure For AmpliFund
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Foundation Funding For Climate Change Mitigation Europe Spotlight
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Funding Trends 2021 Climate Change Mitigation Philanthropy
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2019 Glisa Small Grant Preparing Erie Pennsylvania For Extreme Weather What To Do
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2019 Glisa Small Grant Preparing Erie Pennsylvania For Extreme Weather What
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2019 Glisa Small Grant Preparing Erie Pennsylvania For Extreme Weathe
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Pennsylvania Sea Grant
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2019 Glisa Small Grant Preparing Erie Pennsylvania For Extreme Weather What To Do And Where To Start
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Promotion Request
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UT - 2024 - Final 2024 Strategic Plan Booklet with appendix 1
RuralUtahSheet
UT - 2026 - RISE Initiative 2.3 Grow Our Own Rural Health Pipeline RFP
RISE 2.3 Request for Proposals
UT - 2026 - funding opportunities (3f6dc2)
Utah RHTP Funding Opportunities table
UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative (629bba90-f80c-4342-b05d-bf1cd08b7d2e)
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The Utah RHTP is entering its second program year, with federal focus on ensuring states meet Year 1 goals before new funds are awarded. Utah's rural health initiatives spotlight collaboration, generating new financial models and workforce solutions for rural hospitals. Ongoing research addresses rural-urban health disparities in substance use and cancer screening. Key contacts: Carrie Torgersen; ruralht@utah.gov Event schedule: - Year 2 RHTP award announcements - October 30, 2026 - 2nd Annual Rural and Underserved Virtual Career Fair - November 12, 2026 - NHSC Students to Service Loan Repayment Program Application Deadline - November 19, 2026
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Core Initiatives
Utah's Rural Health Transformation Program is launching in 2026, aiming for system-wide change and improvements in rural healthcare. The newsletter covers maternal mental health, workforce strategies, environmental health, and opportunities for providers and students. Statewide conferences, contests, and grant proposal trainings are featured alongside RHTP updates. Key contacts: Carrie Torgersen torgersen@suu.edu Event schedule: - Rural Health Association of Utah annual conference - 11/04/2026 - Dixie Convention Center, St. George - National Rural Health Day photo contest submission deadline - 10/15/2026 - 2nd Annual Rural & Underserved Virtual Career Fair - 11/12/2026 - Virtual - GWI Level II Grant Writing Course Start - 10/15/2026 - Online
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Core Initiatives
Utah has received a $195.7 million federal award for Year 1 of its Rural Health Transformation Program, covering 25 of Utah's 29 counties. Funding allocations support both direct interagency agreements and competitive grants, with initiatives spanning population health, workforce, telehealth, EMS development, and health IT. Key governance includes strict spending caps and rural service requirements. Key contacts: Nune Phillips; Krisann Humphreys; Christine Espinel; Jackie Patel Event schedule: - CMS site visit - 07/16/2026 - CMS site visit - 07/17/2026 - First annual progress report and Year 2 application due to CMS - 08/30/2026 - End of Budget Period 1 and deadline for obligation of funds - 10/30/2026
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Contacts
Core Initiatives
This document outlines vendor prerequisites and requirements for professional services procurement related to Utah's RHTP Monitoring and Evaluation Contract. Guidance is provided on communications, product samples, confidentiality, anti-boycott action, technology standards, and negotiation of standard terms and conditions. No award or recipient is named, as this is a supporting guidance document for the solicitation process. Event schedule: - Question and Answer Period Closes - U3P (Utah Procurement Portal)
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Core Initiatives
Defines extensive monitoring and evaluation requirements for Utah's RHTP, including baseline, midline, and endline reports. Establishes key deliverables for project planning, annual updates, progress reports, and innovative activity evaluations to track program impact through 2031. Event schedule: - Project Plan and Timeline due - Within 30 days of contract effective date or prior to October 1 - Annual Project Plan Updates - July 1 annually - Multi-Year Evaluation Plan due - Within 60 days of contract execution, then annually by July 1 - Baseline Evaluation Report due - Within 45 days of approved evaluation plan - Midline Evaluation Report due - Estimated October 2028 - Endline Evaluation Report due - December 30, 2031 - Quarterly Progress Reports due - Nov 7, Feb 7, May 7 annually - Annual Progress Report due - August 7 annually
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Core Initiatives
The program includes multiple funding opportunities such as scalable telehealth projects, workforce incentive grants, and rural clinical preceptor stipends. It focuses on improving provider revenue, infrastructure, and network technology with a multi-year approach. Key initiatives involve growing and expanding the rural healthcare pipeline and implementing semantic data models for improved healthcare data interoperability.
Event Schedule
This document provides detailed responses for applicants to the Utah RHTP SHIFT 3.4 New Models of Care RFGA, clarifying eligibility, geographic requirements, allowable costs, budgeting guidance, sub-awards, and permitted project types. It outlines that budgets should cover 24 months, eligibility rules apply at all tiers for direct care delivery partners, and allowable uses include technology, workforce, and care model innovations. No explicit ceilings or minimum awards are stated, providing flexibility for project scope. Event schedule: - Question: Table 1 shows Budget Period 1 ending , 2026, while the agreement period is anticipated to begin October 5, 2026. Should applicants budget Budget Period 1 as that short initial window with the bulk of Year 1... - While Table 1 of the RFGA lists Budget Period 1 as ending on , 2026, the RFGA explicitly states that grantees have until September 30, 2027 to expend each Budget Period’s allocated funding. For Budget Period 1, this m...
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Core Initiatives
This attachment outlines the required qualifications and technical criteria for vendors applying to serve as the monitoring and evaluation contractor for Utah's RHTP. It details mandatory requirements regarding RBA evaluation experience, focus on Utah's 25 rural and frontier counties, compliance with federal CMS rules, strict deliverable timelines, and vendor eligibility. The evaluation scope emphasizes outcome measurement, strategic planning, and federal/state compliance. Event schedule: - • How will your team manage quarterly progress monitoring to generate actionable performance improvement recommendations for RHTP staff, particularly for the reporting period ending ? - April 30 - • Targeted Populatio... - • How will your fiscal oversight practices ensure funds are obligated no later than for budget years 2-5 to prevent the recoupment of funds by DHHS? - June 30 - • How will you ensure strict compliance with the Stevens...
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Core Initiatives