Wyoming's Rural Health Transformation Program, led by the Department of Health, is advancing implementation following final federal approval in December 2025. The program emphasizes sustaining rural healthcare access, chronic disease prevention, behavioral health, innovative care delivery and payment models, workforce development, and technology solutions. Requests for Applications are open as of October 2026, with contract execution deadlines set for October 1, 2026; awards are guided by advisory committee appraisals and federal funding is scheduled to be obligated on time. Current structured plan tracks 4 key initiatives and 9 strategic goals.
Federal awards to date: $412,236,673.93(Year 1 $205.0M + Year 2 $207.2M)
Initiatives (4)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). CompleteIn progressNot started
RHTP Strategic Goals
1Expand and sustain access to emergency medical care in rural hospitals and ambulance services.
2Regionalize and modernize EMS and emergency transport systems for rural populations.
3Strengthen a durable rural healthcare and EMS workforce pipeline through recruitment, training, and retention across all disciplines.
4Advance adoption and interoperability of rural health technology and data-driven care delivery.
5Promote chronic disease prevention, population health, and overall wellness by integrating care coordination, prevention, and community-based models.
6Integrate primary, dental, and behavioral health services across rural settings.
7Improve chronic disease, maternal, behavioral, and cardiovascular health outcomes in rural populations.
8Modernize and consolidate rural health delivery systems to ensure long-term sustainability.
9Establish financially sustainable rural healthcare models via network-based governance, payment reform, and value-based care innovations.
Worth to Notice / Recent Updates (12)
Key signals are summarized here. Open the source for the supporting detail.
Federal Awards (2)$412.2M
Current Progress
Implementing
Wyoming’s Rural Health Transformation Program has completed competitive procurements and sole-source awards for critical access hospitals, EMS, workforce, technology, integrated care, and care coordination. Multiple contracts and grants are actively awarded and under implementation for FY2025, with funds allocated to explicit recipients. Sustainability plans and cost approvals are explicitly required for awarded entities. This demonstrates sustained statewide implementation and grant activity across all initiatives. State opportunities: 6 total (6 past/closed), $138.0M listed funding. Key opportunities: Wyoming RHTP RFA - 1.1. Critical Access Hospital - Basic; Wyoming RHTP RFA - 1.2. EMS Regionalization; Wyoming RHTP RFA - 2.2. Physician Graduate Medical Education. Strategy alignment: supports ems, care access, workforce priorities.
RHTP Strategy
Wyoming’s Rural Health Transformation Program (RHTP) implements a milestone-based, state-led strategy emphasizing expanded access to emergency medical care, modernization of rural healthcare technology, development of the health workforce, and statewide wellness through the 'Make Wyoming Healthy Again' initiative. Funding and implementation align with legislative action, CMS milestones, and local priorities for rural and frontier communities. Competitive RFA/RFP processes and oversight by the Rural Health Transformation Advisory Committee guide execution and support program sustainability. Federal approval and ongoing community engagement ensure alignment with Wyoming’s health needs and transformative goals.
Model
State-coordinated transformation structured on four pillars: emergency medical access, rural workforce supply, health technology modernization, and population health improvement. Implementation is guided by legislative and CMS milestones, stakeholder priorities, and sustainable network and payment models.
1Access to Emergency Medical Care — Direct support for rural hospitals and ambulance providers ensures basic and emergency medical services remain accessible in small and frontier communities as outlined in Wyoming’s approved project narratives.
2Health Technology Transformation — Investments in telespecialist platforms, EHR replacement, and statewide technology adoption to improve care coordination, efficiency, and data-driven delivery in rural settings.
3Make Wyoming Healthy Again — Statewide health campaign and programming for chronic disease prevention, exercise, diet, and population wellness, formally branded and promoted as 'Make Wyoming Healthy Again'.
Supporting activities (14)
• Critical Access Hospital-Basic incentive and capital awards supporting financial viability, startup needs, and right-sizing of rural hospitals
• EMS regionalization contracts and service incentives to extend and modernize emergency medical services in rural and frontier areas
Timeline: December 29, 2025: first-year award announced; January 20, 2026: revised budget due to CMS; January–February 2026: initial CMS meetings; February–March 2026: legislative action for award appropriations and perpetuity; June–July 2026: RFA/RFP development; July 2026: application submission; August–September 2026: awards and drawdown; October 1, 2026: contract execution deadline. All expenditures due September 30, 2027. Implementation, reporting, and renewal options extend through 2027–2028 in alignment with CMS and legislative milestones.
Access to Emergency Medical Care
Health Technology Transformation
Make Wyoming Healthy Again
Rural Workforce Supply
State Policy Action commitments (6 of 19)
✓Committed: Presidential Fitness Test
✓Committed: SNAP Food Restriction Waiver Policy
✓Committed: Nutrition Continuing Medical Education
–Not committed: Certificate of Need
–Not committed: Physician - Medical Licensure Compact
WY - 2025 - There are presently no open calls for submissions.
Primary source (WY RHTP Submittable listing)
SupportingPDF2026Award: $205.0M
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
A Wyoming county health department is seeking state funding support for rural health initiatives. The announcement signals local intent to apply for, or obtain, future resources to address rural health transformation.
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AnnouncementJul 4, 2026TXT2026
Event schedule:
- - Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
Award AnnouncementOct 9, 2026PDF2025FederalOpportunity ↗
Wyoming awarded over $205 million in federal funds to rural hospitals, EMS agencies, clinics, and partners under the Rural Health Transformation Program. Awards span critical access hospital supports, EMS modernization, physician GME expansion, technology adoption, integrated primary care, and care coordination. The program funds capital upgrades, workforce development, health information technology, and robust care integration statewide.
Sustain Wyoming rural hospitals through capital and operational investments.
Regionalize and modernize EMS and emergency transport systems for rural populations.
Expand workforce education and graduate medical education (GME) for rural care.
Show all initiatives (6)
Sustain Wyoming rural hospitals through capital and operational investments.
Regionalize and modernize EMS and emergency transport systems for rural populations.
Expand workforce education and graduate medical education (GME) for rural care.
Advance technology adoption, interoperability, and population health capabilities.
Integrate primary, dental, and behavioral health across rural settings.
Improve care coordination for Medicaid duals and high-risk rural populations.
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Award AnnouncementAug 4, 2026HTML2026Federal
Application Documents (7)
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ApplicationAug 11, 2026PDFUpcoming2026
Utah DHHS is soliciting applications for the PATH 1.4 Community Care Hubs project under the Rural Health Transformation Program, with up to $18M anticipated over five years. Activities include developing rural CCH sites to improve preventive care, integrated behavioral health, and care coordination, serving 25 rural counties. No cost-sharing is required and the program is 100% federally funded. Key contacts: Christine Espinel; Karlee Walker
Event schedule:
- Application Deadline - 08/17/2026 - 5:00 PM MT - Online Qualtrics portal
- Question Submission Deadline - 08/13/2026 - 5:00 PM MT
- Final Q&A Page Update - 08/14/2026 - 5:00 PM MT
- Anticipated Award Notification - 09/04/2026 - MT
- Agreement Period Start - 09/21/2026 - MT
- Agreement Period End - 09/30/2031 - MT
The Rural Health Transformation Program authorizes $50 billion over five years, half allocated equally among all states and half through CMS-determined mechanisms. Utah is guaranteed a minimum of $100 million annually and must submit an application by December 31, 2025, including a comprehensive transformation plan targeting access, outcomes, technology, workforce, and financial stability in rural healthcare.
Event schedule:
- Application Deadline - 12/31/2025
Wyoming received a first-year federal award of $205 million to launch statewide Rural Health Transformation, aimed at improving access to emergency medical care, sustaining rural hospitals, and addressing critical workforce, maternal, and behavioral health challenges. Strategic priorities were developed through extensive public engagement, town halls, and surveys, directing funds and initiatives toward the most pressing needs in rural and frontier communities. The program employs targeted incentives, new technology platforms, and expanded workforce education to address longstanding disparities in rural health access and outcomes. Key contacts: Wyoming Hospital Association; Wyoming EMS Association; Wyoming Medical Society; University of Wyoming
Event schedule:
- Wyoming Department of Health RHTP document issue date - 2026-05-08 - Wyoming
- SNAP waiver draft bill passed Joint Committee - 2025-10-16 - Wyoming Legislature
- SNAP waiver bill introduction (expected) - 2026-02-01 - Wyoming Legislature
- Wyoming Department of Health Report Publication - 2026-05-08
Wyoming's Rural Health Transformation Program aims to improve rural and frontier health using $200 million (requested) to address EMS, workforce, technology, and population health issues. The application addresses long-standing access challenges in EMS response, provider shortages, and maternal health deserts. Priorities were informed by 11 statewide town halls and an online survey with over 1,300 responses.
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Show all initiatives (42)
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Use technology and payment models to improve chronic disease management and bring care closer to home.
Sustainable access
Workforce development
Tech innovation
Make rural America healthy
Innovative care
Improve the financial viability of small, rural hospitals to provide basic services to their communities
Expand affordable health insurance options
Recruit and retain primary care physicians to improve access and build longer relationships with patients
Train and recruit more nurses and related direct care workforce to improve staffing at hospitals and long-term care facilities
Strengthen obstetric/gynecological, labor/delivery and related services to provide safe childbirth
Recruit and retain more home health aides, and invest in home-and community-based alternatives to nursing home care
Expand the integration of behavioral health and primary care for whole person treatment
Improve access to specialty medical care in local communities
Improve or sustain ambulance availability for timely emergency responses
Report Documents (1)
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ReportNov 3, 2026PDF2027-2028
The Governor's FY 2027-28 budget request emphasizes the urgent need to constrain state Medicaid spending to ensure fiscal sustainability while maintaining access, especially in rural and underserved communities. It proposes aligning Medicaid growth to the state's revenue limit, emphasizes collaboration with the legislative Medicaid Commission, and details the impact of federal changes and proposed cost controls. The report also notes sustained investment in health and education and the challenges associated with Medicaid’s rapid cost growth.
Event schedule:
- Release of Ponderosa Mountain Pine Beetle Task Force Recommendations - 2026-12-01 - Colorado
- Release of Energy and Carbon Management Commission Recommendations - 2026-11-15 - Colorado
- Distribution of $15 million to local law enforcement agencies under Proposition 130 - 2026-12 - Colorado
- Partnership Agreement signed - 2024-09-23 - Colorado
- State Land Board acting on Trust Lands Conservation and Recreation Work Group recommendations - 2026-10-01 - Colorado
Budget: $51.3BFINANCE · POPULATION_HEALTH · OTHER · QUALITY_IMPROVEMENT · WORKFORCE
Event Schedule
Release of Ponderosa Mountain Pine Beetle Task Force Recommendations - 2026-12-01 - Colorado
Release of Energy and Carbon Management Commission Recommendations - 2026-11-15 - Colorado
Distribution of $15 million to local law enforcement agencies under Proposition 130 - 2026-12 - Colorado
Show all schedule items (5)
Release of Ponderosa Mountain Pine Beetle Task Force Recommendations - 2026-12-01 - Colorado
Release of Energy and Carbon Management Commission Recommendations - 2026-11-15 - Colorado
Distribution of $15 million to local law enforcement agencies under Proposition 130 - 2026-12 - Colorado
Partnership Agreement signed - 2024-09-23 - Colorado
State Land Board acting on Trust Lands Conservation and Recreation Work Group recommendations - 2026-10-01 - Colorado
Core Initiatives
Build opportunity through fiscal responsibility
Expand access to health coverage for all Coloradans
Put Medicaid on a financially sustainable path
Show all initiatives (19)
Build opportunity through fiscal responsibility
Expand access to health coverage for all Coloradans
Put Medicaid on a financially sustainable path
Preserve access to care for rural and vulnerable communities
Prioritize essential services for health and education
Strengthening Behavioral Health and Safety
Expanding Opportunities for Housing
Historic Advancements in Transportation
Building a Safer Colorado
Protecting Coloradans from Destructive Wildfires and Natural Disasters
Responsibly Managing State Prisons
Saving People Money on Taxes
Saving People Money on Healthcare
Protecting Our Environment and Expanding Outdoor Opportunities
Protect Colorado's water rights and resources
Strengthen conservation funding and ecosystem protection
Expand outdoor recreation opportunities
Promote efficient government operations and better services
Strengthen the state employee workforce and compensation
Reference Documents (17)
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ReferenceNEWNov 5, 2026HTML
Wyoming's Rural Health Transformation Program (RHTP) has completed its first-year funding allocations, distributing $205 million across four major initiatives to improve healthcare access. Crook County Medical Services District received $1.65 million and Crook County EMS received $2.2 million. The initiatives focus on emergency medical care, workforce supply, health technology transformation, and overall population health improvements. Funding supports initiatives such as critical access hospital incentives, EMS regionalization, workforce education, and technology-enabled care.
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ReferenceJul 12, 2026HTML
The Teton County Health Department (TCHD) is preparing to apply for state-allocated funds from Wyoming's share of the federal Rural Health Transformation Program (RHTP). The department plans to support initiatives in technology, integrated primary care, and care coordination for dual-eligible Medicare/Medicaid recipients. Wyoming received $205 million as part of the $50 billion RHTP, with local entities encouraged to develop their own project proposals. Funding applications are due August 2, with all funds distributed by October 1.
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ReferenceJul 11, 2026PDF2026
This FAQ provides guidance for applicants to the RHTP's technology challenge and initiative funding, clarifies multiple applications rules, and details cost eligibility. Entities may submit multiple applications for different initiatives and request administrative costs if justified, but indirect costs are not funded.
Event schedule:
- , 2026 - July 10 - FREQUENTLY ASKED QUESTIONS
Other Documents (2)
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OtherNEWNov 5, 2026TXT
Wyoming's Health Transformation Program (RHTP) and Crook County have funding allocations complete for the first year of Wyoming's Rural program.
OTHER
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OtherMay 24, 2026PDF
Pregnant By Choice is a Wyoming Medicaid program extending contraceptive coverage to women postpartum beyond the standard 60 days. It aims to reduce unintended pregnancies and improve maternal and child health by providing education, exams, and family planning services.
POPULATION_HEALTH
Core Initiatives
Improve maternal and child health outcomes
Increase access to family planning services for postpartum women
Reduce unintended pregnancies through education and contraceptive services
RHTP Milestones
Sept 21, 2026 – Sept 30, 2031
Agreement Period for CCH Initiative
The CCH initiative agreement period spans from September 21, 2026 to September 30, 2031.
Site Activity (14)
WY state summary updated: transformationStrategy initiatives: 15 -> 4
Wyoming’s Rural Health Transformation Program (RHTP) is structured around a milestone-driven, state-led strategy emphasizing four core prior…
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WY - 2026 - Wyoming RHTP Allocates $205M for Rural Health Transformation
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WY - 2026 - Facilities MainTemplate and Instructions
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WY - 2026 - Vehicles MainTemplates and Instructions
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WY - 2026 - Teton County Health Dept. Seeks State RHTP Funds for Rural Health
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Wyoming U.S. Census Bureau - Population Division B RHTP 2003 Data
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WY - 2018 - Claim Type and Payment Methodologies
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Certification of County Canvass
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Rules for the Special Education Component within the Education Resource Block Grant Model
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Incident Management Specialist Regions Contact List
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Wyoming Department of Health - Healthcare Financing and Medicaid/Kid Care CHIP Overview
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WY - 2018 - TPL Requirements – Payment of Claims
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WY - 2018 - Institutionalized Medicaid Member; State Plan
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WY - 2018 - TPL Compliance Library Links
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WY - 2018 - “Appropriate Payer Solution” – DART Chart Outbound Data Structure to WY MMIS
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
WY - 2026 - RHT in Wyoming Revised project narrative submitted to the Centers for Medicare and Medicaid Services pursuant to post-award discussions and contingent upon budget approval
- Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
The RHT Program will provide $50B over five years to states, beginning FY2026. Funding will support workforce, technology, care models, chronic disease, and behavioral health system development. Only US states are eligible. Key contacts: MAHARural@cms.hhs.gov
Event schedule:
- Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
- Applicants Webinar - September 19, 2025
- Application Deadline - November 10, 2025
- Award Decisions - December 31, 2025
Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
Applicants Webinar - September 19, 2025
Application Deadline - November 10, 2025
Show all schedule items (4)
Notice of Funding Opportunity Released - September 15, 2025 - grants.gov
Applicants Webinar - September 19, 2025
Application Deadline - November 10, 2025
Award Decisions - December 31, 2025
Contacts
<MAHARural@cms.hhs.gov> - Program contact - National
Core Initiatives
Make rural America healthy again
Sustainable access
Workforce development
Show all initiatives (5)
Make rural America healthy again
Sustainable access
Workforce development
Innovative care
Tech innovation
Wyoming received final federal approval for a $205 million, five-year Rural Health Transformation Program funding to improve rural healthcare. The state engaged legislators, healthcare providers, and the public to design a plan that addresses rural and frontier healthcare needs while ensuring program compliance.
Event schedule:
- Obligation deadline for Year 1 funding - 10/31/2026
Obligation deadline for Year 1 funding - 10/31/2026
Core Initiatives
Expand access to rural healthcare services
Transform the economics of basic care in rural communities
Recruit and train rural health providers
Show all initiatives (4)
Expand access to rural healthcare services
Transform the economics of basic care in rural communities
Recruit and train rural health providers
Sustain and improve healthcare delivery in rural and frontier areas
The program focuses on key priorities including chronic disease prevention and behavioral health, sustaining access to care, innovative care delivery and payment models, workforce development, and advances in technology and consumer health solutions. Wyoming's Year One timeline includes award announcements, legislative action for funding appropriations, development of RFAs and RFPs, and contract execution deadlines spanning from December 2025 through October 2026.
Event schedule:
- First-year award announced - December 29, 2025
- Revised budget due to CMS - January 20, 2026
- Initial meetings with CMS project staff - January 2026 – February 2026
- Legislative action – appropriation of funds - February 2026 – March 2026
- Request for Application (RFA) and Request for Proposal (RFP) development - June 2026 – July 2026
- Tentative application submission window - July 2026
- Awards made; funds drawn down - August 2026 – September 2026
- Contract execution deadline - October 1, 2026
Event Schedule
First-year award announced - December 29, 2025
Revised budget due to CMS - January 20, 2026
Initial meetings with CMS project staff - January 2026 – February 2026
Show all schedule items (8)
First-year award announced - December 29, 2025
Revised budget due to CMS - January 20, 2026
Initial meetings with CMS project staff - January 2026 – February 2026
Legislative action – appropriation of funds - February 2026 – March 2026
Request for Application (RFA) and Request for Proposal (RFP) development - June 2026 – July 2026
Tentative application submission window - July 2026
Awards made; funds drawn down - August 2026 – September 2026
Contract execution deadline - October 1, 2026
Core Initiatives
Chronic disease prevention and behavioral health
Sustaining access to care in rural communities
Innovative approaches to care delivery and payment models
Show all initiatives (6)
Chronic disease prevention and behavioral health
Sustaining access to care in rural communities
Innovative approaches to care delivery and payment models
Workforce development and training
Technological and consumer health solutions
IT advances and technical assistance
Utah DHHS is soliciting applications for the SPRINT Consortium to implement a major, federally funded rural health transformation initiative under RHTP. Up to $59.2M in Year 1 is available, with the anticipated award covering technology, infrastructure, workforce, and care transformation activities targeting rural Utah. This RFGA outlines detailed eligibility, application, and oversight requirements and emphasizes consortium-driven innovation and outcomes. Key contacts: Nune Phillips; Jackie Patel; Mason Payne
Event schedule:
- Letter of Intent Deadline - 07/27/2026 - 5:00 p.m. MT - Email to ruralht@utah.gov
- Deadline to Submit Questions - 08/05/2026 - 5:00 p.m. MT - Email to ruralht@utah.gov
- Final Q&A Page Update - 08/06/2026 - 5:00 p.m. MT - https://dhhs.utah.gov/ruralhealth/funding-opportunities/
- Application Deadline - 08/07/2026 - 5:00 p.m. MT - Application portal
- Applicant Notification of Award - 08/26/2026
Mason Payne - RHTP Program Coordinator - Statewide
Core Initiatives
Make rural Utahns healthy
Workforce development
Innovation and access
Show all initiatives (4)
Make rural Utahns healthy
Workforce development
Innovation and access
Technology innovation
The program focuses on access to emergency medical care, rural workforce supply, health technology transformation, and the 'Make Wyoming Healthy Again' initiative. Awards are expected to be obligated by October 30, 2026, and fully expended by September 30, 2027. Wyoming’s RHTP includes multiple RFAs for different sub-initiatives with application deadlines on August 2, 2026.
Event schedule:
- On , 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengt...
Event Schedule
On , 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengt...
Core Initiatives
Improve access to emergency medical care
Strengthen rural health workforce supply
Advance health technology transformation
Show all initiatives (4)
Improve access to emergency medical care
Strengthen rural health workforce supply
Advance health technology transformation
Promote overall health improvement under 'Make Wyoming Healthy Again'
Recruit and retain more medical support staff for the healthcare industry
Improve nursing home quality and sustainability, with increased capacity for higher needs
Expand inpatient behavioral health care including crisis stabilization, psychiatric, residential addiction, and recovery services
Improve hospital accountability to cities and counties to reflect community needs
Build out mobile healthcare units to bring basic primary and preventive care to where people live
Improve coordination and referral of existing community services for patients and those in need
Expand options for behavioral healthcare for high-needs children to be served closer to home
Streamline paperwork and administrative burdens on healthcare providers to improve patient care focus
Expand licensure reciprocity and scope of practice to increase provider access including telehealth
Add transportation options for medical appointments, senior centers, and activities
Assist county jails and hospitals in managing people with high behavioral health needs
Invest in suicide prevention activities
Keep more medical care in-state rather than leaking out of state
Improve physician access to consult with specialists via telemedicine
Improve palliative and hospice care for end of life
Increase Emergency Medical Services training to improve ambulance care quality
Improve diabetes care by increasing access to dialysis, nutrition, podiatry, and specialty services
Improve prescription drug and pharmacy availability
Improve access to healthy foods and nutrition education
Encourage exercise, physical activity, and healthy lifestyle choices
Recruit and retain more dentists and hygienists to improve dental care access
Assist people with technology to better use telehealth
Reduce state regulations on healthcare providers, particularly in long-term care settings
Limit federal money and regulations in Wyoming's healthcare system