# Alabama — Rural Health Transformation Program (RHTP)

The Alabama Rural Health Transformation Program (ARHTP), administered by the Alabama Department of Economic and Community Affairs (ADECA), is a statewide multi-year initiative advancing rural health transformation through ongoing funding cycles and workshops. Year 1 application periods have closed and Year 2 opportunities are forthcoming, with structured technical assistance and events for applicants. The focus remains on capacity building, sustainability, and innovative care models. Current structured plan tracks 11 key initiatives and 7 strategic goals.

## At a glance

- Federal awards to date: $402,683,127.94 (Year 1 $203.4M + Year 2 $199.3M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 14 (1 open or announced, 13 closed)
- Awards recorded: $198.5M to 96 recipients
- Critical Access Hospitals: 17
- Rural population share: 22%

## Current progress

Alabama completed Year 1 of ARHTP funding, awarding grants in two rounds with all 11 initiative application periods now closed. Subrecipient agreements are executed, and organizations are onboarding, completing compliance processes, and preparing budgets for procurement and reimbursement review. Year 2 applications will reopen, and multiple workshops and kickoff meetings were conducted in 2026 to support implementation. Providers are actively implementing projects across rural health priorities under continuing state oversight. State opportunities: 11 total (11 past/closed), $270.1M listed funding. Key opportunities: Alabama Rural Health Transformation Program (ARHTP) 2025–2030: Statewide Strategy and Project Narrative; Alabama Rural Health Transformation Program (ARHTP), Rural Health Initiative; Alabama RHTP Collaborative EHR, IT, and Cybersecurity Initiative. Strategy alignment: supports workforce, telehealth, maternal health priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 1 of 19
- Initiatives (11), current CMS stage of each:
  - Cancer Digital Regionalization Initiative - Prevention, Screening and Treatment — Stage 1
  - Collaborative EHR, IT, and Cybersecurity Initiative — Stage 1
  - Community Medicine Initiative — Stage 1
  - EMS Treat-in-place Initiative — Stage 1
  - Maternal and Fetal Health Initiative – Obstetric Digital Regionalization Initiative — Stage 1
  - Mental Health Initiative — Stage 1
  - Rural Health Initiative — Stage 1
  - Rural Health Practice Initiative — Stage 1
  - Rural Workforce Initiative — Stage 1
  - Simulation Training Initiative — Stage 1
  - Statewide EMS Trauma and Stroke Initiative — Stage 1
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Alabama RHTP: Application Preparation Workshops](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-application-preparation-workshops--84d81b7254) — GUIDANCE; Open

## Closed opportunities (13, most recent first)

- [Alabama RHTP Cancer Digital Regionalization Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-cancer-digital-regionalization-initiative--5a88ffe45f) — NOFO; Closed; due 2026-08-07; $6.9M – $8.1M
- [Alabama RHTP Emergency Medical Services (EMS) Treat-in-Place Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-emergency-medical-services-ems-treat-in-place-initiative--c4a407d7b8) — NOFO; Closed; due 2026-08-07
- [Alabama RHTP Maternal and Fetal Health Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-maternal-and-fetal-health-initiative--2ad5320020) — NOFO; Closed; due 2026-08-07
- [Alabama RHTP Simulation Training Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-simulation-training-initiative--0866a109cc) — NOFO; Closed; due 2026-08-07; $1.0M
- [Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-statewide-emergency-medical-services-ems-trauma-and-stroke-initiati--4d5691d2e2) — NOFO; Closed; due 2026-08-07; $4.0M
- [Alabama Rural Health Transformation Program (ARHTP), Rural Health Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rural-health-transformation-program-arhtp-rural-health-initiative--80a5952226) — NOFO; Closed; due 2026-06-26; $100,000 – $60.9M
- [Alabama RHTP Collaborative EHR, IT, and Cybersecurity Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-collaborative-ehr-it-and-cybersecurity-initiative--25ba7365cc) — NOFO; Closed; due 2026-06-26; $250,000 – $31.6M
- [Alabama RHTP Rural Workforce Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-rural-workforce-initiative--22942eaa7b) — NOFO; Closed; due 2026-06-26; $25.0M
- [Alabama Rural Health Practice Initiative](https://www.ruralcarejourney.com/opportunities/alabama-rural-health-practice-initiative--bdfb81044f) — NOFO; Closed; due 2026-06-26; $6.9M
- [Alabama Rural Health Transformation Program (ARHTP) 2025–2030: Statewide Strategy and Project Narrative](https://www.ruralcarejourney.com/opportunities/alabama-rural-health-transformation-program-arhtp-2025-2030-statewide-strategy-a--5a3f1839c5) — GRANT; Closed; due 2026-06-26; $125.0M
- [Alabama Rural Health Transformation Program (Mental Health Initiative)](https://www.ruralcarejourney.com/opportunities/alabama-rural-health-transformation-program-mental-health-initiative--b9c31c8a09) — NOFO; Closed; due 2026-06-26; $7.5M
- [Alabama Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/alabama-federal-rhtp-award-year-1-fy-2026--baf035ae2b) — AWARD; Closed; $203.4M
- [Alabama Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/alabama-federal-rhtp-award-year-2-fy-2027--709794324f) — AWARD; Closed; $199.3M

## Largest recorded awards

- Alabama Community College System — $21.4M (FY2026)
- Auburn University — $15.4M (FY2026)
- The University of Alabama at Birmingham — $13.8M (FY2026)
- The East Alabama Health Care Authority — $9.3M (FY2026)
- Infirmary Health System Inc. — $8.5M (FY2026)
- The Alabama School of Healthcare Sciences — $7.3M (FY2026)
- The DCH Health Care Authority — $5.0M (FY2026)
- Cahaba Medical Care Foundation — $5.0M (FY2026)
- The University of Alabama — $4.2M (FY2026)
- Healthcare Authority of the City of Greenville – L.V. Stabler Hospital — $4.2M (FY2026)
- Greene County Health System — $3.9M (FY2026)
- Cullman Regional Medical Center Inc. — $3.8M (FY2026)
- Whatley Health Services Inc. — $3.5M (FY2026)
- University of South Alabama — $3.3M (FY2026)
- AltaPointe Health Systems — $3.1M (FY2026)

## Official sources RCJ monitors

- [AL RHTP Primary (Resources)](https://alabamarhtp.com/resources/)
- [AL Governor Press Releases](https://governor.alabama.gov/newsroom/category/press-releases/)
- [Alabama ADECA Rural Health (RHTP)](https://adeca.alabama.gov/alruralhealth)
- [AL RHTP Homepage](https://alabamarhtp.com/)
- [AL Release / Application](https://governor.alabama.gov/newsroom/2025/12/governor-ivey-announces-alabama-secures-more-than-203-million-for-rural-health-transformation-program)
- [AL RHTP Primary](https://adeca.alabama.gov/alruralhealth/)

---
Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/al — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.