Program Overview
Arkansas’s Rural Health Transformation Program is currently in active implementation, with applications open for initiative funding through HEART, RISE, PACT, and THRIVE. The program focuses on improving access, population health, telehealth integration, workforce development, and emergency services modernization across high-need rural regions, guided by ongoing stakeholder input. Behavioral health transition services and community partnership networks remain priority focus areas. Current structured plan tracks 10 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across Arkansas — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (75)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Pulaski County | 399,818 | 16.7% | 12.7% |
| Benton County | 303,632 | 7.6% | 5.4% |
| Washington County | 256,765 | 14.6% | 8.5% |
| Sebastian County | 128,900 | 16.0% | 11.0% |
| Faulkner County | 127,717 | 14.5% | 9.9% |
| Saline County | 127,479 | 8.8% | 6.2% |
| Craighead County | 113,249 | 20.1% | 14.5% |
| Garland County | 100,035 | 15.8% | 11.0% |
| White County | 77,838 | 17.5% | 14.1% |
| Lonoke County | 75,272 | 10.4% | 7.6% |
| Jefferson County | 64,802 | 18.6% | 14.8% |
| Pope County | 64,131 | 16.9% | 12.3% |
AI source: AR - 2026 - Arkansas RHTP
AI auto-updated Aug 8, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Oct 31, 2025
4 related documents
AR - 2026 - Arkansas RHTP Resources and FAQs
Auto-grouped context match (38%)
1,191,671 rural residents
Arkansas is actively soliciting detailed applications from potential subgrantees for the Rural Health Transformation Program, with multiple NOFOs now released for initiatives such as HEART, PACT, RISE, and THRIVE. The state is accepting proposals from eligible rural entities for sub-initiative funding under HEART and other core program components, but no sub-awards have been issued yet. The program is in the pre-award solicitation phase for these initiatives and remains in active implementation. Strategy alignment supports care access and prevention priorities. State opportunities: 1 active (1 closing soon, 3 past/closed), $149.8M listed funding. Key opportunities: Healthy Eating, Active Recreation, and Transformation (HEART); Promoting Access, Coordination, and Transformation (PACT); Recruitment, Innovation, Skills, & Education for Arkansas (RISE AR). Strategy alignment: supports workforce, prevention, telehealth priorities.
Arkansas’s RHTP strategy focuses on practical, targeted solutions to strengthen rural health systems for Medicaid members and at-risk populations. The program leverages phased, grant-driven investment in technology, facility construction, supported housing, preventive health, and community partnerships—including major initiatives like HEART, PACT, RISE, and THRIVE. Evidence-based models, transparent funding, and outcome tracking support accountability and sustainable health improvements in rural regions.
Model
A statewide, grant-funded model requiring rural-serving organizations to demonstrate operational experience in behavioral health, substance abuse, supported housing, prevention, rural health, or health technology. Service delivery is anchored in multi-sector partnerships—schools, providers, community groups, and faith organizations—and targets workforce advancement, telehealth, infrastructure, and population health needs. Rigorous data, program evaluation, and compliance protocols ensure measurable results and long-term impact.
Key Initiatives (10)
Timeline: Major RHTP facility construction, renovation, and initiative launches—including HEART, PACT, RISE, and THRIVE—are staged from 2024 through at least September 2027. Application and funding phases align with NOFO release and closing dates, milestone-based implementation, annual evaluations, and ongoing compliance monitoring.
High-need rural counties, particularly in the Delta, Ozarks, and southwest Arkansas, face elevated hospital vulnerability, poverty, and chronic disease rates.
Arkansas is accepting applications for $3 million in grants to support housing for young adults with behavioral health needs aging out of state custody or group homes. Grants fund construction or renovation of physical infrastructure for transitional housing. Applicants must be Medicaid providers or have a pathway to enrollment and commit to required repo...
HEART is a major initiative of the Arkansas Rural Health Transformation Program, focusing on prevention and wellness through coordinated sub-initiatives targeting nutrition, exercise, workforce, behavioral health, food access, and integrated care models. Funds are available for a range of partners including state agencies, schools, hospitals, community or...
AR - 2026 - Accessibility Statement for Arkansas RHTP
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AR - 2026 - Newsroom - Arkansas Governor - Sarah Huckabee Sanders
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AR - 2026 - Sanders Announces Applications are Open for $209 Million in RHT Funds
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Arkansas Department of Finance and Administration (DF&A)
Due Aug 7, 2026
1 related document
AR - 2026 - Healthy Eating, Active Recreation, and Transformation (HEART) Notice of Funding Opportunity
Primary source
Arkansas Department of Finance and Administration (DF&A)
Due Jul 24, 2026
2 related documents
AR - 2026 - Recruitment, Innovation, Skills, and Education for Arkansas (RISE AR) Notice of Funding Opportunity
Primary source
Arkansas Department of Finance and Administration (DF&A)
Due Jul 10, 2026
7 related documents
AR - 2025 - Sanders Announces Arkansas’ Application for Rural Health Funding
Auto-grouped context match (43%)
This announcement marks one year since the launch of the Rural Health Transformation Fund and signals an ongoing conversation about the program’s impact and next steps. Maya Sandalow, associate director, is featured in the discussion. No additional program specifics or funding details are included.
This application narrative requires organizations to detail their structure, leadership, Medicaid provider status, operational experience, populations served, services offered, and staffing. Special emphasis is placed on behavioral health transition services and community partnership networks.
Core Initiatives
This document outlines required attestation statements for organizations applying to a grant aimed at increasing services for Arkansas Medicaid members. Applicants must agree not to use funds for existing costs or Medicaid-reimbursable services and ensure compliance with reporting and grant requirements. Authorized signatories must provide a signed cover letter detailing their mission and grant objectives.
This document is a grant application narrative template soliciting eligible organizations to apply for up to $3,000,000 in funding. It requires applicants to detail their organizational structure, experience providing behavioral health and transition services, populations served, and outcomes achieved. Emphasis is placed on serving children and young adults with behavioral health needs in rural Medicaid settings.
Applicants must provide a cover letter summarizing their mission and anticipated outcomes. The attestation section requires fiscal authority signoff and compliance with grant rules, including prohibitions on supplanting funds and lobbying expenses. Commitment to serving Arkansas Medicaid members is required.
Core Initiatives
This document outlines required content for applicants submitting a cover letter and attestation form as part of a grant application, including compliance statements and fiscal authority confirmation. It includes required assurances about use of funds and eligibility for Arkansas Medicaid Members.
Arkansas’s RHT Program addresses urgent rural health challenges including high rates of chronic disease, maternal mortality, and hospital closure risk. The plan utilizes evidence-based preventive interventions, modernizes technology infrastructure, expands telehealth and workforce, and launches community-driven initiatives such as the HEART and PACT programs. Over five years, Arkansas aims to reduce health disparities in rural regions, strengthen provider networks, and ensure sustainable access to care. Event schedule: - Version 6 document update - 03/31/2026 - Presidential Fitness Test implementation target - 12/31/2028 - Arkansas public schools - Pharmacist scope of practice legislative enactment target - 12/31/2027 - Arkansas State Legislature - HEART Initiative Stage 0 - FY26 Q1 - HEART Initiative Stage 1 - FY27 Q1 - HEART Initiative Stage 2 - FY28 Q3 - HEART Initiative Stage 3 - FY30 Q1 - HEART Initiative Stage 4 - FY31 Q1
Core Initiatives
Event schedule: - , 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation - , 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis - , 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care - , 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers - , 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program - , 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill - , 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill - , 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
Event Schedule
This bipartisan Senate letter urges CMS to adjust RHTP implementation to increase support for frontline rural providers, particularly smaller and independent hospitals and clinics. The letter calls for increased flexibility on infrastructure, EHR, and HIT investments and encourages direct support to under-resourced rural facilities. Recommendations center on improving access to RHTP funding and ensuring program flexibility to address on-the-ground rural health challenges.
Core Initiatives
The document is a high-level navigation or information page from the American Hospital Association website referencing rural health topics and resources. It contains no specific information on RHTP awards, programs, or funding details.
The landing page is for the Arkansas Rural Health Transformation Program Application, indicating the program's active outreach and administrative support. Details about the specific program components and eligibility are not given in the visible content.
AR RHTP site updated — 31 new doc(s)
AR - 2026 - The RHT Fund: One Year Later (2026-07-01-listserv-Google Alert - rural health transformation)
Jul 1, 2026 16:07
·EmailAR RHTP site updated — 1 new doc(s)
AR canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
AR canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
AR - 2026 - Budget Plan
XLSX
AR - 2027 - procurement announcements
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AR - 2026 - news feed
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AR - 2026 - RISE AR Recruitment, Innovation, Skills, & Education for Arkansas Healthcare NOFO Announcement
Program page
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Notice of Funding Opportunity: Promoting Access, Coordination, and Transformation (PACT)
AR - 2026 - View the PACT NOFO document here.
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Budget Template - PACT
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Facility Information Template - PACT
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Financial Information Template - PACT
AR - 2026 - Project Plan Template.xlsx
Project Plan Template - PACT
The AHA urges CMS to prioritize and streamline state applications for the Rural Health Transformation Program, emphasizing the importance of hospital payments, workforce investments, infrastructure modernization, and telehealth expansion. The letter advocates for flexible application deadlines, transparency in fund allocation, and the removal of pre-funding requirements to help financially vulnerable hospitals. The AHA stresses the need for targeted, timely support to sustain access to care in rural communities. Key contacts: Joanna Hiatt Kim jkim@aha.org Event schedule: - AHA Letter to CMS submission - 08/11/2025
Contacts
Core Initiatives
Core Initiatives
This comprehensive applicant guide details the full Rural Health Transformation Program (RHTP) application process for Arkansas, including eligibility, required documentation, application navigation, and budget templates. It outlines sub-initiatives under HEART, RISE AR, PACT, and THRIVE that applicants may align with, covering a wide range of activities from clinical integration to EMS modernization and workforce development. The guide provides detailed instructions for completing each section of the application and emphasizes alignment with rural health priorities.
Core Initiatives
Arkansas's RHTP budget narrative organizes $208M across four major initiatives addressing nutrition, care access, workforce, and telehealth/infrastructure. BDO GS is the third-party administrator for contracting and oversight; all subawards will be competitively issued under CMS guidance. The strategy emphasizes transparent processes, measurable outcomes, and programmatic alignment with federal rural health priorities. Key contacts: Brad Nye Event schedule: - BDO GS Hiring Deadline - 03/21/2026
Contacts
Core Initiatives
Arkansas’s Rural Health Transformation Program (RHTP) addresses dire rural health access, hospital sustainability, and chronic disease, aiming to transform systems over five years with $150 million in coordinated state and federal funding. Major goals include improving maternal, chronic, and behavioral health, deploying new telehealth and information technology, building integrated care networks, and expanding the rural health workforce. Selected initiatives include large-scale prevention efforts (nutrition, activity, chronic disease), transportation and EMS upgrades, workforce education, and facility improvement strategies.
Event Schedule
Core Initiatives
A bipartisan group of U.S. senators formally urged CMS to improve the implementation and flexibility of the Rural Health Transformation Program. The letter highlights concerns around current RHTP guidance and suggests further steps, such as lifting caps on infrastructure funding and clarifying provider payments. CMS's recent clarification allowing workforce recruitment, infrastructure investments, and technical assistance is described as positive but insufficient. Event schedule: - Senate letter urging CMS improvements - 06/18/2026
Event Schedule
Core Initiatives
AR - 2026 - ARPA Grants - Arkansas Department of Human Services
HTML
AR - 2026 - 15 Community Action Agencies
DOCX
Arkansas April 29, 2026 The Honorable Shelley Moore Capito Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S.
2027 · PDF
Arkansas April 29, 2026 The Honorable Robert Aderholt Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S. House
2027 · PDF
Arkansas AHA Submits Requests To Senate For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference
2027 · HTML
AR - 2026 - Arkansas Comprehensive Unwinding Plan
2023 · PDF
AR - 2026 - Handbook
2022 · PDF
Google Alert - rural health transformation