# Colorado — Rural Health Transformation Program (RHTP)

The Colorado Rural Health Transformation Program (RHTP) is a federally funded initiative administered by the Department of Health Care Policy and Financing (HCPF) in partnership with CMS, now actively implementing statewide for the 2026–2027 cycle. The program supports rural hospitals, clinics, EMS agencies, and community organizations through grants, technical assistance, centralized resources, advisory committee oversight, and ongoing stakeholder engagement. Current implementation focuses on structured planning, vendor and partnership collaboration, regular advisory and grantee meetings, and prioritized initiatives such as chronic disease prevention, workforce development, value-based care, telehealth, and care coordination. Current structured plan tracks 10 key initiatives and 26 strategic goals.

## At a glance

- Federal awards to date: $397,270,537.28 (Year 1 $200.1M + Year 2 $197.2M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 12 (0 open or announced, 12 closed)
- Awards recorded: $177.9M to 97 recipients
- Critical Access Hospitals: 14
- Rural population share: 15%

## Current progress

Colorado has completed RHTP grant application review and awarded nearly $170M to 92 rural healthcare providers and partners across 251 program areas, supporting initiatives in telehealth, workforce, EMS, behavioral health, and maternal/pediatric care. BY1 funds are 100% obligated with 92 grant contracts, 2 interagency agreements, 7 contracts, and 2 tribal awards, and awardees have begun implementing funded projects. Ongoing stakeholder engagement, grantee support resources, and preparations for BY2 budgets and narratives are underway. Technical assistance, statewide partner activities, and performance measurement efforts are in progress, with active implementation confirmed by recent local and CMS reports. State opportunities: 9 total (9 past/closed), $141.3M listed funding. Key opportunities: Colorado RHTP: Value-Based Care and Rural Workforce Grants; Colorado RHTP: Whole Person Health and Alternative Care Models; Colorado RHTP: Strengthen and Expand the Rural Health Workforce. Strategy alignment: supports workforce, telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 0 of 19
- Initiatives (10), current CMS stage of each:
  - Build and Connect Colorado's Rural Health Networks — Stage 1
  - Build Data and Evaluation Infrastructure for Chronic Disease Programs: Diabetes, Cardiovascular Disease, Hypertension, and Obesity — Stage 2
  - Design and Pilot Rural Value-based Care Model(s) — Stage 1
  - Expand Clinical Capacity to Perform Preventive Care — Stage 2
  - Expand Rural Telehealth & Technology Integration — Stage 2
  - Strengthen and Expand the Rural Health Workforce — Stage 1
  - Strengthen Rural Care Delivery Systems — Stage 1
  - Strengthening State and Local Health Care Coordination — Stage 2
  - Sustain Rural Hospital Operations and Regulatory — Stage 1
  - Transforming Rural Care: Chronic Disease Prevention, Training and Management — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (12, most recent first)

- [Colorado RHTP: Advisory Board and Outreach for Hospitals](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-advisory-board-and-outreach-for-hospitals--e6e3671abc) — RFA; Closed; due 2026-08-03; $420,000
- [Colorado RHTP: EMS Transport Coordination and Coverage](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-ems-transport-coordination-and-coverage--399df4721d) — RFA; Closed; due 2026-08-03; $4.4M
- [Colorado RHTP: Mini-Grants to Rural Hospitals](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-mini-grants-to-rural-hospitals--22e1b79c62) — RFA; Closed; due 2026-08-03; $4.1M
- [Colorado RHTP: Strengthen and Expand the Rural Health Workforce](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-strengthen-and-expand-the-rural-health-workforce--8c5d5f7143) — RFA; Closed; due 2026-08-03; $23.4M
- [Colorado RHTP: Value-Based Care and Rural Workforce Grants](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-value-based-care-and-rural-workforce-grants--13071a9e99) — RFA; Closed; due 2026-08-03; $4.1M – $62.6M
- [Colorado RHTP: Whole Person Health and Alternative Care Models](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-whole-person-health-and-alternative-care-models--a13371288d) — RFA; Closed; due 2026-08-03; $40.0M
- [Colorado RHTP 2026 Multi-Track Grants](https://www.ruralcarejourney.com/opportunities/colorado-rhtp-2026-multi-track-grants--f4a9911be0) — RFA; Closed; due 2026-08-03
- [Rural Health Centers and Critical Access Hospitals Support Program](https://www.ruralcarejourney.com/opportunities/rural-health-centers-and-critical-access-hospitals-support-program--c9d52a4047) — NOFO; Closed; due 2026-06-01
- [Colorado Rural Health Center Technical Assistance and Analytics Support](https://www.ruralcarejourney.com/opportunities/colorado-rural-health-center-technical-assistance-and-analytics-support--450d8c7d63) — RFP; Closed; due 2026-05-29; $6.5M
- [Colorado Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/colorado-federal-rhtp-award-year-1-fy-2026--8cc7a97250) — AWARD; Closed; $200.1M
- [Colorado Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/colorado-federal-rhtp-award-year-2-fy-2027--779680f71b) — AWARD; Closed; $197.2M
- [Colorado eHealth Solutions Challenge — Three Winning Projects Announced](https://www.ruralcarejourney.com/opportunities/colorado-ehealth-solutions-challenge-three-winning-projects-announced--36400f19f2) — AWARD; Closed

## Largest recorded awards

- Salud Family Health — $8.4M (FY2026)
- Lutheran Hospital Association of the San Luis Valley dba San Luis Valley Health (Regional Medical Center) — $7.9M (FY2026)
- Kremmling Memorial Hospital District, dba Middle Park Health — $7.3M (FY2026)
- Rocky Mountain Clinics, LLC dba Porch Light Health — $6.6M (FY2026)
- Colorado Rural Health Center (CRHC) — $6.5M (FY2026-2031)
- Valley-Wide Health Systems, Inc — $6.4M (FY2026)
- East Phillips County Hospital — $5.9M (FY2026)
- Colorado Community Managed Care Network d/b/a Carina Health Network — $5.4M (FY2026)
- Colorado Whole Blood Coalition — $5.0M (FY2026)
- Wray Community District Hospital — $5.0M (FY2026)
- Denver Recovery Group, LLC — $4.9M (FY2026)
- Gunnison Valley Hospital — $4.5M (FY2026)
- Upper San Juan Health Service District d/b/a Pagosa Springs Medical Center (PSMC) — $4.2M (FY2026)
- Keefe Memorial Health Service District dba Keefe Memorial Hospital — $4.1M (FY2026)
- Montrose Memorial Hospital, Inc. dba Montrose Regional Health — $3.8M (FY2026)

## Official sources RCJ monitors

- [Colorado Governor News (implementation signals)](https://governorsoffice.colorado.gov/governor/news)
- [CO RHTP Primary](https://hcpf.colorado.gov/rural-health-transformation-program)

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