# Delaware — Rural Health Transformation Program (RHTP) Delaware’s Rural Health Transformation Program is actively implementing a multi-year strategy through competitive RFPs and awards, supporting the state’s first four-year medical school, expansion of school-based health centers in rural areas, Food Is Medicine infrastructure, and creation of rural health hubs including mobile health units and telehealth services. Major grants to Federally Qualified Health Centers are modernizing technology, improving care coordination, and strengthening workforce initiatives focused on value-based care and chronic disease management. The program’s posture includes newly awarded investments to recruit and retain rural physicians, build healthcare capacity, and expand access across Kent and Sussex counties, with structured plans tracking ongoing initiatives and strategic goals. Current structured plan tracks 15 key initiatives and 9 strategic goals. ## At a glance - Federal awards to date: $317,689,484.86 (Year 1 $157.4M + Year 2 $160.3M) - Implementation phase (RCJ): IMPLEMENTING - Funding opportunities tracked: 17 (0 open or announced, 17 closed) - Awards recorded: $45.8M to 5 recipients - Critical Access Hospitals: 2 - Rural population share: 40% ## Current progress Delaware has received its FY2026 federal RHTP award and issued direct sub-awards to three FQHCs with explicit announced amounts and project details. Implementation projects, including EMR upgrades, mobile health units, and workforce expansion, are beginning across the funded health centers. The Delaware Health Care Commission is processing further applications and establishing active service agreements, with 15 projects underway statewide. Multiple competitive funding opportunities remain open, supporting modernization, care access, and rural workforce initiatives. State opportunities: 15 total (15 past/closed), $206.9M listed funding. Key opportunities: Delaware Medical School Partnership – Rural Health Transformation Program; Delaware Rural 'Hope Center' Initiative; Health Hubs: Mobile Units and Non-Traditional Access Points. Strategy alignment: supports workforce, prevention, care access priorities. ## CMS published status (State Data Maps) - State Policy Action commitments: 6 of 19 - Initiatives (15), current CMS stage of each: - Catalyst Fund for Telehealth and Remote Monitoring — Stage 1 - Delaware Medical School — Stage 2 - Food is Medicine Infrastructure Initiative — Stage 2 - Healthcare Workforce Data Center Initiative — Stage 2 - Medical School Rural Workforce Development Program — Stage 2 - Rural “Hope Center” Initiative — Stage 2 - Rural Community Health Hubs — Stage 1 - Rural Delaware Diabetes Wellness Pilot Program — Stage 2 - Rural Health Workforce Education Program — Stage 1 - Rural Libraries Health Access Initiative — Stage 1 - Rural Medical Residency Recruitment Program — Stage 2 - Rural Provider and FQHC Value-Based Care Readiness Initiative — Stage 2 - School-Based Health Centers Expansion Initiative — Stage 2 - Statewide Health Information Technology Infrastructure for Real-Time Insurance Verification and Prior Authorizations — Stage 2 - Training Programs for Clinical Support Roles in Rural Areas — Stage 1 - CMS data captured 2026-11-11, last confirmed 2026-11-11 ## Open and announced opportunities None open right now. ## Closed opportunities (17, most recent first) - [Food Is Medicine Infrastructure](https://www.ruralcarejourney.com/opportunities/food-is-medicine-infrastructure--9925c88ca3) — GRANT; Closed; due 2026-10-06; $1.6M - [Health Hubs: Mobile Units and Non-Traditional Access Points](https://www.ruralcarejourney.com/opportunities/health-hubs-mobile-units-and-non-traditional-access-points--7ad663cd8f) — GRANT; Closed; due 2026-10-06; $5.5M - [Libraries: Telehealth Support Services](https://www.ruralcarejourney.com/opportunities/libraries-telehealth-support-services--8db7b28fde) — GRANT; Closed; due 2026-10-06; $1.8M - [School-Based Health Centers: New Center Operations](https://www.ruralcarejourney.com/opportunities/school-based-health-centers-new-center-operations--d11afa9286) — GRANT; Closed; due 2026-10-06; $195,000 - [Telehealth and Remote Patient Monitoring RFP](https://www.ruralcarejourney.com/opportunities/telehealth-and-remote-patient-monitoring-rfp--a362f05756) — RFP; Closed; due 2026-10-06 - [Rural Health Transformation Program Support Services (HSS-26-078)](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-support-services-hss-26-078--8b705875bf) — RFP; Closed; due 2026-06-22 - [Delaware Rural 'Hope Center' Initiative](https://www.ruralcarejourney.com/opportunities/delaware-rural-hope-center-initiative--8633b8b8d5) — GRANT; Closed; due 2026-05-31; $97.5M - [Career Pathway Programs for Clinical Support Roles (HSS-26-075)](https://www.ruralcarejourney.com/opportunities/career-pathway-programs-for-clinical-support-roles-hss-26-075--e00b3ece3a) — RFP; Closed; due 2026-05-13 - [Delaware Rural Community Health Hubs](https://www.ruralcarejourney.com/opportunities/delaware-rural-community-health-hubs--5d991ea5df) — RFP; Closed; due 2026-04-17 - [Rural Library-Based Health Access](https://www.ruralcarejourney.com/opportunities/rural-library-based-health-access--eab94552ba) — RFP; Closed; due 2026-04-17 - [Delaware Food Is Medicine Infrastructure Initiative](https://www.ruralcarejourney.com/opportunities/delaware-food-is-medicine-infrastructure-initiative--b0cb02c1b4) — RFP; Closed; due 2026-04-10 - [School-Based Health Center Expansion Initiative – Kent and Sussex Counties](https://www.ruralcarejourney.com/opportunities/school-based-health-center-expansion-initiative-kent-and-sussex-counties--ff19258e58) — RFP; Closed; due 2026-04-10; $195,000 - [Delaware RHTP: Diabetes Wellness Pilot Program (DIABETES)](https://www.ruralcarejourney.com/opportunities/delaware-rhtp-diabetes-wellness-pilot-program-diabetes--e9a91752de) — RFP; Closed; due 2026-03-30 - [Delaware Medical School Partnership – Rural Health Transformation Program](https://www.ruralcarejourney.com/opportunities/delaware-medical-school-partnership-rural-health-transformation-program--70e2ea51a4) — RFP; Closed; due 2026-03-27; $100.0M - [Delaware Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/delaware-federal-rhtp-award-year-1-fy-2026--339bb045d4) — AWARD; Closed; $157.4M - [Delaware Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/delaware-federal-rhtp-award-year-2-fy-2027--7655f421f1) — AWARD; Closed; $160.3M - [Delaware Statewide Health Information Technology Infrastructure for Real-Time Insurance Verification and Prior Authorizations](https://www.ruralcarejourney.com/opportunities/delaware-statewide-health-information-technology-infrastructure-for-real-time-in--9adf3efc60) — GRANT; Closed ## Largest recorded awards - FQHCs (Federally Qualified Health Centers) — $23.0M (FY2026-2027) - Westside Family Healthcare — $11.3M (FY2026-2030) - La Red Health Center — $10.1M (FY2026-2030) - Henrietta Johnson Medical Center — $1.3M (FY2026-2030) - Thomas Jefferson University’s Sidney Kimmel Medical College — $140,000 (FY2026) ## Official sources RCJ monitors - [DE RHTP Program](https://dhss.delaware.gov/dph/rural-health-transformation-program) - [DE Release / Application 1](https://news.delaware.gov/2025/11/12/governor-meyer-announces-generational-plan-to-overhaul-rural-healthcare-in-delaware) - [DE Official RHTP](https://news.delaware.gov/2026/02/09/state-of-delaware-opens-initial-rfps-to-transform-rural-health-care) - [DE myMarketplace Bid Board](https://mmp.delaware.gov/Bids) - [DE RHTP Primary](https://www.ruralhealthinfo.org/states/delaware) - [DE Bonfire Procurement Portal (DHSS)](https://dhss.bonfirehub.com/portal/?tab=openOpportunities) - [DE Diabetes Wellness Pilot RFP (bidcondocs.delaware.gov)](https://bidcondocs.delaware.gov/HSS/HSS26050-DIABETES_RFP.pdf) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/de — data as of 2026-11-12. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.