# Florida — Rural Health Transformation Program (RHTP)

Florida's Rural Health Transformation Program, administered by the Agency for Health Care Administration, has awarded the full scope of funding for fiscal year 2026 to hospitals, FQHCs, rural clinics, universities, and community organizations statewide. The program is currently implementing competitive Requests for Applications, with a major focus on expanding access, building rural hospital capacity, workforce development, Medicaid value-based purchasing, and infrastructure for value-based payment readiness. Awarded initiatives support expanded rural health care access, provider capacity, and workforce training, with implementation milestones for value-based contracts and health information exchange enrollment. The structured plan continues to track key initiatives and strategic goals. Current structured plan tracks 15 key initiatives and 11 strategic goals.

## At a glance

- Federal awards to date: $413,766,265.03 (Year 1 $209.9M + Year 2 $203.8M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 12 (0 open or announced, 12 closed)
- Awards recorded: $196.5M to 56 recipients
- Critical Access Hospitals: 3
- Rural population share: 6%

## Current progress

Florida has awarded grants to over 25 organizations through the Rural Health Transformation Program, covering workforce development, preventive care, specialty and acute care, value-based care, rural clinics, and health and lifestyle tracks. Confirmed grant disbursements are distributed across multiple regions, including substantial awards to CommunityHealth IT, Parrish Medical Center, and many others. Program procurement and guidance are actively supporting providers, aligning with telehealth and care access priorities. Applications for future cohorts may be forthcoming, but state-level procurement and fund distribution are established. State opportunities: 10 total (10 past/closed), $187.9M listed funding. Key opportunities: RHTP Specialty and Acute Care Bundle (Bundle Two); Preventive Care & Care-at-Home (Bundle One); RHTP Rural Satellite Clinics (Initiative 1). Strategy alignment: supports telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 0 of 19
- Initiatives (15), current CMS stage of each:
  - Behavioral Health Telehealth & Telehub Psychiatry — Stage 1
  - Community Paramedicine — Stage 1
  - Diagnostics Technology Support — Stage 1
  - Florida Health Information Exchange / Encounter Notification Service (HIE/ENS) Onboarding — Stage 1
  - Health and Lifestyle — Stage 1
  - Hub-and-Spoke Telestroke — Stage 1
  - Integrated Medicare-Medicaid Plans Education and Outreach — Stage 2
  - Mobile Health — Stage 1
  - Remote Patient Telemonitoring — Stage 1
  - Retail Clinic Services — Stage 1
  - Rural and Satellite Clinics — Stage 1
  - Tele-Specialties & Imaging (Virtual Specialty Clinics) — Stage 1
  - Tele–Intensive Care Unit (eICU) — Stage 1
  - Value-Based Purchasing (VBP) — Stage 1
  - Workforce Development — Stage 1
- 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)

- [Preventive Care & Care-at-Home (Bundle One)](https://www.ruralcarejourney.com/opportunities/preventive-care-care-at-home-bundle-one--7464b4adf2) — RFA; Closed; due 2026-06-17; $60.5M
- [RHTP Rural Satellite Clinics (Initiative 1)](https://www.ruralcarejourney.com/opportunities/rhtp-rural-satellite-clinics-initiative-1--3e79f29b18) — RFA; Closed; due 2026-06-17; $25.0M
- [RHTP Specialty and Acute Care Bundle (Bundle Two)](https://www.ruralcarejourney.com/opportunities/rhtp-specialty-and-acute-care-bundle-bundle-two--8fe7f7699d) — RFA; Closed; due 2026-06-17; $69.6M
- [RHTP Value-Based Purchasing (Initiative 11)](https://www.ruralcarejourney.com/opportunities/rhtp-value-based-purchasing-initiative-11--664656e09e) — RFA; Closed; due 2026-06-17; $10.0M
- [RHTP Workforce Development (Initiative 8)](https://www.ruralcarejourney.com/opportunities/rhtp-workforce-development-initiative-8--31fc511c52) — RFA; Closed; due 2026-06-17; $12.7M
- [RHTP Health and Lifestyle (Initiative 9)](https://www.ruralcarejourney.com/opportunities/rhtp-health-and-lifestyle-initiative-9--6b7f086845) — RFA; Closed; due 2026-06-10; $10.1M
- [RHTP Grant Management Technology Solution](https://www.ruralcarejourney.com/opportunities/rhtp-grant-management-technology-solution--e896198446) — RFP; Closed; due 2026-05-15
- [Technical Assistance Services for RHTP Sub-Awardees](https://www.ruralcarejourney.com/opportunities/technical-assistance-services-for-rhtp-sub-awardees--374a715acb) — RFP; Closed; due 2026-05-14
- [Florida Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/florida-federal-rhtp-award-year-1-fy-2026--0db93f856f) — AWARD; Closed; due 2025-11-03; $209.9M
- [Florida Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/florida-federal-rhtp-award-year-2-fy-2027--ba80949ced) — AWARD; Closed; $203.8M
- [RHTP – Education and Outreach Services](https://www.ruralcarejourney.com/opportunities/rhtp-education-and-outreach-services--241f649f29) — RFP; Closed
- [RHTP – Independent Evaluation Services](https://www.ruralcarejourney.com/opportunities/rhtp-independent-evaluation-services--a395f4a4d9) — RFP; Closed

## Largest recorded awards

- CommunityHealth IT — $43.7M (FY2026)
- Florida State University — $18.2M (FY2026)
- Escambia Community Clinics (Community Health Northwest Florida) — $16.2M (FY2026)
- Calhoun-Liberty Hospital — $11.2M (FY2026)
- Complete Care Management Services ACO — $10.6M (FY2026)
- Florida Agricultural and Mechanical University — $7.4M (FY2026)
- Medlink Management Services (Lake Butler Hospital) — $7.0M (FY2026)
- North Brevard County Hospital District (Parrish Medical Center) — $5.2M (FY2026)
- Madison County Hospital Health System — $4.4M (FY2026)
- St. Vincent's Medical Center (Riverside) — $4.4M (FY2026)
- North Walton Doctors — $4.1M (FY2026)
- Northwest Florida Healthcare (Northwest Florida Community Hospital) — $4.1M (FY2026)
- Tampa Family Health Centers — $3.9M (FY2026)
- North Florida Pediatrics Associates (Lake City) — $3.8M (FY2026)
- Mayo Clinic Jacksonville — $3.7M (FY2026)

## Official sources RCJ monitors

- [FL RHTP Primary](https://www.floridahealth.gov/community-environmental-public-health/community-health/rural-health/)
- [FL Subsidiary 1](https://www.ruralcenter.org/resources/flex-program-funding-guidance)
- [FL AHCA Procurements](https://ahca.myflorida.com/procurements)
- [FL RHTP Primary](https://ahca.myflorida.com/rural-health-transformation-program)
- [NRHA linked funding/procurement page](https://vendor.myfloridamarketplace.com/search/bids)
- [FL RHTP Award Announcements](https://flgov.com/eog/news/press/2026/governor-ron-desantis-announces-nearly-188-million-expand-rural-health-care-access)

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