# Indiana — Rural Health Transformation Program (RHTP)

Indiana’s Rural Health Transformation Program (RHTP) is fully implemented and active, co-led by the Indiana Department of Health and Family and Social Services Administration, with broad stakeholder engagement. Current implementation centers on robust regional coalitions, direct funding mechanisms, and competitive grant processes governing oversight and accountability. Major focus areas include care coordination, including the launch of the Medical Operations Coordination Center, workforce development through targeted clinical training grants, telehealth expansion, maternal and pediatric readiness with new hospital and EMS tools, technology enhancements, behavioral health, and infrastructure strengthening. Current structured plan tracks 12 key initiatives and 26 strategic goals.

## At a glance

- Federal awards to date: $415,836,487.99 (Year 1 $206.9M + Year 2 $208.9M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 19 (3 open or announced, 16 closed)
- Awards recorded: $72.7M to 184 recipients
- Critical Access Hospitals: 14
- Rural population share: 22%

## Current progress

Indiana has awarded first-cycle funding to all eight rural regions, with regional subawards made and initial local initiatives underway as of September 2026. Multiple Initiative 10 opportunities remain active, with grant applications open for preceptor, rural track, and curriculum enhancement programs. Additional grants for workforce, behavioral health, and telehealth have begun implementation with executed subawards and workshops. Oversight, reporting, and technical assistance are ongoing as the program enters multi-year implementation. State opportunities: 3 active (1 open, 2 closing soon, 12 past/closed), $121.3M listed funding. Key opportunities: Preceptor and Rural Track Grant Program – Initiative 10: Rural GME Enhancement; Initiative 10: Rural GME Enhancement Curriculum Enhancement Grant Program; Indiana RHTP: Growing Access to Hospital Post-Discharge Medications (Meds-to-Beds). Strategy alignment: supports workforce, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 1 of 19
- Initiatives (12), current CMS stage of each:
  - Growing Access to Hospital Post-Discharge Medications — Stage 2
  - Growing Cardiometabolic Health Standards of Care in Rural Indiana — Stage 2
  - Growing Care Coordination: Medical Operations Coordination Center and Alternate Payment Model Feasibility Study — Stage 2
  - Growing Clinical Training and Readiness — Stage 2
  - Growing Community Connections through Indiana 211 — Stage 2
  - Growing Improved Patient Outcomes Through Enhanced Interoperability and Technology — Stage 2
  - Growing our Rural Behavioral Health Workforce — Stage 2
  - Growing our Rural Health Paraprofessional Workforce — Stage 2
  - Growing Pediatric & Obstetric Readiness in Rural Emergency Departments — Stage 2
  - Growing Specialty Provider Access through Expanded Teleconsult Capabilities — Stage 2
  - Growing Telehealth Access and Infrastructure — Stage 2
  - Make Rural Indiana Healthy Again Regional Grants — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Initiative 10: Rural GME Enhancement Curriculum Enhancement Grant Program](https://www.ruralcarejourney.com/opportunities/initiative-10-rural-gme-enhancement-curriculum-enhancement-grant-program--97ccbbc299) — NOFO; Closing soon; due 2026-11-16; $150,000
- [Preceptor and Rural Track Grant Program – Initiative 10: Rural GME Enhancement](https://www.ruralcarejourney.com/opportunities/preceptor-and-rural-track-grant-program-initiative-10-rural-gme-enhancement--a2ff2798c8) — NOFO; Closing soon; due 2026-11-16; $250,000
- [Indiana RHTP: Growing Access to Hospital Post-Discharge Medications (Meds-to-Beds)](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-growing-access-to-hospital-post-discharge-medications-meds-to-beds--989abf29ff) — GRANT; Open; $20,000

## Closed opportunities (16, most recent first)

- [Indiana RHTP Initiative 8 — Telehealth Pilot Grants](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-initiative-8-telehealth-pilot-grants--a1d8bdd011) — GRANT; Closed; due 2026-07-31
- [Indiana Rural Physician Incentive Grant Opportunity (RHTP Initiative 10)](https://www.ruralcarejourney.com/opportunities/indiana-rural-physician-incentive-grant-opportunity-rhtp-initiative-10--d22725baa7) — RFA; Closed; due 2026-07-20
- [RHTP Initiative 10 - OB Fellowship for Family Medicine Physicians](https://www.ruralcarejourney.com/opportunities/rhtp-initiative-10-ob-fellowship-for-family-medicine-physicians--db22a4feaf) — RFA; Closed; due 2026-07-06
- [Indiana ACO Feasibility Study (RHTP) RFP 26-87667](https://www.ruralcarejourney.com/opportunities/indiana-aco-feasibility-study-rhtp-rfp-26-87667--ca194c3545) — RFP; Closed; due 2026-07-06
- [Growing Clinical Training and Readiness – Certified Nurse Midwife Training Program](https://www.ruralcarejourney.com/opportunities/growing-clinical-training-and-readiness-certified-nurse-midwife-training-program--9d14bfa1c5) — RFA; Closed; due 2026-07-06
- [Growing Rural Opportunities for Well-being (GROW) Regional Grants Program](https://www.ruralcarejourney.com/opportunities/growing-rural-opportunities-for-well-being-grow-regional-grants-program--fb459a09bb) — RFA; Closed; due 2026-07-01; $120.0M
- [Indiana Medical Operations Coordination Center (MOCC) Real-Time Healthcare Emergency and Hospital Capacity System](https://www.ruralcarejourney.com/opportunities/indiana-medical-operations-coordination-center-mocc-real-time-healthcare-emergen--70dac7c715) — RFP; Closed; due 2026-06-15
- [Indiana RHTP Registry and Incentive Management System (RFP 26-87556)](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-registry-and-incentive-management-system-rfp-26-87556--764e62bcc1) — RFP; Closed; due 2026-06-15
- [Indiana RHTP Clinical Social Worker Supervision Program](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-clinical-social-worker-supervision-program--555814c9f3) — GRANT; Closed; due 2026-06-05
- [Indiana RHTP Rural Provider Recruitment, Retention, and Capacity Project (R&R Grant)](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-rural-provider-recruitment-retention-and-capacity-project-r-r-grant--5be4865408) — GRANT; Closed; due 2026-06-05
- [Rural Health Transformation Program – Program Evaluator](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-program-evaluator--45ae600cb9) — RFP; Closed; due 2026-05-18
- [Indiana RHTP07 Teleconsult and Telehealth Landscape Assessment](https://www.ruralcarejourney.com/opportunities/indiana-rhtp07-teleconsult-and-telehealth-landscape-assessment--65af7fe708) — RFP; Closed; due 2026-05-15; $860,088
- [Award Recommendation for RFP 26-86529: Centralized Billing Office and Cost Report](https://www.ruralcarejourney.com/opportunities/award-recommendation-for-rfp-26-86529-centralized-billing-office-and-cost-report--f20f4af3b0) — AWARD; Closed; $996,000 – $6.2M
- [Indiana Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/indiana-federal-rhtp-award-year-1-fy-2026--fab25da6d7) — AWARD; Closed; $206.9M
- [Indiana Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/indiana-federal-rhtp-award-year-2-fy-2027--45d95d0315) — AWARD; Closed; $208.9M
- [Indiana Medical Consultation For Family And Social Services Administration Disability Determination Bureau 2026 Award Announcement](https://www.ruralcarejourney.com/opportunities/indiana-medical-consultation-for-family-and-social-services-administration-disab--ebb6d3f993) — AWARD; Closed; $45.0M; state-funded, not RHTP

## Largest recorded awards

- Patient Flow Innovations — $26.4M (FY2026)
- East Central Indiana Region (Region 4) — $15.2M (FY2026)
- Southeast Indiana Region (Region 6) — $13.0M (FY2026)
- Communicare Technology — $11.6M (FY2026)
- Collaborative Fusion, Inc — $3.7M (FY2026)
- Public Policy Associates LLC — $1.0M (FY2026-2029)
- Laurel Health Advisors LLC — $860,088 (FY2026-2031)
- Concourse Tech, Inc — $809,500 (FY2026)
- Deloitte Consulting LLP — $150,000 (FY2026)
- Adams County Memorial Hospital — amount not published (FY2026)
- Affiliated Service Providers of Indiana — amount not published (FY2026)
- Aging and Community Services of South Central Indiana — amount not published (FY2026)
- Area 10 Council on Aging of Monroe and Owen Co Inc — amount not published (FY2026)
- Area IV Agency on Aging and Community Action Programs, Inc — amount not published (FY2026)
- Ascension St. Vincent Jennings — amount not published (FY2026)

## Official sources RCJ monitors

- [IN Release / Application](https://www.in.gov/spd/employee-resources/the-torch/employee-central-home/ready-set-grow)
- [IN FSSA/DMHA RHTP R&R Grant (Euna Grants)](https://gn.ecivis.com/GO/gn_redir/T/1ttslfxhesbiz/IFRAME/true)
- [IN GROW Rural Health Initiatives](https://www.in.gov/grow-rural-health/initiatives)
- [IN FSSA/DMHA Clinical Social Worker Supervision Program (Euna Grants)](https://gn.ecivis.com/GO/gn_redir/T/5i1tnxj851ek/IFRAME/true)
- [IN RHTP Primary](https://www.in.gov/grow-rural-health/)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/in — data as of 2026-11-12.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.