HHS Region 4 · Cabinet for Health and Family Services
Program Overview
The Kentucky Rural Health Transformation Program is actively implementing initiatives in community health worker training, EMS transformation, behavioral health crisis response, rural dental access, chronic care, maternal health, and regional health hub development. Multiple funding opportunities and structured applications are open for health departments, EMS agencies, behavioral health organizations, and educational institutions, with major focus on technology-enabled care and multisector collaboration. The current plan emphasizes coordinated statewide efforts and tracks progress across initiatives through 2026. Current structured plan tracks 9 key initiatives and 5 strategic goals.
Updated
County-level estimates averaged across Kentucky — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (120)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 783,022 | 14.3% | 10.5% |
| Fayette County | 323,725 | 14.9% | 9.1% |
| Kenton County | 171,288 | 11.8% | 7.7% |
| Warren County | 140,918 | 17.0% | 11.2% |
| Boone County | 139,841 | 6.3% | 4.0% |
| Hardin County | 111,942 | 13.1% | 10.4% |
| Daviess County | 103,648 | 14.7% | 11.5% |
| Madison County | 95,769 | 15.1% | 12.2% |
| Campbell County | 93,426 | 11.1% | 7.0% |
| Bullitt County | 84,027 | 9.7% | 7.4% |
| Christian County | 72,069 | 17.1% | 12.2% |
| Oldham County | 69,257 | 4.3% | 3.2% |
AI source: KY - 2026 - KY EMS Transformation – Narrative
AI auto-updated Jun 6, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
No related documents
No linked documents found.
1,720,534 rural residents
Kentucky has received CMS funding and officially launched the Rural Health Transformation Program. Multiple RFAs and application processes are open or underway across EMS, dental, behavioral health, and community hub initiatives, constituting state-level procurement. On-the-ground implementation has begun, with key staff hiring, local program pilots, and district infrastructure building in progress—especially within the Rural Community Hubs for Chronic Care Innovation. Applications are being accepted on a rolling basis with deadlines into 2026, and the program is actively engaging rural stakeholders for local participation. State opportunities: 15 total (15 past/closed), $3.3M listed funding. Key opportunities: Kentucky RHT Funding Opportunity to Develop Community Health Worker Specialized Certificates; Crisis to Care: Establish or Expand Community Paramedicine Program; From Crisis to Care: Education & Training Modernization. Strategy alignment: supports workforce, maternal health, telehealth priorities.
Kentucky’s RHTP deploys a phased, evidence-driven approach by implementing five interrelated district-led initiatives addressing chronic disease, maternal and infant health, behavioral health crisis stabilization, rural dental access, and EMS modernization. The strategy leverages multisector infrastructure development, digital health and telehealth expansion, targeted workforce initiatives, and community-tailored pilot programs, with CMS performance-based funding disbursed over five years. Interventions are coordinated through Rural Community Hubs, enabling local adaptation while integrating best practice sharing and data-driven improvement. Technology-enabled care, integrated workforce pipelines, and cross-sector collaboration remain central to driving population health improvements across rural Kentucky.
Model
Integrated hub-and-spoke network underpinned by digital infrastructure, phased pilot-to-scale deployment, and robust multisector coordination; incorporates telehealth expansion, EMS modernization, specialized workforce development, and collaborative approaches involving public health, social services, and education sectors.
Key Initiatives (9)
Timeline: Primary implementation FY2026–FY2030, with phased grant launches beginning July 1, 2026; milestones include district Rural Community Hub establishment by 2027, annual workforce/service expansion, initial CHW certificate awards October 2026–June 2027, performance-tied funding from CMS, and five grant periods aligned to federal fiscal years.
Initial focus is on diabetes and obesity prevention and management across rural communities.
Initial focus is on diabetes and obesity with targeted community engagement and multisector collaboration.
Focus on strengthening crisis services and expanding telebehavioral health access across rural Kentucky.
Kentucky Cabinet for Health and Family Services
Due Aug 5, 2026
4 related documents
KY - 2026 - RHT Community Healthcare Worker (CHW) Specialized Certificate Request for Application (RFA) - Frequently Asked Questions
FAQ (merged from duplicate record)
KY - 2026 - Community Health Worker Specialized Certificate Funding Opportunity Information Session
Information Session (merged from duplicate record)
KY - 2026 - Request for Application: RHT Funding Opportunity to Develop Community Health Worker Specialized Certificates
KY - 2026 - RHT - Community Health Worker - Attachment A - Budget Template
Kentucky Cabinet for Health and Family Services (CHFS)
Due Jul 6, 2026
1 related document
KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – CMHC Support
RFA Announcement
Kentucky Cabinet for Health and Family Services, Office of Administrative Services
Due Jul 3, 2026
1 related document
KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – Telebehavioral Health Support
RFA Announcement
Kentucky is issuing an RFA for $800,000 in total available funding to develop Community Health Worker specialized certificates aligned with four key rural health priorities: healthy lifestyle management, perinatal/infant health, mental/behavioral health, and oral/dental health. The funding seeks to support non-profit training organizations in designing, developing, and delivering asynchronous certificate programs statewide that expand the skills and impact of Kentucky's rural CHW workforce. Selected training organizations must offer training at no cost to CHWs and ensure meaningful involvement of CHWs in curriculum design. Event schedule: - RFA Release - July 15, 2026 - CHW Specialized Certificate Information Session - July 16, 2026 - RFA Office Hours - July 21, 2026 - RFA Submission Deadline - August 5, 2026 - 5:00 PM ET - RFA Notification of Awards - August 26, 2026 - Funding Period - October 7, 2026 - June 30, 2027
Event Schedule
Core Initiatives
This Kentucky RHTP guidance offers $212.9 million in Year 1 funding to modernize EMS education and training for rural and underserved communities, with a structured, multi-year pathway for program enhancement and mobile simulation units. It supports both centralized and mobile training, expands the EMS workforce, and strengthens the integration between EMS providers and behavioral health crisis response networks. Technical support, data requirements, and compliance guidance are built into the process to ensure agency readiness and impact. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Bob Andrew bob.andrew@ky.gov Event schedule: - Application Submission Deadline - 06/12/2026 - 5:00 PM ET - Submit by email (Jimmie Hampton <jimmie.hampton@ky.gov>)
Contacts
Core Initiatives
Kentucky's rural health strategy centers on Rural Community Hubs to coordinate resources and organizations to address chronic conditions like diabetes and obesity. The initiative seeks to bring together local partners to improve health outcomes, reduce duplication of services, and better connect community health workers. Kentucky faces particularly severe challenges with diabetes, with mortality rates significantly above the national average.
Core Initiatives
Rooted in Health is focused on expanding access to dental care in rural Kentucky by training and placing more dental hygienists, bringing teledental and mobile services, and enhancing surgical training for general dentists. The initiative aims to reduce emergency room visits for dental issues and provide comprehensive care locally.
The program establishes EmPATH units and a centralized tele-behavioral health hub to ensure prompt, appropriate care for those in behavioral health crisis. It decreases repeated crises, supports first responders, and connects individuals to community-based recovery resources. Kentucky faces high rates of mental illness or substance use disorder diagnoses in emergency departments.
Core Initiatives
This document is a federal award announcement for the Kentucky Rural Health Transformation Plan, funded under the Rural Health Transformation Program (RHTP) of the One Big Beautiful Bill Act of 2025. The award, totaling $212,905,590.56, is managed as a cooperative agreement with CMS, with required milestones, reporting, and revised budget submission for the first budget period. The period of performance spans December 29, 2025, to October 30, 2030, and includes fiscal and progress report requirements tied to CMS oversight.
Event Schedule
This document announces a communications lead position supporting the Rural Community Hubs for Chronic Care Innovation (RCH) initiative under Kentucky's RHTP effort. The role will help coordinate and refine communications across multiple rural hubs, aiming to improve clarity, accuracy, and local relevance of health messaging. Diabetes and obesity are named as key health challenges in rural Kentucky, and the position supports greater community engagement with evidence-based prevention and resources. Key contacts: Gwen Weiss gweiss@healthy-ky.org
Contacts
Core Initiatives
October 7, 2026
Anticipated Funding Period Begins
↳ KY - 2026 - Community Health Worker Specialized Certificate Funding Opportunity Information Session
June 30, 2027
Finalized and Approved by KOCHW
↳ KY - 2026 - Community Health Worker Specialized Certificate Funding Opportunity Information Session
August 5, 2026
Application Deadline
↳ KY - 2026 - Community Health Worker Specialized Certificate Funding Opportunity Information Session
August 26, 2026
Notification of Award to Grantees
↳ KY - 2026 - Community Health Worker Specialized Certificate Funding Opportunity Information Session
2030-10-30
Period End
Program cooperative agreement period of performance scheduled to end.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2026-08-30
Annual Report #1 Due
First annual progress report due to CMS as part of required reporting.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2026-01-30
Revised Budget Due
Deadline for recipient to submit revised budget in response to temporary funding restriction.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2025-12-29
Period Start
Award period of performance begins for Rural Health Transformation Program cooperative agreement.
↳ KY - 2026 - Attachment B - CMS Notice of Award
10/01/2026
Year 1 Funding Period Begins
↳ KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – CMHC Support
10/01/2026
Funding Period Begins
↳ KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – Telebehavioral Health Support
09/30/2027
Year 1 Funding Period Ends
↳ KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – CMHC Support
09/30/2027
Funding Year 1 Ends
↳ KY - 2026 - Request for Application: RHTP Funding Opportunity to Rapid Response to Recovery – Telebehavioral Health Support
KY RHTP site updated — 5 new doc(s)
KY RHTP site updated — 2 new doc(s)
KY RHTP site updated — 2 new doc(s)
KY RHTP site updated — 6 new doc(s)
KY RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
KY - 2026 - RHT - Community Health Worker - Attachment A - Budget Template
XLSX
KY - 2026 - RHT Community Paramedicine - Attachment B - Budget Template
XLSX
KY - 1982 - agency.aspx
Kentucky is launching a Rural Health Transformation Plan funded via CMS, focusing on rural health workforce and population health outcomes. This RFA solicits Kentucky-based training organizations to develop new specialized Community Health Worker certificates in Healthy Lifestyle Management, Perinatal and Infant Health, Mental and Behavioral Health, and Dental/Oral Health. The maximum award is $200,000 per certificate, with milestone-based payments and robust outcome reporting requirements. Key contacts: Ashley N. Gibson ashleyn.gibson@ky.gov Event schedule: - RFA Released - 07/15/2026 - RFA Information Session - 07/16/2026 - ET - RFA Office Hours - 07/21/2026 - ET - FAQ Answers Released - 07/24/2026 - Deadline for Receipt of Applications - 08/05/2026 - 5:00 PM ET - via email - Anticipated Notification of Award - 08/26/2026 - Anticipated Funding Period Begins - 10/07/2026 - Deadline for Certificates Approval - 06/30/2027
Event Schedule
Contacts
Core Initiatives
This RFA solicits Medicaid-enrolled, Eastern Kentucky-serving nonprofit behavioral health organizations to apply for funding to build and integrate telebehavioral health capacity as part of Kentucky's Rural Health Transformation Program. The initiative focuses on expanding access to psychiatric consultation, crisis response, and behavioral health services using a regional hub-and-spoke model, with pilot implementation targeting Eastern Kentucky and growth planned statewide. Applicants may request budgets up to $500,000 for activities tied to participatory telebehavioral health, technology adoption, workforce development, and coordination with statewide partners. Key contacts: Breanna McGinnis Breanna.mcginnis@ky.gov Event schedule: - RFA Released - 06/01/2026 - Deadline for Receipt of Applications - 07/03/2026 - Notification of Award to Grantees - 07/10/2026 - Funding Period Begins - 10/01/2026
Event Schedule
Contacts
Core Initiatives
Kentucky’s RHTP received $212.9 million for year 1 to transform rural health, with a major focus on developing EMS through community paramedicine. The program funds both new and expanding paramedicine models, emphasizes crisis response, technical assistance, required behavioral health training, and robust evaluation. EMS agencies may apply for up to $650,000 in start-up funding; additional support targets integration of workforce, technology, and community partnerships to close gaps in rural care. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Behavioral Health Champion Event schedule: - Application Deadline - 06/12/2026 - 5:00 PM ET - Submit to jimmie.hampton@ky.gov - Information Session Webinar - TBD (document refers to an upcoming webinar) - Months 1-2: Program Planning & CHW Model Design - Month 1-2 - Months 3-6: Training & Certification Launch - Month 3-6 - Months 7-8: Infrastructural Setup and Supply Readiness - Month 7-8 - Month 9: Soft Launch of CHW Program - Month 9 - Month 10: Program Stabilization - Month 10
Contacts
Core Initiatives
Kentucky received $212.9 million in FY2026 for the state’s rural health transformation, with a strong emphasis on modernizing and expanding EMS training and mobile skills programs. Funding is available to EMS agencies for hands-on and mobile training equipment, workforce expansion, and the development of community-based EMS education. Technical assistance, application support, and program reporting are provided to ensure sustainable impact. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Bob Andrew bob.andrew@ky.gov Event schedule: - Submission Deadline - 06/12/2026 - 5:00 PM ET
Contacts
Core Initiatives
Core Initiatives
The Crisis to Care program aims to strengthen the EMS workforce and improve coordination between responders and hospitals in rural Kentucky. Innovative uses of technology connect care teams in real time, and community paramedicine is integrated to ensure continuity of care after emergencies. Nearly half Kentucky’s paramedics are concentrated in five metro counties, highlighting the need for service expansion in rural areas.
Core Initiatives
This document announces the opening for a District Coordination Lead to support the Rural Community Hubs for Chronic Care Innovation in the Big Sandy Area Development District. The role is focused on developing local infrastructure, fostering multisector partnerships, and coordinating chronic care and population health strategies aligned with rural transformation goals. The position reflects efforts to transform rural health by building collective impact across key sectors and sharing best practices statewide. Key contacts: Gwendolyn Weiss gweiss@healthy-ky.org
Contacts
Core Initiatives
This document announces a District Coordination Lead position for the RHT-RCH initiative in Kentucky, aimed at supporting district-level health transformation efforts in Lake Cumberland. The role will help build infrastructure, launch local programs, connect partners, and advance collective impact on rural health. The Foundation for a Healthy Kentucky leads this effort and prioritizes improving health access and outcomes for underserved rural populations. Key contacts: Gwen Weiss gweiss@healthy-ky.org Event schedule: - Application Open Until Filled - Remote with travel to Foundation for a Healthy Kentucky office, Louisville and Lake Cumberland ADD
Event Schedule
Contacts
Core Initiatives
HTML
Kentucky Community Health Worker Certification Manual, 2026 38 RHTP Guidance
2026 · PDF
Attachment A Approved Risk Adjustment Model.docx
2025-2026 · DOCX
14A.1-070 Definitions for chapter (KY business entity definitions statute, effective July 15, 2020)
2020 · PDF
202 KAR 7:601. Training, education, and continuing education (Amendment)
Sample - Business Associate Agreement.pdf