# Montana — Rural Health Transformation Program (RHTP) Montana is actively implementing the Rural Health Transformation Program through the Department of Public Health and Human Services in direct collaboration with rural providers, hospitals, tribal nations, and key stakeholders, following a federally approved, multi-year plan. The program advances five core initiatives—workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation—supported by ongoing public outreach, stakeholder engagement, competitive grant releases, and structured oversight. The state is currently entering its second year with increased federal funding and an expanded focus on care access and technology modernization. Current structured plan tracks 5 key initiatives and 26 strategic goals. ## At a glance - Federal awards to date: $473,250,028.01 (Year 1 $233.5M + Year 2 $239.7M) - Implementation phase (RCJ): IMPLEMENTING - Funding opportunities tracked: 12 (0 open or announced, 12 closed) - Awards recorded: $5.0M to 5 recipients - Critical Access Hospitals: 42 - Rural population share: 45% ## Current progress Montana RHTP remains in active implementation. As of November 2026, multiple RFPs and RFAs remain open or underway for workforce, EMS, and provider support initiatives, funded by the awarded $233M in Year 1 RHTP funds. Program activities include awards to rural EMS agencies, active solicitations on the eMACS platform, and ongoing stakeholder engagement with providers across all five initiative areas. CMS confirms 5 Montana initiatives working at Stage 2, and no interruption is expected while the state awaits Year 2 federal funding notification. State opportunities: 8 total (8 past/closed), $4.0M listed funding. Key opportunities: Statewide Emergency Medical Dispatch System for Montana Public Safety Answering Points; Community Stabilization Services Infrastructure Expansion; Montana Community Health Aide Program (CHAP) Technical Assistance Request for Proposal. Strategy alignment: supports workforce, ems, care access priorities. ## CMS published status (State Data Maps) - State Policy Action commitments: 6 of 19 - Initiatives (5), current CMS stage of each: - Deploy Modern Health Care Technologies to Guide Rural Health Interventions — Stage 2 - Develop Workforce Through Recruitment, Training, and Retention — Stage 2 - Ensure Rural Facility Sustainability and Access Through Partnership and Restructuring — Stage 2 - Invest in Community Health and Preventive Infrastructure — Stage 2 - Launch innovative Care Delivery and Payment Models — 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) - [Montana Community Health Aide Program (CHAP) Technical Assistance Request for Proposal](https://www.ruralcarejourney.com/opportunities/montana-community-health-aide-program-chap-technical-assistance-request-for-prop--d3480acacc) — RFP; Closed; due 2026-10-01 - [Community Stabilization Services Infrastructure Expansion](https://www.ruralcarejourney.com/opportunities/community-stabilization-services-infrastructure-expansion--7902a16f9b) — RFP; Closed; due 2026-09-29 - [Statewide Emergency Medical Dispatch System for Montana Public Safety Answering Points](https://www.ruralcarejourney.com/opportunities/statewide-emergency-medical-dispatch-system-for-montana-public-safety-answering--4768d1c4c5) — RFP; Closed; due 2026-09-22; $4.0M - [Montana FY26 DPHHS Community Integrated Health Pilot Site Grant](https://www.ruralcarejourney.com/opportunities/montana-fy26-dphhs-community-integrated-health-pilot-site-grant--ff0fffb55d) — GRANT; Closed; due 2026-09-15 - [MT - 2026 - Rural Health Care Workforce Retention Request for Information](https://www.ruralcarejourney.com/opportunities/mt-2026-rural-health-care-workforce-retention-request-for-information--2017ba6e39) — OTHER; Closed; due 2026-08-31 - [Rural Health Care Workforce Retention](https://www.ruralcarejourney.com/opportunities/rural-health-care-workforce-retention--3c479d62c7) — RFI; Closed; due 2026-08-31 - [MT DPHHS Equipment Grant Application (Rural EMS)](https://www.ruralcarejourney.com/opportunities/mt-dphhs-equipment-grant-application-rural-ems--dff6d1205c) — GRANT; Closed; due 2026-08-15 - [Rural Physician/APP Recruitment, DLI-RFP-2026-0088DL](https://www.ruralcarejourney.com/opportunities/rural-physician-app-recruitment-dli-rfp-2026-0088dl--e15e57bb06) — RFP; Closed; due 2026-07-16 - [MT RHTP Center of Excellence: Implementation Partner RFP](https://www.ruralcarejourney.com/opportunities/mt-rhtp-center-of-excellence-implementation-partner-rfp--84c5fd4cc2) — RFP; Closed; due 2026-05-21 - [MT RHTP Center of Excellence: Strategy and Analytics Contractor RFP](https://www.ruralcarejourney.com/opportunities/mt-rhtp-center-of-excellence-strategy-and-analytics-contractor-rfp--e70da8a65d) — RFP; Closed; due 2026-05-15 - [Montana Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/montana-federal-rhtp-award-year-1-fy-2026--4e33e13dab) — AWARD; Closed; $233.5M - [Montana Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/montana-federal-rhtp-award-year-2-fy-2027--0f0055bdca) — AWARD; Closed; $239.7M ## Largest recorded awards - 17 Montana EMS agencies — $3.6M (FY2026) - Absarokee Rural Fire District — $340,000 (FY2026) - Avon Volunteer Fire and EMS — $340,000 (FY2026) - Blackfeet Tribal Emergency Medical Services — $340,000 (FY2026) - Prairie County Ambulance Service — $340,000 (FY2026) ## Official sources RCJ monitors - [MT RHTP RFPs](https://dphhs.mt.gov/RuralHealthTransformationProgram/RHTP-RFPs) - [MT eMACS Procurement Portal (RHTP solicitations)](https://bids.mt.gov/) - [MT Hospital Association RHTP](https://mtha.org/rural-health-transformation-program-in-montana/) - [NRHA linked funding/procurement page](https://bids.sciquest.com/apps/Router/PublicEvent?tab=PHX_NAV_SourcingOpenForBid&CustomerOrg=StateOfMontana&SourcingPublicSite_FilterWorkGroup_PublicSite=%5B%5D&SourcingPublicSite_FILTER_BY_BUSINESS_UNIT=undefined&SourcingPublicSite_FILTER_BY_BUSINESS_UNIT_buDisplayName=&SimpleSearch_Keyword=&tmstmp=1778870788043) - [MT RHTP Primary](https://dphhs.mt.gov/RuralHealthTransformationProgram/) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/mt — data as of 2026-11-11. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.