Nebraska Initiatieve - Click to view an accessible PDF.
HHS Region 7 · Nebraska DHHS — Rural Health Transformation
Program Overview
The Nebraska Rural Health Transformation Program is in its initial implementation stage, launching statewide initiatives beginning in Spring 2026, with rolling funding opportunities for rural providers each year. Major focus areas include food as medicine, emergency and behavioral health, workforce acceleration, eHealth, and facility modernization, with active oversight by the Nebraska Department of Health and Human Services and structured input from newly established Health Care Advisory Regions. The program emphasizes technology-enabled solutions, regional care coordination, and addresses critical rural workforce and health access gaps. Current structured plan tracks 14 key initiatives and 15 strategic goals.
Updated
County-level estimates averaged across Nebraska — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (93)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Douglas County | 590,736 | 11.8% | 7.7% |
| Lancaster County | 326,696 | 11.9% | 6.9% |
| Sarpy County | 197,389 | 5.6% | 4.0% |
| Hall County | 62,536 | 14.1% | 12.1% |
| Buffalo County | 50,579 | 9.9% | 5.3% |
| Dodge County | 37,351 | 11.0% | 7.9% |
| Scotts Bluff County | 35,843 | 12.9% | 8.9% |
| Madison County | 35,532 | 13.1% | 7.7% |
| Platte County | 34,716 | 9.8% | 8.1% |
| Lincoln County | 33,802 | 12.4% | 7.0% |
| Adams County | 31,052 | 12.7% | 8.5% |
| Cass County | 27,161 | 5.2% | 3.1% |
AI source: NE - 2025 - Build Rural Workforce
AI auto-updated Aug 6, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Federal RHTP award total (state override)
Detailed federal award opportunity rows are not linked yet for this state, but an approved federal award total is set.
677,796 rural residents
Nebraska continues to actively implement the Rural Health Transformation Program, with multiple RFAs issued and recent sub-grant awards across workforce development, clinical modernization, and facility enhancements. Approximately half of the $218 million federal award for FY26 has already been awarded to local entities, demonstrating tangible progress in program rollout. Several grant application cycles remain open for core RHTP initiatives, supporting ongoing project activity through August 2026. State opportunities: 4 active (4 open, 17 past/closed), $9.5M listed funding. Key opportunities: Nebraska RHTP Initiative 5.3: Modification of Existing Clinical Facilities for Mental Health Crisis; Nebraska Department of Education RHTP Initiative 1.3 Request for Application: Farm-to-School Procurement and Policy Technical Assistance; Nebraska RHTP 1.1: School Kitchen Modernization Grants. Strategy alignment: supports care access priorities.
Nebraska’s RHTP remains a regionally coordinated, technology-driven rural health transformation effort focused on workforce acceleration, infrastructure modernization, care integration, and prevention. Competitive RFAs and transparent data sharing via the public RHTP Dashboard continue to support measurable improvements in health outcomes, service access equity, and rural care system stability. Ongoing Health Care Advisory Region engagement, dashboard reporting, and targeted funding sustain continuous refinement and accountable stewardship across all initiatives.
Model
Statewide, regionally coordinated, prevention-first rural health transformation—integrating technology, workforce acceleration, transparent data, and cross-sector partnerships to close rural care, equity, and outcome gaps.
Key Initiatives
Timeline: Five-year RHTP award cycle with initial RFAs beginning March 2026, first grant funding in Spring 2026, and annual application rounds each program year.
Given the rural population distribution, workforce development is critical to sustaining local health services.
Ensuring access to care especially in frontier and rural counties through technology and local services is a key priority.
HCARs play an official advisory role in Nebraska's RHTP, providing regionally specific recommendations for program design and implementation but do not directly control RHTP funds. The minutes summarize both the current opportunities timeline and the processes by which HCAR recommendations are made, documented, and responded to by RHTP's Operating Committ...
Nebraska Department of Health and Human Services
Due Jul 31, 2027
1 related document
NE - 2027 - RHTP RFA – Initiative 2.5: Critical Access Hospitals (CAH) to Rural Emergency Hospitals (REH) Conversion
Primary source
Nebraska Department of Education (NDE)
Due Sep 1, 2026
1 related document
NE - 2026 - RHTP RFA – Initiative 1.1 School Kitchen Modernization Grants
RFA
Nebraska DHHS Division of Behavioral Health
Due Aug 31, 2026
2 related documents
NE - 2026 - RHTP RFA 5.3 – Modification of Existing Clinical Facilities for Mental Health Crisis (Nebraska DHHS)
NE - 2026 - Request for Applications
NE - 2026 - Form 1 – RHTP Initiative Cover Sheet
NE - 2026 - RFA RHTP 5.3 FORM 1
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Boone County Health Center Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Morrill County Community Hospital Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Niobrara Valley Hospital Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Memorial Health Care System Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Pawnee County Memorial Hospital Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Winnebago Comprehensive Health System Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $340K | Population Health | |
| 2026 | Urban Indian Medical Center Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $339K | Population Health | |
| 2026 | Chase Community Hospital Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $339K | Population Health | |
| 2026 | Beatrice Community Hospital (Virtual Nursing) Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $335K | Population Health | |
| 2026 | Encounter Telehealth Selected for award under Nebraska RHTP Initiative 4.4a (Chronic Disease Navigation and Education), following the Request for Application that closed March 27, 2026. | $318K | Population Health |
Nebraska DHHS has announced a new RHTP dashboard to inform the public throughout the Rural Health Transformation Program effort.
Nebraska has awarded roughly half of the $218 million allocated for the first year of the Rural Health Transformation Program, signaling important progress in distributing funds to bolster rural health services in the state.
Nebraska DHHS has announced awards to nine recipients under the RHTP Initiative 3.3 for 2026-2027, supporting incentives and sustainability for rural health workforce across multiple organizations and community colleges. These awards form part of a five-year grant program emphasizing workforce development. Additional funding opportunities are anticipated to further strengthen rural health partnerships statewide. Event schedule: - April 1, 2026 RFA Application Close - 04/01/2026 - May 1, 2026 RFA Application Close - 05/01/2026 - June 1, 2026 RFA Application Close - 06/01/2026 - July 10, 2026 RFA Application Close - 07/10/2026
Nebraska Department of Education will issue up to $8.34 million in federal funds to expand school access to locally produced foods through procurement of equipment and technical assistance. Eligible entities include local farmers, ranchers, producers, cooperatives, and food suppliers, with priority for rural, frontier, tribal, and food desert communities. Awards will be up to $150,000 per entity; the program focuses on increasing healthy eating and scaling up food supply infrastructure. Key contacts: Kayte Partch Kayte.Partch@nebraska.gov Event schedule: - RFA Release Date - 06/15/2026 - Application Open - 06/12/2026 - Application Due Date - 08/31/2026 - Period of Performance - 06/01/2026 - 06/30/2027
Event Schedule
Contacts
Core Initiatives
This is the required budget form for applicants seeking funding under the Rural Health Transformation Program in Nebraska. Applicants must detail their planned expenses, indirect cost rates, and provide a budget justification. The form enables the program to evaluate proposed budgets for eligibility and alignment with program goals.
This checklist provides Nebraska RHTP applicants with a comprehensive list of required documents to ensure a complete application submission, including organizational charts, good standing certificates, indirect cost agreements, letters of support, quality of care evidence, and W9 forms. It details documentation to demonstrate licensure, quality compliance, and support commitments. The checklist is intended to help applicants meet all compliance requirements.
Nebraska’s RHTP strategy aims to strengthen rural healthcare by expanding local access, supporting a certified CHW workforce, improving care coordination, and offering modernization grants to assisted living facilities. Initiatives include perinatal regionalization, technology-assisted pharmacy, crisis stabilization, memory care incentives, and veteran health record integration. These efforts will promote quality, timely care for rural residents and foster sustainable, locally connected health services.
Core Initiatives
This work plan outlines a subaward from Nebraska's Chronic Disease Prevention Program to train Community Health Workers in rural areas. The main goal is to provide specialized education through community colleges. The plan includes objectives, performance measures, evaluation criteria, and identifies key partners.
Nebraska's RHTP aims to address rural workforce shortages by developing new certification pathways for Community Health Workers, launching monetary incentives for multi-year rural service, and building pipeline programs from school-age students to health professionals. The program also invests in telehealth-enabled simulation training, dental workforce expansion, and 24/7 crisis services for rural law enforcement, combining recruiting, training, and technology to improve rural healthcare.
HCARs play an official advisory role in Nebraska's RHTP, providing regionally specific recommendations for program design and implementation but do not directly control RHTP funds. The minutes summarize both the current opportunities timeline and the processes by which HCAR recommendations are made, documented, and responded to by RHTP's Operating Committee. Key issues under consideration include optimizing funding eligibility and technical assistance to rural providers. Event schedule: - End of Budget Period 1 - 10/30/2026 - Application Deadline for Opportunity 1.1 - 08/31/2026 - Application Deadline for Opportunity 1.3 - 08/31/2026 - Application Deadline for Opportunity 3.2 - 07/24/2026 - Anticipated Notice of BP2 Funding Level
Event Schedule
Core Initiatives
Reference: Nebraska HAS Awarded Roughly Half of 218m in Funds Allotted for First Year of Rural Health Program Link: https://nebraskaexaminer.com/2026/07/31/nebraska-has-awarded-roughly-half-of-218m-in-funds-allotted-for-first-year-of-rural-health-program/
Reference: Dhhs Announced NEW Dashboard to Inform the Public Throughout Rhtp Link: https://www.klkntv.com/dhhs-announced-new-dashboard-to-inform-the-public-throughout-rhtp/
Reference: DHHS Announces Nebraska RHTP Dashboard Link: https://dhhs.ne.gov/Pages/DHHS-Announces-Nebraska-RHTP-Dashboard.aspx
Event Schedule
Core Initiatives
Nebraska Initiatieve - Click to view an accessible PDF.
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 2 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 292.
NE - 2026 - Form 8 – References
DOCX
NE - 2001 - List of Respondents
NE - 2015 - MS Word Format
DOCX
Nebraska DHHS announced an intent to award a rural health workforce incentive and sustainability grant to The Well NE under RHTP Initiative 3.3. Several applicants did not meet eligibility criteria. No financial details are provided in this announcement. Key contacts: dhhs.snapeandtprovider@nebraska.gov Event schedule: - Intent to Award Notification - 6/15/2026
Event Schedule
Contacts
Core Initiatives
Event Schedule
Core Initiatives
This document lists the individual hospitals in Nebraska receiving funding as part of the Nebraska High Value Network collaborative network. One hospital (Brodstone Healthcare) is noted as having been awarded individually and thus not being awarded over the network maximum. Event schedule: - Department of Health and Human Services RHTP Initiative 4.4b Awards 06/10/2026 Initiative 4.4b – Remote Patient Monitoring in Facilities and at Home Period of Performance: May 20, 2026, through May 19, 2027 DHHS appreciates all applicants for their interest and commitment to advancing rural health in Nebraska. These funds are part of a five-year grant program. Additional funding opportunities may be available in the years ahead to continue building partnerships and expanding impact across the state. The following have been selected for award for the Request for Application which closed April 24, 2026. Applicant Award Amount Antelope Memorial Hospital $ 778,897.18 Beatrice Community Hospital & Health Center $ 278,684.02 Box Butte General Hospital $ 200,000.00 CHI Good Samaritan/CHI St. Francis $ 430,601.57 CHI Health Plainview $ 355,311.03 CHI Health Schuyler $ 711,629.63 CHI St. Mary’s $ 908,475.54 Chase County Community Hospital $ 195,523.20 Faith Health $ 578,673.70 Genoa Health Center $ 200,000.00 Good Neighbor Community Health Center $ 303,276.49 Heartland Health Center $ 199,950.00 Jefferson Community Health & Life $ 446,741.33 Johnson County Hospital $ 393,220.57 Mary Lanning Healthcare $ 460,239.40 Methodist Fremont Health $ 334,176.13 Midtown Health Center $ 221,239.63 Nebraska High Value Network^ $ 18,156,856.12 OneWorld Community Health Centers $ 395,048.53 Pawnee County Memorial Hospital $ 479,692.57 Providence Medical Center $ 311,698.70 Regional West Medical Center $ 736,148.14 Syracuse Area Health $ 200,000.00 Winnebago Comprehensive Healthcare System $ 414,693.75 The Rural Health Transformation Program is supported by Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (US HHS) as part of a financial assistance award totaling $218,529,075.01 with 100 percent funded by CMS/US HHS. The contents are those of the Nebraska Department of Health and Human Services (DHHS) and do not necessarily represent the official views of, nor an endorsement by, CMS/US HHS, or the U.S. Government. - pg. 1 - ^Nebraska High Value Network is a collaborative network. The list of individual hospitals receiving funding as of the time of this notice follows. Boone County Health Center — Albion Jefferson Community Health and Life — Fairbury Brodstone Healthcare — Superior (will not be awarded over the maximum allowable Brown County Hospital — Ainsworth amount, as they were awarded individually) Butler County Health Care Center — David City Jennie M. Melham Memorial Medical Center — Callaway District Hospital — Callaway Broken Bow Cherry County Hospital — Valentine Lexington Regional Health Center — Lexington Cozad Community Health System — Cozad Memorial Community Health — Aurora Fillmore County Hospital — Geneva Memorial Health Care Systems — Seward Franciscan Healthcare — West Point Sidney Regional Medical Center — Sidney Gothenburg Health — Gothenburg Tri Valley Health System — Cambridge Harlan County Health System — Alma Valley County Health System — Ord Howard County Medical Center — St. Paul York General Health Care Services — York | pg. 2
Nebraska is offering $2,234,048 in federal RHTP grants to rural and frontier schools for kitchen modernization and equipment that supports healthier meal preparation. The program targets increased scratch-cooking, elevated nutrition quality, and local protein use, aiming for measurable reductions in highly processed foods and higher school meal participation. Applications are prioritized for underserved, high-poverty, and food desert areas and are awarded on a rolling basis through summer 2026. Key contacts: Kayte Partch Kayte.Partch@nebraska.gov Event schedule: - Application window opens - 05/28/2026 - Application due date - 08/31/2026 - Period of performance begins - 06/01/2026 - Liquidation/funds spent by date - 06/30/2027
Event Schedule
Contacts
Core Initiatives
This document provides a comprehensive set of quality performance measures for Medicaid managed care organizations, including targets for claims processing, encounter submission, screening, and chronic disease management. It emphasizes improving health outcomes across key priority areas such as maternal health, chronic illness, and substance use disorder treatment. Event schedule: - Prenatal and Postpartum Care: Postpartum Care (PPC-AD): Percentage of deliveries of live births on or between of the year prior to the measurement year and October 7 of the measurement year that had a postpartum visit on or between seven (7) and eighty-four (84) days after delivery. - October 8 - 76.4% - Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH): Percentage of deliveries of live births on or between of the year prior to the measurement year and October7 of the measurement year that received a prenatal care visit in the first trimester, on or before the enrollment start date or within forty-two (42) days of enrollment in Medicaid/CHIP. - October 8 - 81.51%
Core Initiatives
This document serves as the official work plan and budget justification template for Nebraska RHTP Initiative 3.2 applications, guiding applicants to detail objectives, outputs, responsible parties, and link budgets to project activities. The program is part of Nebraska's statewide Rural Health Transformation initiative to strengthen the rural health workforce and technical capacity. No award amounts or recipients are included—this is a planning and application-support document. Key contacts: DHHS.EMSTraumaProgram@nebraska.gov
Contacts
Core Initiatives
Core Initiatives
Core Initiatives
NE - 2001 - List of Respondents
NE - 2023 - Attachment 23 - Expansion RC and Non-Exp HIPP RC Calculation Examples
XLSX
NE - 2026 - Healthy Blue Proposal
NE - 2012 - Attachment 12 - Example Capitation Rates
2018-Procurement-Manual-Updated-09132018.pdf
NE - 2026 - Attachment 4 Rating Regions
DOCX
NE - 2022 - Attachment 22 - Fiscal Year 2022 Nebraska Dental Rate Development Summary
XLSX
15_hypertension_ambulatory.pdf
NE - 2016 - Attachment 16 - Example Base Data Model - Physical and Behavioral
NE - 2010 - Molina Response Exhibit to Healthy Blue Protest
NE - 2010 - Attachment 10 - Liquidated Damages
NE - 2026 - Attachment 1 to Work Order 2
XLSX
NE - 2026 - MS Excel Format
XLSX
NE - 2013 - spo 007
XLSX
2020_WhatisHBPMedicine.pdf
NE - 2026 - Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier Status
NE - 2022 - Attachment 20 - Heritage Health Calendar Year 2022 Capitation Rate Certification Exhibits
XLSX
NE - 2026 - UnitedHealthcare of the Midlands Proposal
NE - 2026 - Medica Proposal
NE - 2026 - Nebraska Total Care Proposal - Part 2
NE - 2026 - Nebraska RHTP Health Care Advisory Regions Map
14-_medication_adherence.pdf
NE - 2013 - Attachment 13 - Reporting Requirements
NE - 2026 - Attachment 3 - Financial Workbook
XLSX
NE - 2026 - VendorApplication 12 14 20 (1)
XLSX
NE - 2021 - Attachment 21 - Risk Corridor
XLSX
NE - 2022 - Attachment 9 - 2022 Health Care Acquired Conditions
NE - 2016 - Nebraska Landing Page (updated: May 31, 2026)
XLSX
NE - 2014 - MS Word Format
DOCX
NE - 2026 - Molina Proposal
NE - 2011 - MS Excel Format
XLSX
NE - 2011 - Attachment 11 - Data Exhibits Dental
NE - 2010 - MS Word Format
DOCX
NE - 2013 - MS Word Format
DOCX
NE - 2014 - Attachment 14 - Access Standards
NE - 2015 - Attachment 15 - High Cost Drug Pool Risk Corridor
NE - 2003 - List of Respondents