# New Hampshire — Rural Health Transformation Program (RHTP)

The New Hampshire Rural Health Transformation Program is actively implementing its 2026–2030 plan under the coordination of the Foundation for Healthy Communities, Community Development Finance Authority, and GO-NORTH, with significant federal funding and executed contracts supporting ongoing rural hospital and EMS transformation. Organized around five regional hubs, the program pursues improvements in healthcare access, workforce, financial sustainability, and technology, while expanding initiatives in behavioral health, primary care, and workforce development. Open funding opportunities, structured strategic initiatives, and multi-year planning guide progress on key goals, with several sub-initiatives under development and technical assistance provided through designated hubs. Current structured plan tracks 5 key initiatives and 19 strategic goals.

## At a glance

- Federal awards to date: $408,329,101.60 (Year 1 $204.0M + Year 2 $204.3M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 20 (7 open or announced, 13 closed)
- Awards recorded: $844.8M to 10 recipients
- Critical Access Hospitals: 0
- Rural population share: 37%

## Current progress

New Hampshire's Rural Health Transformation Program continues active implementation, with multiple RFAs and RFQs open and rolling provider applications underway across all core initiatives. Key contracts, including for rural hospital transformation, technical assistance, and workforce initiatives, are currently soliciting applications. Awards for the initial cohort are expected by the end of 2026, with additional cycles planned, and funding opportunities are managed through state partners such as the Foundation for Healthy Communities and the University System of New Hampshire. Five program hubs remain operational, coordinating project selection and technical assistance statewide. State opportunities: 7 active (4 open, 3 closing soon, 11 past/closed), $153.8M listed funding. Key opportunities: RFP 212026957 for Marketing, Branding, Communications, and Digital Engagement Services supporting GO-NORTH RHT Workforce Initiative; GO-NORTH Access Initiative (Technology, Financial Sustainability, and Access for Rural Hospitals in New Hampshire) — 2026 Request for Applications; GO-NORTH Rural Primary Care Transformation Funding Opportunity. Strategy alignment: supports workforce, telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 6 of 19
- Initiatives (5), current CMS stage of each:
  - Rural Financial Solvency Initiative — Stage 2
  - Rural Health Technology Initiative — Stage 2
  - Rural Healthcare Access Initiative — Stage 2
  - Rural Population Health Initiative — Stage 2
  - Rural Workforce Recruitment and Retention Initiative — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [GO-NORTH Access Initiative (Technology, Financial Sustainability, and Access for Rural Hospitals in New Hampshire) — 2026 Request for Applications](https://www.ruralcarejourney.com/opportunities/go-north-access-initiative-technology-financial-sustainability-and-access-for-ru--8fea4f8183) — RFA; Closing soon; due 2026-11-12; $17.5M
- [Hospital Consumer Assessment of Healthcare Providers and Systems Project](https://www.ruralcarejourney.com/opportunities/hospital-consumer-assessment-of-healthcare-providers-and-systems-project--9b76733718) — RFP; Closing soon; due 2026-11-20
- [RFP 212026957 for Marketing, Branding, Communications, and Digital Engagement Services supporting GO-NORTH RHT Workforce Initiative](https://www.ruralcarejourney.com/opportunities/rfp-212026957-for-marketing-branding-communications-and-digital-engagement-servi--6cadafda2c) — RFP; Closing soon; due 2026-11-24; $350,000 – $55.1M
- [GO-NORTH Request for Proposals: Consultants (NH Community Development Finance Authority)](https://www.ruralcarejourney.com/opportunities/go-north-request-for-proposals-consultants-nh-community-development-finance-auth--186427b376) — RFP; Open; due 2026-12-31; $150,000
- [FHC Transformation Technical Assistance Center (T-TAC) RFQ](https://www.ruralcarejourney.com/opportunities/fhc-transformation-technical-assistance-center-t-tac-rfq--e5502b0c34) — RFP; Open; $4.0M
- [GO-NORTH Rural Community Health Infrastructure Program (RCHIP)](https://www.ruralcarejourney.com/opportunities/go-north-rural-community-health-infrastructure-program-rchip--0f9c338aa3) — GRANT; Open
- [GO-NORTH Rural Primary Care Transformation Funding Opportunity](https://www.ruralcarejourney.com/opportunities/go-north-rural-primary-care-transformation-funding-opportunity--b9cdbe15ed) — RFA; Open; $15.5M

## Closed opportunities (13, most recent first)

- [Medicaid Medication Risk Reduction Initiative (MMRRI)](https://www.ruralcarejourney.com/opportunities/medicaid-medication-risk-reduction-initiative-mmrri--7a72ec3197) — RFP; Closed; due 2026-10-28; $33.6M
- [New Hampshire RHTP: Support for Youth Career Exploration in Healthcare and Allied Health](https://www.ruralcarejourney.com/opportunities/new-hampshire-rhtp-support-for-youth-career-exploration-in-healthcare-and-allied--ba7c5bde2b) — RFA; Closed; due 2026-10-02
- [GO-NORTH School-Based Oral Health Programs (SBOHP) - Three Funding Goals](https://www.ruralcarejourney.com/opportunities/go-north-school-based-oral-health-programs-sbohp-three-funding-goals--38ba9887be) — GRANT; Closed; due 2026-09-25
- [Foundation for Healthy Communities RFP - Data Collection and Reporting Consulting Services](https://www.ruralcarejourney.com/opportunities/foundation-for-healthy-communities-rfp-data-collection-and-reporting-consulting--86e4b8bc96) — RFP; Closed; due 2026-08-31; $37.8M – $500,000
- [GO-NORTH Data and Reporting Consultant RFP](https://www.ruralcarejourney.com/opportunities/go-north-data-and-reporting-consultant-rfp--2a403297d0) — RFP; Closed; due 2026-08-31; $500,000
- [Development of a Needs and Readiness Assessment and Vendor RFP to Modernize Ten Community Mental Health Centers Via Selection and Adoption of a Common Electronic Health Record (EHR) Platform](https://www.ruralcarejourney.com/opportunities/development-of-a-needs-and-readiness-assessment-and-vendor-rfp-to-modernize-ten--aff5af3bf8) — RFP; Closed; due 2026-08-17
- [New Hampshire RHTP: EMS Grant Opportunity Through the Foundation for Healthy Communities](https://www.ruralcarejourney.com/opportunities/new-hampshire-rhtp-ems-grant-opportunity-through-the-foundation-for-healthy-comm--f0c9f56159) — GRANT; Closed; due 2026-07-31; $25,000 – $2.0M
- [Augmented and Virtual Reality (AR/VR) Hardware, Software & Training](https://www.ruralcarejourney.com/opportunities/augmented-and-virtual-reality-ar-vr-hardware-software-training--ba7291f6c3) — RFP; Closed; due 2026-07-27
- [Request for Qualifications: Consulting Support for NH RCHIP Health Infrastructure Projects](https://www.ruralcarejourney.com/opportunities/request-for-qualifications-consulting-support-for-nh-rchip-health-infrastructure--5ec42f3fb1) — RFP; Closed; due 2026-06-26
- [New Hampshire RHTP: Youth Engagement Programs in Healthcare & Allied Health Careers](https://www.ruralcarejourney.com/opportunities/new-hampshire-rhtp-youth-engagement-programs-in-healthcare-allied-health-careers--26abfbc87b) — RFA; Closed; due 2026-05-30
- [Evaluation Services for Rural Health Transformation Grant (RFP 2026-001) – New Hampshire](https://www.ruralcarejourney.com/opportunities/evaluation-services-for-rural-health-transformation-grant-rfp-2026-001-new-hamps--cf6028eb7f) — RFP; Closed; due 2026-05-22; $25.0M
- [New Hampshire Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/new-hampshire-federal-rhtp-award-year-1-fy-2026--6daf905a0e) — AWARD; Closed; $204.0M
- [New Hampshire Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/new-hampshire-federal-rhtp-award-year-2-fy-2027--1a7efe78ef) — AWARD; Closed; $204.3M

## Largest recorded awards

- Foundation for Healthy Communities — $283.0M (FY2026)
- New Hampshire Community Development Finance Authority (CDFA) — $223.2M (FY2026)
- New Hampshire Community Behavioral Health Association — $131.6M (FY2026)
- University System of New Hampshire — $96.9M (FY2026)
- Health Strategies for New Hampshire, Inc — $40.0M (FY2026-2028)
- Community College System of New Hampshire — $37.8M (FY2026)
- National Opinion Research Center (NORC) — $20.2M (FY2026-2031)
- Trustees of Dartmouth College — $9.2M (FY2027-2028)
- NFI-North — $1.8M (FY2026-2027)
- Cheshire County – Connected Families NH — $1.0M (FY2026-2027)

## Official sources RCJ monitors

- [NH RHTP Primary](https://www.dhhs.nh.gov/programs-services/medicaid/rural-health-transformation-program)
- [NH Release / Application](https://www.gonorth.nh.gov/)
- [NH GoNorth Funding Opportunities](https://www.gonorth.nh.gov/funding-opportunities-0)
- [NH Community Behavioral Health Association (GO-NORTH Initiative 4 - Technology)](https://nhcbha.org/)
- [NH Foundation for Healthy Communities RHTP hub (GO-NORTH)](https://healthynh.org/initiatives/rural-health-transformation-program/)
- [NH Community Development Finance Authority (CDFA) RFPs (GO-NORTH capital hub)](https://nhcdfa.org/rfp/)
- [USNH Public Bid Portal](https://bids.sciquest.com/apps/Router/PublicEvent?CustomerOrg=USNH)

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