Nevada

Nevada announced $36 million in the first round of Rural Health Transformation Program grants, targeting critical infrastructure and technology gaps in rural and frontier health systems. The funding supports efforts such as medical technology, emergency equipment, telehealth, and transportation to strengthen rural health care access and stability. Key contacts: Chloe Chism nvhapio@nvha.nv.gov; Stacie Weeks, JD, MPH; Dr. Malinda Southard Event schedule: - Announcement of first round of grants - June 9, 2026 - Nevada

The RHTP WRRAP Rural Medical Residency Program RFA offers $25.19M in year 1 funding to support creation and expansion of rural medical residency programs across Nevada. Emphasis is placed on primary care, family practice, geriatrics, maternal, and behavioral health training, with recipients required to commit to 5 years of rural service. No match is required; applicants must anchor requests in documented rural shortage data and submit detailed project plans. Key contacts: Rural Health Transformation Project Team RHTP@nvha.nv.gov Event schedule: - WRRAP Rural Medical Residency RFAs Released - 05/07/2026 - PT - Round 1 applications due - 06/26/2026 - 11:59 PM PT - Estimated final BP1 Round 1 funding decisions - 08/16/2026 - PT - Applicant project spending period concludes - 08/30/2027 - PT - State closeout deadline - 09/30/2027 - PT

Nevada was awarded $1,298,985 by CMS under the RHTP for BP1 to implement school wellness initiatives via the Presidential Fitness Test. Funding is targeted for rural and charter schools, aiming to improve student health through physical activity and nutrition. The RFA outlines strict eligibility and use of funds, emphasizing sustainability, data reporting, and compliance. Key contacts: Stacie Weeks RHTP@nvha.nv.gov; Malinda Southard, DO, CPM RHTP@nvha.nv.gov Event schedule: - Application Due Date - 07/01/2026 - 11:59pm PT - email submission - Final Funding Decisions - 07/15/2026 - Budget Period 1 Start - 12/29/2025 - Budget Period 1 End - 10/30/2026 - Project Completion Deadline - 08/30/2027

Nevada's RHT Team developed and published ten RFAs for Budget Period 1, targeting rural health system flex funds, veterans, tribal, and correctional populations. The review covers strengths in accessibility, communication, and transparency, alongside lessons learned on administrative bottlenecks and technical assistance needs. Future improvements will focus on timeline clarity, enhanced support, and open communication for rural applicants. Event schedule: - Steering Committee RFA Process Review Meeting - 06/09/2026 - Director’s Office

Nevada’s RHTP outlines a detailed timeline for funding opportunities and subaward management starting early 2026 through late 2026 with multiple Steering Committee meetings planned. The state plans to issue RFAs for two budget periods and establish technical assistance and reporting structures for subrecipients. Event schedule: - First RHT Steering Committee meeting - March 11, 2026 - Publish RHT Budget Period 1 RFAs - March 31, 2026 - RHT Steering Committee meeting - June 9, 2026 - Annual RHT Report submission to CMS due - August 30, 2026 - RHT Steering Committee meeting - September 10, 2026 - RHT Steering Committee meeting - December 7, 2026 - Expected publish date of Budget Period 2 RFAs - January 2027

This document provides detailed guidance for Nevada's Rural Health Transformation RHTP application process, covering eligibility, budgeting, program tiers, and service commitment policies for BP1. Programs addressed include the Rural Health Innovation Technology, Rural Health Outcomes Accelerator, and Workforce Recruitment and Rural Access initiatives. Applicants are encouraged to demonstrate rural community impact, partnerships, and sustainability in their proposals. Key contacts: Stacie Weeks, JD, MPH Event schedule: - BP1 Funding Decision Notices - 07/27/2026 - PT - BP1 Final Subawards Release - September 2026 - PT

This guidance outlines project narrative requirements and work plan templates for applicants to the Rural Health Transformation Grant in Nevada. It prioritizes expanding rural healthcare workforce via residency and fellowship placements, with special focus on primary care, geriatrics, maternal, and behavioral health. Sustainability, impact analysis, and quarterly reporting on provider enrollment are emphasized. Event schedule: - 1) How do you plan to create or expand medical residency and fellowship programs that will expand the healthcare workforce in rural Nevada? 2) Describe how individuals will be identified and recruited for these residency and fellowship programs, with particular emphasis on primary care, family practice residency, or specialty fellowships designed to train front-line rural physicians in the areas of geriatrics, maternal or behavioral healthcare (mental health and substance use treatment). 3) Describe the strategy to recruit individuals from rural areas and provide placement for individuals in rural healthcare settings and practices. 4) Identify the county or counties, including frontier or tribal areas, that will benefit from the grant funding. B. Describe the strategy for identifying any existing program funding from other state or local sources and how the applicant will avoid supplanting existing funds with funds available under this subaward. C. Attest that any individual that receives direct funding through this subaward (e.g., residency placements, housing stipends, bonus or incentive payments, student loan support, etc.) will be subject to a 5-year service commitment as required under the CMS Rural Health Transformation Grant Opportunity. D. Building on the information provided in “4.1. Needs Assessment,” articulate how the proposed program will meet the needs identified. E. List the proposed individuals and support staff positions that will oversee this program. Include an organizational chart. F. Provide a list of partnerships, as applicable, that will be used in this program. Provide detailed impact analysis estimates in a table format on the impact of the recruitment and retention program. Include a justification for how each estimate was determined. Please address the following: A. The number of healthcare providers estimated to be enrolled in a new or expanded residency or fellowship program listed by provider type/specialty, including physicians, nurses, physician assistants, behavioral health, and other providers itemized by specialty, as applicable. B. Number of individuals enrolled in the residency or fellowship programs that may be (and are) required to adhere to the 5-year rural residency requirement. This information must be updated and reported on a quarterly basis and at the end of the spending period ending , 2027. 4070 Silver Sage Drive ● Carson City, Nevada 89701 Page 37 of 47 - September 30 - 3. Data Collection and Evaluation (15 points possible) – Please respond to each question individually and number your responses. Provide performance evaluation measures that correspond to the goals of your program. At a minimum, the measures indicated in the impact analysis should be a part of the overall program evaluation. Please describe: A. What data will be collected to measure the success of the program. B. How the program will know if it is successful. C. How the program will improve health outcomes for rural Nevadans. 4. Sustainability Plan (15 points possible) – Provide a plan for sustaining the improvements implemented through this funding opportunity which addresses the following question, at a minimum: A. What strategy will the applicant leverage to sustain this project after the RHT Grant Program ends? What other funding sources will you pursue (e.g., billing/reimbursement, private grants, donations, sliding-fee scale, etc.)? Letters of Commitment (not scored) Format: Letterhead with signature. As noted in the eligible applicant section, proposals may be supported by strong letters of commitment or a memorandum of understanding (MOU) from local rural or tribal health officials, rural hospitals, and other rural health care providers of services located in the community impacted by the proposal demonstrating a governance structure or partnership agreement. 4070 Silver Sage Drive ● Carson City, Nevada 89701 Page 38 of 47

The Nevada Health Authority is hosting a public workshop to provide information about Nevada’s Rural Health Transformation Program, including initiatives such as the Flex Fund for Rural Providers, innovation and technology strategies, workforce recruitment, and outcome acceleration. No awards or funding decisions are being made at this meeting; rather, stakeholders are informed about timelines and future funding opportunities.

2026 · PDF