# Nevada — Rural Health Transformation Program (RHTP)

The RHTP is administered by the Nevada Health Authority (NVHA) with support from CMS through a federal cooperative agreement. As of 2026, the program is actively implementing a structured plan, distributing awards across core focus areas such as rural health innovation, workforce recruitment and retention, provider infrastructure, tribal health systems, and expanded healthcare access. Applicants are advised to review RFA documents for current eligibility and guidance. Current structured plan tracks 4 key initiatives and 17 strategic goals.

## At a glance

- Federal awards to date: $362,335,330.68 (Year 1 $179.9M + Year 2 $182.4M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 18 (3 open or announced, 15 closed)
- Awards recorded: $177.2M to 110 recipients
- Critical Access Hospitals: 8
- Rural population share: 7%

## Current progress

As of August–September 2026, Nevada continues active Rural Health Transformation Program implementation with multiple competitive RFA cycles, subaward negotiations, and new awards totaling $26.9 million for 37 rural health projects. Application windows are closed, and subaward execution and expenditure reviews are ongoing across all rural counties; nearly $150 million has now been awarded. Expanded technical assistance, subrecipient reporting, and reimbursement reviews confirm robust operational management. Additional RFA releases are planned for Budget Period 2. State opportunities: 3 active (3 open, 13 past/closed), $219.3M listed funding. Key opportunities: Nevada Rural Reentry FLEX Request for Applications; Nevada Rural Reentry RHIT (Rural Health Innovation and Technology) Request for Applications; Nevada CBHT WRRAP Provider Recruitment and Retention Program RFA (Children's Behavioral Health). Strategy alignment: supports telehealth, workforce, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 4 of 19
- Initiatives (4), current CMS stage of each:
  - Nevada Rural Health System Flex Fund — Stage 2
  - Rural Health Innovation & Technology (RHIT) Grant — Stage 1
  - Rural Health Outcomes Accelerator Program — Stage 1
  - Workforce Recruitment & Rural Access Program — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Nevada CBHT WRRAP Provider Recruitment and Retention Program RFA (Children's Behavioral Health)](https://www.ruralcarejourney.com/opportunities/nevada-cbht-wrrap-provider-recruitment-and-retention-program-rfa-children-s-beha--dbfdc7672e) — RFA; Open; due 2026-12-11; $20,000 – $500,000
- [Nevada Rural Reentry FLEX Request for Applications](https://www.ruralcarejourney.com/opportunities/nevada-rural-reentry-flex-request-for-applications--da06b56acc) — RFA; Open; due 2026-12-15; $5.8M
- [Nevada Rural Reentry RHIT (Rural Health Innovation and Technology) Request for Applications](https://www.ruralcarejourney.com/opportunities/nevada-rural-reentry-rhit-rural-health-innovation-and-technology-request-for-app--311e43f6b2) — RFA; Open; due 2026-12-15; $10.0M – $5.0M

## Closed opportunities (15, most recent first)

- [Nevada Statewide Health Care Access and Recruitment Program (SHARP) - Grant Cycle 1 (SFY27)](https://www.ruralcarejourney.com/opportunities/nevada-statewide-health-care-access-and-recruitment-program-sharp-grant-cycle-1--01fcd922ff) — RFA; Closed; due 2026-09-09; $57.9M
- [Nevada Rural Health Innovation and Technology (RHIT) Initiative](https://www.ruralcarejourney.com/opportunities/nevada-rural-health-innovation-and-technology-rhit-initiative--10da095a39) — RFA; Closed; due 2026-07-06; $27.0M
- [Nevada Rural Health Transformation Outcomes Accelerator Program](https://www.ruralcarejourney.com/opportunities/nevada-rural-health-transformation-outcomes-accelerator-program--91cbab669c) — RFA; Closed; due 2026-06-26; $50,000 – $27.0M
- [Nevada WRRAP – Rural Medical Residency Program](https://www.ruralcarejourney.com/opportunities/nevada-wrrap-rural-medical-residency-program--e4313c98e6) — RFA; Closed; due 2026-06-26; $25.2M
- [Nevada Rural Presidential Fitness Test Implementation](https://www.ruralcarejourney.com/opportunities/nevada-rural-presidential-fitness-test-implementation--a8a0bcf7d4) — RFA; Closed; due 2026-06-01; $1.3M
- [Nevada Rural Tribal Health System Transformation Program](https://www.ruralcarejourney.com/opportunities/nevada-rural-tribal-health-system-transformation-program--6070ba4da5) — RFA; Closed; due 2026-05-29; $8.1M
- [Nevada Workforce Recruitment & Rural Access Program (WRRAP) Provider Recruitment and Retention Program](https://www.ruralcarejourney.com/opportunities/nevada-workforce-recruitment-rural-access-program-wrrap-provider-recruitment-and--9b9db9000d) — RFA; Closed; due 2026-05-16; $100,000 – $2.0M
- [Nevada Workforce Recruitment & Rural Access Program (WRRAP) Provider Apprenticeship and Training Program](https://www.ruralcarejourney.com/opportunities/nevada-workforce-recruitment-rural-access-program-wrrap-provider-apprenticeship--899842cee8) — RFA; Closed; due 2026-05-15; $100,000 – $1.5M
- [Nevada Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/nevada-federal-rhtp-award-year-1-fy-2026--3d7bb3474a) — AWARD; Closed; due 2026-05-15; $179.9M
- [Provider Apprenticeship and Training RFA](https://www.ruralcarejourney.com/opportunities/provider-apprenticeship-and-training-rfa--f6bf63867d) — RFA; Closed; due 2026-05-15; $100,000 – $1.5M
- [Nevada Rural Health Systems Flex Fund (RHTP)](https://www.ruralcarejourney.com/opportunities/nevada-rural-health-systems-flex-fund-rhtp--99a47fc923) — RFA; Closed; due 2026-04-30; $230,000 – $36.0M
- [Rural Corrections Health Transformation](https://www.ruralcarejourney.com/opportunities/rural-corrections-health-transformation--750c459616) — RFA; Closed; due 2026-04-30; $2.4M
- [Nevada Rural Veterans Health Transformation](https://www.ruralcarejourney.com/opportunities/nevada-rural-veterans-health-transformation--025a96001f) — RFA; Closed; due 2026-04-30; $2.4M
- [Graduate Medical Education (GME) Grant Program, Round VIII (SFY26)](https://www.ruralcarejourney.com/opportunities/graduate-medical-education-gme-grant-program-round-viii-sfy26--4438784484) — RFA; Closed; due 2026-04-24; $100,000 – $15.8M
- [Nevada Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/nevada-federal-rhtp-award-year-2-fy-2027--2a5007d1a4) — AWARD; Closed; $182.4M

## Largest recorded awards

- Nevada Rural Hospital Partners Foundation, Inc. — $20.3M (FY2025-2026)
- NV Medicaid — $10.0M (FY2025-2026)
- Mesa View Regional Hospital — $8.5M (FY2025-2026)
- Nevada Department of Corrections (NDOC) — $5.5M (FY2025-2026)
- Humboldt General Hospital — $5.1M (FY2025-2026)
- Medicaid — $5.0M (FY2025-2026)
- DVH Hospital Alliance LLN dba Desert View Hospital — $4.5M (FY2025-2026)
- Lyon County — $4.3M (FY2025-2026)
- Nevada Health Centers — $4.1M (FY2025-2026)
- Pershing General Hospital — $3.8M (FY2025-2026)
- Nevada Rural Hospital Partners — $3.8M (FY2025-2026)
- N. Nye Hospital District — $3.8M (FY2025-2026)
- Board of Regents, NSHE, UNR — $3.5M (FY2025-2026)
- Nevada Department of Education — $3.2M (FY2025-2026)
- Board of Regents, NSHE obo the UNLV — $3.2M (FY2025-2026)

## Official sources RCJ monitors

- [NV Official RHTP 1](https://www.gov.nv.gov/press-releases/nevada-awarded-rural-health-transformation-program-grant/)
- [NV RHTP Primary](https://www.nvha.nv.gov/RHTP/)
- [NV RHTP NOFOs](https://www.nvha.nv.gov/RHTP/rht-nofos)
- [NV Release / Application 2](https://www.gov.nv.gov/press-releases/nevada-convenes-inaugural-meeting-of-the-rural-health-transformation-steering-committee-to-strengthen-health-care-access-and-support-rural-communities)

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