# New York — Rural Health Transformation Program (RHTP)

New York's Rural Health Transformation Program is actively implementing a coordinated rural health strategy following its November 2025 CMS application and award. The program focuses on rural community health integration, technology- and AI-enhanced Patient-Centered Medical Home models, expanded telehealth and eConsult partnerships, cybersecurity for rural facilities, and sustainable healthcare workforce development. Implementation is ongoing across rural counties and hospital networks—including the NY-VISTA collaborative—through direct Rural Community Health Integration awards, with activities scheduled through at least June 2027. Program efforts are tracked through four major initiatives and multiple strategic goals, with continuing engagement of rural stakeholders. Current structured plan tracks 4 key initiatives and 8 strategic goals.

## At a glance

- Federal awards to date: $419,808,278.74 (Year 1 $212.1M + Year 2 $207.8M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 4 (0 open or announced, 4 closed)
- Awards recorded: $18.9M to 11 recipients
- Critical Access Hospitals: 17
- Rural population share: 7%

## Current progress

New York State continues active implementation of the Rural Health Transformation Program. The state has announced awards to dozens of rural health providers and is distributing federal funds, confirming sub-recipient implementation is underway. Initiatives such as the NY-VISTA rural specialty access collaborative have commenced with awarded funding and multi-hospital activities. Major projects on workforce, technology, and cybersecurity are ongoing as of September–October 2026. State opportunities: 1 total (1 past/closed), $76.2M listed funding. Key opportunities: New York Rural Community Health Integration (RCHI) Funding Opportunity. Strategy alignment: supports workforce, telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 0 of 19
- Initiatives (4), current CMS stage of each:
  - Investments in Cybersecurity & Technology — Stage 2
  - Rural Community Health Integration — Stage 2
  - Rural Roots: Workforce — Stage 2
  - Strengthening Rural Health — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (4, most recent first)

- [New York RHTP Initiative 4 — Cybersecurity Resilience Interest Form](https://www.ruralcarejourney.com/opportunities/new-york-rhtp-initiative-4-cybersecurity-resilience-interest-form--07f86ca0ad) — GUIDANCE; Closed; due 2026-09-01
- [New York Rural Community Health Integration (RCHI) Funding Opportunity](https://www.ruralcarejourney.com/opportunities/new-york-rural-community-health-integration-rchi-funding-opportunity--f91c1cf0bb) — RFA; Closed; due 2026-07-14; $76.2M
- [New York Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/new-york-federal-rhtp-award-year-1-fy-2026--8579fe8c5e) — AWARD; Closed; $212.1M
- [New York Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/new-york-federal-rhtp-award-year-2-fy-2027--fcaa738774) — AWARD; Closed; $207.8M

## Largest recorded awards

- Ellenville Regional Hospital — $3.5M (FY2026)
- Care Compass Collaborative — $3.4M (FY2026)
- Bassett Medical Center — $3.1M (FY2026)
- Cayuga Medical Center — $2.9M (FY2026)
- Chautauqua Health Network — $1.8M (FY2026)
- Champlain Valley Physicians Hospital — $1.4M (FY2026)
- Canton-Potsdam Hospital — $1.1M (FY2026)
- Clifton Springs Hospital & Clinic — $950,000 (FY2026)
- Alice Hyde Medical Center — $500,000 (FY2026)
- Chenango Health Network — $275,896 (FY2026)
- Adirondack Health — $81,235 (FY2026)

## Official sources RCJ monitors

- [NY RHTP Primary](https://health.ny.gov/facilities/transforming_rural_healthcare/)
- [NY DOH: First-Year RHTP Funding Announcement](https://www.health.ny.gov/press/releases/2025/2025-12-30_first_year_federal_funding.htm)
- [NYS Contract Reporter](https://www.nyscr.ny.gov/)
- [NY RHTP Application & Process Presentation (Jan 2026)](https://health.ny.gov/facilities/transforming_rural_healthcare/docs/2026-01-16_presentation.pdf)

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