# Oklahoma — Rural Health Transformation Program (RHTP)

The Oklahoma Rural Health Transformation Program (RHTP) is in active, multi-year implementation, supported by a second-year CMS award that funds 29 rural health programs. The program continues statewide engagement through in-person regional county collaborative meetings, virtual kickoffs, and ongoing webinars, with a current focus on technology integration, including a statewide tech co-op, HIE/EHR adoption, and EMS centralization. Providers and clinics are encouraged to participate through streamlined enrollment and application processes, and program progress is managed through structured tracking of initiatives including behavioral health, workforce development, maternal health, telehealth, and health IT upgrades. OklahomaRHTP@health.ok.gov remains the primary contact for engagement and information. Current structured plan tracks 6 key initiatives and 17 strategic goals.

## At a glance

- Federal awards to date: $450,574,491.21 (Year 1 $223.5M + Year 2 $227.1M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 16 (5 open or announced, 11 closed)
- Awards recorded: $83.5M to 116 recipients
- Critical Access Hospitals: 41
- Rural population share: 33%

## Current progress

Oklahoma RHTP remains in active implementation, with statewide applications open for rural providers seeking assistance with Health Information Exchange participation and EHR adoption or upgrades. Applications for Year 1 assistance are due December 31, 2026, and the Year 2 cycle opens in January 2027, verifying an ongoing state-level procurement process. Subgrant awards have not yet been finalized, but provider engagement and collaborative regional meetings are ongoing. The state is meeting CMS deadlines and continues program activities and webinars with providers. State opportunities: 3 active (1 open, 1 upcoming, 1 closing soon, 9 past/closed), $22.2M listed funding. Key opportunities: OHCA HIE & EHR Assistance (Year 1 Application); Community Paramedicine Consulting Services RFP; OHCA HIE & EHR Assistance (Year 2 Application). Strategy alignment: supports ems, maternal health priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 2 of 19
- Initiatives (6), current CMS stage of each:
  - Building Health Data Utility — Stage 2
  - Facilitating Regional Collaboration — Stage 2
  - Growing the Next Generation of Rural Talent — Stage 2
  - Innovating Care Models — Stage 2
  - Moving Upstream — Stage 2
  - Shifting to Value — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Community Paramedicine Consulting Services RFP](https://www.ruralcarejourney.com/opportunities/community-paramedicine-consulting-services-rfp--6ddcb8447b) — RFP; Closing soon; due 2026-11-18
- [Oklahoma RHTP Technology Cooperative (OSU ORHRIDN) - Provider and Clinic/Site Enrollment](https://www.ruralcarejourney.com/opportunities/oklahoma-rhtp-technology-cooperative-osu-orhridn-provider-and-clinic-site-enroll--0cfacffb8b) — OTHER; Open; due 2026-12-01
- [OHCA EHR Expansion RFI (Year 1)](https://www.ruralcarejourney.com/opportunities/ohca-ehr-expansion-rfi-year-1--2b64f6b179) — RFI; Open; due 2026-12-02
- [OHCA HIE & EHR Assistance (Year 1 Application)](https://www.ruralcarejourney.com/opportunities/ohca-hie-ehr-assistance-year-1-application--ef125da1a3) — GRANT; Open; due 2027-01-01; $16.0M
- [OHCA HIE & EHR Assistance (Year 2 Application)](https://www.ruralcarejourney.com/opportunities/ohca-hie-ehr-assistance-year-2-application--a5170ec36d) — GRANT; Announced, not yet open; due 2027-05-31

## Closed opportunities (11, most recent first)

- [ROOTS (Rural Opportunities for Optimal Transformation in Students' Health) — Year 2](https://www.ruralcarejourney.com/opportunities/roots-rural-opportunities-for-optimal-transformation-in-students-health-year-2--e60edb9016) — GRANT; Closed; due 2026-10-15; $10,000
- [OSDE PRIMS Project 695: Promoting School Health Services Through Medicaid Billing](https://www.ruralcarejourney.com/opportunities/osde-prims-project-695-promoting-school-health-services-through-medicaid-billing--a2e24b56dc) — GRANT; Closed; due 2026-09-12
- [Emergency Medical Service and Community Paramedicine Vehicles Funding Opportunity](https://www.ruralcarejourney.com/opportunities/emergency-medical-service-and-community-paramedicine-vehicles-funding-opportunit--69e94017ac) — NOFO; Closed; due 2026-07-27; $350,000
- [Expanding Care: Doulas Program](https://www.ruralcarejourney.com/opportunities/expanding-care-doulas-program--d398f87baa) — NOFO; Closed; due 2026-07-27; $100,000 – $1.0M
- [Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder](https://www.ruralcarejourney.com/opportunities/behavioral-health-integration-medications-for-opioid-and-alcohol-use-disorder--6e2705b660) — NOFO; Closed; due 2026-07-10; $2.8M
- [Oklahoma Rural Health Transformation – Rural Regional Reorientation (RRR) Subawards](https://www.ruralcarejourney.com/opportunities/oklahoma-rural-health-transformation-rural-regional-reorientation-rrr-subawards--e0c93461e8) — NOFO; Closed; due 2026-06-12; $1 – $4
- [RHTP Chronic Disease Management Program](https://www.ruralcarejourney.com/opportunities/rhtp-chronic-disease-management-program--aa0c5d8bf8) — NOFO; Closed; due 2026-06-08; $250,000 – $2.0M
- [ROOTS (Rural Opportunities for Optimal Transformation in Students' Health) — Year 1](https://www.ruralcarejourney.com/opportunities/roots-rural-opportunities-for-optimal-transformation-in-students-health-year-1--ce71c2039b) — GRANT; Closed; due 2026-05-24; $10,000
- [Rural Health Transformation Program Microgrants (RHTP2026001)](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-microgrants-rhtp2026001--351772a58a) — NOFO; Closed; due 2026-04-13
- [Oklahoma Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/oklahoma-federal-rhtp-award-year-1-fy-2026--c4b328668c) — AWARD; Closed; due 2025-11-05; $223.5M
- [Oklahoma Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/oklahoma-federal-rhtp-award-year-2-fy-2027--70d43a969f) — AWARD; Closed; $227.1M

## Largest recorded awards

- Oklahoma State University Center for Health Systems Innovation (OSU-CHSI) - Technology Cooperative — $12.6M (FY2026)
- Mercy Health Oklahoma Communities, Inc. — $6.6M (FY2026)
- Jackson County Memorial Hospital Authority — $5.3M (FY2026)
- CREOKS Mental Health Services, Inc DBA CREOKS Health Services, Inc. — $4.0M (FY2026)
- Southwestern Oklahoma State University — $4.0M (FY2026)
- Cancer Centers of Southwest Oklahoma, LLC — $3.9M (FY2026)
- Pulsara, purchased through OMES Statewide Contract #1041 via Carahsoft — $3.8M (FY2026)
- SSM Health Care of Oklahoma — $3.7M (FY2026)
- Ascension St. John Jane Phillips Medical Center — $2.9M (FY2026)
- Grand Lake Mental Health Center, Inc. — $2.7M (FY2026)
- Fairview Regional Medical Center — $2.7M (FY2026)
- Wagoner Hospital Authority, an Oklahoma Public Trust, DBA Wagoner Community Hospital — $2.4M (FY2026)
- McCurtain Memorial Medical Management, Inc. — $2.4M (FY2026)
- Midwest Wellness and Wound Care, LLC — $2.3M (FY2026)
- Lighthouse Behavioral Wellness Centers, Inc. — $1.7M (FY2026)

## Official sources RCJ monitors

- [OK RHTP Primary](https://oklahoma.gov/health/rhtp.html)
- [OK Release / Application](https://oklahoma.gov/health/rhtp/rhtp-funding.html)
- [OK Health Dept Newsroom](https://oklahoma.gov/health/news---events/newsroom.html)
- [OK RHTP Budget Period 1 Initiative Funding Summary (PDF)](https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/RHTP_InitiativeFundingSummary.pdf)
- [OK Release / Application 4](https://oklahoma.gov/health/news---events/newsroom/2026/oklahoma-rural-health-transformation-program-announces-public-gr.html)
- [OK OHCA OKSHINE RHTP Page](https://oklahoma.gov/ohca/okshine/rhtp.html)

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