Oregon's Rural Health Transformation Program (RHTP) is in active implementation, deploying Catalyst and Immediate Impact awards to more than 100 rural organizations across the state, supporting over 130 new projects in 2026. Led by the Oregon Health Authority in partnership with CMS, the program advances five major initiatives: regional partnerships, healthy communities, workforce capacity, technology and data modernization, and a Tribal Initiative—with emphasis on maternal/child and behavioral health needs. Current efforts focus on community-driven system transformation, competitive grants, technical assistance, and regional convenings, supporting measurable improvements and long-term sustainability in rural health. The program maintains structured tracks to monitor statewide initiatives and strategic goals. Current structured plan tracks 14 key initiatives and 16 strategic goals.
Oregon Health Authority has awarded $80.1 million in Catalyst Awards to 85 organizations for 103 projects, with implementation using Year 1 funds beginning July 2026. In July 2026, an additional $97 million was awarded for 136 projects, with Immediate Impact and Tribal Initiative grants also distributed, further expanding the reach of RHTP statewide. State-level procurement is complete, subgrants are actively being negotiated and issued, and many local projects are launching or underway. Program roll-out and partner engagement continue to support workforce, prevention, and care access priorities. State opportunities: 1 active (1 open, 3 past/closed), $5.0M listed funding. Key opportunities: Oregon RHTP: Transformation Funds; Rural Health Transformation Program (RHTP) Catalyst Awards; Oregon RHTP: Immediate Impact Awards — Wave 1. Strategy alignment: supports workforce, telehealth, prevention priorities.
RHTP Strategy
Oregon’s Rural Health Transformation Program (RHTP) pursues targeted rural health improvements using a mix of direct investments, competitive awards, and regional planning to address urgent needs and foster sustainable change statewide. The strategy emphasizes regional convenings, technical assistance, and stakeholder engagement, integrating funding through Catalyst Awards, Immediate Impact Awards, and a dedicated Tribal Initiative. Workforce resilience, technology modernization, systems strengthening, and rigorous program evaluation are central components, underpinned by ongoing outreach and regional collaboration through 2031.
Model
Regional, cross-sector transformation model integrating healthcare, social services, workforce development, and technology modernization through phased grants, partnership networks, and dedicated Tribal and regional initiatives.
Key Initiatives
1Catalyst Awards through competitive RFGP to fund ready-to-launch rural health transformation projects in maternal and child health, behavioral health, aging, and chronic disease
2Immediate Impact Awards for state-selected, shovel-ready community projects addressing urgent rural needs
3Regional Partnerships and Transformation Funds to facilitate shared rural health governance, systems coordination, and infrastructure
4Healthy Communities & Prevention Initiative targeting chronic disease, behavioral health, maternal and child health, and school-based prevention efforts
5Workforce Capacity & Resilience Initiative: expand rural residencies, provider recruitment, minimum five-year rural commitment, mobile and simulation-based training, K-12 career pathways, and new family medicine rural residency program
6Technology & Data Modernization Initiative: telehealth expansion, electronic medical record upgrades, health IT adoption, cybersecurity, and interoperability
7Tribal Initiative: dedicated funding, direct consultation, and collaborative design with Oregon’s nine federally recognized Tribes to address Tribal rural health priorities
8Grants and Transformation Funds to rural hospitals, clinics, and public health authorities
9Regional convenings across eight regions and technical assistance to strengthen collaboration, support implementation, and develop future competitive RHTP applications
10Addition of staff and technical assistance to support local implementation, strategic planning, monitoring, and reporting
11Phased grant distribution and rigorous project evaluation aligned with CMS and OHA priorities
12School-based health expansions and mobile dental/vision care
13Family and youth mental health access pilots and EMS overdose reversal pilots
14Nurture Oregon integrated maternal substance use disorder (SUD) care
Timeline: Catalyst Awards RFGP open April 10 – May 26, 2026; award decisions announced mid-2026; project implementation begins as early as July 2026; funding and implementation continue through September 2031
11
12Enhance EMS and emergency transport capacity in rural regions
13Increase preventive, chronic, and cancer care access for rural populations
14Build resilience, health literacy, and wellness in Latinx and multicultural rural families
15Restore and expand local healthcare infrastructure through renovation and technology
16Develop and coordinate school-based behavioral health support systems
Health Priority
Rural healthcare access
Rural hospitals and clinics are critical for maintaining access to care in rural Oregon. Funding aims to stabilize and expand these services.
rural Oregon
Aug 12, 2026
Program Update
Oregon's RHTP is a large, multi-initiative effort investing over $156 million in 2026–2027 to improve rural health. Dozens of awards support urgent community needs, workforce stabilization, hospital and EMS resilience, maternal health, behavioral health, and system transformation. Catalyst Awards represent the largest single round of RHTP funding to date,...
Jul 27, 2026
Program Update
Oregon Health Authority is awarding over $97 million in new federal funding—part of a total $175 million—to support 136 new rural health projects across all counties in Oregon in 2026. The funds are distributed through both Catalyst Awards for large-scale, long-term improvement projects and Immediate Impact Awards for shovel-ready efforts, addressing crit...
Jul 27, 2026
ReferencePDF2026-2030Award: $100.0M
OR - 2026 - 10.9.2025 RHTP Public Forum
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OR - 2025 - 10-16-25 RHTP Public Survey Results 1
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OR - 2025 - Oregon RHTP
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ReferencePDF2025-2027Budget: $41.5B
OR - 2025 - 2025-27 Budget Summary For OHA's Legislatively Approved Budget, Spring 2026
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OR - 2027 - RFGP 6244: Catalyst Grants for the RHTP
85 Catalyst Award organizations (names in linked recipient list)
Catalyst Awards support 103 projects, including maternal/child health, behavioral health, aging in place, and chronic disease in all rural Oregon counties.
$80.1M
Network Development
2026
35 Rural Hospitals in Oregon
$35 million total will be directed to the state's 35 rural hospitals as direct awards for rural health transformation activities.
$35.0M
Quality Improvement
2026
Grand Total
$35.0M
Award
2026
33 Immediate Impact Award projects (names in linked recipient list)
Immediate Impact Awards fund 33 shovel-ready projects, e.g. mobile health units, rural workforce training, and diet-related care.
$17.0M
Other
2026
100 Rural Health Clinics in Oregon
$10 million total will be directed to Oregon's 100 rural health clinics (RHCs) as direct awards.
$10.0M
Quality Improvement
2026
33 Local Public Health Authorities in Oregon
$5 million total will be directed to Oregon's 33 local public health authorities (mostly county health departments) as direct awards.
$5.0M
Population Health
2026
Klamath Child & Family Treatment Center (DBA Klamath Basin Behavioral Health)
Project 1 (Behavioral Health Clinic, Nonprofit or Private Health Care Organization, Social Service or Community-Based Organization). Counties served: Klamath. Regions served: South Central. Year 2 (expected): $200,000. Total (expected): $4,990,985.52.
$4.8M
Health IT
2026
La Clinica del Valle Family Health Care Center, Inc (DBA La Clinica)
Project 1 (Federally Qualified Health Center (FQHC)). Counties served: Jackson, Josephine. Regions served: South Central. Year 2 (expected): $2,463,536.61. Total (expected): $6,047,213.6.
$3.6M
Workforce
2026
Grande Ronde Hospital, Inc.
Project 1 (Behavioral Health Clinic, Hospital or Hospital System, Nonprofit or Private Health Care Organization, Rural Health Clinic). Counties served: Baker, Union. Regions served: North Eastern. Year 2 (expected): $0. Total (expected): $3,208,988.
$3.2M
Population Health
2026
Umpqua Community Health Center, Inc. (DBA Aviva Health)
Project 2 (Behavioral Health Clinic, Dental Provider, Federally Qualified Health Center (FQHC), Nonprofit or Private Health Care Organization). Counties served: Douglas. Regions served: South Central. Year 2 (expected): $606,610.98. Total (expected): $1,823,519.05.
$1.2M
Health IT
…
Announcement Documents (5)
✉️
AnnouncementJul 25, 2026TXT2026
Oregon's RHTP has rapidly moved from federal approval to active investments in rural communities. Early funding includes Immediate Impact Awards, Catalyst Awards, and Transformation Funds, supporting infrastructure and direct services. Regional collaboration and Tribal-focused awards are underway, with ongoing partner engagement and program implementation.
Event schedule:
- Announcement Date - 07/24/2026
Award: $197.3MQUALITY_IMPROVEMENT · NETWORK_DEVELOPMENT · POPULATION_HEALTH · WORKFORCE · OTHER
Event Schedule
Announcement Date - 07/24/2026
Core Initiatives
Invest directly in rural communities to improve health outcomes
Support timely implementation of impactful rural health projects
Foster regional collaborations and partnerships
🌐
AnnouncementJul 25, 2026HTML2026
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AnnouncementJul 8, 2026HTMLPast2025
Award Announcement Documents (9)
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Award AnnouncementJul 27, 2026HTML2026-2027Federal
Oregon's RHTP is a large, multi-initiative effort investing over $156 million in 2026–2027 to improve rural health. Dozens of awards support urgent community needs, workforce stabilization, hospital and EMS resilience, maternal health, behavioral health, and system transformation. Catalyst Awards represent the largest single round of RHTP funding to date, selected competitively from over 500 proposals.
Event schedule:
- Catalyst Awards RFGP Submission Period Open - 04/10/2026
- Catalyst Awards RFGP Submission Deadline - 05/26/2026
Strengthen and stabilize the rural health workforce
Support community-driven system transformation
Show all initiatives (12)
Expand access to care in rural Oregon
Strengthen and stabilize the rural health workforce
Support community-driven system transformation
Improve health outcomes for rural and underserved populations
Advance equity and address local health priorities
Improve access to behavioral health and substance use treatment in rural and frontier areas
Strengthen culturally responsive and coordinated care for underserved and Tribal communities
Enhance EMS and emergency transport capacity in rural regions
Increase preventive, chronic, and cancer care access for rural populations
Build resilience, health literacy, and wellness in Latinx and multicultural rural families
Restore and expand local healthcare infrastructure through renovation and technology
Develop and coordinate school-based behavioral health support systems
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Award AnnouncementJul 27, 2026HTML2026Federal
✉️
Award AnnouncementJul 17, 2026TXT2025
Application Documents (7)
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ApplicationJul 8, 2026HTMLPast2025
The Rural Health Transformation (RHT) Program is a new federal initiative for states, funded at $50 billion over five years (2026-2030), to transform rural healthcare delivery, workforce, and technology. Funding will be distributed among all 50 states, targeting access, innovation, population health, and sustainability. Application instructions will be detailed in a forthcoming NOFO and awards will be made by the end of 2025. Key contacts: MAHARural@cms.hhs.gov
Event schedule:
- Notice of Funding Opportunity (NOFO) release - 09/15/2025 - grants.gov
- Applicant Webinar - 09/19/2025
- Application Submission Deadline - 11/03/2025 - grants.gov
- Awards Announced - 12/31/2025
Budget: $50.0BQUALITY_IMPROVEMENT · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · OTHER
Event Schedule
Notice of Funding Opportunity (NOFO) release - 09/15/2025 - grants.gov
Oregon’s RHTP transformation plan proposes a $1 billion multi-year strategy, allocating approximately $200 million per year across five key initiatives: regional partnerships, healthy communities, workforce capacity, technology modernization, and tribal health. The plan emphasizes competitive sub-awards, immediate impact grants, and technical assistance for rural system transformation, with a focus on sustainability, cross-sector collaboration, and rigorous reporting. Critical access and independent rural hospitals, community clinics, and tribal health organizations are prioritized for capacity and service stabilization. Key contacts: rhtp@oha.oregon.gov
Event schedule:
- Intent to Apply Survey Open - 11/24/2025
- Intent to Apply Survey Close - 12/11/2025
- Public Webinar - December 2, 2025 - 11:00 a.m. - 12:00 p.m. PT - Register Here
- CMS NOFO Release - 09/15/2025
- CMS Application Deadline - 11/05/2025
- CMS Application Decisions - By 12/31/2025
- State RFA Release (anticipated) - Q2 2026
Public Webinar - December 2, 2025 - 11:00 a.m. - 12:00 p.m. PT - Register Here
Show all schedule items (7)
Intent to Apply Survey Open - 11/24/2025
Intent to Apply Survey Close - 12/11/2025
Public Webinar - December 2, 2025 - 11:00 a.m. - 12:00 p.m. PT - Register Here
CMS NOFO Release - 09/15/2025
CMS Application Deadline - 11/05/2025
CMS Application Decisions - By 12/31/2025
State RFA Release (anticipated) - Q2 2026
Contacts
<rhtp@oha.oregon.gov> - Program Contact - Statewide
Core Initiatives
Sustainable access to rural and frontier care
Make Rural America healthy again
Workforce development and resilience
Show all initiatives (4)
Sustainable access to rural and frontier care
Make Rural America healthy again
Workforce development and resilience
Tech innovation and modernization
📄
GuidanceJul 7, 2026PDF2025
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GuidanceJun 3, 2026PDFEvent2026
Strategy Documents (3)
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StrategyJul 26, 2026PDFUpcoming2026-2030
Oregon was awarded $197.3 million in 2026 as part of the federal Rural Health Transformation Program (RHTP), with an estimated total of $1 billion over five years to modernize and sustain rural health care. The plan centers on five statewide initiatives: Regional Partnerships, Healthy Communities, Workforce Capacity, Technology/Data Modernization, and a Tribal Initiative. The state’s approach blends direct investments, competitive grants, technical assistance, and strong regional planning to address challenges in workforce, technology, health access, and behavioral health. Key contacts: RHTP Team rhtp@oha.oregon.gov
Event schedule:
- Catalyst Awards RFGP Opens - 04/2026
- Annual Critical Access Hospital Quality Workshop - 04/15/2026 - Bend
- Forum on Rural Population Health - 05/14/2026 - Virtual
- Oregon Rural Health Conference (includes statewide convening) - 10/7/2026 - Bend
- RHTP statewide convening and vendor fair - 10/9/2026 - Bend
- Immediate Impact Awards announced (expected) - 05/2026
- Quarterly Report #1 Due to CMS - 08/30/2026
Annual Critical Access Hospital Quality Workshop - 04/15/2026 - Bend
Forum on Rural Population Health - 05/14/2026 - Virtual
Show all schedule items (7)
Catalyst Awards RFGP Opens - 04/2026
Annual Critical Access Hospital Quality Workshop - 04/15/2026 - Bend
Forum on Rural Population Health - 05/14/2026 - Virtual
Oregon Rural Health Conference (includes statewide convening) - 10/7/2026 - Bend
RHTP statewide convening and vendor fair - 10/9/2026 - Bend
Immediate Impact Awards announced (expected) - 05/2026
Quarterly Report #1 Due to CMS - 08/30/2026
Contacts
RHTP Team - <rhtp@oha.oregon.gov> - Program contact - Oregon (statewide)
Core Initiatives
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care
Improve efficiency and sustainability of long-term access points through high-quality regional systems
Attract and retain a high-skilled workforce with broader provider types
Show all initiatives (9)
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care
Improve efficiency and sustainability of long-term access points through high-quality regional systems
Attract and retain a high-skilled workforce with broader provider types
Spark the growth of innovative care models and payment mechanisms to improve quality and care coordination
Foster investment in and use of innovative technologies to promote efficient care delivery
Healthy Communities & Prevention
Regional Partnerships and Systems Coordination
Workforce Capacity & Resilience
Technology and Data Modernization
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StrategyJul 7, 2026PDF2020-2025
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StrategyJul 7, 2026PDF2025-2031
Summary Documents (6)
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SummaryJul 25, 2026HTML2026
Oregon was awarded $197.3 million for FY2026 under RHTP, supporting direct awards to rural hospitals, clinics, and public health agencies. The Oregon Office of Rural Health is organizing regional convenings to foster collaboration, technical assistance, and preparation for future RHTP funding. RHTP supports evidence-based, measurable interventions and aims to strengthen rural health infrastructure and workforce statewide. Key contacts: Arianne Powell ari@powellstrategygroup.com; Kenna Dickard dickard@ohsu.edu; Robert Duehmig duehmigr@ohsu.edu; Sarah Andersen ansarah@ohsu.edu
Event schedule:
- Region 1 Convening - 09/24/2026 - PT - Tillamook
- Region 2 Convening - 08/17/2026 - PT - The Dalles
- Region 3 Convening - 08/19/2026 - PT - La Grande
- Region 4 Convening - 09/29/2026 - PT - Madras
- Region 5 Convening - 08/18/2026 - PT - Burns
- Region 6 Convening - 08/07/2026 - PT - Coos Bay
- Region 7 Convening - 08/06/2026 - PT - Klamath Falls
- Region 8 Convening - 09/23/2026 - PT - Cottage Grove
Robert Duehmig - <duehmigr@ohsu.edu> - Director - Oregon
Sarah Andersen - <ansarah@ohsu.edu> - Director of Field Services - Oregon
Core Initiatives
Strengthen regional health partnerships.
Support evidence-based rural health interventions.
Expand innovative models of care and workforce capability.
Show all initiatives (4)
Strengthen regional health partnerships.
Support evidence-based rural health interventions.
Expand innovative models of care and workforce capability.
Promote coordinated regional strategies to access future RHTP funding.
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SummaryApr 17, 2026PDF2025-2027
The 2025-27 Governor’s Budget for Oregon Health Authority totals $39.6 billion, with a significant increase in General Fund and continued high federal investment. The budget prioritizes ending behavioral health workforce shortages, maintaining record Medicaid coverage, and eliminating health inequities by 2030. Strategic goals emphasize behavioral health, population health, equity, and expansion of culturally responsive providers and services.
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SummaryApr 17, 2026PDF2025-2027
The 2025-27 Agency Request Budget includes $39.0 billion in total funds, major investments in behavioral health, Medicaid coverage, workforce expansion, and public health modernization. Rural and coastal regions are specifically mentioned as focus areas for health system and workforce stability. The plan prioritizes health equity, affordable care access, and system transformation, with detailed strategies and goals through 2030.
Report Documents (3)
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ReportJun 3, 2026PDF2025-2027
This estimate report details projected impacts of H.R. 1 on Oregon’s federal funding streams, including a $175 million new allocation for rural hospitals through the Rural Health Transformation Program in 2025-27. The report highlights major anticipated losses in Medicaid and SNAP, the need for significant administrative adjustments, and the importance of new federal support to rural health infrastructure. Additional funding years for RHTP are anticipated but only the 2025-27 cycle is specified.
Event schedule:
- H.R. 1 Signed into Law - 07/04/2025
- Effective Date for Many H.R. 1 Health Changes - 12/31/2026
Award: $175.0MOTHER
Core Initiatives
Maintain access to rural health services amidst federal Medicaid and safety net changes.
Stabilize and support rural hospitals facing funding and eligibility shifts.
This survey report summarizes statewide public engagement on Oregon's RHTP, highlighting top rural health challenges and priority areas for action. Healthy Communities & Prevention, workforce capacity, and regional partnerships emerged as leading priorities. Survey input will guide the state’s application and program planning for rural health transformation.
Event schedule:
- Initial public comment period - 08/20/2025
- Initial public comment period close - 09/12/2025
- October public survey open - 10/08/2025
- October public survey close - 10/15/2025
Enhance access to primary care and prevention in rural communities
Recruit, retain, and strengthen rural health workforce
Modernize health technology and data systems
Show all initiatives (4)
Enhance access to primary care and prevention in rural communities
Recruit, retain, and strengthen rural health workforce
Modernize health technology and data systems
Foster regional partnerships for system transformation
Reference Documents (10)
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ReferenceJul 26, 2026PDF2025
This document summarizes the implementation dates, federal funding, and statutory authorities for Medicaid and related health provisions in the 2025 Budget Reconciliation Act. It includes details on the creation of a $50 billion Rural Health Transformation Fund to be distributed to states for rural provider support, technology, workforce, and quality initiatives between FY2026–2030.
Event schedule:
- Funding application submission deadline - 12/31/2025
Budget: $50.0BQUALITY_IMPROVEMENT · HEALTH_INFORMATION_TECHNOLOGY · WORKFORCE · FINANCE · OTHER
Promote evidence-based rural health interventions and chronic disease management.
Improve access, quality, and sustainability of rural health care.
Recruit and retain rural health workforce.
Show all initiatives (4)
Promote evidence-based rural health interventions and chronic disease management.
Improve access, quality, and sustainability of rural health care.
Recruit and retain rural health workforce.
Adopt health information technology and IT security enhancements.
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ReferenceJul 23, 2026PDF2025
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ReferenceJul 17, 2026OTHER
Reference: Harney District Hospital Secures 2 4 Million Catalyst Grant to Modernize Rural Healthcare Tech
Link: https://elkhornmediagroup.com/harney-district-hospital-secures-2-4-million-catalyst-grant-to-modernize-rural-healthcare-tech/
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
alcoholdeaths.pdf
PDF
Rural Health Coordinating Council Bylaws
PDF
OR - 2026 - Harney District Hospital Secures 2 4 Million Catalyst Grant to Modernize Rural Healthcare Tech
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Oregon is launching the Oregon Rural Health Collaborative to facilitate regional convenings that will strengthen partnerships among rural healthcare and community organizations. The initiative aims to support technical assistance, planning, and implementation for RHTP funding opportunities and to help rural hospitals and clinics prepare for federal investment as Medicaid funding decreases. Eight regions have been formed based on geography and existing partnerships, with scheduled in-person and virtual meetings to drive collaboration. Key contacts: Sarah Andersen; Arianne Powell
Event schedule:
- Regional Convening (August/September 2026) - One venue in each region
- Follow-up convenings (January-July 2027) - Four additional in-person meetings per region, plus virtual meetings
NETWORK_DEVELOPMENT · QUALITY_IMPROVEMENT · POPULATION_HEALTH · WORKFORCE · OTHER
Event Schedule
Regional Convening (August/September 2026) - One venue in each region
Follow-up convenings (January-July 2027) - Four additional in-person meetings per region, plus virtual meetings
Contacts
Sarah Andersen - Director of Field Services, ORH - Statewide
Arianne Powell - Program Manager - Statewide
Core Initiatives
Strengthen regional collaboration among rural healthcare partners
Support implementation of rural health initiatives
Facilitate strategic planning for competitive RHTP applications
Show all initiatives (4)
Strengthen regional collaboration among rural healthcare partners
Support implementation of rural health initiatives
Facilitate strategic planning for competitive RHTP applications
Build sustainable healthcare systems in rural communities
The RHT Program will invest $50 billion across all 50 states to transform rural health care from FY26-30. Funding supports innovation, workforce, technology, and sustainable access to care. Applications open mid-September 2025. Key contacts: MAHARural@cms.hhs.gov
Event schedule:
- NOFO release - September 2025 - grants.gov
- Applicants Webinar - 09/19/2025
- Application deadline - early November 2025
- Awards announced - 12/31/2025
<MAHARural@cms.hhs.gov> - Program contact - Federal
Core Initiatives
Make rural America healthy again
Sustainable access
Workforce development
Show all initiatives (5)
Make rural America healthy again
Sustainable access
Workforce development
Innovative care
Tech innovation
Oregon Health Authority is awarding over $97 million in new federal funding—part of a total $175 million—to support 136 new rural health projects across all counties in Oregon in 2026. The funds are distributed through both Catalyst Awards for large-scale, long-term improvement projects and Immediate Impact Awards for shovel-ready efforts, addressing critical needs including maternal/child health, behavioral health, workforce, and technology expansion. This is the state's largest single RHTP grant round since the federal program launched, aiming to sustain safety net providers and drive transformative improvements in rural health. Key contacts: Franny White franny.l.white@oha.oregon.gov
Event schedule:
- Award Announcement - 07/07/2026 - Oregon
- Next progress report due (for 2027 funding)
Award: $97.1MQUALITY_IMPROVEMENT · POPULATION_HEALTH · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Event Schedule
Award Announcement - 07/07/2026 - Oregon
Next progress report due (for 2027 funding)
Contacts
Franny White - <franny.l.white@oha.oregon.gov> - OHA External Relations - Oregon
Core Initiatives
Improve healthcare access in rural areas
Strengthen rural health and safety net providers
Support maternal and child health
Show all initiatives (6)
Improve healthcare access in rural areas
Strengthen rural health and safety net providers
Support maternal and child health
Bolster the behavioral health workforce
Advance chronic disease management and prevention
Expand health technology and data use in rural communities
Governor Tina Kotek submits Oregon's official application for the Rural Health Transformation Program, designating the Oregon Health Authority to oversee implementation and coordination. The application reflects strong stakeholder, Tribal, and public engagement, and commits to transparent governance through the Rural Health Coordinating Council. Funds will be targeted to rural and frontier areas, impacting rural hospitals, clinics, and community health centers.
Event schedule:
- Oregon Tribal Consultation/Urban Indian Health Program Meeting - 10/10/2025 - Oregon (OHA, Nine Tribes, Tribal Affairs Office)
NETWORK_DEVELOPMENT · POPULATION_HEALTH · WORKFORCE · QUALITY_IMPROVEMENT · OTHER
Event Schedule
Oregon Tribal Consultation/Urban Indian Health Program Meeting - 10/10/2025 - Oregon (OHA, Nine Tribes, Tribal Affairs Office)
Core Initiatives
Advance rural health transformation for Oregon's rural and frontier residents
Ensure effective stewardship of federal funds to benefit rural health care systems
Engage stakeholders and tribal governments in program development and implementation
Show all initiatives (4)
Advance rural health transformation for Oregon's rural and frontier residents
Ensure effective stewardship of federal funds to benefit rural health care systems
Engage stakeholders and tribal governments in program development and implementation
Pursue necessary legislative or regulatory changes to support the RHT Plan
Oregon Health Authority has released an RFGP (RFGP 6244) to solicit proposals for the 2027 RHTP Catalyst Grants. These grants will fund community-driven projects in rural and remote Oregon to improve health care access, chronic disease outcomes, workforce, and health technology. The solicitation includes amendments, information session dates, detailed application forms, and evaluation rubrics. Key contacts: John Gardner john.f.gardner@odhsoha.oregon.gov
Event schedule:
- Bid Opening Date - 05/26/2026 - 03:00:00 PM PT - Oregon Health Authority, Health Policy & Analytics, Portland, OR
- Information Sessions Window - April 14-May 21, 2026 - Webinar (see program URL for details)
- Available Date - 04/10/2026 - 03:00:07 PM PT
John Gardner - <john.f.gardner@odhsoha.oregon.gov> - Purchaser, OHA Health Policy Analytics - Oregon statewide
Core Initiatives
Improve rural health care access
Enhance chronic disease prevention and management
Grow and sustain health care workforce in rural Oregon
Show all initiatives (4)
Improve rural health care access
Enhance chronic disease prevention and management
Grow and sustain health care workforce in rural Oregon
Expand use of health technology and data in rural/remote communities
This detailed budget narrative outlines Oregon's plan for distributing RHTP funds across five major initiatives, including regional partnerships, healthy communities, workforce resilience, technology/data modernization, and tribal interventions. The program will proceed in two phases, utilizing Catalyst Awards, Immediate Impact grants, and Regional Sustainability funding in Phase 1, and competitive Catalyst Awards plus sustained funding in Phase 2. A structured RFA process will be used to select sub-grantees, with a focus on rapid deployment and community-directed innovation for priority populations and health challenges.
Advance rural health system transformation in Oregon
Improve access and health outcomes for rural populations
Strengthen workforce capacity and resilience
Show all initiatives (6)
Advance rural health system transformation in Oregon
Improve access and health outcomes for rural populations
Strengthen workforce capacity and resilience
Foster healthy communities and prevention
Modernize technology and data infrastructure
Support tribal health initiatives
Oregon receives $197.3M for Phase 1 of RHTP, supporting rural health system stabilization, catalyst awards, and tribal initiatives. RHTP launches the Catalyst Awards RFGP in April 2026 for 'ready-to-go' rural transformation projects, with eligibility spanning rural health providers and allied entities. Key priorities include maternal health, chronic disease management, behavioral health access, workforce resilience, and HIT modernization. Key contacts: rhtp@oha.oregon.gov; support.oregonbuys@das.oregon.gov; epro-support@periscopeholdings.com
Event schedule:
- Catalyst Awards RFGP Opens - April 2026 - OregonBuys
- RFGP Webinar Series - Spring 2026 - Webinar
Training and certification of non-physician providers
Cybersecurity
Technical assistance for IT implementation
Recruitment incentives and family
This strategic plan establishes an actionable and measurable roadmap for Oregon to reduce substance use disorders, increase access to treatment and recovery supports, and address health disparities across populations. It commits the state to performance benchmarks with annual progress reporting. A strong emphasis is placed on systems integration, data-driven decision-making, and the intentional inclusion of populations most at risk—including rural Oregonians. Key contacts: Reginald C. Richardson, PhD, ACSW, LCSW; Eric J. Bloch; Blue Valentine; Anthony Jordan
Event schedule:
- Target for reduced alcohol-induced deaths by 2025 - 2025-12-31 - America/Los_Angeles - Oregon
- Target for reduced tobacco-related deaths by 2025 - 2025-12-31 - America/Los_Angeles - Oregon
- Target for reduced ATOD health disparities by 2025-2028 - 2028-12-31 - America/Los_Angeles - Oregon
- Target for reduced economic burden by 2025 - 2025-12-31 - America/Los_Angeles - Oregon
- CADC exam (Larry Howell) - 2024-01-XX
- OHP telehealth model transition for hepatitis C - 2024-01-XX
Oscar Becerra - CADC I, Centro Latino Americano - Lane County, Eugene
Larry Howell - Certified Recovery Mentor and Peer Support Specialist (PSS) - Roseburg
Eileen Salsig - Qualified Mental Health Professional / Psychiatric Social Worker - Baker City / La Grande
Donna Reedy - Group Life Coordinator - Baker City / La Grande
Core Initiatives
Implement a statewide system that ensures substance misuse policies, practices, investments, and efforts are effective for healthy and thriving communities
Increase the impact of substance misuse prevention strategies across the lifespan
Increase rapid access to effective SUD treatment across the lifespan
Show all initiatives (14)
Implement a statewide system that ensures substance misuse policies, practices, investments, and efforts are effective for healthy and thriving communities
Increase the impact of substance misuse prevention strategies across the lifespan
Increase rapid access to effective SUD treatment across the lifespan
Increase access to recovery supports across the lifespan
Reduce ATOD-related deaths
Reduce ATOD-related health disparities
Reduce the economic burden of substance misuse in Oregon
Implement a statewide system that ensures that substance misuse policies, practices, investments, and efforts are effective and result in healthy and thriving individuals and communities
Identifying and expanding recovery support, intervention, and harm reduction models that have proven to be effective
Identifying persons at risk of relapsing or otherwise experiencing health, social, or legal consequences from ATOD use and providing them with intermediaries to facilitate access to needed services
Expanding access recovery supports to underserved communities and populations
Developing innovative new recovery support solutions
Decrease barriers to recovery by increasing public awareness of SUD as a chronic public health issue that requires medical attention and ongoing management
Increase collection and use of data to evaluate recovery support processes and outcomes
Oregon is launching a five-year, $1 billion Rural Health Transformation Program to modernize rural healthcare statewide. The strategy includes major investments in workforce, technology, access, partnerships, and financial sustainability, with specific set-asides for the nine Federally Recognized Tribes. Rural and frontier communities face higher rates of chronic disease, behavioral health needs, maternal health shortages, and financial instability, which the program directly targets. Key contacts: OHA Office of Tribal Affairs; Rural Health Coordinating Council
Event schedule:
- Nutrition CME/CE policy planning complete - 09/30/2026
- EMS Compact legislative action complete - 09/30/2026
- EMS Compact enactment target - 12/31/2027
- Nutrition CME/CE regulations finalize - 12/31/2028
- End of agreement period - FY 2031
- Pre-award public comment period - 2025-08-01 - America/Los_Angeles - Virtual and Oregon Rural Health Conference
- Phase 1 start (Catalyst awards, Immediate Impact, Regional Sustainability) - 2026-07-01 - America/Los_Angeles - Oregon statewide
- Phase 1 end - 2027-06-30 - America/Los_Angeles - Oregon statewide
Assess current remote patient monitoring utilization - 2026-09-30
TA on remote patient monitoring - 2027-09-30
20% increase in remote patient monitoring - 2028-09-30
30% increase in remote patient monitoring - 2029-09-30
40% increase in remote patient monitoring - 2030-09-30
Contacts
OHA Office of Tribal Affairs - Facilitator, Tribal Consultation and implementation lead - Oregon Tribes
Rural Health Coordinating Council - Program advisory group - Statewide
Core Initiatives
Improve health access and outcomes in rural and frontier communities
Foster workforce innovation for rural health providers
Support technological and data-driven solutions for rural health organizations
Show all initiatives (32)
Improve health access and outcomes in rural and frontier communities
Foster workforce innovation for rural health providers
Support technological and data-driven solutions for rural health organizations
Strengthen strategic partnerships at local, regional, and tribal levels
Achieve financial sustainability for rural health care delivery
Sustainable Access
Innovative Care
Make Rural America Healthy Again
Tech Innovation
Workforce Development
Enhance access to primary care, behavioral health, and substance use disorder services for rural and remote patient populations.
Increase adoption of technology-enabled solutions for rural hospitals serving patients.
Increase healthcare provider recruitment and retention in Tribal clinics and rural access points.
Expand health care programs and primary care visits for rural and remote populations.
Foster partnerships to deliver behavioral health services and reduce social health needs.
Reduce emergency room referrals from rural clinics.
Increase access to opioid use disorder treatment.
Increase telehealth encounters and EHR systems meeting rural needs.
Expand participation in chronic disease programs.
Advance regional sustainability via shared infrastructure and governance.
Increase access to at-risk services like maternity care.
Increase participation in value-based care models.
Universal access to home visiting services in rural counties.
Increase mental health and substance use disorder treatment availability.
Increase patient engagement in preventive health/self-management programs.
Expand rural access points to care and social health services.
Expand telehealth and tele-pharmacy services.
Enhance workforce development and provider training.
Increase workforce capacity and resilience in rural areas
Expand health care career pathway programs in K-12 schools
Increase hiring, training, and use of allied health professionals
Modernize technology and data systems to advance health IT, cybersecurity, and remote care adoption
Budget: $39.6B
Core Initiatives
Transforming behavioral health: Build a behavioral health system that works for every child, teen, adult and family experiencing mental illness or harmful substance use by expanding integrated, coordinated and culturally responsive behavioral health services.
Strengthening access to affordable care for all: Ensure 100 percent of people in Oregon have easy access to affordable health care, prioritizing communities most harmed by health inequities.
Fostering healthy families and environments: Foster healthy families and environments that equitably promote health and well-being, especially among communities most harmed by health inequities.
Show all initiatives (319)
Transforming behavioral health: Build a behavioral health system that works for every child, teen, adult and family experiencing mental illness or harmful substance use by expanding integrated, coordinated and culturally responsive behavioral health services.
Strengthening access to affordable care for all: Ensure 100 percent of people in Oregon have easy access to affordable health care, prioritizing communities most harmed by health inequities.
Fostering healthy families and environments: Foster healthy families and environments that equitably promote health and well-being, especially among communities most harmed by health inequities.
Achieving healthy Tribal communities: Support the goal of achieving healthy Tribal communities throughout Oregon.
Building OHA’s internal capacity and commitment to eliminate health inequities: Establish, maintain and resource internal infrastructure and accountability mechanisms to redress discrimination and oppression.
Transforming behavioral health
Strengthening access to affordable care for all
Fostering healthy families and environments
Achieving healthy Tribal communities
Building OHA’s internal capacity and commitment to eliminate health inequities
Eliminate health inequities by 2030
Ensure equity, antiracism, inclusion, and belonging principles across programs and services
Increase transparency and accountability in budget and program outcomes
Cultivate a highly skilled, diverse, and customer-focused IT workforce
Strengthen cybersecurity, risk management, and privacy
Accelerate technology modernization to support health and human services
Increase data insights with community involvement while promoting data equity
Provide inclusive, customer-focused collaborative technology management
Building OHA's capacity to eliminate health inequities by 2030
Expand culturally and linguistically appropriate care
Expand health care access via Healthier Oregon and OHP Bridge
Transform health care delivery to person-centered quality care
Expand community-based behavioral health services with clear metrics
Increase health care workforce investments and incentives
Provide coordination for transitions from institutional settings
Expand community partnerships and investments in social determinants of health
Build climate-related health services and supports
Establish a health system that creates health equity so all people can reach their full health potential and well-being without being disadvantaged by race, ethnicity, language, disability, gender, gender identity, sexual orientation, social class, intersections of these communities or identities, or other socially determined circumstances.
Improve the lives of individuals who face historic and contemporary injustices.
Increase individual, family and community resilience.
Reduce health disparities for groups most affected by injustice and discrimination.
transforming behavioral health
enhancing access to affordable care
fostering healthy families and environments
achieving healthy Tribal communities
eliminating health inequities
strengthening access to affordable care
building OHA’s capacity to eliminate health inequities
Offer community-based alternatives to psychiatric hospitalization
Enhance suicide prevention efforts for Black and Latinx youth
Expand Mobile Response and Stabilization Services for youth
Increase residential treatment capacity for youth with mental health and substance use challenges
Expand culturally specific substance use disorder prevention and treatment
Develop and manage a comprehensive adult behavioral health crisis system
Advance justice-centered behavioral health care
Establish and oversee Oregon's 988 behavioral health crisis response system
Implement and expand Certified Community Behavioral Health Clinics across Oregon
improve system integration
ensure equitable access to services
reduce disparities
increase culturally competent practices
develop effective policy and planning
enhance oversight and accountability
strengthen engagement with lived experience experts
data-driven decision making
sustainable resource allocation
reduce the prevalence of SUDs in Oregon
reduce deaths related to SUDs
reduce health disparities related to SUDs
reduce the economic burden to the state resulting from SUDs
Achieving health equity by lowering health care costs and achieving better health and better health care for all Oregonians
Drive toward universal health care coverage in Oregon
Innovate and implement integration across behavioral health, oral health, physical health and social services using health information technology
Facilitate multi-payer alignment to stabilize critical provider services and rebuild a health care system capable of achieving health equity
Achieve the triple aim of better health, better care, and lower costs
Support health system transformation efforts and address health inequities
Eliminate health inequities in Oregon by 2030
Strengthen coordinated care models integrating clinical care and social health needs
Enhance health IT infrastructure for better care coordination and quality improvement
Support innovation and quality improvement across Oregon’s health system
Eliminating health inequities by 2030
Support and inform sound policy development and decision making
Ensure the availability of high-quality reliable data
Analyze data and develop strategies to assess the performance of OHA programs
Support OHA policy development, implementation, and evaluation
Reduce emergency department visits for high utilizers
Improve care coordination across health and social services
Embed data equity in quality incentive programs
Make hospital financial assistance more accessible
Focus the CCO Quality Incentive Program on health equity
End health inequities by 2030
Build healthy Tribal communities
Advance health equity and eliminate disparities in priority populations
Provide high-quality health plans and other state employee benefits at an affordable cost
Modernize the member and administrator experience for enrollment systems and benefits management
Ensure high-quality, equity-based healthcare for PEBB and OEBB members
Transforming the health care system in Oregon
Improving how care is paid for and delivered
Providing high-quality health plans and other benefits for state employees at an affordable cost
Controlling premium costs through innovative plan designs and payment strategies
Incorporating value-based payments and aligning with Coordinated Care Organization goals
Advancing health equity and eliminating health inequities by 2030
Leveraging purchasing power to contain costs
Expanding systems of coordinated care throughout Oregon
Developing wellness initiatives and promoting member health
Meeting legislatively capped annual growth of 3.4 percent in health care costs
Offer high-quality, affordable health plans.
Support member wellness and population health.
Create streamlined operations and organization effectiveness.
Provide enhanced member outreach and communications.
Create a financially sustainable organization.
Eliminate health inequities by 2030.
Advance health equity and address social determinants of health among underserved populations.
Modernize public health practice.
Maintain a prepared and capable public health workforce
Increase employee retention
Provide robust professional development
Increase workforce diversity
Prioritize workforce well-being
Support public health modernization and implementation of foundational capabilities and programs
Enhance immunization rates through increased vaccine clinics and culturally specific outreach
Ensure safe and equitable access to health care facilities, emergency services, and health-related professions
Protect communities from environmental health hazards
Ensure high-quality health care through assessment, education and regulation
Increase capacity for K-12 schools to provide health services and supportive environments
Increase equitable access to preventive health services
Reduce harms related to opioids and other drugs
Prevent and reduce secondary impacts of COVID-19 and support recovery
Promote population and community-based health strategies
Excelling in recovery-oriented care and treatment.
Ensuring safety in all environments.
Improving processes and performance.
Recruiting and engaging outstanding staff.
Employing resources effectively.
Build a behavioral health system that works for every person
Develop a programmatically and fiscally sustainable staffing plan for Oregon State Hospital
Help patients achieve their highest level of health, safety, and independence
Support recovery and community integration through person-centered treatment
Enhance safety and reduce reliance on overtime through staffing investments
Achieve health systems transformation and close the gap on health inequities
Strengthen information security and privacy
Deliver clinical care meeting CMS requirements at Oregon State Hospital
Support mental health treatment infrastructure at Oregon State Hospital
Ensure safe, high-quality hospital care for people in Oregon
Expand behavioral health workforce and services
Improve public health modernization and equitable health outcomes
Support harm reduction and substance use disorder infrastructure
Establish permanent Native Services program
Strengthen Cybersecurity, Risk, and Privacy
Modernize OHA’s mainframe systems to improve service delivery and health equity
Improve IT security by enhancing auditing, eDiscovery, and risk management capabilities
Increase transparency and data protection for Oregonians
Support statewide expansion of behavioral health services via CCBHC expansion
Goal 1: Access to affordable care for all: Ensure 100% of people in Oregon have easy access to affordable healthcare, prioritizing communities disproportionately harmed by racism, discrimination, and other forms of oppression.
Goal 4: Build OHA’s internal capacity and commitment to eliminate health inequity: Provide OHA staff the training, support and tools necessary to partner with communities and recognize, rectify and reconcile the racism and other forms of discrimination and oppression that undermine the health, wellbeing and opportunities of people across Oregon.
Eliminating health inequities in Oregon by 2030
Ensuring facilities and activities are meaningfully and inclusively accessible to every person who lives in Oregon
Supporting statewide goals related to cost, quality, access, and equity in health care
Advancing health equity through regulatory oversight and public engagement
Eliminating health care inequities by 2030
Reducing recidivism and overdose for individuals transitioning in and out of the carceral system
Ensuring continuity and expansion of Medicaid coverage and services pre- and post-release
Enhancing data integration to identify and address health inequities
Promoting health equity across Oregon
Foster environments that equitably promote health and well-being, especially among communities most impacted by health inequities by expanding access to safe and accessible housing, healthy food and nutrition, climate resilience, and preventive health services.
Facilitate capacity building and workforce development to address population health inequities.
eliminate health inequities
advocate for legislation such as Cover All Kids
contribute to Healthier Oregon efforts
participate in the development of 1115 Medicaid waiver concepts
connect to behavioral health services for gender-diverse communities
advocate for policies that promote investments and improvements in the behavioral health system
address inequities across social determinants of health such as safe housing, access to food, crisis mobilization, and language access
improve meaningful community engagement and eliminate inequities
Ensure 100% of people in Oregon have easy access to affordable health care, prioritizing communities disproportionately harmed by racism, discrimination, and other forms of oppression.
Build a behavioral health system that works for every child, teen, adult and family experiencing mental health or substance use issues by expanding integrated, coordinated, culturally and linguistically responsive behavioral health services.
Foster environments that equitably promote health and well-being, especially among communities most impacted by health inequities, by expanding access to safe and accessible housing, culturally appropriate healthy food and nutrition, climate resilience, and culturally and linguistically responsive preventive health services.
Build OHA’s internal capacity and commitment to eliminate health inequity by providing staff training, support, and tools necessary to partner with communities and address racism and discrimination.
Foster environments that keep people healthy and equitably promote well-being, especially in communities that have been socially and economically marginalized
Improve health care system performance
Advance health equity
Foster a healthier population throughout the state
Provide access to Home and Community-Based Services (HCBS) for children and youth with behavioral health needs
Ensure equitable service delivery and compliance with federal CMS requirements
Enhance health outcomes and reduce disparities for children and youth with behavioral health needs
Develop and implement structural, programmatic, policy, and funding mechanisms to support HCBS
Establish a robust case management system and provider networks
Ensure continued federal funding by achieving CMS compliance
Promote inclusion and foster a healthcare system that meets the diverse needs of Oregon's residents
Ensure equitable health outcomes for Oregonians with low incomes
Sustain the quality and access of Oregon Health Plan (OHP) services for all eligible Oregonians
Improve access to quality, affordable health care for Oregonians
Transition to a state-based marketplace platform and call center
Empower Oregonians to improve their lives through local support, education, and access to affordable, high-quality health coverage
Increase access to quality, affordable health care
Improve enrollment experience and customer service
Embed health equity principles in every aspect of a state-based marketplace
Improve data collection including REALD/SOGI to inform targeted outreach and policy development
Provide a modernized, centralized, standardized, supportable, and scalable solution to replace both OEBB’s and PEBB’s benefit management systems
Align the state's operational and support processes to provide improved services with increased efficiency and sustainable effectiveness
Facilitate the potential collection of REALD & SOGI data for analyses of benefit disparities
Increase access via mobile devices to benefit enrollment and tools, especially for underserved populations
Implement and maintain latest security best practices
Reduce ongoing operations and maintenance costs for the OEBB and PEBB Benefits Management System
Improve customer service and support with predictive analytics and automation
Reduce duplication and increase alignment across OEBB and PEBB oversight boards
Enforce new equity focused laws and increase outreach about patient protections
Modernize the licensing system for verification, payment, reporting and transparency
Support and coordinate with hospital leadership on regulatory matters
Improve communication with patients and health care consumers including via community-based organizations
Prevent youth tobacco addiction and create healthier communities
Ensure consistent and comprehensive regulation of tobacco and nicotine products
Equitably enforce commercial tobacco sales laws focusing on retailers, distributors, and manufacturers
Bolster the behavioral health workforce
Increase career opportunities and retention for culturally and linguistically specific service providers, rural providers, and peers
Develop a skilled behavioral health workforce that is healing-centered, trauma-informed, and culturally responsive
Increase the number and retention of culturally and linguistically specific behavioral health providers in Oregon
Increase the number and retention of rural behavioral health providers in Oregon
Increase the number and retention of behavioral health providers who serve underserved communities
Increase retention of licensed or certified behavioral health providers in historically hard-to-fill positions
Reduce barriers for individuals from underserved communities entering the behavioral health workforce
Provide career pathways and advancement for certified behavioral health providers
Increase the availability and access of peer delivered services
Build and sustain a behavioral health workforce that reflects the diversity of Oregon’s communities and reverses health inequities
Establish a Behavioral Health Workforce Center of Excellence to improve access, quality, and cultural responsiveness
Improve health equity and health outcomes by providing lifesaving medication (naloxone) and other supplies to decrease overdose deaths and infectious disease across Oregon
Increase equitable access to harm reduction supplies and services
Expand behavioral health residential treatment and support services to meet increased demand and address insufficient infrastructure for substance use disorders and psychiatric treatment
Expand capacity for residential psychiatric and SUD treatment services for youth and families, particularly in smaller home-like settings where possible, and with greater regional diversity, and a focus on serving mandated individuals.
Improve funding disbursement methods across the adult behavioral health system by providing community coordination and technical support to culturally and linguistically diverse and smaller organizations serving marginalized communities.
Increase access to residential treatment facilities and community-based SUD treatment, including community-based supports for court mandated populations as they transition into the community.
Transform health care delivery through integrating mental health, substance use, and primary care services
Improve health outcomes by providing timely and comprehensive care that prevents worsening of behavioral health conditions and reduces reliance on emergency services and hospitalizations
Expand geographic coverage of CCBHCs across Oregon to reduce health care disparities and promote equitable access to critical services
Strengthen connections between CCBHCs, coordinated care organizations (CCOs), primary care providers, and community services to deliver more coordinated, patient-centered care and achieve cost savings
Address health inequities by significantly enhancing access to integrated behavioral health services
Support broader efforts to diminish disparities in health care access
Bolster community-based services through diverse service provision including outreach and school-based programs
Enhance the efficiency and effectiveness of state and local youth service systems in Oregon
Coordinate services across public health, child welfare, education, juvenile justice, mental and behavioral health, and support for individuals with intellectual or developmental disabilities
Promote culturally competent practices and equitable access to high-quality care for all youth in Oregon
Ensure stability in staffing to maintain engagement with people with lived experience and improve system responsiveness
Maintain and improve Oregon State Hospital facilities to support mental health treatment and ensure patient and staff safety
Designing for quality: good building design contributes to higher employee productivity and adaptability and enhanced public service.
Right sizing our portfolio: sustainability and resiliency being very high priorities, and meeting agencies programming needs.
Conveying our identity: ensuring that our buildings have an image of accessibility and responsiveness (how adaptable are our buildings to program changes).
Emphasizing resiliency: ensuring that buildings are prepared to withstand catastrophic events – both natural (earthquake) and man-made (climate change).
Applying best practices when maintaining and planning for new facilities, utilizing Master Planning to facilitate long-term needs for capital improvement and construction projects.
Facility investment tool: effective investment strategy that leverages matching dollars.
Develop a strategic behavioral health action plan incorporating Measure 110 by September 30, 2023
Strengthen internal controls for provider eligibility determinations and revalidations
Ensure accurate financial reporting and reimbursement of questioned costs
Implement cost-effective controls to prevent or detect improper Medicaid payments
Enhance subrecipient monitoring and risk assessment processes
Create and present a draft strategic plan specific to Measure 110 outcome metrics to the legislature in the 2024 session with a finalized version by August 1, 2024
Set strategic parameters around data collection for Measure 110 outcomes, managing expectations and administrative burden
Improve monitoring and enforcement of contract compliance for CCOs and PBMs including requiring annual independent audits
Strengthen internal controls to ensure complete and accurate performance progress reports
Improve consistency, reliability, and transparency in service expenditure and client data reporting for Measure 110 behavioral health services
Enhance the application and review process for Measure 110 BHRN grants including clear requirements for cultural and linguistic services
Improve contract administration and subrecipient monitoring processes and trainings within OHA
Strengthen controls over OR-PTC system and provider time capture to reduce errors and automate approvals
IT Security & Privacy Posture
Human Resources Capacity
Strategic Plan Support
Community, Partners and the Public
Required Inclusive and Supportive Access
Health Care Market Oversight Program
Medical Benefits for Incarcerated Individuals
EHR and Information Technology (AVATAR)
Public Health Modernization
RHEC Expansion
Operationalizing Equity in Health System
Interoperability/Provider Prior Authorization
Native Services
Domestic Well Safety
Org'l Resilience & Healing Approach Policy
Healthier Oregon: Reinvesting OHP Bridge Svgs
Child Medicaid BH: HCBS
OSH Facility Conservation and Development
UoHV: Family Connects Oregon
Hospital Tax Renewal
Insurers' Tax Renewal
PEBB OEBB Program Integrity & Development
State-Based Marketplace Eligibility Phase II
PEBB OEBB Benefits Mgt System Replacement
Ensuring High-Quality Care in Oregon Hospitals
Equitable Enforcement of Commercial Tobacco
BH - Behavioral Health Workforce Investments
BH - Harm Reduction Clearinghouse & Tx Innov
BH - Residential+ Study
BH - Behavioral Health Data Requirements
BH - Medicaid Behavioral Health Adult
BH - Kids Integrated Delvry in Schools (KIDS)
BH - CCBHC Expansion
BH - Alcohol&Drug Policy Comm Sustainability
BH - Prev'g Temp Lodging w Complex Care Needs
BH - Strengthening the SOCAC
Improve initiation and engagement in alcohol and other drug dependence treatment
Increase follow-up after hospitalization for mental illness
Ensure mental, physical, and dental health assessments for children in DHS custody
Reduce tobacco and illicit drug use among youth
Improve access to care and member satisfaction
Reduce adult tobacco use and obesity rates
Enhance health equity through culturally responsive language access
Improve customer service satisfaction
Reduce infant mortality and severe maternal morbidity
Achieve workforce parity reflective of the potential labor market
Improve quality of life for adults in physical and mental health
Reduce premature death and mortality from drug overdoses
Sustain health care cost growth in line with income growth
Ensure timely tribal consultations and communication
Maintain timely translations during public health events
Reduce pending redetermination applications
Delivering integrated physical, behavioral, and oral health care services.
Monitoring and addressing water quality.
Strengthening the coordinated care model.
Improving health outcomes, health policy, and clinical improvement services.
Administering health plans, group insurance policies, and flexible spending accounts for state employees and their dependents.
Administering medical, dental, vision and other benefits for Oregon’s school districts, community colleges, and education service districts.
Addressing behavioral and social drivers of health by working to ensure that physical and social environments promote health.
Reducing the need for costly health care services.
Ensuring compliance with regulatory and health-based standards.
Protecting Oregonians from environmental health hazards.
Preventing chronic disease, child developmental delays, and physical and behavioral problems.
Ensuring emergency public health services in natural and human caused disasters.
Helping people recover from their mental illness and return to life in their communities.
Privacy Posture
Budget: $39.0B
Core Initiatives
Eliminate health inequities by 2030
Transform behavioral health
Strengthen access to affordable care for all
Show all initiatives (531)
Eliminate health inequities by 2030
Transform behavioral health
Strengthen access to affordable care for all
Foster healthy families and environments
Achieve healthy Tribal communities
Build OHA’s capacity and commitment to eliminate health inequities
Ensure high-quality care in Oregon hospitals
Reduce Health Care Incentive Fund by 35%
Reduce bed capacity at Oregon State Hospital
Reduce Medicaid inflation rates
Eliminate Oregon Contraceptive Care (CCare) program
Reduce funding for School Based Health Centers program
Reduce Public Health Modernization funding for local public health authorities
Reduce budget for housing and residential licensed care facilities expansion
Transforming behavioral health
Strengthening access to affordable care for all
Fostering healthy families and environments
Achieving healthy Tribal communities
Building OHA’s internal capacity and commitment to eliminate health inequities
Eliminate health inequities in Oregon by 2030
Ensure access to quality health care
Contain costs of health care
Improve overall health for Oregonians
Build a resilient and healing workplace responsive to trauma and racism
Support and develop a workforce that reflects and benefits the Oregonians served
Building OHA's capacity to eliminate health inequities by 2030
Expand culturally and linguistically appropriate health care services
Increase access to quality health care including preventive care
Expand community-based behavioral health services with outcome metrics
Transform Fee-for-Service Medicaid delivery to person-centered, quality care
Expand Certified Community Behavioral Health Clinics statewide
Build climate-related health services and supports for at-risk Oregonians
Enhance health care access, quality, and equity throughout the state
Establish a health system that creates health equity when all people can reach their full health potential and well-being
Improve the lives of individuals who face historic and contemporary injustices
Increase individual, family and community resilience
Reduce health disparities for groups most affected by injustice and discrimination
Support individuals, families, and communities to heal and thrive through a community-led, culturally responsive, evidence-based approach
Develop and maintain a statewide system of integrated behavioral health care
Reduce behavioral health inequities and elevate quality and accountability
Increase overall capacity and integration across settings and services
Incentivize trauma-informed, culturally responsive and linguistically specific services
Improve workforce diversity and increase staff retention
Enhancing access to affordable care
Eliminating health inequities
transforming behavioral health
strengthening access to affordable care
fostering healthy families and environments
achieving healthy Tribal communities
building OHA’s capacity to eliminate health inequities
strengthening access to affordable behavioral health care
Building OHA’s capacity to eliminate health inequities
Lead Oregon’s behavioral health system transformation
Improve System Integration
Ensure Equitable Access to Services
Reduce Disparities
Increase Culturally Competent Practices
Develop Effective Policy and Planning
Enhance Oversight and Accountability
Strengthen Engagement with Lived Experience Experts
Data-Driven Decision Making
Sustainable Resource Allocation
Reduce the prevalence of SUDs in Oregon
Reduce deaths related to SUDs
Reduce health disparities related to SUDs
Reduce the economic burden to the state resulting from SUDs
Achieving health equity by lowering health care costs and achieving better health and better health care for all Oregonians
Eliminating health inequities by 2030
Supporting and incentivizing payments for value-based care
Operationalizing OHA's health equity definition and reimagining a health care system capable of achieving health equity
Addressing social determinants of health alongside medical care delivery
Driving toward universal health care coverage in Oregon
Innovating and implementing integration across behavioral health, oral health, physical health and social services using health information technology
Implementing legislative directives to align metrics and support new equity-focused metrics
Facilitating multi-payer alignment to stabilize critical provider services and rebuild a health care system capable of achieving health equity
Reducing per capita costs
Leveraging public purchasing power for value-based payments and coordinated care models
Reducing the number of uninsured Oregonians
Improving specific health measures tracked by coordinated care organizations (CCOs)
Integrate policies and resources focused on both clinical care and addressing health-related social needs to support the coordinated care model.
Develop, support and implement strategies that ensure Oregon’s delivery system is designed to eliminate health inequities.
Align and coordinate strategies to improve health care delivery and systems throughout OHA.
Support innovation and quality improvement within Oregon’s health system transformation efforts.
Establish and maintain effective working relationships with Oregon’s providers and health care delivery system representatives.
Coordinate quality improvement and transformation efforts across OHA, PEBB- and OEBB-contracted plans, CCOs, and other entities involved in quality improvement.
Focus the agency’s clinical and delivery system knowledge and expertise on achieving transformation, quality, and cost-containment goals.
Eliminate health inequities in Oregon’s health system by 2030.
Ensure availability of high-quality reliable data through data system integration and transparent reporting.
Analyze data and develop strategies and tools to assess the performance of OHA programs.
Support OHA policy development, implementation, and evaluation.
Advance health IT with a focus on interoperability, care coordination, health equity, and governance.
End health inequities by 2030
Build healthy Tribal communities
Achieve the triple aim of better health, better care, and lower costs
Focus the CCO Quality Incentive Program on addressing health inequities
eliminating health inequities by 2030
providing a high-quality health plan and other state employee benefits at an affordable cost
advancing health equity and eliminating disparities in priority populations
modernize the member and administrator experience for OEBB and PEBB systems
focus on delivering high quality customer service
create a competitive marketplace
offer employee choice among high quality plans
manage plan performance and monitor quality data
innovative, flexible plan designs
recover from the pandemic with improved overall health status and moderate cost impact
promote value-based benefits
reduce barriers to care for members with chronic diseases
Transform the health care system in Oregon
Provide high-quality health plans and other benefits for state employees at an affordable cost
Manage rising health care costs and control premium cost growth to no more than 3.4 percent annually
Transform health care delivery with coordinated care plans
Advance and ensure health equity
Leverage purchasing power across the state to contain costs
Increase the percentage of total health care payments using value-based approaches to 70 percent by 2025
Promote member wellness and prevention through no-cost programs and incentives
Offer high-quality, affordable health plans.
Support member wellness and population health.
Create streamlined operations and organization effectiveness.
Provide enhanced member outreach and communications.
Create a financially sustainable organization.
Integrate equity practice, data, science and community wisdom to achieve better health outcomes by preventing the leading causes of death, disease, and injury in Oregon
Assure access to clinical preventive services like immunizations and reproductive health services
Prevent substance use
Ensure healthy families and environments by modernizing Oregon’s public health system and implementing home visiting programs
Achieve health system transformation
Maintain a healthy population and respond to and recover from disasters
Increase workforce diversity, equity and inclusion
Conduct health equity impact analyses on new and existing efforts
Redistribute resources and power to work on community-driven strategies supporting health equity
Develop culturally specific strategies to address root causes of tobacco use
Understand barriers to treating nicotine addiction and increase access to cessation supports
Collect data and evaluate programs including impact on health inequities
Improve surveillance and evaluation systems to better reflect experiences of Oregonians facing health inequities
Prevent injuries and deaths due to violence, suicide, substance use, crashes, child maltreatment, firearms, and other health risks
Promote access to naloxone to prevent opioid overdose deaths
Support local jurisdictions with overdose response protocols and fatality reviews
Promote safer pain management and opioid prescribing
Prevent maternal mortality and morbidity through systemic changes
Offer universally accessible home visiting services with culturally specific support
Safeguard nutrition and health for low to moderate-income pregnant, postpartum, breastfeeding individuals, infants and children
Provide culturally and linguistically responsive services across programs
Regulate and protect public health through drinking water, environmental health, health care regulatory oversight, and licensing
Address environmental health equity and emerging contaminants
Improve emergency medical services and trauma systems
License and regulate health and related professions
Administer medical marijuana and psilocybin regulatory frameworks
Protect the public from radiation exposure
Advance health equity and address social determinants of health among underserved populations
Implement Oregon’s State Health Improvement Plan (Healthier Together Oregon)
Support Public Health Modernization and full implementation of foundational capabilities and programs
Build workforce capacity through recruitment, retention, promotion, development, and organizational culture
Enhance regional infrastructure and data systems for public health
Ensure accountability through quality improvement and performance management
Expand the Native Services program within OSH to ensure culturally responsive care.
Provide funding for facility conservation and deferred maintenance to maintain a safe and secure hospital environment.
Enhance the electronic health record system (EHR) to promote patient safety and improve hospital management.
Excelling in recovery-oriented care and treatment
Ensuring safety in all environments
Improving processes and performance
Recruiting and engaging outstanding staff
Employing information technology effectively
Promoting equity at OSH through spiritual services, electronic health record management, and facility improvements
Help patients achieve their highest level of health, safety and independence as they prepare for discharge or conditional release to a less-restrictive community setting
Serve adults who need intensive, psychiatric treatment for severe and persistent mental illness
Establish, maintain, and resource internal infrastructure and accountability mechanisms to acknowledge, reconcile, and redress racism and other forms of discrimination and oppression
Eliminate health inequities by 2030 and improve the overall health of all people in Oregon
Achieve health systems transformation and close the gap on health inequities
Ensure equitable health outcomes for low-income and marginalized populations
Modernize public health systems to address emergent threats and gaps
Expand behavioral health workforce and services
Improve system stability, interoperability, and healthcare access
Support organizational resilience and healing workplace culture
Ensure quality and equitable care in hospitals
Expand Native and culturally appropriate services
Sustain and grow Regional Health Equity Coalitions
Implement equity infrastructure across health spectrum
Support legislative mandates for statewide programs
creating a more skilled, better equipped, and healthy workforce to serve populations impacted by health inequities
become an actively antiracist organization
supporting internal infrastructure and accountability mechanisms necessary to acknowledge, reconcile, and redress racism and other forms of discrimination and oppression
improve customer service and responsiveness
centralized, values-based community service and partner engagement infrastructure
develop and implement a trauma-informed OHA community engagement framework
standardized, accountability-focused customer service infrastructure
co-create policy and programs with community members and system partners for equity-driven outcomes
improve the overall health of all people in Oregon
Elevate and integrate the voice and experience of system partners providing healthcare and supporting the work of health equity
Better engage directly with communities and individuals experiencing health inequity throughout Oregon into OHA policy, program and operational development and ongoing implementation
Prioritize rectifying historical and contemporary injustices by ensuring populations impacted by health inequities and OHA priority populations are embraced, heard and their recommendations acted upon
Enhanced customer service and agency responsiveness, supporting agency credibility and effectiveness
Equitable and achievable health outcomes in support of OHA’s strategic plan
Equitable participatory decision making processes and deepened relationships and trust between OHA and communities most harmed by historic and contemporary injustices
Strengthen Cybersecurity, Risk, and Privacy
Access to affordable care for all: Ensure 100% of people in Oregon have easy access to affordable healthcare, prioritizing communities disproportionately harmed by racism, discrimination, and other forms of oppression.
Build OHA’s internal capacity and commitment to eliminate health inequity: Provide OHA staff the training, support and tools necessary to partner with communities and recognize, rectify and reconcile the racism and other forms of discrimination and oppression that undermine the health, wellbeing and opportunities of people across Oregon.
Eliminate health care inequities by 2030
Creating a more equitable transition of care upon release from carceral facilities
Building policies, programs and rules shaped by community input
Enhancing data integration and service delivery to reduce health disparities and promote health equity
Reducing recidivism and overdose for individuals transitioning in and out of the carceral system
Establishing continuous and cost-effective community reintegration services
Streamlining health care delivery and promoting sustainable system improvements
Facilitating collaboration among state agencies, local governments, health care providers and community organizations
Foster environments that equitably promote health and well-being
Facilitate capacity building and workforce development to address population health inequities
Maintain and build on progress in communicable disease prevention, emergency preparedness, and climate resilience
Operationalize anti-racist frameworks regarding policy and systems change efforts
Address institutional and structural racism and discrimination to improve equity in Oregon
Increase community engagement and meaningful community partnerships
Ensure 100% of people in Oregon have easy access to affordable health care, prioritizing communities disproportionately harmed by racism, discrimination, and other forms of oppression.
Build a behavioral health system that works for every child, teen, adult and family who’s experiencing a mental health or substance use issue by expanding integrated, coordinated, culturally and linguistically responsive behavioral health services when and where people need them, guided by people with lived experience.
Foster environments that equitably promote health and well-being, especially among communities most impacted by health inequities.
Build OHA’s internal capacity and commitment to eliminate health inequity.
Improve health outcomes and reduce inequities among Medicaid populations
Advance health equity through improved data management and integration
Strengthen access to affordable health care
Bolster the Behavioral Health Workforce
Eliminate health inequities
Achieve healthy tribal communities
Provide accessible care in a culturally appropriate way
Transform behavioral health care outside of traditional clinical models
eliminate health inequities by 2030
foster environments that keep people healthy and equitably promote well-being, especially in communities that have been socially and economically marginalized
build the infrastructure internally necessary to eliminate health inequities and model an anti-racist workplace
Improve health care system performance
Advance health equity
Foster a healthier population throughout the state
Ensure children and young adults have equitable HCBS access and outcomes
Support the Oregon State Hospital facilities to be safe, functional, resilient, and nimble
Expand statewide universal newborn home visiting services to improve family and child health and address health inequities
Support populations impacted by health inequities
Advance racial justice and equity
Make Family Connects Oregon (FCO) a cultural norm for all families with newborns
Reduce health disparities and improve population health outcomes
Enable both Boards to issue RFPs to bring the strongest vendors to focus on eliminating health inequities for PEBB and OEBB members
Fund the Joint Health Equity Workgroup to broaden its scope and reach without impacting other initiatives
Obtain a state-based call center and eligibility and enrollment platform to increase access to quality, affordable health care and end health inequities by 2030
Coordinate with Oregon’s Medicaid systems to address churn and improve insurance coverage
Incorporate health equity principles and community input into technology and call center implementation
Collect and analyze enrollment data including REALD/SOGI data to inform policy and outreach
Customize open and special enrollments to meet Oregon-specific needs
Increase enrollment in the Marketplace
Lower the uninsured rate
Increase access to quality, affordable health care
Provide a modernized, centralized, standardized, supportable, and scalable benefits management system for OEBB and PEBB
Improve member experience and customer care
Facilitate potential collection of REALD & SOGI data
Align operational and administrative activities of OEBB and PEBB
Implement and maintain latest security best practices
Provide mobile app compatibility and broader access to enrollment and benefit tools
Reduce ongoing operations and maintenance costs
Reduce manual and duplicative processes
Ensure safe, high-quality hospital care for people in Oregon
Increase hospital licensing fees to ensure adequate funding for hospital oversight
Reduce youth access to harmful emerging synthetic nicotine products
Equitably enforce commercial tobacco sales laws focusing on retailers, distributors, and manufacturers
Modernize hospital licensing system for better transparency and accessibility
Preventing youth tobacco addiction and helping create healthier communities throughout Oregon
Create a consistent and comprehensive regulation of tobacco products and IDS to reduce youth addiction
Attract, retain, and support a diverse, culturally competent behavioral health workforce especially in rural and underserved communities
Expand behavioral health workforce capacity through financial incentives, reduced barriers, and enhanced training and supervision
Support peer delivered services and culturally and linguistically specific provider expansions to advance health equity
Bolster the behavioral health workforce
Increase retention and recruitment of culturally and linguistically specific behavioral health providers
Increase access to behavioral health services in rural and underserved communities
Increase the number of licensed and certified behavioral health professionals
Build a sustainable and equitable behavioral health care system in Oregon
Develop a culturally competent behavioral health workforce
Reduce provider shortages and improve access to care
Improve quality and cultural responsiveness of behavioral health services
Increasing access to behavioral health services for underserved communities
Equitably increasing the capacity of Oregon’s behavioral health workforce
Improving workforce diversity, equity, and accessibility
Supporting culturally and linguistically responsive behavioral health services
Sustaining and expanding workforce recruitment, retention, and development efforts
Increase recruitment and retention of behavioral health workforce
Reduce barriers to behavioral health career pathway development
Expand culturally and linguistically specific services
Improve equitable administration of grants and contracts
Strengthen training, supervision, and support for behavioral health providers
Address racial and ethnic disparities in behavioral health workforce
Improve health equity and health outcomes by providing lifesaving medication and harm reduction supplies.
Increase access to harm reduction resources such as naloxone in underserved and high-risk communities.
Foster enhanced collaboration and relationship-building among communities, providers, and people with lived experience.
Develop and implement community-driven, innovative harm reduction and opioid treatment strategies.
Support culturally affirming programs that address the unique needs of marginalized communities.
Ensure sustainable funding to support impactful organizations reducing overdoses, especially in Black and Brown communities.
Expand access to lifesaving harm reduction supplies and treatment services to all individuals in Oregon.
Increase equitable health outcomes for people who use substances (PWUS) through improved access to harm reduction supplies and culturally affirming treatment options.
Foster enhanced collaboration and relationship-building among communities, providers, and people with lived experience to address substance and opioid use disorders.
Increase capacity and equitable access to residential psychiatric and substance use disorder (SUD) treatment services for youth and adults, emphasizing culturally and linguistically diverse supports.
Improve the funding distribution process to support culturally and linguistically diverse and smaller organizations serving marginalized communities.
Reduce wait times for youth psychiatric residential treatment and improve regional equity of service availability.
Increase behavioral health residential treatment capacity statewide
Enhance access to substance use disorder (SUD) and psychiatric treatment with focus on youth and culturally and linguistically diverse services
Improve efficiency and reduce waste in the funding cycle by modernizing grants and contracts
Increase coordination among community-based organizations to reduce funding competition
Expand residential psychiatric and SUD treatment facilities, especially smaller, home-like settings
Provide equitable access to culturally and linguistically responsive services
Strengthen the entire continuum of care including community-based and in-home services
Advance racial equity by prioritizing capacity for culturally, linguistically diverse, and developmentally responsive providers
Rebuild community trust via a community-informed, collective impact approach
Access to affordable care for all
Build OHA’s internal capacity and commitment to eliminate health inequity
Reduce barriers, increase access and streamline approval processes for Home and Community-Based Services (HCBS)
Improve service quality and coordination for individuals with behavioral health needs across Oregon
Expand and implement comprehensive respite services to reduce caregiver stress and improve stability for individuals with MH/SUD
Enhance equity in health outcomes by reducing systemic inequities and addressing health disparities
Achieve sustainable, integrated HCBS service delivery with improved workforce capacity and regulatory frameworks
Expand respite services and access to culturally and linguistically supportive HCBS services
Reduce racial disparities in behavioral health and caregiving services
Increase access to mental health supports and services for Oregon youth in schools
Maximize Medicaid billing for school-based health services
Strengthen children’s continuum of care and improve mental and behavioral health through community and education partnerships
Increase culturally specific suicide prevention efforts
Improve data collection, analysis, and use for health equity in children’s health
Expand mental health services through the School-Based Health Center Program
Expand mental health services through the School-Based Mental Health Program
Support culturally specific youth suicide prevention efforts
Build capacity within OHA to coordinate and align efforts across the agency and with ODE and other state agencies
Expand access to behavioral health services through Certified Community Behavioral Health Clinics (CCBHCs)
Improve equity in behavioral health care access and outcomes
Integrate mental health, substance use, and primary care services
Reduce reliance on emergency and inpatient services
Strengthen community-based and culturally responsive behavioral health programs
Enhance data tracking and evaluation of health disparities by race and ethnicity
Reduce the number of Oregonians experiencing substance use disorder.
Reduce substance-use related deaths.
Reduce health inequities related to substance use.
Reduce the overuse of temporary lodging for youth in foster care.
Increase ICWA compliance for Tribal children and youth.
Increase timely placements of youth with high needs in foster care.
Enhance coordination across agencies involved in child welfare and health care.
Ensure equitable access to essential services and supports for youth in foster care.
Improve permanency outcomes for youth in foster care.
Enhance mental and behavioral health and well-being of youth in foster care.
Reduce the number of youth in temporary lodging due to lack of access to needed services and supports
Increase residential treatment capacity for youth with behavioral health needs
Provide culturally responsive care and prevent removal of Native youth in compliance with ICWA
Enhance collaboration among agencies to improve placement stability and reduce temporary lodging
Address racial disparities and ensure equitable access to behavioral health services for youth
Ensure staffing stability for the System of Care Advisory Council (SOCAC)
Build capacity for SOCAC to execute equity and belongingness strategies
Improve access to and outcomes for the child-serving system
Enhance communication across agencies and with external partners to reduce disparities
Increase engagement with people with lived experience, especially from marginalized groups
Maintain and expand relationships with members of historically harmed communities
Incorporate equity strategies and priorities into the next Children's System Strategic Plan
Support long-term capital investment to maintain and improve Oregon State Hospital facilities
Reduce future unplanned maintenance costs
Support operational sustainability
Ensure continued compliance with regulatory requirements
Be good stewards of state assets
Provide a safe and therapeutic environment of care for Oregon’s most vulnerable
Provide a safe and conducive work environment for patients and staff
Healthy People
Strengthen controls to perform timely eligibility redeterminations
Provide periodic training to eligibility staff to reduce administrative errors
Implement corrections in the ONE system to improve income verification and eligibility accuracy
Ensure provider eligibility determinations and revalidations are complete and timely
Develop and implement cost-effective controls to prevent improper Medicaid payments
Develop a strategic behavioral health action plan incorporating Measure 110
Improve data collection and metrics to assess effectiveness of Measure 110
Enhance internal controls for financial and subrecipient monitoring
Create and present a draft strategic plan specific to Measure 110 outcome metrics to the legislature in 2024
Strengthen internal controls for lease accounting per GASB 87
Ensure accurate accounting entries and expenditure tracking for federal programs
Improve subrecipient monitoring, compliance, and risk assessment processes
Enhance oversight and auditing of Pharmacy Benefit Managers (PBMs) and Coordinated Care Organizations (CCOs)
Improve data collection, reporting, and technical assistance for Measure 110 Substance Use Disorder Services
Strengthen controls over payroll submissions and wireless device charges
Improve accuracy and timeliness of financial reports and reconciliation processes
Strengthen controls over the OR-PTC system and provider payment transactions
Fostering healthy Tribal communities
Equitable Hiring Practices and Professional Development Pathways
Building a Culture of Belonging
Advance equitable hiring strategies and professional development pathways that assure OHA staff composition reflects the communities we serve and enhance their competencies and career trajectories
Implement the OHA Equitable Hiring Policy and Equitable Hiring Strategies Toolkit investing in the agency structure to sustain daily practice, innovation, and accountability
Collect and use OHA employee data to guide and validate workforce equity and diversity strategies and policy decisions, including REALD and SOGI data
Eliminate Health Inequities by 2030
Create a more equitable workplace
Advance diversity, equity, and inclusion within OHA workforce and services
Develop and reform practices and processes addressing barriers to optimum health
Center health equity through anti-racism foundation
Improve racial and other equity and eliminate inequities
Meaningful and authentic engagement with partners, people, Tribes and communities
Practice culturally- and linguistically-responsive services
Disaggregate data to understand population health disparities
Integrate equity, inclusion, anti-racism and accessibility into existing systems and processes
Reduce barriers to health and advance health equity in our communities
Improve access and quality of behavioral health services and decrease behavioral health inequities
Reduce health inequities in the health care system and realize better care, better health, and lower costs
Achieve workforce parity goal
Continue Strategic Planning Efforts with anti-racism as a core component
Develop and implement an Equity Action Plan aligned with updated strategic plan
Enhance government-to-government relations with the Nine Federally Recognized Tribes of Oregon
Create an internal framework for community engagement
Implement Digital Accessibility Policies and Language Access Plan
Finalize planning and implementation of REALD and SOGI data systems
Eliminate structural racism in decision making and budgeting frameworks
Diversify workforce and internal culture
Remove contracting and procurement barriers that perpetuate white supremacy
Improve health outcomes for communities affected by health inequities
Achieve health equity
Build infrastructure to support and sustain meaningful community engagement
Develop agency-wide framework for community engagement
Improve accessibility of IT solutions and communications
Expand Community Partner Outreach Program to populations most harmed by health inequities
Create Strategic Action Team to support health equity and anti-racism initiatives
Advance health equity through Medicaid 1115 Waiver Demonstration
Build an infrastructure to support equity and inclusion initiatives within OHA
Improve workforce parity and accountability through Equity Advancement Plan
Promote equity in state procurement and contracting
Implement culturally and linguistically appropriate services consistent with National CLAS standards
Support community engagement with diverse and priority populations through culturally specific approaches
Establish trust and long-term relationships with priority communities to improve health outcomes and achieve health equity
Shift to a continuous community engagement model that values ongoing trust-building rather than transactional interactions
Develop an agency-wide community engagement team with division-specific staff to coordinate efforts and reduce silos
Create Social Determinants of Health Equity (SDoHE) liaison positions to identify coordination and collaboration opportunities across sectors
Improve language access and translation services to support meaningful community engagement
Implement agency policies and procedures to support community engagement including childcare policy and fiscal management supports
Engage OHA decision-makers directly in community events to build relationships and respond effectively to barriers
Ensure adequate budgetary support for community engagement including staffing, technology, translation, childcare, stipends, facilitation, and administrative support
Engaging and prioritizing community
Becoming an antiracist agency
Holding ourselves and our partners accountable
Transforming the organizational culture
Elevating existing work
Achieve health equity for BIPOC-AI/AN, people with low incomes, people with disabilities, people who identify as LGBTQ+, and people living in rural areas
Expose and reduce the impact of institutional biases that influence health
Prevent trauma, toxic stress and adversity through data-driven policy, system and environmental change
Reduce stigma and increase community awareness of behavioral health issues
Increase the percentage of Oregonians earning a livable wage
Increase equitable access to and uptake of community-based and clinical preventive services
Build equity and justice through declaring institutional racism as a public health crisis and implementing racial equity commitments
Create healthy communities with safe housing, access to healthy foods and economic opportunities
Support healthy families through evidence-based programs, expanding preventive services and improving access
Improve educational outcomes and provide culturally responsive, trauma-informed behavioral health services to youth
Increase affordable housing and equitable access to transportation and food security
Strengthen behavioral health systems with culturally responsive services and reduce systemic barriers
Develop a culturally and linguistically responsive workforce
Ensure cultural responsiveness among health care providers through increased use of traditional health workers and trainings
Require all public-facing state agencies and state contractors receive training about trauma and toxic stress
Require sexual orientation and gender identity training for all health and social service providers
Modernize the health care system including adoption of emerging technology such as electronic medical record technology, centralized referral systems, and telehealth
Expand use of telehealth, especially in rural areas and for behavioral health
Use electronic health records to promote delivery of preventive services
Improve exchange of electronic health record information and data sharing among providers
Support statewide community information exchange to facilitate referrals between health care and social services
Eliminate disparities to lift all to better health through partnerships and alignment of goals and measures
Expand dental care coverage to specific populations, including Veterans and COFA citizens
Enhance dental care coordination and equitable access to preventative services
Facilitate community-based oral health from a public health approach
Increase supply and retention of a diverse health care workforce serving underserved communities
Improve racial equity and cultural responsiveness in healthcare workforce incentives
Increase access to care for Oregonians and contribute to OHA’s 2030 goal of eliminating health inequities
Equitably increase the capacity of Oregon’s behavioral health workforce
Develop culturally responsive care in Oregon through continuous evaluation and improvement of incentive programs
Reduce excessive alcohol use and associated chronic and acute health harms
Build a comprehensive prevention program addressing alcohol and other drug use
eliminate health inequities
Cultivate IT Workforce-Cultivate a highly skilled, diverse, and customer-focused organization.
Strengthen Cybersecurity, Risk and Privacy -Strengthen cybersecurity and consider the risk in the decision-making process.
Accelerate Technology Modernization-Enhance and augment IT infrastructure, systems, cloud capabilities, and processes to address pressing human services and health care challenges.
Increase Data Insights -Consider community involvement in data that is collected, and used in a way that does not perpetuate or exacerbate existing inequities ensuring accuracy and completeness.
Support the program and technology needed for ongoing maintenance and enhancements
Support data equity and facilitate data justice within communities impacted by health inequities
Migrate mainframe COBOL based payment & financial components to modern platforms
Implement OEBB/PEBB Benefit Management System Replacement
Transition from federal health insurance exchange to state-based marketplace platform
Required Inclusive and Supportive Access
Health Care Market Oversight Program
Medical Benefits for Incarcerated Individuals
EHR and Information Technology (AVATAR)
Public Health Modernization
Improve IT Security & Privacy Posture
Operationalizing Equity in Health System
Interoperability/Provider Prior Authorization
Native Services
Domestic Well Safety
Org'l Resilience & Healing Approach Policy
RHEC Expansion
Child Medicaid BH: HCBS
OSH Facility Conservation and Development
UoHV: Family Connects Oregon
Hospital Tax Renewal
Insurers' Tax Renewal
Healthier Oregon: Reinvesting OHP Bridge Svgs
State-Based Marketplace Eligibility Phase II
PEBB OEBB Benefits Mgt System Replacement
Ensuring High-Quality Care in Oregon Hospitals
Equitable Enforcement of Commercial Tobacco
BH - Behavioral Health Workforce Investments
PEBB OEBB Program Integrity & Development
Human Resources Capacity
Strategic Plan Support
Community, Partners and the Public
Mainframe Modernization
BH - Residential+ Study
BH - Behavioral Health Data Requirements
BH - Medicaid Behavioral Health Adult
BH - Kids Integrated Delivery in Schools (KIDS)
BH - CCBHC Expansion
BH - Harm Reduction Clearinghouse & Tx Innov
BH - Prev'g Temp Lodging w Complex Care Needs
BH - Strengthening the SOCAC
BH - Alcohol&Drug Policy Comm Sustainability
BH - Kids Integrated Delvry in Schools (KIDS)
Revenue Shortfalls
Health Policy & Analytics
Total Policy Packages
Medicaid
Behavioral Health Workforce Investments
Harm Reduction Clearinghouse & Tx Innov
Residential+ Study
Behavioral Health Data Requirements
Medicaid Behavioral Health Adult
Kids Integrated Delvry in Schools (KIDS)
CCBHC Expansion
Alcohol&Drug Policy Comm Sustainability
Prev'g Temp Lodging w Complex Care Needs
Strengthening the SOCAC
Oregon is awarded $197.3M for RHTP in fiscal year 2026 as the initial year of a five-year CMS rural transformation initiative. The state strategy includes five major initiatives—regional partnerships, healthy communities, workforce development, technology/data modernization, and a tribal-specific initiative. Implementation will use both competitive (Catalyst Awards) and direct (Immediate Impact Awards) approaches, with public engagement and rigorous oversight. Key contacts: rhtp@oha.oregon.gov
Event schedule:
- CMS announced Oregon RHTP award - 12/29/2025
- OHA submitted revised budget - 01/30/2026
- CMS approved revised budget - 02/18/2026
- Catalyst Awards RFGP Opening (Target) - 04/01/2026
- Immediate Impact Awards Announcement (Expected)
- Annual Report to CMS #1 Due - 08/30/2026
- Quarterly Report #1 Due to CMS - 11/29/2026
- Vendor Roadshow at Rural Health Conference - 10/01/2026 - Oregon (exact date/venue TBA)
<rhtp@oha.oregon.gov> - RHTP Program Contact - Oregon (statewide)
Core Initiatives
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care.
Improve efficiency and sustainability of long-term rural health care through regional systems and coordinated operations.
Attract and retain a high-skilled rural health workforce.
Show all initiatives (5)
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care.
Improve efficiency and sustainability of long-term rural health care through regional systems and coordinated operations.
Attract and retain a high-skilled rural health workforce.
Spark the growth of innovative care models and payment systems for quality and care coordination.
Foster adoption of innovative technology for efficient care delivery, improved data, and digital access.
Oregon’s RHTP strategy aligns with CMS strategic goals to promote innovation, workforce, access, and technology for rural health transformation. $100 million federal annual allocation is projected if awarded, supporting a portfolio of initiatives in prevention, workforce, technology, partnerships, and systems. Public comment and ongoing tribal consultation are shaping priorities, with strong focus on regional tailoring, immediate impact and sustainability, and addressing critical access, workforce, technology, behavioral health, and maternal health needs.
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care.
Improve efficiency and sustainability of long-term access points through high-quality regional systems and coordinated operations, technology, primary and specialty care, and emergency services.
Attract and retain a high-skilled workforce with a broader set of health care providers who are supported in practicing at the top of their license.
Show all initiatives (5)
Support rural health innovation and new access points to promote disease prevention, chronic disease management, behavioral health, and prenatal care.
Improve efficiency and sustainability of long-term access points through high-quality regional systems and coordinated operations, technology, primary and specialty care, and emergency services.
Attract and retain a high-skilled workforce with a broader set of health care providers who are supported in practicing at the top of their license.
Spark the growth of innovative care models and develop and implement payment mechanisms to improve quality, outcomes, and care coordination, and shift care to lower cost settings.
Foster investment and use of innovative technologies that promote efficient care delivery, data security, and access to digital health tools for rural facilities, providers, and patients.
This document announces the first RHTP public forum in Oregon and outlines the state's transformation plan framework and proposed initiatives. It summarizes strategic goals, core focus areas, public comment learnings, priority health needs, and planned program phases (Fast Track in FFY 2026 and Sustain/Grow for FFY 2027+). The forum seeks feedback on concrete initiatives, with details for stakeholders to participate via survey. No awards have yet been announced. Key contacts: OHA RHTP Program Team rhtp@oha.oregon.gov
Event schedule:
- OHA RHTP Public Survey Open - 10/08/2025 - https://www.oregon.gov/oha/HPA/HP/Pages/rural-health-transformation.aspx
- OHA RHTP Public Survey Close - 10/15/2025 - 11:59 PM PT - Online
- Nine Tribes Consultation/Confer - 10/10/2025
OHA RHTP Public Survey Open - 10/08/2025 - https://www.oregon.gov/oha/HPA/HP/Pages/rural-health-transformation.aspx
OHA RHTP Public Survey Close - 10/15/2025 - 11:59 PM PT - Online
Nine Tribes Consultation/Confer - 10/10/2025
Contacts
OHA RHTP Program Team - <rhtp@oha.oregon.gov> - Program Contact - Statewide
Core Initiatives
Support rural health innovation and new access points
Improve efficiency and sustainability of long-term access points
Attract and retain a high-skilled workforce
Show all initiatives (5)
Support rural health innovation and new access points
Improve efficiency and sustainability of long-term access points
Attract and retain a high-skilled workforce
Spark growth of innovative care models and implement payment mechanisms
Foster investment and use of innovative technologies
OR - 2025 - * List of Certified Maryland Procurement Officers
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Federal Advancing Transcultural Care Through Cultural Competency St. Charles Madras Is A Critical Access Hospital With 25 Licensed Beds And 240 Employees Located In Jefferson Count
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OR - 2025 - 2025-2027 Strategic Plan
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OHA Public Records Requests, Fees and Waiver Policy