HHS Region 1 · Rhode Island Executive Office of Health and Human Services (EOHHS)
Program Overview
Rhode Island is implementing the Rural Health Transformation Program across 18 rural towns and the Narragansett Indian Tribe, led by EOHHS and RIDOH with direction from the Rural Stakeholder Advisory Council. The program targets workforce development, expanded access to care (including FQHCs and hospital-at-home), value-based care, behavioral health, digital infrastructure modernization, and health equity. Current structured plan tracks 21 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across Rhode Island — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (5)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Providence County | 664,854 | 13.4% | 9.3% |
| Kent County | 171,456 | 7.5% | 4.2% |
| Washington County | 130,344 | 8.2% | 4.1% |
| Newport County | 84,657 | 8.5% | 5.0% |
| Bristol County | 50,490 | 6.5% | 3.9% |
106,875 rural residents
AI source: RI - 2026 - Rhode Island Health Care System Planning EOHHS Independent Advisory Council Agenda November 21, 2025
AI auto-updated Jul 17, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
7 related documents
RI - 2025 - Rhode Island RHTP
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Rhode Island received over $156 million from CMS for the Rural Health Transformation Program in December 2025. The state has announced $6.7 million in primary care grant awards to 85 practices, with deliverables tracked and performance targets in place. The Year 1 budget amendment was approved, enabling the launch of thirteen funded initiatives and accompanying policy changes, while additional state-level provider procurements are still pending. The Rural Stakeholder Advisory Council is being established to guide implementation and ensure accountability. State opportunities: 1 active (1 open, 1 past/closed), $155.0K listed funding. Key opportunities: Rhode Island Rural Community Health Network (RCHN) Development Funding – Initial RHTP Community Engagement; Administrator for Health Information Technology Rural Infrastructure Fund. Strategy alignment: supports telehealth priorities.
Rhode Island’s RHTP maintains a comprehensive, community-led transformation prioritizing integrated rural clinical care hubs, Federally Qualified Health Centers as anchors, mobile health and EMS modernization, behavioral and oral health expansion, and workforce development. Implementation is guided by robust stakeholder and tribal engagement, with Rural Community Health Networks and the Stakeholder Advisory Council ensuring accountable, locally responsive delivery. Digital health modernization, value-based payment reforms, and community-driven care networks continue, backed by $156 million in federal funding from FY2026 to FY2030. Annual grants and performance-based funding sustain rural community engagement, public health supply distribution, and local compliance.
Model
Integrated rural population health system anchored in value-based payment reform, digital health modernization, community-driven care networks, Rural Community Health Networks, targeted workforce investments, and accountable stakeholder engagement.
Key Initiatives
Timeline: Federal funding and implementation from FY2026 through FY2030
Focus on preventable chronic diseases, behavioral and mental health needs, substance use disorders, maternal and child health, and oral health.
Focus on reducing preventable chronic diseases impacting rural residents across Rhode Island.
Addressing behavioral health needs and substance use disorders through expanded service access.
RI - 2025 - Rhode Island RHTP (RI_RHTP_-_Attachment_A_-_Governor's_Endorsement_2025_11-3)
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RI - 2025 - Letters of support
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RI - 2026 - Rhode Island RHTP (RI_RHTP_-_Revised_Project_Narrative_-_(RHT2026000020)_-_02.10.26-No_Highlights_-_EOHHS_RHTP_Site)
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RI - 2026 - Rhode Island RHTP
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RI - 2026 - Rhode Island Rural Health Budget Amendment Summary RHTP 2026
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RI - 2026 - RRhhooddee IIssllaanndd RRuurraall HHeeaalltthh TTrraannssffoorrmmaattiioonn PPrrooggrraamm March 2026
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Rhode Island Executive Office of Health and Human Services (EOHHS)
Due Aug 30, 2026
3 related documents
RI - 2026 - Rural Community Health Network (RCHN) Development Application (RCHN_P1_Application_Form_7.22.26_fillable_v2)
Primary source
RI - 2026 - Rural Community Health Network (RCHN) Development Application
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RI - 2025 - Letters of support
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Rhode Island Executive Office of Health and Human Services (EOHHS)
Due Jul 1, 2026
1 related document
RI - 2026 - Administrator For Health Information Technology Rural Infrastructure Fund
HigherGov Mirror
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2025-2026 | Anchor Recovery Community Centers, CCA, EBCAP Operation of recovery community centers and workforce support to expand peer recovery networks across Rhode Island. | $13.0M | Recovery | |
| 2025-2026 | RIDOC/CODAC Medication for Addiction Treatment in correctional settings to address OUD among incarcerated people. | $6.3M | Treatment | |
| 2025-2026 | Rhode Island Hospital (Lifespan)/Brown Health Provision of Medication for Opioid Use Disorder (MOUD) and services for the uninsured and underinsured through hospital and OTP partnerships. | $2.9M | Treatment |
The mini-grant program funds recruitment, retention, and administrative support to increase capacity for Medicaid primary care in Rhode Island through tiered funding allocations and compliance requirements. Event schedule: - Program Funds Expiration - 12/31/2025 - Rhode Island
Core Initiatives
Rhode Island's RHTP-funded initiative will invest $155,000 per eligible rural community—$125,000 for community engagement and $30,000 for public health supplies—in the initial year, supporting the establishment of durable Rural Community Health Networks across 18 rural communities. Eligible applicant organizations must be municipalities, public, or not-for-profit community-based entities with local credibility and capacity. Funding is contingent on performance, compliance, and available funds through 2031, and applicants must provide insurance and identify local priorities and partnerships. Key contacts: Christopher Ausura Christopher.J.Ausura@ohhs.ri.gov Event schedule: - Application Open Date - 07/30/2026 - Application Due Date - 08/30/2026
Event Schedule
Contacts
Core Initiatives
This document details the structure, responsibilities, and membership criteria for Rhode Island's Rural Stakeholder Advisory Council as part of the RHTP. The council serves as a statewide advisory body integrating feedback from Networks and Regional Hubs, and supports responsive rural health transformation implementation. Broad representation and conflict-of-interest practices are emphasized to ensure accountability and equitable input from rural communities.
Core Initiatives
Rhode Island submitted a multi-component RHTP plan targeting population health, behavioral health, workforce, EMS, HIT, and innovative care. The plan leverages new CMS funding, focuses on rural equity, and aligns with long-term health system goals and measurable targets. Event schedule: - Application deadline - 11/05/2025 - CMS award decisions expected - 12/31/2025 - Planning Meeting - Patient Experience - 12/01/2025 - Planning Meeting - System Solvency - 12/15/2025 - Planning Meeting - Access and Affordability - 01/15/2026 - Planning Meeting - Health Care Services and HRSNs - 01/23/2026 - Planning Meeting - System Infrastructure - 01/26/2026
Event Schedule
Core Initiatives
Rhode Island secured a $156 million 5-year RHTP award with $142.7 million planned for SFYs 2026-27. The budget funds thirteen initiatives targeting value-based payment transition, rural workforce development, health IT modernization, behavioral health expansion, and innovative care delivery models.
Core Initiatives
Rhode Island RHTP plans to strengthen access to high-quality, sustainable community-driven care in rural and island areas. The $1 billion five-year program covers 13 interconnected initiatives that target clinical care hubs, EMS, workforce, value-based care, and technology integration.
Rhode Island's RHTP application outlines a $1 billion, five-year program supporting 13 key initiatives to transform rural health care across the state. The program emphasizes integrated community-based care, technology modernization, workforce training, and emergency services enhancement for sustainable, high-quality health delivery.
The program focuses on building integrated community care, expanding Federally Qualified Health Centers, investing in mobile health and EMS, supporting local health systems including Block Island and the Narragansett Indian Tribe, combating the opioid crisis, growing the rural health workforce, delivering hospital care at home, advancing value-based care, and modernizing health IT across rural towns. The proposal estimates an approximate $100 million annual allocation for five years contingent on CMS approval. Development incorporated extensive collaboration with state agencies, health organizations, and community feedback. Event schedule: - Formal Application Submission - 11/13/2025 - 2:54 PM ET - Providence, RI
Event Schedule
Core Initiatives
Rhode Island is planning its application for the CMS Rural Health Transformation Program, a $50 billion, five-year national funding opportunity. The state is engaging communities and key stakeholders to shape its strategy, focused on prevention, workforce, technology, and innovative care models. Success will require selecting at least three program activities, building strategic partnerships, and addressing rural hospital sustainability. Key contacts: RIDOH.OPCRH@health.ri.gov Event schedule: - CMS Notice of Funding Opportunity Released - September 15, 2025 - Application Due - November 5, 2025 - Award Decisions Announced - December 31, 2025
Event Schedule
Contacts
Core Initiatives
2026
Program Monitoring Begins
↳ RI - 2025 - Rhode Island RHTP Community Listening Session September 2025
12/31/2025
Final report due
↳ RI - 2025 - Rhode Island Awards $6,695,000 in Primary Care Grants to Support Recruitment and Retention of PCPs in 2025
12/31/2025
CMS Application Decisions
↳ RI - 2025 - Rhode Island RHTP Community Listening Session September 2025
11/05/2025
Application due
↳ RI - 2025 - Rhode Island RHTP Community Listening Session September 2025
09/19/2025
Status report due (Tier 2)
↳ RI - 2025 - Rhode Island Awards $6,695,000 in Primary Care Grants to Support Recruitment and Retention of PCPs in 2025
09/15/2025
CMS Notice of Funding Opportunity issued
↳ RI - 2025 - Rhode Island RHTP Community Listening Session September 2025
08/15/2025
Status report due (Tier 1)
↳ RI - 2025 - Rhode Island Awards $6,695,000 in Primary Care Grants to Support Recruitment and Retention of PCPs in 2025
RI RHTP site updated — 1 new doc(s)
RI - 2026 - Rural Community Health Network (RCHN) Development Application
Jul 30, 2026 19:51
·EmailRI RHTP site updated — 1 new doc(s)
RI RHTP site updated — 1 new doc(s)
RI RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 52.
RI - 2020 - Emergency MPAs Manual
RI - 2023 - Emergency MPA Guide
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CFO 20-05 Direct Pay Documents in RIFANS_02-12-20.pdf
In June 2025, Rhode Island announced $6,695,000 in one-time grants to 85 primary care practices to boost recruitment and retention of primary care providers. The funding targets Medicaid-enrolled providers and those enrolling in Medicaid, focusing on improving access and capacity in key populations. Key contacts: ohhs.medicaidprogramcao@ohhs.ri.gov Event schedule: - The federal government is making changes to Medicaid programs across the country. Effective , 2026, new federal laws will stop Medicaid for some people who are not U.S. citizens. Starting in 2027, some adults on Medic... - Any applicant that receives the grant award and does not meet the required deliverables by the specified deadline and/or does not fully expend awarded funds by , 2025, will be required to return the funds to Rhode Isl...
Event Schedule
Contacts
Core Initiatives
Rhode Island's application for Rural Community Health Network (RCHN) development offers $155,000 for initial community engagement activities and public health supplies. The initiative aims to create community-driven, integrated local health networks through the RHTP. Eligible entities include municipalities and community-based organizations with local relationships. Key contacts: Christopher J. Ausura Christopher.J.Ausura@ohhs.ri.gov Event schedule: - Application Open - 07/30/2026 - Application Close - 08/30/2026
Event Schedule
Contacts
Core Initiatives
Rhode Island is soliciting a vendor to administer its Health Information Technology Rural Infrastructure Fund. The selected administrator will provide technical assistance and oversee distribution of HIT funds to rural providers. The goal is to improve rural health providers’ IT capacity through coordinated support and grant management. Event schedule: - Opportunity Posted - 06/04/2026 - ET - Vendor Q&A Opens - 06/04/2026 - 2:15 PM ET - Vendor Q&A Closes - 06/11/2026 - 2:00 PM ET - Response Deadline - 07/01/2026 - ET
Event Schedule
Core Initiatives
Rhode Island is investing opioid settlement, Medicaid, and federal funds in a comprehensive continuum of prevention, harm reduction, treatment, and recovery strategies, with an emphasis on school-based mental health, access to naloxone, and improving equity. Over 100 program contracts are in place, with robust data-driven evaluation and continuous review of outcome indicators. Major funds are allocated to recovery supports, school and community-based prevention, and harm reduction infrastructure.
Core Initiatives
Core Initiatives
Core Initiatives
Year 1 includes thirteen initiatives such as supporting hospitals and primary care in value-based payment transition, rural workforce development, health IT modernization, hospital-at-home programs, and expanding behavioral health services. The program also involves policy changes to empower pharmacists and dental hygienists, promote interstate licensure compacts, and enhance continuing medical education requirements. These efforts aim to increase access to lower-cost care and strengthen the rural healthcare workforce. Event schedule: - Budget amendment submission and announcement - 04/02/2026 - 14:17 ET - Providence, RI
Event Schedule
Core Initiatives
This document is a set of standard reporting templates for Rhode Island's RHTP Tier 2 mini-grant recipients in FY2025, capturing patient panel size, provider staffing, expenditures, and payer mix at multiple time points. Reports require practices to detail how funds are used to support rural primary care access and workforce. Only de-identified provider sample data is included. Event schedule: - Baseline Report Data Date - 04/01/2025 - Status Report Period - April 2, 2025 - September 19, 2025 - Final Report Period - September 20, 2025 - December 31, 2025
Core Initiatives
The program focuses on expanding access to care through FQHCs, delivering hospital care at home, advancing value-based care, combating the opioid crisis, modernizing Health IT, growing the health workforce, and supporting local health systems including Block Island and the Narragansett Indian Tribe. The award follows a competitive application led by the McKee administration with robust stakeholder and community engagement. Key contacts: Richard Charest; Ana Novais; Jerry Larkin, MD Event schedule: - Federal Award Announcement - 12/30/2025 - N/A - Providence, RI
Event Schedule
Contacts
Core Initiatives
Rhode Island is launching a Rural Stakeholder Advisory Council to guide implementation of the Rural Health Transformation Program, engaging diverse representatives from rural health systems and communities. The Council will monitor progress, provide stakeholder input, and strengthen alignment of program activities with local needs. Membership will include rural hospitals, health systems, emergency medical services, behavioral health providers, community organizations, and tribal representatives. Key contacts: Kilah Walters-Clinton Kilah.WaltersClinton@ohhs.ri.gov Event schedule: - The federal government is making changes to Medicaid programs across the country. Effective , 2026, new federal laws will stop Medicaid for some people who are not U.S. citizens. Starting in 2027, some adults on Medic...
Event Schedule
Contacts
Core Initiatives
RI - 2026 - Learn more about what is changing and who will be impacted at staycovered.ri.gov/updates
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MBECO Compliance Training - Rural Health Grant — attachment
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RI - 2025 - Click here to view and download a list of awarded practices.
Rhode Island Agency Procurement Library
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Community Health Teams: A Healthcare Providers System Transformation Opportunity
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Health Care Quality Performance Program Annual Report
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Coordinated Health Planning in Rhode Island
2006-2007 · PDF
Rural Health Network Development Application Now Open
Please join us for an online Education Session on the RHTP
RI - 2026 - Homepage | Department of Health
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RI - 2026 - Medicaid Initiatives | Executive Office of Health and Human Services
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