# Rhode Island — Rural Health Transformation Program (RHTP)

Rhode Island is implementing the Rural Health Transformation Program (RHTP) across 18 rural communities and the Narragansett Indian Tribe, led by EOHHS and RIDOH with structured input from the recently established Rural Stakeholder Advisory Council. The state is progressing through procurement and program implementation phases, focusing on expanding Federally Qualified Health Centers, hospital-at-home, crisis stabilization for behavioral health, Health IT modernization—including the awarded Health Information Technology Rural Infrastructure Fund—workforce development, mobile health, EMS modernization, and advancing value-based payment models. Rhode Island is finalizing its budget and implementation plan with CMS, maintaining active procurements and funding opportunities, and supporting stakeholder engagement. Current structured plan tracks 13 key initiatives and 10 strategic goals.

## At a glance

- Federal awards to date: $314,341,898.54 (Year 1 $156.2M + Year 2 $158.2M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 14 (1 open or announced, 13 closed)
- Awards recorded: $24.1M to 17 recipients
- Critical Access Hospitals: 0
- Rural population share: 10%

## Current progress

Rhode Island continues active implementation of the Rural Health Transformation Program, with multiple state-level procurements completed. Recent awards include $2.89 million for a Health IT administrator contract (October 2026), with subaward activity to rural providers starting. Additional initiatives, such as the APM Incentive Payment Application and Recovery Community Centers, are open for applications or have been recently awarded, and fiscal compliance reporting remains ongoing. State procurement opportunities remain active, supporting care access, workforce priorities, and technology innovation. State opportunities: 1 active (1 closing soon, 10 past/closed), $15.6M listed funding. Key opportunities: Coding Consultant Services – Rural Health Transformation Program (RIHCA-RHTP-RFP-002); Rhode Island Primary Care Grant Program (Awarded June 2025); Administrator for Health Information Technology Rural Infrastructure Fund. Strategy alignment: supports workforce, telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 5 of 19
- Initiatives (13), current CMS stage of each:
  - Building Capacity for Block Island Health and Human Services — Stage 2
  - Expanding Access to Rural Community Resources — Stage 1
  - Expanding Behavioral Health Services Availability in Rural Regions — Stage 2
  - Integrated Rural Population Health Infrastructure — Stage 2
  - Modernizing Health Care Delivery for the Narragansett Indian Tribe — Stage 2
  - Rural Community-Integrated and Mobile Health Services — Stage 2
  - Rural EMS Health Access and Integration — Stage 2
  - Rural Health Data and Workforce Tracking System — Stage 1
  - Rural Health Information Technology Modernization Program — Stage 1
  - Rural Hospital-at-Home Program — Stage 2
  - Rural Workforce Program — Stage 2
  - Strengthening Rural Oral Health Delivery Through Innovation and Integration — Stage 2
  - Supporting Hospitals and Primary Care in Value-Based Payment Transition — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [Coding Consultant Services – Rural Health Transformation Program (RIHCA-RHTP-RFP-002)](https://www.ruralcarejourney.com/opportunities/coding-consultant-services-rural-health-transformation-program-rihca-rhtp-rfp-00--8564b95122) — RFP; Closing soon; due 2026-11-13; $82,000

## Closed opportunities (13, most recent first)

- [Rhode Island RHTP APM Incentive Payment Application](https://www.ruralcarejourney.com/opportunities/rhode-island-rhtp-apm-incentive-payment-application--a80e355cc0) — GRANT; Closed; due 2026-11-02
- [Hospital at Home Program Implementation and Scale Grant Opportunity — Tier 1 (Organizational Readiness & Planning)](https://www.ruralcarejourney.com/opportunities/hospital-at-home-program-implementation-and-scale-grant-opportunity-tier-1-organ--1686836c55) — GRANT; Closed; due 2026-10-20; $1.0M
- [Hospital at Home Program Implementation and Scale Grant Opportunity — Tier 2 (Program Development & Launch)](https://www.ruralcarejourney.com/opportunities/hospital-at-home-program-implementation-and-scale-grant-opportunity-tier-2-progr--0b9b3ecf94) — GRANT; Closed; due 2026-10-20; $2.0M
- [Hospital at Home Program Implementation and Scale Grant Opportunity — Tier 3 (Scale & Sustainability)](https://www.ruralcarejourney.com/opportunities/hospital-at-home-program-implementation-and-scale-grant-opportunity-tier-3-scale--45a1d3ed5a) — GRANT; Closed; due 2026-10-20; $2.0M
- [Finance Manager – Rural Health Transformation Program (RIHCA-RHTP-RFP-001)](https://www.ruralcarejourney.com/opportunities/finance-manager-rural-health-transformation-program-rihca-rhtp-rfp-001--5142f85e34) — RFP; Closed; due 2026-10-20; $67,500
- [RHT Behavioral Health Stabilization Unit FY27](https://www.ruralcarejourney.com/opportunities/rht-behavioral-health-stabilization-unit-fy27--3ebcf5977c) — RFP; Closed; due 2026-09-26
- [Rhode Island Rural Community Health Network (RCHN) Development Funding – Initial RHTP Community Engagement](https://www.ruralcarejourney.com/opportunities/rhode-island-rural-community-health-network-rchn-development-funding-initial-rht--f0dca6155c) — GRANT; Closed; due 2026-08-30; $30,000 – $155,000
- [RHT Recovery Community Centers FY27](https://www.ruralcarejourney.com/opportunities/rht-recovery-community-centers-fy27--0bc9ae1acf) — GRANT; Closed; due 2026-07-26; $680,000
- [Administrator for Health Information Technology Rural Infrastructure Fund](https://www.ruralcarejourney.com/opportunities/administrator-for-health-information-technology-rural-infrastructure-fund--ee826a98ce) — RFP; Closed; due 2026-07-01; $2.9M
- [Rhode Island Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/rhode-island-federal-rhtp-award-year-1-fy-2026--38d7204733) — AWARD; Closed; $156.2M
- [Rhode Island Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/rhode-island-federal-rhtp-award-year-2-fy-2027--3af9bee8ca) — AWARD; Closed; $158.2M
- [Rhode Island Healthcare CTE Workforce Pipeline — RHTP Award](https://www.ruralcarejourney.com/opportunities/rhode-island-healthcare-cte-workforce-pipeline-rhtp-award--5c717a54b9) — AWARD; Closed; $5.5M
- [Rhode Island Primary Care Grant Program (Awarded June 2025)](https://www.ruralcarejourney.com/opportunities/rhode-island-primary-care-grant-program-awarded-june-2025--f30c615783) — GRANT; Closed; $6.7M

## Largest recorded awards

- 22nd Century Technologies, Inc. — $14.9M (FY2026)
- 22 Century Technologies, Inc. — $2.9M (FY2026)
- Foster-Glocester Regional School District — $1.4M (FYFY2026)
- Burrillville Schools — $928,574 (FYFY2026)
- East Greenwich Public Schools — $710,619 (FYFY2026)
- East Greenwich School Department — $710,619 (FY2025)
- Westerly Public Schools — $658,773 (FYFY2026)
- Smithfield Public Schools — $513,690 (FYFY2026)
- Scituate School Department — $318,191 (FYFY2026)
- Narragansett High School — $268,454 (FYFY2026)
- North Smithfield School Department — $235,775 (FYFY2026)
- Chariho Regional School District — $230,105 (FYFY2026)
- Exeter-West Greenwich Regional School District — $128,768 (FYFY2026)
- Little Compton School Department — $47,574 (FYFY2026)
- North Kingstown High School — $31,188 (FYFY2026)

## Official sources RCJ monitors

- [RI Division of Purchases: Bidding Opportunities](https://ridop.ri.gov/vendors/bidding-opportunities)
- [RI Medicaid Data Dashboard](https://eohhs.ri.gov/initiatives/medicaid-initiatives/medicaid-data-dashboard)
- [RI Gov: RHTP Budget Amendment](https://governor.ri.gov/press-releases/governor-mckee-submits-budget-amendment-federal-award-transform-rural-health-care)
- [RI Release / Application](https://eohhs.ri.gov/initiatives/rural-health-transformation-program)
- [RI Gov: $156M RHTP Award Announcement](https://governor.ri.gov/press-releases/governor-mckee-announces-156-million-federal-award-transform-rural-health-care-rhode)
- [RI RHTP Project Narrative (Nov 2025)](https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2025-11/RI%20RHTP%20-%20Project%20Narrative%202025%2011-3.pdf)
- [RI Governor Press Releases](https://governor.ri.gov/press-releases)
- [RI RHTP Community Listening Session (Sep 2025)](https://health.ri.gov/sites/g/files/xkgbur1006/files/2025-09/rural-health-transformation-program-community-listening-session.pdf)
- [RI EOHHS Advisory Council HCSP Deck (Nov 2025)](https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2025-11/11-21%20-%20EOHHS%20Advisory%20Council%20Deck%20-%20HCSP.pdf)
- [RI RHTP Fact Sheet (Sep 2025)](https://health.ri.gov/sites/g/files/xkgbur1006/files/2025-09/rural-health-transformation-program-fact-sheet.pdf)

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