# South Carolina — Rural Health Transformation Program (RHTP)

The South Carolina Rural Health Transformation Program is currently offering infrastructure and capacity-building grants through five targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, Shoring Up to Sustainability, and a Tech Catalyst Fund for rural health technology startups. The program emphasizes expanding digital infrastructure, scaling care delivery innovations, supporting workforce development, strengthening behavioral and maternal health services, and modernizing health IT in rural communities. Implementation is active with funding announcements, open application portals, and outreach, but no subrecipient agreements have been executed as of July 31, 2026. Current structured plan tracks 5 key initiatives and 10 strategic goals.

## At a glance

- Federal awards to date: $396,016,285.44 (Year 1 $200.0M + Year 2 $196.0M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 11 (0 open or announced, 11 closed)
- Awards recorded: $168.8M to 129 recipients
- Critical Access Hospitals: 18
- Rural population share: 33%

## Current progress

South Carolina has issued and awarded inaugural funding under the Tech Catalyst Fund as part of the Rural Health Transformation Program, with four early-stage companies receiving $2.2 million to advance rural health care innovation. This confirms that the program has moved beyond application intake and review to executing subrecipient agreements and making disbursements for at least one key initiative. Additional awards and subgrant activity are expected in the coming days. Other RHTP funding streams remain at varying stages, but the Tech Catalyst Fund progress qualifies the state for the implementing phase. State opportunities: 6 total (6 past/closed), $92.7M listed funding. Key opportunities: Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027; RHTP: Wellness Within Reach Initiative; Connections to Care – Modernize Health IT. Strategy alignment: supports workforce, prevention, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 2 of 19
- Initiatives (5), current CMS stage of each:
  - Connections to Care — Stage 1
  - Leveling Up — Stage 2
  - Shoring Up Sustainability — Stage 1
  - Tech Catalyst Fund — Stage 2
  - Wellness Within Reach — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (11, most recent first)

- [South Carolina Cancer Screening Improvement Initiative](https://www.ruralcarejourney.com/opportunities/south-carolina-cancer-screening-improvement-initiative--ff7da7cc9d) — GRANT; Closed; due 2026-07-31; state-funded, not RHTP
- [South Carolina Rural Enhancement Grant](https://www.ruralcarejourney.com/opportunities/south-carolina-rural-enhancement-grant--eb9d094c1a) — GRANT; Closed; due 2026-07-31; state-funded, not RHTP
- [South Carolina RHTP Tech Catalyst Fund](https://www.ruralcarejourney.com/opportunities/south-carolina-rhtp-tech-catalyst-fund--c5e77eb16d) — GRANT; Closed; due 2026-06-25; $5.0M
- [Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027](https://www.ruralcarejourney.com/opportunities/act-301-capital-expenditure-infrastructure-funding-opportunity-for-fy-2026-2027--23f7c00dfa) — RFA; Closed; due 2026-06-01; $40.0M
- [Connections to Care – Expand Remote Patient Monitoring (RPM) & Assistive Technology](https://www.ruralcarejourney.com/opportunities/connections-to-care-expand-remote-patient-monitoring-rpm-assistive-technology--b9108db334) — RFA; Closed; due 2026-06-01; $250,000 – $5.0M
- [Connections to Care – Modernize Health IT](https://www.ruralcarejourney.com/opportunities/connections-to-care-modernize-health-it--c11caf9c3e) — RFA; Closed; due 2026-06-01; $100,000 – $10.0M
- [Leveling Up Initiative - Chronic Disease Program Expansion](https://www.ruralcarejourney.com/opportunities/leveling-up-initiative-chronic-disease-program-expansion--b46456cfc9) — RFA; Closed; due 2026-06-01; $100,000 – $5.0M
- [RHTP: Wellness Within Reach Initiative](https://www.ruralcarejourney.com/opportunities/rhtp-wellness-within-reach-initiative--bfebe1e0a8) — RFA; Closed; due 2026-06-01; $27.7M
- [South Carolina Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/south-carolina-federal-rhtp-award-year-1-fy-2026--d44f527d8f) — AWARD; Closed; $200.0M
- [South Carolina Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/south-carolina-federal-rhtp-award-year-2-fy-2027--fc4fcff82b) — AWARD; Closed; $196.0M
- [South Carolina RHTP Year 1 Awards — 228 Projects](https://www.ruralcarejourney.com/opportunities/south-carolina-rhtp-year-1-awards-228-projects--9a863e1234) — AWARD; Closed

## Largest recorded awards

- Self Regional Healthcare (Lakelands Region) — $17.7M (FY2026)
- Hampton Regional Medical Center — $13.2M (FY2026)
- Newberry County Memorial Hospital — $10.8M (FY2026)
- Edgefield County Healthcare — $6.9M (FY2026)
- South Carolina Department of Corrections — $6.8M (FY2026)
- Acadia Healthcare Co. — $5.6M (FY2026)
- McLeod Health — $5.0M (FY2026)
- Medical University Hospital Authority (MUSC Health — $4.9M (FY2026)
- Spartanburg Regional Healthcare System — $4.5M (FY2026)
- Medical University Hospital Authority (MUSC Center for — $4.5M (FY2026)
- AnMed — $4.1M (FY2026)
- Medical University Hospital Authority — $3.5M (FY2026)
- Medical University of South Carolina — $3.3M (FY2026)
- Care Net of Lancaster — $3.2M (FY2026)
- McLeod Health on behalf of McLeod Health Dillon — $2.9M (FY2026)

## Official sources RCJ monitors

- [SC Release / Application 1](https://www.scdhhs.gov/communications/scdhhs-announces-rural-health-transformation-program-funding-opportunities)
- [SC RHTP Grants](https://www.scdhhs.gov/resources/grants)
- [SCORH Funding Opportunities](https://scorh.net/fundingopportunities/)
- [SC DHHS Press Releases](https://www.scdhhs.gov/communications/press-releases)
- [SC Tech Catalyst Fund (SCRA)](https://scra.org/get-to-know/tech-catalyst-fund/)
- [SC RHTP Primary](https://scdhhs.gov/rhtp)

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