The South Dakota Rural Health Transformation Program is actively implementing its fiscal year 2026 plan, emphasizing digital health modernization, community health worker and workforce development (including maternal health training), EMS advancement, and sustainable systems transformation. The Department of Health administers structured grant programs supporting behavioral health, chronic disease management, infrastructure, and Medicaid Primary Accountable Care Transformation through formal RFP processes and provider technical assistance. Current structured plan tracks 22 key initiatives and 11 strategic goals.
South Dakota has issued multiple RFPs for core initiatives under the Rural Health Transformation Program, including solicitations posted in July 2026 for Rural Behavioral Health Modernization and EMS Infrastructure. Several opportunities remain open for provider applications or are closing soon, while additional solicitations are planned for future cycles. The state is actively managing application review, awards, and Year 2 funding preparation. Statewide opportunities cover workforce, telehealth, and data modernization, with a total of 4 active (2 open, 2 closing soon) and 23 past or closed opportunities totaling $193.5M in listed funding. State opportunities: 3 active (2 open, 1 closing soon, 24 past/closed), $273.5M listed funding. Key opportunities: Building a Sustainable Rural Healthcare Workforce: Recruit & Retention; Building a Sustainable Rural Healthcare Workforce: Recruit & Retention; WIC Program Statewide Personnel & Service Delivery. Strategy alignment: supports workforce, telehealth, care access priorities.
RHTP Strategy
South Dakota’s RHTP continues its multi-year, grant-driven strategy focused on modernizing rural digital and health infrastructure, supporting a sustainable healthcare workforce, and integrating chronic disease and behavioral health solutions for rural and Tribal populations. The program features annual renewable contracts and regional project tiering, led by the Department of Health with technical assistance. The 2026–2030 strategy includes new Rural Strong Grants to advance operational and strategic planning, expand service lines, and enhance value-based Medicaid transformation.
Model
A grant-based rural health transformation model emphasizing health IT modernization, value-based Medicaid pilots, rural and community health workforce expansion, system sustainability, maternal health, population health management, and integrated behavioral health—targeted for rural and Tribal populations through renewable project contracts and annual funding opportunities.
Key Initiatives (22)
1Digital Health Modernization and Technology Grant Program for EHR adoption, integration, and interoperability with SD Health Link
2Support for rural facility EHR replacement, integration, and certified enhancements via project tiering
3Rural Health Data Atlas and Regional Innovation Centers providing technical assistance, analytics, and workforce funding
Timeline: FY2026–2030; annual grant and contract cycles with renewable terms for selected projects; administrative review and evaluation periods
11
Health Priority
Workforce shortages
There are not enough healthcare workers across fields to meet rural demand.
AberdeenEagle ButtePierreRapid CityYankton
Aug 16, 2026
Health Priority
Access to dental and behavioral health services
Limited access to these services is a key rural healthcare challenge.
AberdeenEagle ButtePierreRapid CityYankton
Aug 16, 2026
Health Priority
Transportation barriers
Transportation is a major barrier to receiving care in rural communities.
AberdeenEagle ButtePierreRapid CityYankton
Aug 16, 2026
SupportingPDF2026Award: $189.5M
SD - 2026 - South Dakota RHT Project (rural-health-transformation-program-slide-deck_short)
RFP 26-09RHT-021 — Rural Health Data Atlas: Data Visualization and Analysis Platform
RFP Document (DOCX)
Announcement Documents (3)
🌐
AnnouncementJul 27, 2026HTML2023
The South Dakota Rural Workforce Network Grant, funded by HRSA, invests over $1.15 million to support sustainable healthcare workforce pipelines statewide. It builds recruitment, training, and partnerships to address rural workforce shortages. The initiative targets vital support roles such as CNAs, medical assistants, and lab technicians. Key contacts: Lindsay Stroman
Award: $1.2MWORKFORCE
Contacts
Lindsay Stroman - Workforce Development Coordinator - Statewide
Improve recruitment and retention across rural communities
🌐
AnnouncementJul 27, 2026HTML2026
South Dakota has announced the first and second rounds of its Rural Health Transformation Program RFPs for 2026, signaling the implementation phase of the state's RHTP efforts. This expands opportunities for rural hospitals to participate in care delivery and payment transformation projects. Application instructions direct potential applicants to the state procurement portal.
Event schedule:
- First Round of Rural Health Transformation Requests for Proposals announced - 02/25/2026
- Second Round of Rural Health Transformation Requests for Proposals announced - 03/03/2026
🌐
AnnouncementMay 25, 2026HTML2026
Award Announcement Documents (1)
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Award AnnouncementApr 23, 2026PDFEvent2026FederalOpportunity ↗
South Dakota was awarded approximately $189.4M in FY2026 under the Rural Health Transformation Program, with a comprehensive, state-led strategy targeting rural hospital stabilization, Medicaid payment transformation, digital health infrastructure, and rural workforce expansion. Core initiatives include health IT modernization, alternative payment models, EMS regionalization, expanded maternal and behavioral health services, and workforce recruitment and retention efforts. The program directly addresses rural health disparities across all 64 rural counties, including Tribal and frontier populations.
Award: $189.4M
Core Initiatives
Promote prevention, address root causes, and chronic care management in rural populations
Strengthen sustainable rural health access and provider networks
Develop, recruit, and retain rural health workforce
Show all initiatives (5)
Promote prevention, address root causes, and chronic care management in rural populations
Strengthen sustainable rural health access and provider networks
Develop, recruit, and retain rural health workforce
Implement innovative care delivery and payment models
Advance health IT, telehealth, data sharing, and cybersecurity
Application Documents (20)
📄
ApplicationJul 27, 2026PDF2024
This announcement provides guidance and tips for applicants seeking funding under the Rural Strong Grants RFP in South Dakota. The state anticipates Year 1 awards between $200,000 and $3,000,000. It outlines key steps, recommended exhibits, and proposal instructions for rural healthcare providers interested in the program. Key contacts: info@sdaho.org
QUALITY_IMPROVEMENT · FINANCE · OTHER
Contacts
<info@sdaho.org> - South Dakota
Core Initiatives
Strengthen access to care in rural communities
Support rural hospitals to improve healthcare delivery
South Dakota was awarded over $189 million in federal Rural Health Transformation Program funding for FY2026. An initial $89.4 million will be made available through the Digital Health Modernization and Technology Grant Program, launching in 2026, to support EHR and technology upgrades for rural and underserved providers. Grant funding will also cover interoperability, cybersecurity, workforce training, and network development projects across eligible provider types.
Event schedule:
- Grant Period 1 Start Date - 02/20/2026
- Grant Period 1 End Date - 10/30/2026
- Grant Period 1 Spending Deadline - 09/30/2027
- Tentative RFA Release - 03/31/2026
Award: $189.0MHEALTH_INFORMATION_TECHNOLOGY · WORKFORCE · NETWORK_DEVELOPMENT · OTHER
Event Schedule
Grant Period 1 Start Date - 02/20/2026
Grant Period 1 End Date - 10/30/2026
Grant Period 1 Spending Deadline - 09/30/2027
Show all schedule items (4)
Grant Period 1 Start Date - 02/20/2026
Grant Period 1 End Date - 10/30/2026
Grant Period 1 Spending Deadline - 09/30/2027
Tentative RFA Release - 03/31/2026
Core Initiatives
Strengthen rural healthcare systems
Improve access to quality care across South Dakota
Build a more resilient, connected, and sustainable rural health system
🌐
GuidanceJul 27, 2026HTML2026
This announcement highlights the South Dakota Association of Healthcare Organizations' central RHTP Resource Hub. It includes direct links to the state's RHTP website, member guidance, webinars, and recent updates such as the EMS RFP addendum clarifying contract dates.
Event schedule:
- Announcement posted - July 17, 2026 - https://sdaho.org/rural-health-transformation-project-resources/
The timeline for 2026 outlines phased approaches starting with foundational RFPs and planning in Q1 focused on technology, Medicaid transformation, chronic disease, and behavioral health. Major programmatic solicitations and awards begin in spring and early summer, with additional rounds and enhanced behavioral health and remote monitoring initiatives later in the year.
Event schedule:
- Launch of foundational RFPs and planning efforts - January-March 2026
- Major release of programmatic RFPs and RFAs - March-May 2026
- Transition from planning to program launch with initial awards - June 2026
- Additional funding rounds and technical assistance with expanded initiatives - Summer-Fall 2026
South Dakota's PACT initiative establishes a new Medicaid primary care payment and quality incentive model, with $62.7M in grant funding for infrastructure, care management, and technology. The program aims to sustain rural primary care practices by shifting to value-based prospective payments, focusing on prevention, population health, and provider team support. Implementation runs from 2026-2030, beginning with planning and launching statewide in 2028.
This initiative aims to modernize rural health IT infrastructure in South Dakota through funding for EHR adoption, telehealth integration, and operational resilience. It includes launching innovation centers and a health data atlas to improve care coordination and public data access.
This initiative focuses on expanding evidence-based chronic disease management programs in rural South Dakota, including funding for rural healthcare providers and caregiver support. It aims to improve health outcomes through sustainable community-based interventions and enhanced care coordination.
Award: $35.1M
Core Initiatives
Reduce 30-day readmission rates for patients with chronic health conditions
Increase controlled blood pressure among remote patient monitoring participants
Improve Medicaid Health Home Quality Incentive Payment metrics
📄
ReportApr 15, 2026PDF2026-2030
South Dakota's EMS initiative targets the development of EMS Hubs to improve coverage and response times, expands workforce training, and integrates advanced technology including telemedicine. The program aims to enhance rural emergency response sustainability and coordination statewide.
Award: $64.0M
📄
ReportApr 15, 2026PDF
The initiative will establish a statewide digital training platform and deliver virtual and in-person training to enhance rural healthcare workforce capabilities. It aims to improve care quality and provider retention through professional development.
The South Dakota Rural Health Transformation Program strategic plan (2025-2031) proposes statewide investment in workforce, technology, and system transformation to improve rural health outcomes, reduce disparities, and strengthen hospital and clinic sustainability. Four core areas guide the strategy: modernizing health IT and data, addressing rural workforce recruitment and retention, preserving and optimizing facility access, and advancing sustainable EMS and behavioral health systems. The plan prioritizes rural/Tribal population needs, emphasizes local flexibility and partnerships, and aims for long-term sustainable impact.
CAH Transition to Rural Emergency Hospital - 2025-07
Core Initiatives
Modernize rural healthcare through health information technology and connected data infrastructure.
Expand and sustain a comprehensive rural and Tribal workforce.
Preserve and optimize local rural healthcare access and enhance facility and care sustainability.
Show all initiatives (9)
Modernize rural healthcare through health information technology and connected data infrastructure.
Expand and sustain a comprehensive rural and Tribal workforce.
Preserve and optimize local rural healthcare access and enhance facility and care sustainability.
Transform emergency medical services, behavioral health, and maternal care across regional systems.
Technology Innovation
Workforce Development
Sustainable Access
Innovative Care
Make Rural America Healthy Again
Reference Documents (8)
📄
ReferenceJul 27, 2026PDF2024
This document walks providers and stakeholders through the steps needed to access current RHTP funding opportunities in South Dakota via the state's Open SD portal. It explains how to search for relevant RFPs, reviews key proposal requirements, deadlines, and outlines the evaluation process. No funding amounts, recipients, or award announcements are included. Key contacts: info@sdaho.org
QUALITY_IMPROVEMENT · NETWORK_DEVELOPMENT · FINANCE · OTHER
Contacts
<info@sdaho.org>
Core Initiatives
Expand access to rural health funding
Encourage provider participation in transformation initiatives
Ensure transparent and equitable proposal evaluation process
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
SD - 2026 - Budget Template [XLS, 97.00 KB]
XLSX
SD - 2026 - Associate Membership
PDF
SD - 2026 - Rural Health Leaders
Source Checks
Last checked
Last changed
Appendix A: Job Descriptions
SupportingXLSXNo amount extracted
SD - 2026 - Appendix C RFP WIC Services budget
Appendix C: Budget
SupportingPDFNo amount extracted
SD - 2026 - South Dakota Landing Page (updated: June 28, 2026)
Map
QUALITY_IMPROVEMENT · NETWORK_DEVELOPMENT · FINANCE · OTHER
Event Schedule
First Round of Rural Health Transformation Requests for Proposals announced - 02/25/2026
Second Round of Rural Health Transformation Requests for Proposals announced - 03/03/2026
Core Initiatives
Transform rural hospital care delivery in South Dakota
Improve rural healthcare system sustainability
Enhance quality and access for rural Medicaid beneficiaries
South Dakota secured $189.4 million in federal funding for fiscal year 2026 through the Rural Health Transformation Program. The state has released multiple rounds of RFPs to support digital health modernization and coordinated care for rural, tribal, and frontier healthcare systems. Three consultant organizations have been selected for implementation and project management support. Key contacts: Melissa Magstadt DOH.info@state.sd.us; DOHmedia@state.sd.us
Event schedule:
- First Round RFP Release - February 25, 2026
- Second Round RFP Release - March 3, 2026
- First Awards Announcement - May 21, 2026
Award: $189.4MHEALTH_INFORMATION_TECHNOLOGY · NETWORK_DEVELOPMENT · OTHER
Contacts
Melissa Magstadt - <DOH.info@state.sd.us> - Department Secretary - South Dakota
<DOHmedia@state.sd.us> - Media Relations - South Dakota
Core Initiatives
Strengthen rural, tribal, and frontier healthcare systems
Modernize digital health infrastructure
Coordinate delivery of care methods
The South Dakota Department of Health released the Rural Strong Grant RFP on April 2, 2026, offering up to $31,750,000 in funding for eligible rural healthcare providers, including hospitals, FQHCs, rural clinics, and tribal clinics. The grants support initiatives such as strategic partnerships, service line expansion, and readiness for value-based care. The application deadline is May 22, 2026, with an anticipated award decision by June 22, 2026.
Event schedule:
- RFP Publication - 04/02/2026
- Letter of Intent to Respond Due - 04/16/2026
- Offeror Questions Due - 04/23/2026
- Responses to Offeror Questions - 05/07/2026
- Request for SFTP Folder - 05/21/2026
- Proposal Submission Deadline - 05/22/2026
- Anticipated Award Decision/Contract Negotiation - 06/22/2026
Event Schedule
RFP Publication - 04/02/2026
Letter of Intent to Respond Due - 04/16/2026
Offeror Questions Due - 04/23/2026
Show all schedule items (7)
RFP Publication - 04/02/2026
Letter of Intent to Respond Due - 04/16/2026
Offeror Questions Due - 04/23/2026
Responses to Offeror Questions - 05/07/2026
Request for SFTP Folder - 05/21/2026
Proposal Submission Deadline - 05/22/2026
Anticipated Award Decision/Contract Negotiation - 06/22/2026
Core Initiatives
Strengthen rural healthcare delivery statewide
Support operational and strategic planning for rural providers
Expand service lines and regional resources models
Show all initiatives (4)
Strengthen rural healthcare delivery statewide
Support operational and strategic planning for rural providers
Expand service lines and regional resources models
Improve care coordination and readiness for value-based care
This RFP from the South Dakota Department of Health seeks proposals for workforce recruitment and retention initiatives targeting rural healthcare systems. Up to $6 million is available in year one, with a focus on coordinated, sustainable solutions that directly address healthcare workforce shortages and staff stability in rural and frontier communities. Proposals must support a five-year service commitment for financial incentives and robust tracking, reporting, and sustainability plans. Key contacts: Josie Petersen Josie.Petersen@state.sd.us
Event schedule:
- RFP Publication - 07/22/2026 - CT
- Offeror Questions Due - 08/04/2026 - CT
- Responses to Offeror Questions - 08/14/2026 - CT
- Proposal Submission Deadline - 09/04/2026 - 5:00 PM CT - Josie.Petersen@state.sd.us
- Anticipated Award Decision/Contract Negotiation - 09/30/2026 - CT
Anticipated Award Decision/Contract Negotiation - 09/30/2026 - CT
Contacts
Josie Petersen - <Josie.Petersen@state.sd.us> - State POC - Statewide
Core Initiatives
Accelerate recruitment of qualified healthcare professionals into rural communities through targeted incentives and streamlined placement strategies
Improve retention and workforce stability by supporting providers throughout their service commitment
Optimize workforce distribution and ensure equitable access to care across geographies
Show all initiatives (5)
Accelerate recruitment of qualified healthcare professionals into rural communities through targeted incentives and streamlined placement strategies
Improve retention and workforce stability by supporting providers throughout their service commitment
Optimize workforce distribution and ensure equitable access to care across geographies
Reduce reliance on temporary staffing models by building a more stable, permanent workforce base
Establish a sustainable workforce infrastructure for long-term rural healthcare delivery
QUALITY_IMPROVEMENT · EMS_DEVELOPMENT · OTHER
Event Schedule
Announcement posted - July 17, 2026 - https://sdaho.org/rural-health-transformation-project-resources/
Core Initiatives
Support South Dakota organizations in accessing and managing RHTP opportunities
Provide timely information, tools, and guidance for rural health transformation initiatives
South Dakota will award $89.3M for digital health modernization with a focus on electronic health records, telehealth, diagnostic and network upgrades, cybersecurity, workforce training, and the creation of regional innovation centers. The program aims to advance patient care, data security, interoperability, and sustainable technology infrastructure for rural and underserved health providers. Subrecipient requirements mirror robust federal compliance, supporting local projects through a competitive, tiered grant framework.
Event schedule:
- Application Open - 05/07/2026 - Online grant portal
- Application Close - 06/30/2026 - Online grant portal
- Grant Period Start - 02/20/2026
- Grant Period End - 07/31/2027
- Award Announcement - August 2026
This initiative funds statewide implementation of CCBHC and Collaborative Care Models in South Dakota to improve behavioral health care in rural and frontier areas. It includes workforce development, crisis and telehealth infrastructure, payment system transformation, and data infrastructure modernization.
Statewide access to certified integrated behavioral health care
Sustainable value-based payment implementation for behavioral health care
Modernized, efficient, and connected data infrastructure for behavioral health care
Show all initiatives (5)
Statewide access to certified integrated behavioral health care
Sustainable value-based payment implementation for behavioral health care
Modernized, efficient, and connected data infrastructure for behavioral health care
Timely access and continuity of care for behavioral health patients
Improved clinical outcomes through integrated and collaborative care
Core Initiatives
Expand digital health and interoperability infrastructure in rural South Dakota
Increase adoption of certified EHRs and interoperability solutions
Improve quality of care through technology and data-driven decision making
Core Initiatives
Establish EMS Hubs/Regions statewide
Achieve full EMS agency integration with State HIE
Reduce EMS response times
Show all initiatives (5)
Establish EMS Hubs/Regions statewide
Achieve full EMS agency integration with State HIE
Reduce EMS response times
Increase certified EMS personnel
Improve coordinated coverage through telemedicine and shared resources
Core Initiatives
Expand access to training for healthcare professionals across disciplines
Ensure equitable access to training for providers in rural, frontier, and tribal communities
Increase retention of trained providers in South Dakota healthcare workforce
The program launched its first round of RFPs to engage partners in key leadership and project management roles, aiming to improve access to care, modernize health technology, and enhance sustainability for communities. Initiatives include digital health modernization, Medicaid primary care transformation, caregiver and chronic disease support, and workforce expansion for Community Health Workers and Representatives. Additional RFPs and stakeholder updates are anticipated as the program advances. Key contacts: Tia Kafka DOHMedia@state.sd.us; Melissa Magstadt
Event schedule:
- First RFP Release - February 25, 2026 - https://postingboard.esmsolutions.com/3444a404-3818-494f-84c5-2a850acd7779/events
Event Schedule
First RFP Release - February 25, 2026 - https://postingboard.esmsolutions.com/3444a404-3818-494f-84c5-2a850acd7779/events
Contacts
Tia Kafka - <DOHMedia@state.sd.us> - Media Contact - Statewide
Melissa Magstadt - Department Secretary - Statewide
Core Initiatives
Strengthen rural, tribal, and frontier health care systems
Improve access to quality care
Modernize health technology systems
Show all initiatives (5)
Strengthen rural, tribal, and frontier health care systems
Improve access to quality care
Modernize health technology systems
Enhance sustainability of rural health care
Expand and retain workforce
This reference document lists all major South Dakota RHTP grant and procurement opportunities for fiscal year 2026, including digital health modernization, maternal health workforce, EMS hub development, and population health management. Funding is distributed via multiple RFPs under the RHTP umbrella, with separate allocations for provider technology, workforce expansion, and emergency services. It serves as a summary overview for applicants and stakeholders.
Event schedule:
- Grant Program Closes - 08/31/2026
- CHW/CHR Training Cohorts App Deadline - 09/04/2026