The South Dakota Rural Health Transformation Program is actively implementing its fiscal year 2026 plan, emphasizing digital health modernization, recruitment and retention for a sustainable rural healthcare workforce—including community health worker and maternal health training—EMS advancement, and sustainable systems transformation. The Department of Health administers structured grant and contract programs supporting behavioral health, chronic disease management, data infrastructure—including the Rural Health Data Atlas—and Medicaid Primary Accountable Care Transformation through formal RFP processes and provider technical assistance. Current structured plan tracks 31 key initiatives and 12 strategic goals.
South Dakota has issued multiple RFPs for core Rural Health Transformation Program initiatives, including behavioral health modernization, EMS infrastructure, and data visualization. As of August 2026, 13 contracts and grants totaling $5.62M have been awarded to support project management, technology modernization, care access, workforce development, and EMS system improvements. Several procurement opportunities remain active or were recently closed, with implementation progressing across all major program areas. Program strategy is aligned with workforce, telehealth, and care access priorities. State opportunities: 1 active (1 closing soon, 26 past/closed), $267.5M listed funding. Key opportunities: Rural Health Data Atlas – Informatics Services; Digital Health Modernization and Technology Grant Program; South Dakota Medicaid PACT (Primary Accountable Care Transformation) Vendor RFP. Strategy alignment: supports workforce, telehealth, care access priorities.
RHTP Strategy
South Dakota’s RHTP continues its multi-year, grant and contract-based strategy focused on digital health modernization, Medicaid value-based pilots, and rural workforce sustainability. For FY2026–2030, major efforts sustain care coordination, chronic disease and maternal health integration, behavioral health system upgrades, and data-driven transformation. Investments in infrastructure, data analytics, and strategic regional partnerships remain core to lasting rural health system improvement.
Model
A grant- and contract-based rural health transformation model prioritizing digital health modernization, value-based Medicaid pilots, rural workforce development and retention, operational and strategic planning, maternal and population health interventions, and behavioral health system integration for rural and Tribal communities, implemented through renewable competitive funding cycles and structured project tiers.
Key Initiatives (31)
1Digital Health Modernization and Technology Grant Program for EHR adoption, integration, and interoperability with SD Health Link
2Consultant services for Digital Health Modernization management (OpenSD contract 26RHT00002)
3Support for rural facility EHR replacement, integration, and certified enhancements via project tiering
Timeline: FY2026–2030; annual grant and contract cycles with renewable terms for selected projects; administrative review and evaluation periods
11
12Ensure organizations have timely access to RHTP resources, guidance, and practical tools
Health Priority
Workforce Shortages
Rural and frontier areas face significant healthcare workforce shortages impacting access.
AberdeenEagle ButtePierreRapid CityYankton
Sep 26, 2026
Health Priority
Access to Dental and Behavioral Health Services
Limited availability of dental and behavioral health services in rural communities affects health outcomes.
AberdeenEagle ButtePierreRapid CityYankton
Sep 26, 2026
Health Priority
Transportation Barriers
Transportation challenges limit access to healthcare for many rural residents.
AberdeenEagle ButtePierreRapid CityYankton
Sep 26, 2026
SupportingPDF2026Award: $189.5M
SD - 2026 - South Dakota RHT Project (rural-health-transformation-program-slide-deck_short)
Grants to strengthen access, quality, and long-term sustainability of rural healthcare across South Dakota through technology and data modernization.
$31.5M
Health IT
2026
North Star Solutions LLC
Provide consultant services to SD Health Link to help manage the Digital Health Modernization and Technology Grant Program.
$1.5M
—
2026
SD Foundation For Medical Care
To establish regional EMS hubs that improve coordination, resource sharing, operational efficiency, and overall system performance across South Dakota.
$719K
—
2026
SD Foundation For Medical Care
Recruit and support individuals from priority and underserved communities to participate in doula training and certification. Provide mentorship, assist, and facilitate partnerships between community-based doulas and healthcare providers.
$131K
—
2026
SD Foundation For Medical Care
Rural Health Transformation initiative is a statewide effort focused on strengthening rural healthcare systems and improving access to quality care across South Dakota. Through strategic investments, innovative care models, and cross-agency collaboration, Rural Health Transformation is designed to build a more resilient, connected, and sustainable rural health system for communities across the state.
$171K
—
2026
Black Hills Special Services
To provide project management support for the Chronic Disease Management Initiative for Rural Health Transformation.
$503K
—
2026
Black Hills Special Services
Provide strategic leadership and operational support within the Office of Rural Health and Emergency Services in advancing rural healthcare transformation initiatives across the state.
$449K
—
2026
Engineering Solutions INC
Provide grant and administrative support for the Rural Health Transformation Project
$650K
—
2026
University Of South Dakota
Implementation of a Rural Strong Grant as a part of the federal Rural Health Transformation Program
$324K
—
2026
University Of South Dakota
Design, implement, host, and maintain a statewide education and training platform that expands access to high-quality, accredited training for all healthcare professionals in South Dakota, with a particular emphasis on supporting rural healthcare providers.
South Dakota's Rural Health Transformation Program has multiple coordinated RFPs focused on digital health modernization, workforce development, chronic disease and behavioral health, and sustainable payment models. Funding is allocated through several grant opportunities with varying first year budget amounts. Year 2 funding preparations are underway with applications accepted via the program website.
Event schedule:
- CHW/CHR training cohort selection deadline - 09/04/2026
- Grant Program application deadline - 09/28/2026
HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · QUALITY_IMPROVEMENT · OTHER
Event Schedule
CHW/CHR training cohort selection deadline - 09/04/2026
Grant Program application deadline - 09/28/2026
Core Initiatives
Modernize digital health infrastructure
Enhance rural workforce capacity
Improve chronic disease management and behavioral health
Show all initiatives (4)
Modernize digital health infrastructure
Enhance rural workforce capacity
Improve chronic disease management and behavioral health
Develop sustainable healthcare funding and payment models
🌐
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: $1.2M
🌐
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
Award Announcement Documents (3)
🌐
Award AnnouncementAug 31, 2026HTMLFY2026FederalOpportunity ↗
OpenSD itemized 13 South Dakota RHTP contracts and grants totaling $5.62M.
Award: $5.6M
🌐
Award AnnouncementMay 25, 2026HTML2026FederalOpportunity ↗
South Dakota secured $189.4 million federal funding for FY 2026 under the Rural Health Transformation Program. The state awarded $31.5 million in Rural Strong grants to accelerate digital health modernization and improve healthcare access and quality in rural areas. Key contacts: Melissa Magstadt; DOH.info@state.sd.us; DOHmedia@state.sd.us
Event schedule:
- Announcement of $90 million award - 08/19/2026
- Announcement of $31.5 million Rural Strong grants - 07/23/2026
- Announcement of securing $189.4 million federal funding - 12/29/2025
Award: $90.0MHEALTH_INFORMATION_TECHNOLOGY · WORKFORCE · QUALITY_IMPROVEMENT · OTHER
Event Schedule
Announcement of $90 million award - 08/19/2026
Announcement of $31.5 million Rural Strong grants - 07/23/2026
Announcement of securing $189.4 million federal funding - 12/29/2025
Contacts
Melissa Magstadt - Department Secretary - South Dakota
<DOH.info@state.sd.us> - General Contact - South Dakota
<DOHmedia@state.sd.us> - Media Relations - South Dakota
Core Initiatives
Accelerate digital health modernization
Strengthen healthcare workforce
Enhance interoperability and cybersecurity
Show all initiatives (4)
Accelerate digital health modernization
Strengthen healthcare workforce
Enhance interoperability and cybersecurity
Improve rural healthcare access and quality
📄
Award AnnouncementApr 23, 2026PDFEvent2026FederalOpportunity ↗
The initiative has launched its first round of Requests for Proposals (RFPs) targeting digital health modernization, Medicaid primary care transformation, cross-agency project management, chronic disease management, caregiver support, community health worker workforce expansion, and chronic disease self-management programming. These efforts aim to improve access to care, enhance health technology, and ensure long-term sustainability for rural communities.
Event schedule:
- First Round of Rural Health Transformation RFPs Released - 02/25/2026 - South Dakota
Event Schedule
First Round of Rural Health Transformation RFPs Released - 02/25/2026 - South Dakota
Core Initiatives
Strengthen rural, tribal, and frontier healthcare systems
Modernize digital health technology and systems
Coordinate integrated delivery of care
Show all initiatives (4)
Strengthen rural, tribal, and frontier healthcare systems
Modernize digital health technology and systems
Coordinate integrated delivery of care
Support sustainable healthcare workforce expansion
South Dakota has awarded contracts to three management organizations to accelerate the Rural Health Transformation initiative. These awards focus on digital health modernization, chronic disease management, and Medicaid provider quality. The efforts mark transition from planning to implementation, supporting a stronger and more sustainable rural health system. Key contacts: Tia Kafka DOHMedia@state.sd.us
Event schedule:
- Press release announcement - 05/21/2026 - Pierre, SD
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/
Strategy Documents (2)
📄
StrategyNEWSep 25, 2026PDFUpcoming2026
South Dakota secured $189.4 million in federal funding for the first year of the Rural Health Transformation Project, with a major focus on maternal and infant health in rural and Tribal areas. The state is launching health hubs to address disparities and improve care, including expanding doula services, care coordination, and community support networks. Data reveal a disproportionate burden of poor outcomes among American Indian women and infants, and over half of state counties are maternity care deserts, underscoring the urgency of program goals. Key contacts: Katelyn Strasser; Laurel Rick; Shelby Kommes; Beth Walstrom
Event schedule:
- Full MIH Task Force in-person meeting - 2026-09-28 - South Dakota
- Launch - 2026-09-01 - South Dakota
- Monitor - 2026-09-01 - South Dakota
- Review - 2026-11-01 - South Dakota
- Review - 2027-04-01 - South Dakota
- Listen - 2027-05-01 - South Dakota
- Listen - 2027-06-30 - South Dakota
- Complete first annual evaluation - 2026-12-01 - South Dakota
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.
Budget: $500.0M
Report Documents (5)
📄
ReportNEWSep 25, 2026PDF2026
South Dakota’s RHTP plan includes ten major initiatives supporting rural hospital and Medicaid transformation, covering workforce, health IT, payment models, chronic disease, maternal health, EMS, and behavioral health. Several contracts have been awarded and initiatives launched, with measurable progress in CHW training and maternal health hub contracts. Other initiatives are at the early implementation stage, focusing on governance, project planning, and metric development.
Event schedule:
- CHW Training Launch - 08/31/2026 - CT - South Dakota technical colleges
- Guidehouse Maternal Health Kickoff - 06/01/2026 - CT - South Dakota
- Presidential Fitness Test Legislation - 2027-01-01 - South Dakota Legislative Session
- Release of Rural Health Transformation Funding Opportunities - 2026-02-01 - South Dakota
- House Bill 1146 Passage (PA Compact Membership) - 2026-01-01 - South Dakota
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.
📄
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.
The program includes solicitations such as the Rural Health Data Atlas for informatics services and initiatives addressing recruitment and retention for a sustainable rural healthcare workforce. These efforts aim to enhance data infrastructure and workforce stability in South Dakota's critical access hospitals and rural communities.
Event schedule:
- 26RFP-27-09RHT-025 Rural Health Data Atlas-Informatics Services , 2026, 06:51 PM UTC 2 days left Sep 28, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Sep 14 - 04:50 PM
- 26IFB19956 Traffic Control Devices Annual , 2026, 04:50 PM UTC 3 days left Sep 29, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Sep 24 - 01:35 PM
- 26RFP092926 Sourcewell Unified Communications and Contact Center Solutions , 2026, 01:35 PM UTC 3 days left Sep 29, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Aug 11 - 01:01 PM - keyboard_arrow_leftkeybo...
- 26RFP-27-09RHT-026 Rural Health-Medicaid Primary Accountable Care Transformation (PACT) , 2026, 01:01 PM UTC 7 days left Oct 3, 2026, 04:59 AM UTC Invitation Only Ready for Responses - Sep 25 - 06:27 PM - keyboard_arr...
- 26SOI19964 A&E Services, Residential Life & Dining Services Master Plan-SDSU , 2026, 06:27 PM UTC 12 days left Oct 8, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Sep 9 - 03:58 PM - keyboard_arrow_leftkeyb...
- 26RFP100826 Sourcewell Portable Construction Eqp. w/ Accessories & Attachments , 2026, 03:58 PM UTC 12 days left Oct 8, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Aug 20 - 01:24 PM - keyboard_arrow_leftk...
- 26RFP19958 Scheduled Fire & Emergency Alarm Monitoring Service Contract , 2026, 01:24 PM UTC 13 days left Oct 9, 2026, 11:00 PM UTC Invitation Only Ready for Responses - Sep 11 - keyboard_arrow_leftkeyboard_arrow_left
Event Schedule
26RFP-27-09RHT-025 Rural Health Data Atlas-Informatics Services , 2026, 06:51 PM UTC 2 days left Sep 28, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Sep 14 - 04:50 PM
26IFB19956 Traffic Control Devices Annual , 2026, 04:50 PM UTC 3 days left Sep 29, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Sep 24 - 01:35 PM
26RFP092926 Sourcewell Unified Communications and Contact Center Solutions , 2026, 01:35 PM UTC 3 days left Sep 29, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Aug 11 - 01:01 PM - keyboard_arrow_leftkeybo...
Show all schedule items (7)
26RFP-27-09RHT-025 Rural Health Data Atlas-Informatics Services , 2026, 06:51 PM UTC 2 days left Sep 28, 2026, 10:00 PM UTC Invitation Only Ready for Responses - Sep 14 - 04:50 PM
26IFB19956 Traffic Control Devices Annual , 2026, 04:50 PM UTC 3 days left Sep 29, 2026, 07:00 PM UTC Invitation Only Ready for Responses - Sep 24 - 01:35 PM
26RFP092926 Sourcewell Unified Communications and Contact Center Solutions , 2026, 01:35 PM UTC 3 days left Sep 29, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Aug 11 - 01:01 PM - keyboard_arrow_leftkeybo...
26RFP-27-09RHT-026 Rural Health-Medicaid Primary Accountable Care Transformation (PACT) , 2026, 01:01 PM UTC 7 days left Oct 3, 2026, 04:59 AM UTC Invitation Only Ready for Responses - Sep 25 - 06:27 PM - keyboard_arr...
26SOI19964 A&E Services, Residential Life & Dining Services Master Plan-SDSU , 2026, 06:27 PM UTC 12 days left Oct 8, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Sep 9 - 03:58 PM - keyboard_arrow_leftkeyb...
26RFP100826 Sourcewell Portable Construction Eqp. w/ Accessories & Attachments , 2026, 03:58 PM UTC 12 days left Oct 8, 2026, 08:30 PM UTC Invitation Only Ready for Responses - Aug 20 - 01:24 PM - keyboard_arrow_leftk...
26RFP19958 Scheduled Fire & Emergency Alarm Monitoring Service Contract , 2026, 01:24 PM UTC 13 days left Oct 9, 2026, 11:00 PM UTC Invitation Only Ready for Responses - Sep 11 - keyboard_arrow_leftkeyboard_arrow_left
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
Event schedule:
- 26RFP19914 Cleaning and Care of Interstate Rest Area-Spearfish, SD , 2026, 01:32 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:37 PM
- 26RFP19915 Cleaning and Care of Interstate Rest Area-Wasta, SD , 2026, 01:37 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:47 PM
- 26RFP19916 Cleaning and Care of Interstate Rest Area-Belvidere, SD , 2026, 01:47 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:51 PM - keyboard_arrow_leftkeyboard_arro...
- 26RFP19917 Cleaning and Care of Interstate Rest Area-Presho, SD , 2026, 01:51 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:55 PM - keyboard_arrow_leftkeyboard_arrow_left
- 26RFP19918 Cleaning and Care of Interstate Rest Area-Chamberlain, SD , 2026, 01:55 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 02:00 PM - keyboard_arrow_leftkeyboard_ar...
- 26RFP19919 Cleaning and Care of Interstate Rest Area-White Lake, SD , 2026, 02:00 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 02:04 PM - keyboard_arrow_leftkeyboard_arr...
- 26RFP19920 Cleaning and Care of Interstate Rest Area-Salem, SD , 2026, 02:04 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - keyboard_arrow_leftkeyboard_arrow_left
Event Schedule
26RFP19914 Cleaning and Care of Interstate Rest Area-Spearfish, SD , 2026, 01:32 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:37 PM
26RFP19915 Cleaning and Care of Interstate Rest Area-Wasta, SD , 2026, 01:37 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:47 PM
26RFP19916 Cleaning and Care of Interstate Rest Area-Belvidere, SD , 2026, 01:47 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:51 PM - keyboard_arrow_leftkeyboard_arro...
Show all schedule items (7)
26RFP19914 Cleaning and Care of Interstate Rest Area-Spearfish, SD , 2026, 01:32 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:37 PM
26RFP19915 Cleaning and Care of Interstate Rest Area-Wasta, SD , 2026, 01:37 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:47 PM
26RFP19916 Cleaning and Care of Interstate Rest Area-Belvidere, SD , 2026, 01:47 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:51 PM - keyboard_arrow_leftkeyboard_arro...
26RFP19917 Cleaning and Care of Interstate Rest Area-Presho, SD , 2026, 01:51 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 01:55 PM - keyboard_arrow_leftkeyboard_arrow_left
26RFP19918 Cleaning and Care of Interstate Rest Area-Chamberlain, SD , 2026, 01:55 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 02:00 PM - keyboard_arrow_leftkeyboard_ar...
26RFP19919 Cleaning and Care of Interstate Rest Area-White Lake, SD , 2026, 02:00 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - 02:04 PM - keyboard_arrow_leftkeyboard_arr...
26RFP19920 Cleaning and Care of Interstate Rest Area-Salem, SD , 2026, 02:04 PM UTC 0 days left Sep 21, 2026, 08:00 PM UTC Invitation Only Ready for Responses - Aug 17 - keyboard_arrow_leftkeyboard_arrow_left
Improve recruitment and retention across rural communities
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 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
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
The South Dakota Department of Health issued the Rural Strong Grants RFA on April 2, 2026, offering funds for operational and strategic planning, service line expansion, and care coordination infrastructure. Eligible applicants include Medicaid-enrolled hospitals, FQHCs, tribal clinics, behavioral health, dental, and rural health clinics. The proposal submission deadline is May 22, 2026, with awards anticipated by June 22, 2026.
Event schedule:
- RFP Publication - 04/02/2026
- Letter of Intent to Respond Due (preferred, not mandatory) - 04/16/2026
- Offeror Questions Due - 04/23/2026
- Responses to Offeror Questions - 05/07/2026
- Request for SFTP (Secured File Transfer Protocol) folder - 05/21/2026
- Proposal Submission - 05/22/2026
- Anticipated Award Decision/Contract Negotiation On or before - 06/22/2026
Event Schedule
RFP Publication - 04/02/2026
Letter of Intent to Respond Due (preferred, not mandatory) - 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 (preferred, not mandatory) - 04/16/2026
Offeror Questions Due - 04/23/2026
Responses to Offeror Questions - 05/07/2026
Request for SFTP (Secured File Transfer Protocol) folder - 05/21/2026
Proposal Submission - 05/22/2026
Anticipated Award Decision/Contract Negotiation On or before - 06/22/2026
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
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
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
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
Show all schedule items (4)
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
Core Initiatives
Modernize technology and data systems
Transform Medicaid with a focus on rural providers
Improve chronic disease and behavioral health management
Show all initiatives (4)
Modernize technology and data systems
Transform Medicaid with a focus on rural providers
Improve chronic disease and behavioral health management
Enhance workforce development and EMS capabilities
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.
Improve Medicaid Health Home Quality Incentive Payment metrics
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
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
This Q&A document clarifies the eligibility requirements, allowable costs, funding structure, and application mechanics for South Dakota's Rural Health Transformation Program RFA No. 26-09RHT-020. It provides key details on EHR replacement, enhancement categories, EMS priorities, and audit/reimbursement rules. The guidance addresses multi-year funding, maintenance/support limits, types of eligible facilities, and caps on personnel costs for applicants.
Event schedule:
- Project eligible cost start date - 02/20/2026
- Year 1 application/grant period end - 07/31/2027
- Final reports due after grant end - 07/31/2027 - 09/30/2027
- Expected release of Year 2 RFP - January 2027
Final reports due after grant end - 07/31/2027 - 09/30/2027
Show all schedule items (4)
Project eligible cost start date - 02/20/2026
Year 1 application/grant period end - 07/31/2027
Final reports due after grant end - 07/31/2027 - 09/30/2027
Expected release of Year 2 RFP - January 2027
Core Initiatives
Advance rural health care access and quality through health IT upgrades and EMS system modernization.
Support sustainable transformation of rural hospitals and Medicaid providers.
Promote interoperability, care coordination, and workforce capacity in rural settings.
This funding forecast summarizes the distribution of RHTP grant program funds across multiple RFPs and key rural health transformation initiatives for South Dakota in FY2026. Highlights include major investments in digital health modernization, rural workforce advancement, EMS development, and systems transformation for rural sustainability. Shared funding lines span chronic disease, behavioral health, and management infrastructure.