# South Dakota — Rural Health Transformation Program (RHTP)

The South Dakota Rural Health Transformation Program is actively implementing its FY 2026 plan, prioritizing sustainable rural healthcare workforce development, digital infrastructure modernization, and advanced data analysis to guide decision-making. Key initiatives underway focus on EMS system regionalization, chronic disease remote monitoring, behavioral health system expansion, and structured project management for hospital and community support. Current structured plan tracks 10 key initiatives and 18 strategic goals.

## At a glance

- Federal awards to date: $377,131,053.07 (Year 1 $189.5M + Year 2 $187.7M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 31 (0 open or announced, 31 closed)
- Awards recorded: $110.0M to 77 recipients
- Critical Access Hospitals: 36
- Rural population share: 34%

## Current progress

South Dakota has issued multiple RFPs and awarded contracts to advance the Rural Health Transformation Program, focusing on behavioral health modernization, EMS, and workforce development. As of Q4 2026, Year 1 and Year 2 funds are fully obligated, sub-award distribution is ongoing, and the state is scaling workforce training, provider quality payments, and case management activities. Active procurement opportunities, including digital health and data analytics, continue, and sustainability planning is underway for future years. Multiple rounds of technology, EMS, and behavioral health grants have been publicly announced, confirming active program implementation. State opportunities: 25 total (25 past/closed), $267.5M listed funding. Key opportunities: Digital Health Modernization and Technology Grant Program; South Dakota Medicaid PACT (Primary Accountable Care Transformation) Vendor RFP; South Dakota Integrated Behavioral Health System via CCBHC Certification and Collaborative Care Expansion. Strategy alignment: supports workforce, telehealth, care access priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 2 of 19
- Initiatives (10), current CMS stage of each:
  - Building a Sustainable Rural Healthcare Workforce — Stage 1
  - Connect Technology and Data for a Healthier South Dakota — Stage 2
  - Enhancing Sustainable Emergency Medical Services — Stage 1
  - Expand and Strengthen Rural Community Health Worker Workforce — Stage 2
  - Integrated Behavioral Health through CCBHC & Collaborative Care — Stage 2
  - Medicaid Primary Accountable Care Transformation — Stage 2
  - Medicaid Rural Health Access and Quality Grants — Stage 2
  - Regional Maternal and Infant Health Hubs — Stage 2
  - Rural Health Forward: Training and Resource Hub — Stage 2
  - Strengthening Chronic Disease Management — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (31, most recent first)

- [South Dakota Medicaid PACT (Primary Accountable Care Transformation) Vendor RFP](https://www.ruralcarejourney.com/opportunities/south-dakota-medicaid-pact-primary-accountable-care-transformation-vendor-rfp--172b189bf1) — RFP; Closed; due 2026-10-03; $62.7M
- [Rural Health Data Atlas – Informatics Services](https://www.ruralcarejourney.com/opportunities/rural-health-data-atlas-informatics-services--364d778320) — RFP; Closed; due 2026-09-28
- [Building a Sustainable Rural Healthcare Workforce: Recruit & Retention](https://www.ruralcarejourney.com/opportunities/building-a-sustainable-rural-healthcare-workforce-recruit-retention--cc72211b79) — RFP; Closed; due 2026-09-04; $6.0M
- [Rural Health Data Atlas-Data Visualization and Analysis Platform](https://www.ruralcarejourney.com/opportunities/rural-health-data-atlas-data-visualization-and-analysis-platform--e1af551f67) — RFP; Closed; due 2026-09-04
- [DOH Rural Health Transformation Grant & Project Management](https://www.ruralcarejourney.com/opportunities/doh-rural-health-transformation-grant-project-management--df44c3b9b3) — RFP; Closed; due 2026-08-04
- [Enhancing Sustainable EMS, EMS Workforce, Infrastructure, etc.](https://www.ruralcarejourney.com/opportunities/enhancing-sustainable-ems-ems-workforce-infrastructure-etc--1ace70ac7e) — RFP; Closed; due 2026-07-17; $8.0M
- [Rural BH Modernization (CCBHC) Infrastructure & Sustainability Grant](https://www.ruralcarejourney.com/opportunities/rural-bh-modernization-ccbhc-infrastructure-sustainability-grant--50271cfc35) — RFP; Closed; due 2026-07-15; $9.7M
- [Sustainable Rural Healthcare Workforce: Stakeholder & Project Mgmt](https://www.ruralcarejourney.com/opportunities/sustainable-rural-healthcare-workforce-stakeholder-project-mgmt--5a7238aa0f) — RFP; Closed; due 2026-07-02; $500,000
- [Digital Health Modernization and Technology Grant Program](https://www.ruralcarejourney.com/opportunities/digital-health-modernization-and-technology-grant-program--3137ca13ac) — RFA; Closed; due 2026-06-30; $1.1M – $89.3M
- [Chronic Disease Remote Monitoring in Schools](https://www.ruralcarejourney.com/opportunities/chronic-disease-remote-monitoring-in-schools--6e49e72f05) — RFP; Closed; due 2026-06-08
- [Building a Sustainable Rural Healthcare Workforce: Education](https://www.ruralcarejourney.com/opportunities/building-a-sustainable-rural-healthcare-workforce-education--e877518e27) — RFP; Closed; due 2026-06-05; $3.0M
- [RHT Enhancing Sustainable EMS: Regional Hub Development and Oversight](https://www.ruralcarejourney.com/opportunities/rht-enhancing-sustainable-ems-regional-hub-development-and-oversight--4415be64d1) — RFP; Closed; due 2026-06-01
- [South Dakota Integrated Behavioral Health System via CCBHC Certification and Collaborative Care Expansion](https://www.ruralcarejourney.com/opportunities/south-dakota-integrated-behavioral-health-system-via-ccbhc-certification-and-col--7591a86f1b) — RFP; Closed; due 2026-06-01; $56.5M
- [South Dakota Rural Strong Grant](https://www.ruralcarejourney.com/opportunities/south-dakota-rural-strong-grant--2c172419f7) — RFA; Closed; due 2026-05-22; $200,000 – $31.8M
- [South Dakota RHTP: Chronic Disease Management Programming](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-chronic-disease-management-programming--c046ce3153) — RFP; Closed; due 2026-05-14
- [South Dakota RHTP: Caregiver Support Programming](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-caregiver-support-programming--3a824646b0) — RFP; Closed; due 2026-04-22
- [South Dakota RHTP: Rural Health Forward Training Hub](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-rural-health-forward-training-hub--68ef7a266e) — RFP; Closed; due 2026-04-17
- [South Dakota RHTP: Doula Workforce Advancement Program](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-doula-workforce-advancement-program--bb03c986a5) — RFP; Closed; due 2026-04-09
- [South Dakota RHTP: Expand and Strengthen Rural Community Health Worker Workforce](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-expand-and-strengthen-rural-community-health-worker-workforce--08080e617e) — RFP; Closed; due 2026-03-31
- [Department of Social Services (DSS) Project Manager – Rural Health Transformation RFP](https://www.ruralcarejourney.com/opportunities/department-of-social-services-dss-project-manager-rural-health-transformation-rf--ac8055b23b) — RFP; Closed; due 2026-03-27
- [Digital Health Modernization and Technology Grant Program Manager – Rural Health Transformation RFP](https://www.ruralcarejourney.com/opportunities/digital-health-modernization-and-technology-grant-program-manager-rural-health-t--9d26330495) — RFP; Closed; due 2026-03-26
- [South Dakota RHTP: Chronic Disease Self-Management Programming](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-chronic-disease-self-management-programming--c93228a048) — RFP; Closed; due 2026-03-25
- [South Dakota RHTP: Project Management Support for Chronic Disease Management Initiative](https://www.ruralcarejourney.com/opportunities/south-dakota-rhtp-project-management-support-for-chronic-disease-management-init--ce36915bd5) — RFP; Closed; due 2026-03-25
- [RHT Technology and Data Modernization Grants — FY2026 Awards](https://www.ruralcarejourney.com/opportunities/rht-technology-and-data-modernization-grants-fy2026-awards--ff4aa3b590) — AWARD; Closed
- [South Dakota Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/south-dakota-federal-rhtp-award-year-1-fy-2026--e9d15f6422) — AWARD; Closed; $189.5M

## Largest recorded awards

- Rural Strong Grants — $31.5M (FY2026)
- Certified Community Behavioral Health Clinic (CCBHC) Grants — $13.0M (FY2026)
- South Dakota Rural Health Transformation EMS Projects — $7.2M (FY2026)
- Monument Health Rapid City Hos — $6.4M (FY2026)
- Sanford Health — $5.4M (FY2026)
- Mobridge Regional Hospital — $2.9M (FY2026)
- Fall River Health Services — $2.7M (FY2026)
- Huron Regional Medical Center — $2.1M (FY2026)
- Behavior Management Systems — $2.1M (FY2026)
- Southern Plains Behavioral — $2.0M (FY2026)
- Lewis & Clark Behvrl Hlth Svcs — $1.9M (FY2026)
- Avera Health — $1.7M (FY2026)
- Avera Mckennan — $1.6M (FY2026)
- Southeastern Direction Life — $1.5M (FY2026)
- North Star Solutions LLC — $1.5M (FY2026)

## Official sources RCJ monitors

- [SD RHTP Primary](https://doh.sd.gov/healthcare-professionals/rural-health/rural-health-transformation-project/)
- [SD Official RHTP](https://doh.sd.gov/healthcare-professionals/rural-health/rural-health-transformation-project/rht-resources-faqs)
- [SD HealthLink RHT Funding](https://sdhealthlink.org/healthlink-resources/rural-health-transformation-funding/)
- [SD Posting Board Events](https://postingboard.esmsolutions.com/3444a404-3818-494f-84c5-2a850acd7779/events)
- [SD Sourcing Entity](https://sourcing.esmsolutions.com/postingboard/entities/3444a404-3818-494f-84c5-2a850acd7779)
- [SD Rural Strong Grant (SDAHO mirror)](https://sdaho.org/2026/04/02/new-rural-strong-grant-opportunity-for-south-dakota-providers/)
- [SD DOH: Second Round RHTP RFPs press release](https://doh.sd.gov/press-releases/state-of-south-dakota-announces-second-round-of-rural-health-transformation-requests-for-proposals)
- [SD DOH: First Round RHTP RFPs press release](https://doh.sd.gov/press-releases/state-of-south-dakota-announces-first-round-of-rural-health-transformation-requests-for-proposals/)
- [SD RHTP Rural Strong award announcements](https://news.sd.gov/news?id=news_kb_article_view&sys_id=0a2599cd47d6cf10da219464336d439a)
- [SD RHTP technology and data award announcements](https://news.sd.gov/news?id=news_kb_article_view&sys_id=f299421547b20b10fc1303dc426d433a)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/sd — data as of 2026-11-12.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.