# Utah — Rural Health Transformation Program (RHTP)

Utah's Rural Health Transformation Program, administered by the Utah Department of Health and Human Services, is in early implementation as a five-year initiative funded by CMS, with all Year 1 funds successfully obligated. Current efforts include competitive funding to rural providers, coordinated oversight, and collaborative activities with state, local, tribal, and community stakeholders. Current structured plan tracks 7 key initiatives and 7 strategic goals.

## At a glance

- Federal awards to date: $387,666,618.65 (Year 1 $195.7M + Year 2 $191.9M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 26 (0 open or announced, 26 closed)
- Awards recorded: $192.9M to 33 recipients
- Critical Access Hospitals: 14
- Rural population share: 12%

## Current progress

Utah’s Rural Health Transformation Program continues active implementation with multiple open procurements and formal awardee announcements for key subgrants, such as those for rural food infrastructure, school-based wellness programs, active transportation, and the Community Care Hub. Numerous RHTP projects are in progress, contracted, or under submission review, with competitive RFAs and RFPs administered by fiscal agents and subaward funding opportunities open across all rural counties. The state has demonstrated 100% obligation of its Year 1 funding, with contracted partners advancing initiatives for workforce development, behavioral health integration, and infrastructure. State agencies maintain robust procurement cycles and progress tracking, supporting workforce and service priorities in rural communities. State opportunities: 23 total (23 past/closed), $114.3M listed funding. Key opportunities: RISE: 2.5 Recruit and Retain Rural Clinical Workforce RFGA; RISE 2.5: Recruit and Retain Workforce-Incentive Grant; Utah RISE Initiative 2.3: Grow Our Own Rural Health Pipeline. Strategy alignment: supports workforce priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 1 of 19
- Initiatives (7), current CMS stage of each:
  - Financial Approaches for Sustainable Transformation (FAST) — Stage 1
  - Leveraging Innovation for Facilitated Telehealth (LIFT) — Stage 2
  - Leveraging Interoperability Networks to Connect Services (LINCS) — Stage 1
  - Making Rural Utahns Healthy: Preventive Action and Transformation for Health (PATH) — Stage 2
  - Rural Incentive and Skill Expansion (RISE) — Stage 2
  - Shared Utilities for Partnered Provider Operational Resources and Technology (SUPPORT) — Stage 1
  - Sustaining Health Infrastructure for Transformation (SHIFT) — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (26, most recent first)

- [Utah RISE Initiative 2.3: Grow Our Own Rural Health Pipeline](https://www.ruralcarejourney.com/opportunities/utah-rise-initiative-2-3-grow-our-own-rural-health-pipeline--d930efb0c7) — RFA; Closed; due 2026-10-29; $20.0M
- [Utah RISE Initiative 2.4: Expand Non-GME Rural Healthcare Pipeline](https://www.ruralcarejourney.com/opportunities/utah-rise-initiative-2-4-expand-non-gme-rural-healthcare-pipeline--153e2d9139) — RFA; Closed; due 2026-10-29; $10.0M
- [SHIFT 3.3 Rural EMS Request for Grant Applications](https://www.ruralcarejourney.com/opportunities/shift-3-3-rural-ems-request-for-grant-applications--710dc94cc9) — RFA; Closed; due 2026-09-21; $12.5M
- [Utah RHTP Monitoring and Evaluation Contract (RFSQ BB27-100)](https://www.ruralcarejourney.com/opportunities/utah-rhtp-monitoring-and-evaluation-contract-rfsq-bb27-100--b053f360f2) — RFP; Closed; due 2026-09-15; $8.2M
- [SHIFT 3.4 New Models of Care RFGA](https://www.ruralcarejourney.com/opportunities/shift-3-4-new-models-of-care-rfga--cf30f9895f) — RFA; Closed; due 2026-09-01; $2.5M – $10.0M
- [PATH 1.1: Rural Food Infrastructure (Utah Food Security Grant Program)](https://www.ruralcarejourney.com/opportunities/path-1-1-rural-food-infrastructure-utah-food-security-grant-program--df5fa9671d) — GRANT; Closed; due 2026-09-01
- [PATH 1.4: Community Care Hub](https://www.ruralcarejourney.com/opportunities/path-1-4-community-care-hub--e486b5f969) — GRANT; Closed; due 2026-08-17; $2.0M
- [SHIFT 3.2: Rural Health Provider Networks](https://www.ruralcarejourney.com/opportunities/shift-3-2-rural-health-provider-networks--9e3ed3e4d0) — GRANT; Closed; due 2026-08-14
- [SHIFT: 3.2 Rural Health Provider Networks RFGA](https://www.ruralcarejourney.com/opportunities/shift-3-2-rural-health-provider-networks-rfga--e5a18497db) — RFA; Closed; due 2026-08-14; $2.5M
- [LINCS 7.3–7.4: Semantic Data Model](https://www.ruralcarejourney.com/opportunities/lincs-7-3-7-4-semantic-data-model--a87bb0c47f) — GRANT; Closed; due 2026-08-07
- [SPRINT Consortium (Sustainable Provider Revenue, Infrastructure, and Network Technology)](https://www.ruralcarejourney.com/opportunities/sprint-consortium-sustainable-provider-revenue-infrastructure-and-network-techno--050730df98) — GRANT; Closed; due 2026-08-07
- [SPRINT Consortium RHTP Grant Application (2026)](https://www.ruralcarejourney.com/opportunities/sprint-consortium-rhtp-grant-application-2026--fe1f1279fc) — RFA; Closed; due 2026-08-07
- [KR27-4 - Utah Health Information Network - Rural Health Transformation Program](https://www.ruralcarejourney.com/opportunities/kr27-4-utah-health-information-network-rural-health-transformation-program--b43ebdaf69) — OTHER; Closed; due 2026-08-06; $3.0M
- [RISE 2.5: Recruit and Retain Workforce-Incentive Grant](https://www.ruralcarejourney.com/opportunities/rise-2-5-recruit-and-retain-workforce-incentive-grant--908e57e1c0) — GRANT; Closed; due 2026-08-04; $4,128 – $20.0M
- [RISE: 2.5 Recruit and Retain Rural Clinical Workforce RFGA](https://www.ruralcarejourney.com/opportunities/rise-2-5-recruit-and-retain-rural-clinical-workforce-rfga--005b18d6d0) — RFA; Closed; due 2026-08-04; $20.0M
- [LIFT 5.1: Scalable Telehealth Projects](https://www.ruralcarejourney.com/opportunities/lift-5-1-scalable-telehealth-projects--84ad127213) — RFA; Closed; due 2026-07-31
- [FAST 4.1: Support for Rural Providers to Transition to Value-Based Care (VBC) Models](https://www.ruralcarejourney.com/opportunities/fast-4-1-support-for-rural-providers-to-transition-to-value-based-care-vbc-model--fcc558fd7b) — GRANT; Closed; due 2026-07-22
- [Value-Based Care Models for Rural Health Facilities](https://www.ruralcarejourney.com/opportunities/value-based-care-models-for-rural-health-facilities--e5a4286315) — GRANT; Closed; due 2026-07-22; $6.0M
- [RISE 2.2, 2.C: Rural Clinical Preceptor Stipend Program](https://www.ruralcarejourney.com/opportunities/rise-2-2-2-c-rural-clinical-preceptor-stipend-program--8ac5bcf5e8) — GRANT; Closed; due 2026-06-30; $200,000
- [Behavioral Health–Primary Care Integration (PATH 1.5, 1.G)](https://www.ruralcarejourney.com/opportunities/behavioral-health-primary-care-integration-path-1-5-1-g--96c0306e6c) — GRANT; Closed; due 2026-06-29
- [RISE 2.1: Rural Workforce Expansion Program](https://www.ruralcarejourney.com/opportunities/rise-2-1-rural-workforce-expansion-program--d561705dfd) — GRANT; Closed; due 2026-06-23
- [PATH 1.5: Rural Behavioral Health Integration Grant](https://www.ruralcarejourney.com/opportunities/path-1-5-rural-behavioral-health-integration-grant--07445f86db) — GRANT; Closed; due 2026-06-23; $1.0M
- [GME Strategic Plan Development (RHTP RISE 2.1, 2.A)](https://www.ruralcarejourney.com/opportunities/gme-strategic-plan-development-rhtp-rise-2-1-2-a--097fe24611) — GRANT; Closed; due 2026-06-17; $1.6M
- [Rural Clinical Preceptor Stipend Program](https://www.ruralcarejourney.com/opportunities/rural-clinical-preceptor-stipend-program--c84fb8a6a1) — RFA; Closed; due 2026-06-08; $200,000
- [Utah Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/utah-federal-rhtp-award-year-1-fy-2026--b562607017) — AWARD; Closed; $195.7M

## Largest recorded awards

- Utah Hospital Association (UHA) — $48.2M (FY2026)
- Utah Education and Telehealth Network (UETN) — $47.4M (FY2026)
- Department of Public Safety (DPS) — $12.5M (FY2026)
- HK Consulting — $11.0M (FY2026)
- Utah Department of Agriculture and Food (UDAF) — $11.0M (FY2026)
- Utah Department of Transportation (UDOT) — $11.0M (FY2026)
- Association for Utah Health (AUCH) — $7.9M (FY2026)
- Department of Environmental Quality (DEQ) — $4.2M (FY2026)
- Comagine — $4.0M (FY2026)
- Utah System of Higher Education (USHE) Talent Ready Utah (TRU) — $4.0M (FY2026)
- Utah State Board of Education (USBE) — $3.2M (FY2026)
- Utah System of Higher Education (USHE) — $3.0M (FY2026)
- Utah Health Information Network (UHIN) — $3.0M (FY2025-2027)
- Rural Health Association of Utah (RHAU) — $2.4M (FY2026)
- Utah Health Care Association (UTHCA) — $2.4M (FY2026)

## Official sources RCJ monitors

- [UT Primary 2](https://ruralhealth.utah.gov/)
- [UT RHTP Funding Opportunities](https://dhhs.utah.gov/ruralhealth/funding-opportunities/)
- [UT RHTP Primary](https://dhhs.utah.gov/ruralhealth/)

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