# Vermont — Rural Health Transformation Program (RHTP)

Vermont's Rural Health Transformation Program, funded by CMS and administered by the Agency of Human Services, continues to implement five strategic initiatives focused on strengthening the rural workforce, improving access to care, fostering innovation, and enhancing quality and cost-effectiveness for underserved populations. Ongoing projects include facility upgrades, expanded mental health and women's health services, workforce recruitment and retention, telehealth expansion, analytics-driven primary care, and administrative burden reduction. Program activities and funded agreements are proceeding across multiple years with procurement and planning active through FY2030. Year 1 application opportunities are closed; Year 2 funding has been awarded, and further application dates are pending. Current structured plan tracks 5 key initiatives and 13 strategic goals.

## At a glance

- Federal awards to date: $385,049,776.51 (Year 1 $195.1M + Year 2 $190.0M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 29 (0 open or announced, 29 closed)
- Awards recorded: $12.8M to 10 recipients
- Critical Access Hospitals: 6
- Rural population share: 65%

## Current progress

Vermont has made substantial progress in rural health transformation, with $195 million in federal funding supporting numerous executed agreements and provider contracts as of October 2026. Executed awards span workforce, primary care, facility upgrades, and operational improvement activities, with new agreements continuing to be finalized. All Year 1 RFP/NOFO procurements have closed and additional awards are being finalized, with active monitoring and stakeholder engagement ongoing. Subgrant activities continue under state oversight and expansion. State opportunities: 27 total (27 past/closed), $2.3M listed funding. Key opportunities: VDH Mobile Integrated Health Consulting & Project Management RFP; Evaluation of Vermont’s Rural Healthcare Transformation (RHT) Program; AHS Rural Health Grant Management Solution. Strategy alignment: supports workforce priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 1 of 19
- Initiatives (5), current CMS stage of each:
  - Establishing a Clinically Integrated Network of Shared Services — Stage 2
  - Health Care Workforce Development — Stage 2
  - Price Transparency and Insurance Competition — Stage 2
  - Regionalization and Innovative Care Strategies — Stage 2
  - Strengthening Primary Care — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (29, most recent first)

- [Rural Health Transformation Program - Facility Upgrades to Support Regionalization](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-facility-upgrades-to-support-regionalization--kz1j9cjmnm) — RFP; Closed; due 2026-08-17
- [Rural Health Transformation Program Subrecipient Grant to Healthcare Providers to Transform, Innovate, and Regionalize Care](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-subrecipient-grant-to-healthcare-providers-t--kzcl68qcds) — NOFO; Closed; due 2026-08-17
- [Mental Health Urgent Care- Rutland County](https://www.ruralcarejourney.com/opportunities/mental-health-urgent-care-rutland-county--cemr4d1cxz) — RFP; Closed; due 2026-08-07
- [Rural Health Transformation Program - Centralized Tool to Guide Interfacility Transfers](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-centralized-tool-to-guide-interfacility-tran--zbgbl13bmc) — NOFO; Closed; due 2026-07-29
- [Mobile Integrated Healthcare Implementation Services](https://www.ruralcarejourney.com/opportunities/mobile-integrated-healthcare-implementation-services--cg1lm2896p) — NOFO; Closed; due 2026-07-10
- [Rural Health Transformation Fund Grant - Enhancing Primary Care Focused Data and Analytics](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-fund-grant-enhancing-primary-care-focused-data-and-a--cf5qp3g8w0) — GRANT; Closed; due 2026-07-03
- [Green Mountain Care Board Health Data Infrastructure Transformation](https://www.ruralcarejourney.com/opportunities/green-mountain-care-board-health-data-infrastructure-transformation--725d18cb63) — RFP; Closed; due 2026-06-26
- [Rural Health Transformation Program - Adoption of a Statewide Closed Loop Referral System](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-adoption-of-a-statewide-closed-loop-referral--oobctl37i4) — RFP; Closed; due 2026-06-26
- [Enhancing Blueprint Transformation Network Capacity: Workforce Support and System Development through Learning Collabs](https://www.ruralcarejourney.com/opportunities/enhancing-blueprint-transformation-network-capacity-workforce-support-and-system--a01b230532) — RFP; Closed; due 2026-06-22
- [Enhancing Blueprint Transformation Network Capacity: Workforce Support and System Development via Training](https://www.ruralcarejourney.com/opportunities/enhancing-blueprint-transformation-network-capacity-workforce-support-and-system--6965bc488c) — RFP; Closed; due 2026-06-22
- [Enhancing Blueprint Transformation Network Capacity: Workforce Support and System Development through Clinical Knowl...](https://www.ruralcarejourney.com/opportunities/enhancing-blueprint-transformation-network-capacity-workforce-support-and-system--oobmixqnta) — RFP; Closed; due 2026-06-22
- [Enhancing Blueprint’s Transformation Network Capacity: Implementation Support via Clinical Champions](https://www.ruralcarejourney.com/opportunities/enhancing-blueprint-s-transformation-network-capacity-implementation-support-via--oobpoavcap) — RFP; Closed; due 2026-06-22
- [Rural Health Transformation Program - Human Resources Information System](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-human-resources-information-system--oob9x0xlct) — RFP; Closed; due 2026-06-17
- [Rural Health Transformation - Shared EHR](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-shared-ehr--oob1otvml1) — RFP; Closed; due 2026-06-15
- [Evaluation of Vermont’s Rural Healthcare Transformation (RHT) Program](https://www.ruralcarejourney.com/opportunities/evaluation-of-vermont-s-rural-healthcare-transformation-rht-program--oob52ex9ow) — RFP; Closed; due 2026-06-12; $1.0M
- [Rural Health Transformation Program - EConsult](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-econsult--ooaxj73ajy) — RFP; Closed; due 2026-06-10
- [Rural Health Transformation Program - Remote Patient Monitoring](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-remote-patient-monitoring--oobfjn6bu7) — RFP; Closed; due 2026-06-10
- [Rural Health Transformation Program - Telehealth](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-telehealth--oobightvup) — RFP; Closed; due 2026-06-10
- [Vermont Rural Health Transformation – AI Transcription and Scribe Technology](https://www.ruralcarejourney.com/opportunities/vermont-rural-health-transformation-ai-transcription-and-scribe-technology--d4cfdc6a14) — RFP; Closed; due 2026-06-05
- [VDH Mobile Integrated Health Consulting & Project Management RFP](https://www.ruralcarejourney.com/opportunities/vdh-mobile-integrated-health-consulting-project-management-rfp--ooaruoi87t) — RFP; Closed; due 2026-06-05; $1.3M
- [Mobile Integrated Health Consulting & Project Management](https://www.ruralcarejourney.com/opportunities/mobile-integrated-health-consulting-project-management--5368ea07c5) — RFP; Closed; due 2026-06-05
- [Vermont Insurance Marketplace Affordability Strategies: Technical and Actuarial Assistance](https://www.ruralcarejourney.com/opportunities/vermont-insurance-marketplace-affordability-strategies-technical-and-actuarial-a--5441b2e96f) — RFP; Closed; due 2026-05-28
- [AHS Rural Health Grant Management Solution](https://www.ruralcarejourney.com/opportunities/ahs-rural-health-grant-management-solution--f3gnzf4sir) — GRANT; Closed; due 2026-05-20
- [Vermont Rural Health Transformation Fund Grant — Pharmacy Test-to-Treat](https://www.ruralcarejourney.com/opportunities/vermont-rural-health-transformation-fund-grant-pharmacy-test-to-treat--348852c533) — RFP; Closed; due 2026-05-08
- [VT DAIL RHT NOFO: Expanding Dialysis & Ventilator Services](https://www.ruralcarejourney.com/opportunities/vt-dail-rht-nofo-expanding-dialysis-ventilator-services--0761cec95f) — NOFO; Closed; due 2026-04-10

## Largest recorded awards

- Vermont Student Assistance Corporation — $9.0M (FY2026)
- Southwestern Vermont Medical Center — $2.0M (FY2026)
- St. Johnsbury Center for Living and Rehabilitation — $531,750 (FY2026)
- Agate Software, Inc. — $323,927 (FY2026)
- Hartford Town School District — $297,314 (FY2026)
- Springfield Center for Living and Rehabilitation — $286,600 (FY2026)
- Northeastern Vermont Regional Hospital — $210,371 (FY2026)
- Brattleboro Development Credit Corporation — $150,390 (FY2026)
- Community Colleges of Vermont — amount not published (FY2026)
- The Pines at Rutland Center for Nursing and Rehabilitation — amount not published (FY2026)

## Official sources RCJ monitors

- [VT RHTP Primary](https://healthcarereform.vermont.gov/hr1rural-health-transformation-fund)
- [VT Bid Detail 73660](https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73660)
- [VT Bid Detail 73728](https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73728)
- [VT Official RHTP](https://taggs.hhs.gov/Detail/AwardDetail?arg_AwardNum=RHTCMS332047&arg_ProgOfficeCode=190)
- [VT Bid Detail 73701](https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73701)
- [VT GMCB News and Updates](https://gmcboard.vermont.gov/board/news)
- [VT GMCB RFPs, Contracts & Grants](https://gmcboard.vermont.gov/publications/rfps-contracts-grants)
- [VT RHTP RFPs & NOFOs](https://healthcarereform.vermont.gov/rht-program-rfps-nofos)
- [VT DAIL RHTP Grant Opportunities](https://dail.vermont.gov/news/rural-health-transformation-grant-opportunities)

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