HHS Region 10 · WA Health Care Authority — RHTP
Program Overview
Washington is actively implementing the Rural Health Transformation Program, launching six major initiatives to advance rural hospital innovation, workforce development, care access, and community health. Current efforts emphasize system transformation with priorities shaped by stakeholder and tribal engagement, and explicit focus on behavioral health and technology. The first performance period begins December 2025, under a long-term strategy rather than short-term grantmaking. Current structured plan tracks 15 key initiatives and 13 strategic goals.
Updated
County-level estimates averaged across Washington — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (39)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| King County | 2,287,171 | 8.6% | 5.2% |
| Pierce County | 930,319 | 8.8% | 5.9% |
| Snohomish County | 844,430 | 8.0% | 5.5% |
| Spokane County | 549,056 | 11.7% | 7.3% |
| Clark County | 516,959 | 8.0% | 5.5% |
| Thurston County | 299,067 | 9.5% | 6.4% |
| Kitsap County | 277,881 | 8.2% | 5.4% |
| Yakima County | 257,152 | 15.5% | 11.7% |
| Whatcom County | 230,503 | 12.9% | 7.2% |
| Benton County | 212,905 | 11.0% | 8.2% |
| Skagit County | 131,328 | 11.6% | 7.4% |
| Cowlitz County | 112,360 | 12.2% | 8.0% |
AI source: WA - 2026 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 3
AI auto-updated Aug 7, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Nov 5, 2025
6 related documents
WA - 2025 - Washington RHTP (rhtp-webinar-qa-20251027)
Auto-grouped context match (37%)
780,653 rural residents
Washington has extended application periods for multiple Rural Health Transformation Program funding opportunities due to wildfires, including maternal health, provider technology, and workforce incentive grants. RFAs remain actively open, and the state continues to clarify eligibility, respond to applicant questions, and prepare for contract execution. Several procurements are underway to support rural hospitals, workforce development, and technology improvements, with evaluation and award notification processes scheduled for September-October 2026. Recent amendments confirm continued stakeholder engagement and program alignment with maternal health, telehealth, and workforce priorities. State opportunities: 5 active (5 open), $12.2M listed funding. Key opportunities: Washington RHTP Activity 1.4: Sustain and strengthen maternal, emergency, and specialty services at risk in rural areas; Washington RHTP OTP Workforce Incentive Program (2026HCA9); Washington RHTP Provider Technology Fund (2026HCA12). Strategy alignment: supports maternal health, workforce, telehealth priorities.
Washington’s RHTP strategy maintains a statewide focus on rural health transformation through targeted investment in hospital infrastructure, provider technology, operational networks, workforce development, and Tribal health supports. The program operates through multi-agency partnerships, competitive grant funding, and an emphasis on measurable improvement and sustainability, with extensions for application deadlines in response to emergent rural crisis events. Current activities stress compliance, digital infrastructure, and operational modernization, prioritizing access to maternal, emergency, behavioral, and specialty care, as well as technology and workforce expansion.
Model
Multi-sector, integrated delivery system transformation centered on hospital innovation, collaborative rural health networks, competitive technology funding for provider capacity, workforce expansion, value-based models, and a minimum 10% Tribal Nations set-aside.
Key Initiatives
Timeline: Application submitted fall 2025; federal funding available annually through 2026–2030; implementation begins late 2025 with annual reporting and initiative phases; 10% of funds reserved for Tribal investments throughout the period. Provider Technology Fund contracts extend through September 30, 2031, including annual and quarterly reporting cycles.
This document is an amendment addressing applicant questions for the Washington Rural Health Transformation Program (RHTP) application for rural hospitals targeting maternal, emergency, and specialty care. It clarifies allowable budget categories including telehealth, workforce training, equipment purchases, and facility readiness. Sustainability strategi...
This guidance details the requirements for documenting medical necessity in order to receive Medicaid reimbursement for supportive housing and supported employment services, newly available under Washington's 1115 Medicaid Transformation Waiver. The document defines eligibility criteria, covered activities, outcomes sought, and best practices for creating...
The HB 1477 Steering Committee in Washington has formed multiple subcommittees, including a Rural and Agricultural Subcommittee, to develop recommendations for an integrated behavioral health crisis response and suicide prevention system. Subcommittee member selection prioritizes a diverse mix of professionals and stakeholders with lived experience, inclu...
WA - 2025 - Washington RHTP (rhtp-webinar-qa-20250925)
Auto-grouped context match (38%)
WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
Auto-grouped context match (39%)
WA - 2026 - Washington Public Engagement
Auto-grouped context match (38%)
WA - 2026 - Washington RHTP An Overview Summary
Auto-grouped context match (39%)
WA - 2026 - Dear Tribal Leader Letter
Auto-grouped context match (39%)
Washington State Health Care Authority
Due Sep 3, 2026
10 related documents
WA - 2026 - RFA No. 2026HCA14: Incentivizing Hospitals to Sustain Essential Rural Maternal, Emergency, and Specialty Services
WA - 2024 - SUPPORTING document for Washington RHTP Activity 1.4 grant opportunity
Source listing page
WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
Amendment 1 Notice
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 1
Amendment 1
WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
Amendment 1 Notice
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 1
Amendment 1
WA - 2026 - RHTP – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14 Amendment No. 2
Amendment 2 (Q&A responses)
WA - 2027 - EXHIBIT A: Applicant Forms and Certifications – RHT – Rural Hospitals (Maternal, Emergency and Specialty Services) RFA No. 2026HCA14
Exhibit A: Applicant Forms and Certifications
WA - 2026 - EXHIBIT B: Application Questions RFA 2026HCA14
Exhibit B: Application Questions
WA - 2026 - PROFESSIONAL SERVICES CONTRACT for Provider Technology Fund Resulting from Solicitation Number: 2026HCA14
Exhibit C: Sample Draft Contract
Due Aug 27, 2026
18 related documents
WA - 2026 - PROFESSIONAL SERVICES CONTRACT for Provider Technology Fund Resulting from Solicitation Number: 2026HCA14
Auto-linked process guidance fallback (9%)
Washington State Health Care Authority (HCA)
Due Aug 26, 2026
10 related documents
WA - 2026 - RFA No. 2026HCA9 Amendment No. 1
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | [Contractor Name] Grant funding is awarded to incentivize hospitals in developing comprehensive strategies to sustain and maintain essential services—including maternity and obstetrics care, emergency services, and other specialty care under the Rural Health Transformation Program. The contract covers Initiative 1, Activity 1.4 and also includes a Provider Technology Fund element for Initiative 4, Activity 4.2. | Not disclosed | Health IT | |
| 2025-2030 | Washington Tribes and Indian Health Care Providers 10% of the total Rural Health Transformation award will go directly to tribes and IHCPs for strengthening rural healthcare and investments in maternal health. | $30.2M | Population Health |
This HRSA newsletter highlights the nationwide relaunch of the National Advisory Committee on Rural Health and Human Services, upcoming funding opportunities, expanded technical assistance for rural hospitals, and the release of nearly $140 million in new funding to improve health in rural communities. No specific RHTP state or recipient awards are announced, but key rural health and Medicaid transformation priorities are emphasized. Key contacts: TribalAffairs@hrsa.gov; HRSAGrantsWorkshop@hrsa.gov Event schedule: - Submit comments: Training and Care Delivery Models for Safe Administration of Potential FDA-Approved Psychedelic Therapies - 08/13/2026 - See Federal Register - Tribal Advisory Council Nomination Deadline - 09/30/2026 - 2026 Healthy Grants Workshop - Final Session - 08/12/2026 - 1:00 PM - 4:00 PM ET - Webinar
Event Schedule
Contacts
Core Initiatives
This document is an amendment addressing applicant questions for the Washington Rural Health Transformation Program (RHTP) application for rural hospitals targeting maternal, emergency, and specialty care. It clarifies allowable budget categories including telehealth, workforce training, equipment purchases, and facility readiness. Sustainability strategies must cover the expected term and focus on measurable benefits and long-term service continuation. Key contacts: Megan Clark HCARuralHealthTransformationProgram@hca.wa.gov Event schedule: - Amendment Issued - 08/07/2026 - PT
Event Schedule
Contacts
Core Initiatives
This guidance details the requirements for documenting medical necessity in order to receive Medicaid reimbursement for supportive housing and supported employment services, newly available under Washington's 1115 Medicaid Transformation Waiver. The document defines eligibility criteria, covered activities, outcomes sought, and best practices for creating individualized service plans. It emphasizes the importance of accurate documentation and outlines functional and clinical assessment principles tailored to vulnerable Medicaid populations.
Core Initiatives
The Rural Health Transformation Program (RHTP), authorized by the One Big Beautiful Bill Act of 2025, allocates $10 billion annually to states for rural health system transformation from 2026–2030. Washington must submit a state plan to access funds, with major priorities in rural health access, workforce, quality, partnerships, and financial stability. Large potential losses in Medicaid/ACA coverage could impact hundreds of thousands of rural WA residents along with critical access and rural hospital viability.
Event Schedule
Core Initiatives
This 2024 report identifies critical gaps in Washington State's mobile crisis response system for older adults, emphasizing fragmentation, workforce shortages, and accessibility challenges. It recommends improved funding, cross-sector collaboration, workforce development, enhanced facility capability, and prioritizing equity across underserved communities.
Core Initiatives
The HB 1477 Steering Committee in Washington has formed multiple subcommittees, including a Rural and Agricultural Subcommittee, to develop recommendations for an integrated behavioral health crisis response and suicide prevention system. Subcommittee member selection prioritizes a diverse mix of professionals and stakeholders with lived experience, including rural and agricultural perspectives. The document provides extensive lists of members and organizations represented, demonstrating broad engagement in planning and advisory roles. Key contacts: Skylar Newkirk; Todd Kimball; Pam Lewison; Jean Marie Dreyer
Contacts
Core Initiatives
This supporting document provides additional information linked to Washington's RHTP Activity 1.4 grant opportunity. The program aims to sustain and strengthen maternal, emergency, and specialty health services at risk in rural communities.
Core Initiatives
WA RHTP site updated — 1 new doc(s)
WA RHTP site updated — 8 new doc(s)
WA RHTP site updated — 1 new doc(s)
WA RHTP site updated — 1 new doc(s)
WA - 2026 - HRSA eNews: July 2026
Jul 30, 2026 20:28
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 775.
WA - 2026 - RFP 2025HCA15 Exhibit E Data Security Questionnaire
XLSX
WA - 2026 - RFP 2025HCA15 Attachment 1 Revised Average Product and Client Usage
XLSX
WA - 2026 - RFP 2025HCA15 Exhibit D Cost Proposal Second Revision
WA - 2026 - Request For Information (RFI) No. 2026Hca13 Federal & State Interoperability And Prior Authorization Project (FSIPAP)
WA - 2026 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 1
Primary source
WA - 2026 - RHT Provider Technology Fund - Grants Opportunity (2026hca12-exhibit-a-applicant-forms-and-certifications-amendment-1)
Auto-linked by identifier
WA - 2026 - Request for Applications No. 2026HCA12: Provider Technology Fund Supporting Technology Adoption, Telehealth Expansion, and Data Infrastructure Improvements in Rural Healthcare
Auto-linked by identifier
WA - 2026 - Washington RHTP Provider Technology Fund (2026HCA12) Request for Applications
RFA 2026HCA12 Notice of Request for Applications
WA - 2026 - Exhibit A: Application Forms And Certifications
RFA 2026HCA12 Exhibit A Applicant Forms and Certifications
WA - 2026 - RHT Provider Technology Fund - Grants Opportunity
RFA 2026HCA12 Exhibit B Application Questions
WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
RFA 2026HCA12 Exhibit D Budget Proposal Template
WA - 2026 - Exhibit C: Sample Draft Contract
RFA 2026HCA12 Exhibit C Sample Draft Contract
WA - 2025 - RHTP New competitive bid opportunities
Auto-linked by context
WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
Auto-linked by context
WA - 2025 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Overview 1
Auto-linked by context
WA - 2026 - Request for Applications: RHTP Provider Technology Fund (HCA RFA No. 2026HCA12)
Primary source
WA - 2026 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 3
Amendment 3
WA - 2026 - Project Narrative RHTP
Auto-linked by context
WA - 2026 - HCA RFA No. 2026HCA14 RHTP Grant Application
Primary source
WA - 2027 - RHTP – Provider Technology Fund RFA No. 2026HCA12 Amendment No. 2
Auto-linked by identifier
WA - 2026 - Professional Services Contract for OTP Workforce Incentive under RHTP (Sample Draft - RFA #2026HCA9)
Auto-linked by identifier
WA - 2026 - RFA #2026HCA9: Workforce Incentive Program for Rural Opioid Treatment Providers
Primary source
WA - 2026 - RHTP – OTP Workforce Incentive Program RFA No. 2026HCA9 Amendment No. 2
Amendment 2
WA - 2026 - Washington RHTP OTP Workforce Incentive Program (2026HCA9) Request for Applications
Request for Applications (RFA)
WA - 2026 - RHT OTP Workforce Incentive Program - Grant Opportunity
Exhibit A: Applicant Forms and Certifications
WA - 2026 - EXHIBIT B: Application Questions - RHT OTP Workforce Incentive Program Grant Opportunity
Exhibit B: Application Questions
WA - 2026 - Request For Information (RFI) No. 2026Hca13 Federal & State Interoperability And Prior Authorization Project (FSIPAP)
Primary source
WA - 2025 - RHTP New competitive bid opportunities
Auto-linked by context
WA - 2026 - RHTP Washington state application planning
Auto-linked by context
Washington received about $181 million from the Rural Health Transformation Program in the first year to enhance rural health care access, quality, and outcomes. The program is guided by six key initiatives, including workforce investment, health technology improvements, and behavioral health system support. Multiple RFAs are open for rural provider technology and workforce incentive funding. Event schedule: - Quarterly Program Webinar - 09/16/2025 - 1:00 PM–2:00 PM - Hosted on Teams
Event Schedule
Core Initiatives
Washington HCA is issuing an RFA to allocate up to $6.2 million in federal RHTP funds for Budget/Performance Period #1. Grants will incentivize and stabilize workforce for rural opioid treatment providers via bonuses, support, and stipends. Awards will be $100,000-$500,000 per organization, and competitive applications are required. Key contacts: Megan Clark HCAProcurements@hca.wa.gov Event schedule: - Application Deadline - 08/26/2026 - PT - Evaluation Time Frame - August 26, 2026 – September 15, 2026 - PT - Applicants Award Notification - Beginning September 16, 2026 - PT - via email - Estimated Work Order #1 Contract Start Date - September-October 2026, but no later than October 30, 2026 - PT
Event Schedule
Contacts
Core Initiatives
This amendment updates the estimated schedule and replaces the RFA templates for the OTP Workforce Incentive Program in Washington State. The total budget available for the program is capped at $1,000,000, divided into two performance periods each capped at $500,000. Event schedule: - Date of Issue - 7/20/2026 - Applicant Questions Due - 7/28/2026 - 2 PM PT - HCA Response to Questions - 8/4/2026 - Applications Close Date - 8/26/2026 - 2 PM PT - Evaluation Time Frame - 8/26/2026 - 9/15/2026 - Applicants Award Notification - Beginning 9/16/2026 - via email - Estimated Work Order #1 Contract Start Date - September-October 2026, no later than October 30, 2026 - Estimated Work Order #2 Contract Start Date - As early as October 31, 2026
Event Schedule
Washington announces a new RFA under the Rural Health Transformation Program for Activity 1.4, focused on rural hospitals providing maternal, emergency, and specialty services. CMS has awarded the state approximately $181 million in the program's first year to support rural health infrastructure. The application and all details are available on HCA's official bids and contracts page. Key contacts: RFA coordinator HCAProcurements@hca.wa.gov; RHT Program team HCARuralHealthTransformationProgram@hca.wa.gov
Contacts
Core Initiatives
Washington Health Care Authority announced the posting of an RFA for Activity 1.2, focused on maternal, emergency, and specialty services in rural hospitals under the Rural Health Transformation Program. For its first year, Washington has received about $181 million in CMS funds through the nationwide $50 billion RHT Program. The program aims to spark innovation and strengthen services in rural hospitals statewide. Key contacts: RFA Coordinator HCAProcurements@hca.wa.gov; RHT Program Team HCARuralHealthTransformationProgram@hca.wa.gov Event schedule: - RFA announcement date - 07/28/2026 - Washington State Health Care Authority website
Event Schedule
Contacts
Core Initiatives
Washington was awarded over $181 million for Budget Period 1 of the Rural Health Transformation Program, launching six major initiatives to strengthen rural hospital innovation, workforce, care access, and community health. Priorities were informed by extensive stakeholder engagement with explicit attention to Tribal health, behavioral health, and technological transformation. The RHTP aims for long-term, statewide system transformation, not just short-term grants. Key contacts: RHT Program Inbox Event schedule: - Application deadline: RHT Advisory Committee - 04/24/2026 - HCA RHT Webpage - Washington RHT Program Webinar #2 - September 16, 2026 - 1:00 PM PT - Teams meeting (online) - Budget Period 1 Performance Start - 12/29/2025
Contacts
Core Initiatives
This document is a sample draft contract template for the OTP Workforce Incentive award under Washington's Rural Health Transformation Program. The contract covers responsibilities, payment, performance measures, and federal/state compliance requirements for awarded contractors, with workforce funding tied to Initiative 6.4. Event schedule: - Contract End Date - 09/30/2028 - PT - Annual Report #1 Due - 2026-07-31 - America/Los_Angeles - Quarterly Report #1 Due - 2026-10-30 - America/Los_Angeles - Quarterly Report #2 Due - 2027-01-30 - America/Los_Angeles - Quarterly Report #3 Due - 2027-04-30 - America/Los_Angeles - Period of Performance Ends - 2027-09-30 - America/Los_Angeles
Event Schedule
Contacts
Core Initiatives
Washington State Health Care Authority is awarding a Rural Health Transformation Program grant contract to a selected hospital/provider to incentivize comprehensive strategies for sustaining essential rural hospital services. Activities include advancing technology infrastructure and preserving maternity, emergency, and specialty care in rural settings. The contract is funded through a competitive RFA application process and tied to federal CMS award terms. Key contacts: HCA Contact Name and Title contracts@hca.wa.gov Event schedule: - Annual Report #1 Due - 2026-07-31 - Pacific Time - Quarterly Report #1 Due - 2026-10-30 - Pacific Time - Quarterly Report #2 Due - 2027-01-30 - Pacific Time - Quarterly Report #3 Due - 2027-04-30 - Pacific Time
Event Schedule
Contacts
Core Initiatives
XLSX
WA - 2026 - RFA 2026HCA14 Exhibit D Budget Proposals Template
XLSX
WA - 2026 - RFA 2026HCA12 Exhibit D Amendment 3
XLSX
WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
XLSX
WA - 2026 - hca forecasted needs report fy27
XLSX
WA - 2026 - RFA 2026HCA9 Exhibit D Budget Proposal Template
XLSX
WA - 2026 - RFP 2025HCA15 Exhibit D Revised Cost Proposal
XLSX
1477-assessment-of crisis-delivery-system-20211231.pdf
WA - 2026 - RFP 2025HCA15 Exhibit D Cost Proposal Third Revision
XLSX
WA - 2026 - paying for value survey payer template 2026.xlsx
XLSX
WA - 2026 - RFA 2026HCA9 Exhibit D Budget Proposal Template Amendment 2
XLSX
ASAM technical support training is coming in September — ASAM technical assistance support training faq 20260730.pdf
Washington’s Electronic Business Solution (WEBS) RHTP Meeting Minutes
WA - 2026 - Rural Health Transformation Program Applications ARE Underway
WA - 2026 - NewsNation Washington Correspondent Maddie Biertempfel sits down with
Washington Authorization For Release Of Information Health Care Authority Is Authorized To Release 1 Information Or Records About Last Name, First Name, Middle Initial Client I.D.
July Foundations — 60-0077-washington-health-care-privacy-toolkit.pdf
July Peer-to-Peer newsletter — 82-0692-guide-to-post-overdose-toolkit.pdf
Adult Needs and Strengths Assessment (ANSA) Manual Version 2.0
Authorization / Request for Out of State Travel - State Form 823 (R12 / 5-15)
Washington Utah Code Effective 5/9/2017 Superseded 5/14/2019 63A-5-104 Definitions -- Capital Development And Capital Improvement Process -- Approval Requirements -- Limitations On
Washington MDHHS Physician Primary Care Rate Increase Initiative Database January 2016 HCPCS Code Short Description Non-Fac Fac Comments 99201 Office/Outpatient Visit New $32.44 $1
Washington Plan Management Frequently Asked Questions-Published March 5, 2015 Q1. Will Health Care Independence Program Eligible Individuals Be Able To Enroll In Any Silver Level Q
Promoting Healthy Youth, Schools, and Communities: A Guide to Community-School Health Councils
Washington Minnesota Department Of Human Services DHS-7990-ENG 1-21 Pediatric Symptom Checklist (PSC And PSC-Y) Pediatric Symptom Checklist (PSC) Parent-completed Version FIRST NAM
Washington EXECUTIVE DEPA RTMENT STATE OF CALIFORNIA EXECUTIVE ORDER N-01-19 WHEREAS The State's Spending On Prescription Drugs Has Increased At An Unsustainable Rate, Including Hi
At least 220,000 kids faced loss of TennCare due to lacking paperwork
HTML
Complaint: United States v. Police Department of Baltimore City and Mayor and City Council of Baltimore
Service Animals - A Broad Definition (NY State Attorney General Civil Rights Bureau Brochure)
Building Trust in and Access to a COVID-19 Vaccine Among People of Color and Tribal Nations: A Framework for Action Convening Executive Summary
Louisiana Medicaid Dental Periodicity Schedule
Investigation of the Baltimore City Police Department
Washington Dealing With A Mental Health Crisis Information And Resources For First Responders P ...................... PROFESSIONAL RHTP Reference
Washington 1114 1 SEC. 3602. NO CUTS IN GUARANTEED BENEFITS. 2 Nothing In This Act Shall Result In The Reduction Or 3 Elimination Of Any Benefits Guaranteed By Law To Partici- 4 Pa
REVIA (naltrexone hydrochloride tablets USP) Prescribing Information
Washington === Sheet: B5 MH & DD Sets === RHTP Reference
XLSX
Washington League Of Minnesota Cities, Minnesota Chiefs Of Police Association, Minnesota Sheriffs Association & The Best Practices Working Group BEST PRACTICES IN Law Enforcement R
Behavioral Activation - WA State CBT Plus 2012