# West Virginia — Rural Health Transformation Program (RHTP)

West Virginia’s Rural Health Transformation Program (RHTP) remains in active implementation, building on substantial multi-year federal investment to expand rural healthcare access. The program continues to deploy technology-enabled care including telehealth and mobile health units, strengthen behavioral and chronic disease care, expand maternal care, and advance workforce development across all rural counties. Structured around multiple initiatives and strategic goals, current efforts focus on hospital strengthening, service modernization, digital health infrastructure, and university partnerships for opioid and chronic disease interventions. Current structured plan tracks 7 key initiatives and 9 strategic goals.

## At a glance

- Federal awards to date: $401,557,453.35 (Year 1 $199.5M + Year 2 $202.1M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 50 (1 open or announced, 49 closed)
- Awards recorded: $102.4M to 52 recipients
- Critical Access Hospitals: 6
- Rural population share: 49%

## Current progress

West Virginia RHTP has awarded more than $100 million across at least 64 projects, including hospitals, health systems, and nonprofit organizations. Awardees are actively launching new technology platforms, statewide health IT, mobile units, chronic disease initiatives, and telehealth networks, with rollouts confirmed across 55 counties. The state has obligated 100% of its initial award through 145 signed agreements, and continues to expand projects with a second-year federal award of over $202 million. Project milestones, performance tracking, and further awards remain ongoing, ensuring broad statewide program implementation. State opportunities: 1 active (1 closing soon, 42 past/closed), $159.9M listed funding. Key opportunities: WV RHTP Personal Health Accelerator: Water Is Medicine (AFA GFO-0313-2700000000168-1); Re-Open Provider Productivity Support Fund; SmartCare Catalyst Provider Productivity Support Fund. Strategy alignment: supports telehealth priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 3 of 19
- Initiatives (7), current CMS stage of each:
  - Connected Care Grid — Stage 1
  - Health to Prosperity Pipeline — Stage 1
  - HealthTech Appalachia — Stage 1
  - Mountain State Care Force — Stage 1
  - Personal Health Accelerator — Stage 1
  - Rural Health Link — Stage 1
  - Smart Care Catalyst — Stage 1
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

- [WV RHTP Personal Health Accelerator: Water Is Medicine (AFA GFO-0313-2700000000168-1)](https://www.ruralcarejourney.com/opportunities/wv-rhtp-personal-health-accelerator-water-is-medicine-afa-gfo-0313-2700000000168--bb167b4881) — GRANT; Closing soon; due 2026-11-20

## Closed opportunities (49, most recent first)

- [RHL ERH Establish Regional Hubs](https://www.ruralcarejourney.com/opportunities/rhl-erh-establish-regional-hubs--ab56a5fd1c) — GRANT; Closed; due 2026-09-08; $7.1M
- [West Virginia Rural Health Transformation Program – Personal Health Accelerator: Increasing Home Dialysis Access (Year 1 Funding)](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-personal-health-accelerator-in--c4b6a8ca22) — RFA; Closed; due 2026-09-08; $2.0M
- [Rural Health Link (RHL) Initiative: Medical Transportation Capacity Expansion Funding Opportunity](https://www.ruralcarejourney.com/opportunities/rural-health-link-rhl-initiative-medical-transportation-capacity-expansion-fundi--8e6942a3ce) — RFA; Closed; due 2026-09-05; $2.3M
- [Expanding Worksite Clinics for On-the-Job Support](https://www.ruralcarejourney.com/opportunities/expanding-worksite-clinics-for-on-the-job-support--f9ac4213a8) — GRANT; Closed; due 2026-09-04
- [RHL-VASO](https://www.ruralcarejourney.com/opportunities/rhl-vaso--3ebe6a7b38) — GRANT; Closed; due 2026-09-04; $2.3M
- [SCC PACE](https://www.ruralcarejourney.com/opportunities/scc-pace--5012766802) — GRANT; Closed; due 2026-09-02
- [CCG EMS Community Paramedicine](https://www.ruralcarejourney.com/opportunities/ccg-ems-community-paramedicine--d5fd31121a) — GRANT; Closed; due 2026-08-28
- [MSCF AFA - Rural Graduate Medical Education & Training Capacity](https://www.ruralcarejourney.com/opportunities/mscf-afa-rural-graduate-medical-education-training-capacity--7c46b3b831) — GRANT; Closed; due 2026-08-28; $5.0M
- [Re-Open Provider Productivity Support Fund](https://www.ruralcarejourney.com/opportunities/re-open-provider-productivity-support-fund--d1d7d8904f) — RFA; Closed; due 2026-08-28; $29.5M
- [Statewide Local Health Challenge (Personal Health Accelerator)](https://www.ruralcarejourney.com/opportunities/statewide-local-health-challenge-personal-health-accelerator--682c51c130) — GRANT; Closed; due 2026-08-28; $3.4M
- [RHL Public Transportation](https://www.ruralcarejourney.com/opportunities/rhl-public-transportation--8ee939179d) — GRANT; Closed; due 2026-08-26; $1.5M
- [West Virginia Rural Health Transformation Program — Rural Health Link EMS Collaboratives: Alternative Destination Transportation Year 1 Grant](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-rural-health-link-ems-collabor--0fbd4769bc) — RFA; Closed; due 2026-08-26; $2.7M
- [Mountain State Care Force – Rural Healthcare Apprenticeships](https://www.ruralcarejourney.com/opportunities/mountain-state-care-force-rural-healthcare-apprenticeships--314cd61818) — GRANT; Closed; due 2026-08-24; $2.0M
- [West Virginia Rural Health Transformation Program Career Pathway Advancement for Healthcare Workers](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-career-pathway-advancement-for--2ee824c3c1) — RFP; Closed; due 2026-08-24; $900,000
- [West Virginia Rural Health Transformation Program: Healthcare Career Pathways Outreach](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-healthcare-career-pathways-out--57573f3c65) — RFP; Closed; due 2026-08-24; $28.6M
- [CCG Inpatient RPM](https://www.ruralcarejourney.com/opportunities/ccg-inpatient-rpm--dd680f6773) — GRANT; Closed; due 2026-08-13; $4.9M
- [CCG1 Outpatient RPM](https://www.ruralcarejourney.com/opportunities/ccg1-outpatient-rpm--df353fbeb5) — GRANT; Closed; due 2026-08-12; $9.1M
- [SCC2 VBC Design & Administer](https://www.ruralcarejourney.com/opportunities/scc2-vbc-design-administer--42b256ee76) — GRANT; Closed; due 2026-08-10; $5.0M
- [West Virginia Rural Health Transformation Program Start-Up Funding for SUD Evidence-Based Practices (2026)](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-start-up-funding-for-sud-evide--c4e1e372df) — GRANT; Closed; due 2026-08-10; $6.0M
- [Smart Care Catalyst – Implementation Support to Strengthen Value-Based Care (VBC) Participation (RHT-AFA-07-27-2026-SCC1)](https://www.ruralcarejourney.com/opportunities/smart-care-catalyst-implementation-support-to-strengthen-value-based-care-vbc-pa--750391fe2c) — RFA; Closed; due 2026-08-10; $1.5M
- [HTP Health-to-Work Programs](https://www.ruralcarejourney.com/opportunities/htp-health-to-work-programs--3b5fcde783) — GRANT; Closed; due 2026-08-07; $1.5M – $8.5M
- [West Virginia Rural Health Transformation Program Workforce Catalyst Employer Subsidy Program – Third-Party Administrator](https://www.ruralcarejourney.com/opportunities/west-virginia-rural-health-transformation-program-workforce-catalyst-employer-su--3f07432d63) — RFP; Closed; due 2026-08-05; $500,000
- [MSCF Rotational Staffing Pools AFA](https://www.ruralcarejourney.com/opportunities/mscf-rotational-staffing-pools-afa--dc272f4b1f) — GRANT; Closed; due 2026-07-28
- [Connected Care Grid — Bring Providers Online (Telehealth Upgrades)](https://www.ruralcarejourney.com/opportunities/connected-care-grid-bring-providers-online-telehealth-upgrades--d6b9308b25) — GRANT; Closed; due 2026-07-23
- [Connected Care Grid — Equip Hub & Spoke Mobile Units](https://www.ruralcarejourney.com/opportunities/connected-care-grid-equip-hub-spoke-mobile-units--949072f8b1) — NOFO; Closed; due 2026-07-22

## Largest recorded awards

- West Virginia Jobs Investment Trust — $18.8M (FY2026)
- Marshall University Research Corporation — $11.4M (FY2026)
- IBM — $6.6M (FY2026)
- West Virginia Primary Care Association — $6.3M (FY2026)
- Minnie Hamilton Health System (under Vandalia Health) — $4.1M (FY2026)
- West Virginia School of Osteopathic Medicine — $4.0M (FY2026)
- CAMC (under Vandalia Health) — $3.9M (FY2026)
- West Virginia United Health System — $3.5M (FY2026)
- Department of Environmental Protection — $3.2M (FY2026)
- Valley Health Systems — $3.0M (FY2026)
- ASCEND (under WVU Research Corporation) — $2.4M (FY2026)
- VeeOne Health — $2.3M (FY2026)
- WVU Eye Institute (under WVU Hospitals) — $2.0M (FY2026)
- Cartwheel Health Services — $1.9M (FY2026)
- West Virginia Public Transit Association — $1.9M (FY2026)

## Official sources RCJ monitors

- [WV RHTP Primary](https://health.wv.gov/rural-health-transformation-program)
- [WV DoH News (all press releases)](https://health.wv.gov/news)
- [WV Release / Application](https://governor.wv.gov/rht)
- [WV RHTP Grant Opportunities](https://health.wv.gov/grant-opportunities)
- [NRHA linked funding/procurement page](https://prd311.wvoasis.gov/PRDVSS1X1ERP/Advantage4)

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