# Wyoming — Rural Health Transformation Program (RHTP)

Wyoming's Rural Health Transformation Program, led by the Department of Health, is advancing implementation following final federal approval in December 2025. The program emphasizes sustaining rural healthcare access, chronic disease prevention, behavioral health, innovative care delivery and payment models, workforce development, and technology solutions. Requests for Applications are open as of October 2026, with contract execution deadlines set for October 1, 2026; awards are guided by advisory committee appraisals and federal funding is scheduled to be obligated on time. Current structured plan tracks 4 key initiatives and 9 strategic goals.

## At a glance

- Federal awards to date: $412,236,673.93 (Year 1 $205.0M + Year 2 $207.2M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 8 (0 open or announced, 8 closed)
- Awards recorded: $203.1M to 53 recipients
- Critical Access Hospitals: 16
- Rural population share: 69%

## Current progress

Wyoming’s Rural Health Transformation Program has completed competitive procurements and sole-source awards for critical access hospitals, EMS, workforce, technology, integrated care, and care coordination. Multiple contracts and grants are actively awarded and under implementation for FY2025, with funds allocated to explicit recipients. Sustainability plans and cost approvals are explicitly required for awarded entities. This demonstrates sustained statewide implementation and grant activity across all initiatives. State opportunities: 6 total (6 past/closed), $138.0M listed funding. Key opportunities: Wyoming RHTP RFA - 1.1. Critical Access Hospital - Basic; Wyoming RHTP RFA - 1.2. EMS Regionalization; Wyoming RHTP RFA - 2.2. Physician Graduate Medical Education. Strategy alignment: supports ems, care access, workforce priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 6 of 19
- Initiatives (4), current CMS stage of each:
  - Access to Emergency Medical Care — Stage 1
  - Health Technology Transformation — Stage 1
  - Make Wyoming Healthy Again — Stage 1
  - Rural Workforce Supply — Stage 1
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (8, most recent first)

- [Wyoming RHTP RFA - 2.2. Physician Graduate Medical Education](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-2-2-physician-graduate-medical-education--bf53de53b7) — RFA; Closed; due 2026-08-03; $17.7M
- [Wyoming RHTP RFA - 1.1. Critical Access Hospital - Basic](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-1-1-critical-access-hospital-basic--019aa50ec4) — RFA; Closed; due 2026-08-03; $66.7M
- [Wyoming RHTP RFA - 1.2. EMS Regionalization](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-1-2-ems-regionalization--7661094c33) — RFA; Closed; due 2026-08-03; $44.1M
- [Wyoming RHTP RFA - 3.1. Technology adoption challenge](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-3-1-technology-adoption-challenge--86a08847fa) — RFA; Closed; due 2026-08-03; $6.5M
- [Wyoming RHTP RFA - 4.1. Integrated primary care](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-4-1-integrated-primary-care--6599e9c677) — RFA; Closed; due 2026-08-03
- [Wyoming RHTP RFA - 4.2. Clinically-integrated care coordination](https://www.ruralcarejourney.com/opportunities/wyoming-rhtp-rfa-4-2-clinically-integrated-care-coordination--a20b263bc6) — RFA; Closed; due 2026-08-03; $3.0M
- [Wyoming Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/wyoming-federal-rhtp-award-year-1-fy-2026--16bc162088) — AWARD; Closed; due 2025-10-30; $205.0M
- [Wyoming Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/wyoming-federal-rhtp-award-year-2-fy-2027--53e63f481b) — AWARD; Closed; $207.2M

## Largest recorded awards

- WIP (sole-source contract) — $38.6M (FY2026)
- Fiscal agent for EMS sustainability and labor & delivery grants (not named) — $17.6M (FY2026)
- Bighorn Valley Health Center, Inc. dba One Health — $10.3M (FY2026)
- University of Utah — $9.3M (FY2026)
- Sheridan Memorial Hospital — $6.7M (FY2025)
- Education — $6.3M (FY2026)
- Cheyenne Health & Wellness Center dba HealthWorks — $5.8M (FY2026)
- Memorial Hospital of Carbon County — $5.8M (FY2026)
- South Lincoln Hospital District — $5.8M (FY2026)
- Cody Regional Health — $5.0M (FY2026)
- Johnson County Hospital District — $4.8M (FY2026)
- Exercise and healthy diet promotion: RFP awardee (.7M) and DFS (.4M) — $4.2M (FY2026)
- Evanston Regional Hospital — $3.9M (FY2026)
- Wind River Family & Community Healthcare — $3.7M (FY2026)
- Statewide tele-specialist contractor (competitive RFP; not named) — $3.5M (FY2026)

## Official sources RCJ monitors

- [WY RHTP Submittable Application Portal](https://wyrhtp.submittable.com/submit)
- [WY RHTP Primary](https://health.wyo.gov/admin/rural-health-transformation-program/)
- [WY DOH Newsroom](https://health.wyo.gov/news/)

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