CMS Rural Health Transformation Program · 2026–2030
Is your state’s Rural Health Transformation Program award investing in health IT infrastructure?
Dynamic Health IT can help your organization get the most out of your award.
RHTP’s Five Strategic Goals:
01
Make rural America healthy again
New access points and prevention to address the root causes of disease.
02
Sustainable access
Help rural providers stay open long-term through efficiency and coordination.
03
Workforce development
Recruit and retain a skilled health care workforce in rural communities.
04
Innovative care
New care models and payment arrangements that improve outcomes and lower cost.
05
Tech innovation
Technologies for efficient care delivery, data security, and digital access.
Dynamic Health IT focuses on three areas of RHTP-funded health IT work: HIE connectivity, FHIR interfaces & consulting, and quality metrics analysis.
$50B
Total program funding over FY 2026–2030
$10B/yr
Available each year through 2030
~$200M
Avg. first-year state award (range $147M–$281M)
50
States awarded
See how much your state got — FY2026 RHTP awards
| State | FY2026 Award |
|---|---|
| Alabama | $203,404,327 |
| Alaska | $272,174,856 |
| Arizona | $166,988,956 |
| Arkansas | $208,779,396 |
| California | $233,639,308 |
| Colorado | $200,105,604 |
| Connecticut | $154,249,106 |
| Delaware | $157,394,964 |
| Florida | $209,938,195 |
| Georgia | $218,862,170 |
| Hawaii | $188,892,440 |
| Idaho | $185,974,368 |
| Illinois | $193,418,216 |
| Indiana | $206,927,897 |
| Iowa | $209,040,064 |
| Kansas | $221,898,008 |
| Kentucky | $212,905,591 |
| Louisiana | $208,374,448 |
| Maine | $190,008,051 |
| Maryland | $168,180,838 |
| Massachusetts | $162,005,238 |
| Michigan | $173,128,201 |
| Minnesota | $193,090,618 |
| Mississippi | $205,907,220 |
| Missouri | $216,276,818 |
| Montana | $233,509,359 |
| Nebraska | $218,529,075 |
| Nevada | $179,931,608 |
| New Hampshire | $204,016,550 |
| New Jersey | $147,250,806 |
| New Mexico | $211,484,741 |
| New York | $212,058,208 |
| North Carolina | $213,008,356 |
| North Dakota | $198,936,970 |
| Ohio | $202,030,262 |
| Oklahoma | $223,476,949 |
| Oregon | $197,271,578 |
| Pennsylvania | $193,294,054 |
| Rhode Island | $156,169,931 |
| South Carolina | $200,030,252 |
| South Dakota | $189,477,607 |
| Tennessee | $206,888,882 |
| Texas | $281,319,361 |
| Utah | $195,743,566 |
| Vermont | $195,053,740 |
| Virginia | $189,544,888 |
| Washington | $181,257,515 |
| West Virginia | $199,476,099 |
| Wisconsin | $203,670,005 |
| Wyoming | $205,004,743 |
Where We Fit
Health IT is one slice of Rural Health Transformation Program
While the bulk of the money goes to CMS’ other stated goals, there’s plenty to go around for health IT.
State plans lean on a technology backbone to make those other goals work smoothly. Interoperability, certified EHR systems, patient-facing access, and reporting infrastructure are all common themes across RHTP plans. States will rely heavily on reporting infrastructure so they can prove their RHTP plan is working.
State Funding Snapshot
Which states are funding health IT, and where do those RFPs stand?
States are now turning their RHTP plans into real funding opportunities. The National Rural Health Association tracks 533 of them across all 50 states: 130 awarded, 330 in review, 27 open, and 44 still to come. Roughly 90 of those, in 39 states, fund health IT directly: EHR modernization, HIE connectivity, interoperability, telehealth, cybersecurity, and data and reporting.
Next up: health IT funding not yet posted
These opportunities are announced but not yet open. Now is the time to line up partners and scope.
North Carolina
Health Information Exchange Connectivity and Training, focused on getting rural providers connected to the state HIE and using it.
Hawaii
Rural Health Information Network (RHIN), a statewide backbone linking rural hospitals and clinics through interoperable EHRs.
Texas
Unified Care Infrastructure and Rural Cyber Protection (Initiative 5) is expected to open Dec. 1, 2026, with applications due Mar. 1, 2027. Lonestar Advanced AI and Telehealth (Initiative 3) opens Nov. 1, 2026.
New York
Strengthening Rural Communities with Technology: Enhanced Primary Care, planned as a single vendor award.
Maine
A digital health and AI provider opportunity, following the EMR Modernization Funding the state has already awarded.
Delaware
Catalyst Fund for Telehealth and Remote Monitoring.
HIE and interoperability
- Michigan: Rural Interoperability and Governance Fund and Rural Data Integration and Infrastructure Fund, both awarded June 2026.
- West Virginia: West Virginia Health Information Network (WVHIN) funding awarded; Connected Care Grid RFPs for a data spine architecture and an interoperable provider directory are in review.
- Delaware: Statewide HIT Infrastructure for Prior Authorizations, awarded to the Delaware Health Information Network.
- Pennsylvania: Payments for EHR systems and HIO onboarding, plus an FQHC program for modernizing technology and enabling interoperability. Both in review.
- Virginia: Care IQ: Provider Interoperability, in review with awards expected Oct. 1, 2026.
- Utah: LINCS Semantic Data Model, in review.
EHR modernization
- Alabama: Collaborative EHR IT and Cybersecurity Initiative, awarded Aug. 24, 2026.
- Maine: Electronic Medical Record (EMR) Modernization Funding, awarded.
- California: EHR Modernization Grants, in review.
- North Dakota: Electronic Medical Record Enhancement, in review.
- Vermont: Shared EHR, in review.
- Mississippi: Health Technology Advancement and Modernization (HTAM) Initiative, in review with awards expected in October.
Data, analytics, and performance measurement
This is the reporting infrastructure states need to prove their RHTP plans are working. All of these are in review.
- Minnesota: Identifying performance measures for RHTP health information technology investments.
- New Hampshire: Data and Reporting Partner, with awards expected September or October 2026.
- New Mexico: Rural Health Data Hub.
- South Dakota: South Dakota Rural Health Data Atlas.
- Vermont: Primary care data and analytics, plus the Green Mountain Care Board Health Data Infrastructure Transformation.
- Idaho and Montana: Data analytics and outcomes evaluation (Idaho) and an RHTP Center of Excellence for strategy and analytics (Montana).
The guardrail that shapes all of this: CMS caps RHTP spending on replacing HITECH certified EHRs at 5% of a state’s award. That is why most of these opportunities fund targeted enhancements, interoperability layers, and quality measure and reporting capability rather than full replacement.
Statuses come from the National Rural Health Association’s RHTP RFP tracker, last updated September 23, 2026. Stages move quickly, so always confirm with the state agency before applying. See every state’s opportunities on the NRHA tracker →
What We Can Deliver
SERVICE 01
HIE Connectivity & TIE
Get rural providers connected to their state’s HIE, QHIN, or health data utility without making the EHR do the heavy lifting. TIE handles the routing; our team handles the integration design and the EHR’s gaps.
- Generate C-CDAs when the EHR can’t. ConnectEHR produces certified C-CDA documents from data the source system can’t export on its own.
- Hosted connections via SFTP or VPN. We run the endpoints, so providers don’t stand up new infrastructure to participate.
Products: TIE Interface Engine · ConnectEHR
SERVICE 02
FHIR Interface Consulting
FHIR in, FHIR out. We design and implement interfaces that move data both directions. SMART-on-FHIR patient access, EHR-launch apps, B2B Bulk Data, and server-to-server exchange.
Products: Dynamic FHIR API
SERVICE 03
Quality Metrics Analysis & Reporting
eCQM calculation, performance analysis, and submission — MIPS, MVPs, ACO Medicare CQMs, and direct QPP submission as a CMS-approved Qualified Registry. We handle data prep, validation, and submission so reporting cycles don’t pull rural providers away from care.
Products: CQMsolution · Qualified Registry
The Software Behind the Services
ONC-certified building blocks
Each product is browser-based, separately certified, and deployable as a modular bolt-on. You don’t replace your current EHR — which matters given that CMS caps RHTP spending on replacing HITECH-certified EHRs at 5% of a state’s award.
CQMsolution® is a browser-based application for CQM calculation, analysis, output, and submission. ONC Certified and always on the leading edge with the new Cypress versions.
CEHRT: 170.315(c)(1-4)
ConnectEHR® is our ONC-certified, bolt-on software designed to help you achieve ONC Certification by providing interoperable functionality.
CEHRT: 170.315(b)(1,7,8)(f)(1,2,5)
The Dynamic FHIR® API provides leading edge interoperability and meets ONC EHR Certification requirements.
CEHRT: 170.315(g)(7,9) (g)(10)
We are your strategic partner for submitting to MIPS as a CMS-approved Qualified Registry (QR).
Patient Portal® is an ONC-certified app for easy access to health information, education resources and secure messaging.
CEHRT: 170.315(e)(1,3)
TIE® is the powerful HL7® & Clinical Document Architecture engine at the heart of DHIT turnkey solutions.
Who We Work With
Providers & Health Systems
Applying for RHTP subawards
If you’re seeking RHTP funds through a state notice, a regional aggregator, or directly, you can name a health IT vendor that’s already certified and in production.
- Critical Access Hospitals (CAHs)
- FQHCs & Look-Alikes
- Rural Health Clinics (RHCs)
- Tribally operated clinics & hospitals
- Community mental & behavioral health centers
State Programs & Hubs
Building the technology layer
If you’re running a state RHTP office or operating as a regional aggregator, designing the HIE backbone or coordinating provider onboarding, we can partner on the health IT layer.
- State departments of health & Medicaid
- State-designated HIEs & health data utilities
- Regional innovation centers / aggregators
- Primary care & rural hospital associations
- State public health reporting programs
Contractors, vendors, and aggregators — we also work as a subcontractor. If you are assembling a bid or a program team and need the health IT scope covered, we take it on as discrete work packages: ONC-certified bolt-on modules, HL7 and C-CDA interface work, HIE and QHIN onboarding, FHIR APIs, and quality measure calculation and submission. We sign NDAs and teaming agreements before award, provide letters of commitment and CHPL documentation, and do not bid against a prime we have teamed with. Tick the partnering box in the form below and we will send the scope list.
Questions & Resources
Frequently asked questions
What is the Rural Health Transformation Program (RHTP)?
A $50 billion CMS program authorized under Public Law 119-21, distributing $10 billion per year to all 50 states from FY2026 through FY2030 to strengthen rural health care. Funds flow to states, which design and run their own transformation plans. See CMS’s RHT Program overview.
Can my organization apply to CMS directly?
No. CMS awards funds to states, and each state decides how to distribute them — typically through subawards, state notices, or regional aggregators. Providers participate through their state’s plan, which is where naming an experienced, already-certified health IT vendor in your proposal helps.
What is a Critical Access Hospital (CAH)?
A federal designation for small rural hospitals (generally 25 or fewer inpatient beds) that meet distance and length-of-stay criteria and receive cost-based Medicare reimbursement. CAHs are among the providers RHTP is designed to support. Read our full explainer: What is a CAH?
What can RHTP funds be used for?
CMS organizes the program around five strategic goals, and each state must spend across at least three approved use categories. Health IT modernization — interoperability, certified systems, patient access, and quality reporting — runs through many of them. Details are in the CMS program overview.
How much did my state receive?
First-year (FY2026) awards average about $200 million, ranging from $147 million to $281 million. See the full state-by-state table above, or CMS’s award announcement.
Do we have to replace our EHR to work with DHIT?
No. Our products are modular, browser-based bolt-ons that extend your existing certified EHR rather than replace it.
Is Dynamic Health IT affiliated with CMS or my state?
No. DHIT is an independent health IT vendor, not affiliated with or endorsed by CMS, HHS, or any state agency. We provide software and consulting that organizations can fund through their RHTP awards.
Let’s map the health IT piece of your RHTP plan.
A 30-minute call. We’ll look at your state’s framework, identify which services fit your application or program, and provide standards documentation and a named-vendor letter.
Request a Fit Call