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.
Dynamic Health IT has been doing this for 26 years. So when your plan, a regional aggregator, or a subaward funds the health IT piece, we can help.
State Funding Snapshot
Which states are funding health IT modernization?
Per Chartis’s 2026 Rural Health State of the State report, six states named explicit EHR modernization initiatives in their RHTP applications, and several more are funding HIE participation or interoperability infrastructure separately. Here’s where the health IT dollars are pointing so far.
FHIR / interoperability
Indiana, Missouri, New Mexico, Oklahoma, and Mississippi all plan to modernize EHR systems by expanding integration with their state HIE and adopting international standards for electronically exchanging health data.
Indiana
Plans to modernize EHR systems and expand state HIE integration using FHIR-standard data exchange. Also separately flagged for rural HIE participation initiatives.
Missouri
Plans to modernize EHR systems by expanding state HIE integration and adopting FHIR-standard data exchange.
New Mexico
Plans to modernize EHR systems by expanding state HIE integration and adopting FHIR-standard data exchange.
Oklahoma
Beyond HIE integration, Oklahoma plans to purchase and deploy EHR hardware and software, subsidize subscriptions, and provide technical assistance to providers.
Mississippi
Its Health Technology Advancement & Modernization (HTAM) initiative funds EHR modernization, cybersecurity, and a statewide health information exchange.
States prioritizing rural HIE participation
Colorado, Indiana, and North Carolina were each identified for efforts aimed at boosting HIE participation among rural providers.
Other notable state programs
- Texas — “Rural Texas Patients in the Driver’s Seat” invests in RPM technology and consumer-facing health portals to facilitate HIE between patients, providers, and payers.
- Massachusetts — the SHINE HT program funds Community Health Centers to adopt new technology within their existing EHR systems.
- Florida — funding provider onboarding to the Florida Health Information Exchange.
- Hawaii — building a “Rural Health Information Network,” a statewide digital backbone connecting rural hospitals and clinics through interoperable EHRs.
- South Dakota — a digital health modernization track within the state’s broader RHTP plan.
The guardrail that shapes all of this: CMS caps RHTP spending on replacing HITECH-certified EHRs at 5% of a state’s award. Most states are funding targeted enhancements, interoperability layers, and quality-measure/reporting capability.
Don’t see your state above, or want the full picture? The National Organization of State Offices of Rural Health tracks RHTP program details by state: Rural Health Transformation Program resource hub →
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.
CQMsolution®
CEHRT 170.315(c)(1–4)
Browser-based CQM calculation, analysis, output, and submission. eCQM, MIPS, MVP, and ACO Medicare reporting. 200,000+ users.
ConnectEHR®
CEHRT 170.315(b)(1,7,8)(f)(1,2,5)
Bolt-on ONC certification. Generates and consumes all C-CDA types across USCDI v1–v3, and transforms HL7 data into a FHIR datastore.
Dynamic FHIR® API
CEHRT 170.315(g)(7,9)(g)(10)
Full SMART-on-FHIR support for patient access, EHR launch, and B2B Bulk Data. Meets ONC FHIR API requirements.
TIE® — The Interface Engine
HL7 v2 · C-CDA · Public Health
The HL7 engine at the heart of DHIT’s turnkey solutions. Bi-directional immunization registries, eCR, syndromic surveillance, and ELR.
Patient Portal®
CEHRT 170.315(e)(1,3)
ONC-certified portal for secure messaging, health information access, and View/Download/Transmit. FHIR integration with Apple Health and MyLinks.
Qualified Registry
CMS-Approved Qualified Registry
Direct QPP submission for MIPS, ACO Medicare CQMs, and the MVP Dashboard. A CMS-approved Qualified Registry since 2014.
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
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