Rural Health Transformation funding in Delaware

First-year award: $157M
Reported put to work, as of Jul 31, 2026: $76.9M; 49% of the award; This figure stops at Jul 31, 2026. CMS has announced more for Delaware since. See below.
Application rounds open today: None found

Build a plan for Delaware →Official state program ↗

Rounds to look at

No date posted
Upcoming
Rural Health Challenge startup cohort
Delaware RHTP / DPP
$5M. Up to $5 million total in milestone-based grants to a competitive startup cohort.
Startups will be recruited after the priority challenges are identified. No deadline is posted.
Read the official notice ↗Checked Nov 7, 2026.

What the state review found, as of Nov 7, 2026

The Delaware Rural Health Challenge operator RFP deadline passed October 5. The authorized program partner describes a subsequent health-tech startup cohort to be recruited after challenge priorities are identified; no startup application window is stated.

Closed rounds (1)

Oct 5, 2026
Closed
Rural Health Challenge program operator RFP
Delaware RHTP / DPP
Read the official notice ↗Checked Oct 28, 2026.

Where Delaware's money has gone so far

As Delaware reported it to CMS through Jul 31, 2026. These are commitments to agencies, contractors and partners, not a measure of what has reached patients.

Capital and infrastructure$29.2M
Innovative care$23.1M
Prevention and chronic disease$12M
Workforce$4.2M
IT advances$3.2M
Fostering collaboration$3M
Program administration$853K
Training and technical assistance$481K
Consumer technology$387K
Behavioral health$328K
Appropriate care availability$281K

Read the detail with care. CMS's category lines for Delaware differ from its headline by $48,795. The line items below differ from the headline by $48,795. No information provided for Initiatives 5, 7,10,12,13. The figures are shown as CMS printed them.

Initiative detail

Rural "Hope Center"$26.4M

$17MEstablishing two new Hope Centers in Kent and Sussex Counties to serve homeless rural populations through integrated housing, primary care, behavioral health, and social services. (Capital and infrastructure)
$9.3MEstablishing two new Hope Centers in Kent and Sussex Counties to serve homeless rural populations through integrated housing, primary care, behavioral health, and social services. (Prevention and chronic disease)

Rural Community Health Hubs$49K

$49KRecruiting and providing highly qualified personnel to support implementation specific to (Program administration)

Initiative 3: School-Based Health Centers Expansion$49K

$49KEstablishing school-based health centers, including all planning, startup, and operational readiness activities. (Prevention and chronic disease)

Food is Medicine Infrastructure$1.6M

$325KDesigning the billing, payment, technology, and evaluation infrastructure required for Food is Medicine (FIM) services to be reimbursable through Medicaid, integrated into provider electronic medical record (EMR) systems, and rigorously evaluated for clinical and cost outcomes for Kent & Sussex County. (Fostering collaboration)
$325KDesigning the billing, payment, technology, and evaluation infrastructure required for FIM services to be reimbursable through Medicaid, integrated into provider EMR systems, and rigorously evaluated for clinical and cost outcomes for Kent & Sussex County. (Prevention and chronic disease)
$999KLeading a multi-partner program that integrates food-based nutritional interventions into clinical care for rural Delawareans living with diet-sensitive chronic conditions. (Prevention and chronic disease)

Rural Provider and FQHC Value-Based Care Readiness$22.1M

$175KObtaining certain services to address persistent barriers to healthcare access and value- based payment adoption. (Consumer technology)
$149KProviding strategic consulting and technical assistance to Delaware to develop its Action Plan for Rural Care Transformation, including related planning, stakeholder engagement, and deliverable development. (Innovative care)
$200KDeveloping financial modeling to support evaluation of existing value-based care opportunities, such as the federal Achieving Healthcare Efficiency through Accountable Design (AHEAD) model. (Innovative care)
$9.6MImplementing a comprehensive value-based care transformation initiative to strengthen clinical, operational, and financial readiness for participation in alternative payment models and improve health outcomes for medically underserved populations. (Innovative care)
$11.8MObtaining certain services to address persistent barriers to healthcare access and value-based payment adoption. (Innovative care)
$212KObtaining certain services to address persistent barriers to healthcare access and value- based payment adoption. (Prevention and chronic disease)

Rural Delaware Diabetes Wellness Pilot Program$930K

$59KImplementing a comprehensive diabetes prevention and control initiative designed to identify individuals at risk of developing type 2 diabetes and connect rural Sussex County residents to evidence-based prevention services, health education, and coordinated support. (Consumer technology)
$153KImplementing a comprehensive diabetes wellness pilot program designed to improve diabetes prevention, management, and health outcomes among rural Sussex County residents through technology-enabled, patient-centered care. (Consumer technology)
$153KImplementing a comprehensive diabetes wellness pilot program designed to improve diabetes prevention, management, and health outcomes among rural Sussex County residents through technology-enabled, patient-centered care. (Fostering collaboration)
$257KImplementing a comprehensive diabetes prevention and control initiative designed to identify individuals at risk of developing type 2 diabetes and connect rural Sussex County residents to evidence-based prevention services, health education, and coordinated support. (Prevention and chronic disease)
$153KImplementing a comprehensive diabetes wellness pilot program designed to improve diabetes prevention, management, and health outcomes among rural Sussex County residents through technology-enabled, patient-centered care. (Prevention and chronic disease)
$153KImplementing a comprehensive diabetes wellness pilot program designed to improve diabetes prevention, management, and health outcomes among rural Sussex County residents through technology-enabled, patient-centered care. (Training and technical assistance)

Delaware Medical School$16.8M

$12.1MEstablishing a medical school and creating an innovative medical education pipeline. (Capital and infrastructure)
$890KEstablishing a medical school and creating an innovative medical education pipeline. (Fostering collaboration)
$3.8MEstablishing a medical school and creating an innovative medical education pipeline. (Workforce)

Rural Medical Residency Recruitment Program$140K

$140KEducation awards for eligible third- and fourth-year medical students enrolled at Sidney Kimmel Medical College (SKMC) who make a commitment to serving five years in Rural Delaware. (Workforce)

Healthcare Workforce Data Center$1.4M

$281KEnsuring funding from the Rural Health Transformation Program is spent according to the project plan for establishing the Healthcare Workforce Data Center Initiative. (Appropriate care availability)
$281KEnsuring funding from the Rural Health Transformation Program is spent according to the project plan for establishing the Healthcare Workforce Data Center Initiative. (Fostering collaboration)
$561KEnsuring funding from the Rural Health Transformation Program is spent according to the project plan for establishing the Healthcare Workforce Data Center Initiative. (IT advances)
$281KEnsuring funding from the Rural Health Transformation Program is spent according to the project plan for establishing the Healthcare Workforce Data Center Initiative. (Workforce)

Statewide Health Information Technology Infrastructure for Real- Time Insurance Verification and Prior Authorizations$6.5M

$328KAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (Behavioral health)
$1.3MAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (Fostering collaboration)
$1.3MAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (Innovative care)
$2.6MAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (IT advances)
$655KAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (Prevention and chronic disease)
$328KAddressing persistent connectivity gaps in rural Delaware by creating comprehensive digital infrastructure connecting rural providers, payers, hospital systems, and patients through Smart Health Network and Delaware Health Information Network. (Training and technical assistance)

Program operations$804K

$406KImplementation and operational activities for the Rural Health Transformation Program (RHTP), including initiative support, implementation assistance, financial monitoring, and federal reporting preparation. (Program administration)
$114KAdministrative support services for the planning, coordination, oversight, monitoring, and reporting of RHTP activities and expenditures. (Program administration)
$285KRecruiting and providing highly qualified personnel to support RHTP implementation. (Program administration)

Source: RHTP Obligated Funds Report ↗

What CMS has announced for Delaware

Funding is one part of the job

A round in Delaware can pay for the work. It cannot give you an owner, a plan your board trusts, or a go-live your staff believe in. That is the work I do with community and rural hospitals.

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Who built this

Jeff Paul

Founder & Principal, JP Healthcare Advisors

During eight years at Cerner, I worked across 170+ healthcare technology deployments. My deepest specialization was CommunityWorks: more than 90 community, rural, district, and critical-access hospitals in 34 states, including 62 critical-access hospitals.

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