Rural Health Transformation funding in South Dakota

First-year award: $189M
Reported put to work, as of Jul 31, 2026: $12.2M; 6% of the award; This figure stops at Jul 31, 2026. CMS has announced more for South Dakota since. See below.
Application rounds open today: None found

Build a plan for South Dakota →Official state program ↗

Rounds to look at

No date posted
Upcoming
Provider-operation and service-expansion grants
Medicaid Rural Health Access and Quality
The state describes a competitive process but lists no submission window.
Read the official notice ↗Checked Nov 7, 2026.

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

South Dakota has a new program homepage and directs applicants to its posting board. I could not read any notices on that board, so whether anything is open is unresolved.

The state's pages could not be fully confirmed on that review. Check with the program office directly.

Where South Dakota's money has gone so far

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

Program administration$11.6M
Appropriate care availability$348K
Fostering collaboration$200K

Read the detail with care. No information provided on Initiative 2, 4, 7, and 10. The figures are shown as CMS printed them.

Initiative detail

Connect Technology and Data for a Healthier South Dakota$1.5M

$1.5MConsultant services to help manage the Digital Health Modernization and Technology Grant Program. (Program administration)

Expand and Strengthen Rural Community Health Worker Workforce$399K

$200KOngoing technical assistance, support and guidance for organizations who are looking to start or expand a Community Health Worker/Community Health Representative (CHW/CHR) program. (Appropriate care availability)
$200KOngoing technical assistance, support and guidance for organizations who are looking to start or expand a CHW/CHR program. (Fostering collaboration)

Medicaid Primary Accountable Care Transformation$63K

$63KProject management, coordination, and technical support across multiple Rural Health Transformation (RHT) initiatives. (Program administration)

Medicaid Rural Health Access and Quality Grants$125K

$125KProject management, coordination, and technical support across multiple RHT initiatives. (Program administration)

Regional Maternal and Infant Health Hubs$651K

$148KMaternal Health Hub grant recipient to strengthen regional rural maternal healthcare availability and resources. (Appropriate care availability)
$503KProject management support for the Chronic Disease Management initiative. (Program administration)

Integrated Behavioral Health through CCBHC & Collaborative Care$63K

$63KProject management, coordination, and technical support across multiple RHT initiatives. (Program administration)

Program operations$9.4M

$9.4MSalaries, fringe benefits, travel, expenses, and indirect costs for South Dakota RHT Management Staff and program implementation. (Program administration)

Source: RHTP Obligated Funds Report ↗

What CMS has announced for South Dakota

Funding is one part of the job

A round in South Dakota 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.

Talk through your project →

Thirty minutes, confidential, no cost.

What I do →The Execution Review →

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.

Have a project in South Dakota?

Answer a few questions and see whether it has a path, what stands in the way, and what to do first.

Build a plan →