Rural Health Transformation funding in Virginia
- First-year award
- $190M
- Reported put to work, as of Jul 31, 2026
- $127M
- 67% of the award
- This figure stops at Jul 31, 2026. CMS has announced more for Virginia since. See below.
- Application rounds open today
- 1
Rounds to look at
- Nov 23, 2026OpenMobile and Hybrid Care regional RFAs (five regional collaboratives)Connected Care / Mobile and Hybrid Care
$11.8M. The state's navigator lists $11.8 million on each regional RFA without saying whether the regions share it.
Apply to the regional collaborative where the work is centered: Southwest Virginia; Roanoke-Alleghany, Central Shenandoah and New River Valley; Northern Piedmont; Southside; or Eastern Shore, Northern Neck, Middle Peninsula and Hampton Roads. Each posts its own RFA. Active Kids, once listed here, has closed.
Read the official notice ↗Checked Nov 9, 2026.
- No date postedUpcomingConsumer Tech for Education and Lifestyle ChangeLive Well, Together
Run by the Virginia Foundation for Healthy Youth. The state's navigator said fall 2026; its apply page now says to be determined.
Read the official notice ↗Checked Nov 7, 2026.
- No date postedUpcomingIntegrated Care for Duals RFPLive Well, Together
Run by the Department for Aging and Rehabilitative Services. One award is expected. The state's navigator said October 2026; its apply page now says to be determined.
Read the official notice ↗Checked Nov 7, 2026.
What the state review found, as of Nov 7, 2026
Five regional collaboratives take Mobile and Hybrid Care applications until November 23, 2026. The CareIQ Tech Innovation Fund closed October 29, and Active Kids has closed. The Integrated Care for Duals RFP and the Consumer Tech round are listed as to be determined.
Closed rounds (1)
- Oct 29, 2026Closed
Where Virginia's money has gone so far
As Virginia reported it to CMS through Jul 31, 2026. These are commitments to agencies, contractors and partners, not a measure of what has reached patients.
- Workforce$30.7M
- IT advances$26M
- Appropriate care availability$22M
- Consumer technology$21.8M
- Training and technical assistance$14.8M
- Program administration$7.6M
- Prevention and chronic disease$3.7M
Initiative detail
CareIQ$50.7M
- $9.9MAdminister a Tech Innovation Fund grant program for companies developing consumer health technologies for disease prevention and management, particularly those deploying advanced technologies to improve access, care coordination, and patient outcomes in rural areas. (Consumer technology)
- $16.1MSupporting independent rural providers, Federally Qualified Health Centers (FQHCs), rural health clinics (RHCs), free clinics, and eligible health systems in modernizing their digital infrastructure--closing the technology gap that often prevents rural providers from keeping pace with electronic health records (EHR) and cybersecurity advancements. (IT advances)
- $9.9MSupporting the adoption of decision-support, documentation, and workflow tools, including artificial intelligence (AI) advances, to reduce administrative burden, ease provider burnout and allow rural clinicians to focus more of their valuable time on patient care. (IT advances)
- $14.8MSupporting remote patient monitoring programs (RPM) including training and technical assistance related to the RPM initiative, wearable RPM devices, patient-facing applications, clinical dashboards, integration of device data with EHR and data systems to support outcomes tracking, patient compliance and engagement support, and ongoing technology evaluation. (Training and technical assistance)
Homegrown Health Heroes$20.8M
- $5.9MSupporting increases in the number of allied health professionals in rural Virginia through the purchase of mobile training labs and equipment, technology upgrades at colleges, support for additional allied health instructor positions, rural marketing and recruitment, and program development including curriculum development and technical assistance to stand up programs. (Workforce)
- $9.9MSupporting the creation of additional residency slots by using funds for wraparound supports, costs associated with activating rural clinical rotations, and reasonable costs for health systems to operate residency slots. Emphasis will be placed on high-need specialties identified by Department of Medical Assistance Services (DMAS) including but not limited to primary care, Obstetrics- Gynecology (OB-GYN), psychiatry, and nurse-midwifery residencies. (Workforce)
- $4.9MSupporting employers interested in establishing new registered apprenticeship programs (RAP) for allied health professions and expanding existing programs for allied health professions. Provide wraparound supports for RAP participants and develop early career pipelines; support on the job training and related technical instruction through financial incentives and program development support for employers. (Workforce)
Connected Care, Closer to Home$31.9M
- $4.9MSupporting implementation of pilot projects to expand existing community paramedicine and mobile integrated healthcare programs serving rural communities and regional implementation support to collectively advance innovative healthcare delivery models in rural Virginia. (Appropriate care availability)
- $12.3MSupporting innovative maternal health initiatives across rural Virginia through community- based organizations and healthcare providers that expand access to prenatal, labor and delivery, postpartum, and perinatal services as well as strengthen care coordination, address workforce and transportation barriers, leverage evidence-based technologies, and establish sustainable models that improve maternal and infant health outcomes. (Appropriate care availability)
- $4.8MSupporting the start-up and implementation of mobile and hybrid care models that expand access to health care services in rural communities, including equipment, time-limited personnel costs, data infrastructure, minor facility renovations, technical assistance for care and value-based payment model development, and training for physicians and clinical staff. (Appropriate care availability)
- $9.9MProviding support for equipment, materials and supplies, curriculum development, instructor training, dual enrollment opportunities, high-quality work-based learning experiences, and student industry recognized certifications for emerging and current Career and Technical Education (CTE) Health and Medical Sciences programs or related activities at rural school divisions. (Workforce)
Live Well, Together$15.6M
- $2MSupporting the development and deployment of a multilingual technology platform that helps dual-eligible seniors understand, compare, and enroll in integrated Medicare-Medicaid plan options, while providing training and technical assistance to Area Agencies on Aging (AAAs) and community-based organizations to support outreach, education, and enrollment assistance in home and community settings. (Consumer technology)
- $9.9MSupporting pilots that implement, test, or scale consumer-facing digital health tools and technologies that help rural Virginians build health literacy, manage their health, and make sustainable lifestyle and behavioral changes, while supporting digital literacy, outcome tracking, partnership development, rural outreach, and sustainability through alternative payment and reimbursement models. (Consumer technology)
- $2.5MSupporting the infrastructure and start-up costs necessary to establish Food Is Medicine pilot programs for food-insecure rural patients by providing access to food pharmacy services, produce prescriptions, nutrition counseling, medically tailored meals, and the technology, data systems, partnerships, technical assistance, analytics, and sustainability planning needed to support implementation and explore alternative payment and reimbursement models. (Prevention and chronic disease)
- $1.2MSupporting Play Space Activation Grants and Active Programming Grants that increase youth access to safe physical activity opportunities through facility upgrades, recreation equipment, sports and movement-based programming to expand access to physical activity in communities. (Prevention and chronic disease)
Program operations$7.6M
- $3.7MThe Virginia DMAS to administer and oversee program operations, track expenditures and financial performance, manage payments, monitor initiative implementation, and coordinate with subrecipients and partners in support of Virginia's Rural Health Transformation Plan. $1,748,896.00for the evaluation partner to support performance metrics collection, data analysis, and reporting for Centers for Medicare and Medicaid Services (CMS) compliance. (Program administration)
- $2.1MGrants administration, technical assistance, compliance support, and program integrity contractor to promote effective implementation, compliance, and oversight. (Program administration)
Source: RHTP Obligated Funds Report ↗
What CMS has announced for Virginia
Funding is one part of the job
A round in Virginia 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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