Rural Health Transformation funding in Washington

First-year award: $181M
Reported put to work, as of Jul 31, 2026: $123M; 68% of the award
Application rounds open today: None found

Build a plan for Washington →Official state program ↗

Rounds to look at

No date posted
Upcoming
DOH rural workforce incentives
Washington RHT / DOH
Incentives range from $15,000 to $100,000; DOH plans 50 to 100 of them.
Washington's Department of Health lists these for its first performance period but posts no application window yet.
Read the official notice ↗Checked Nov 7, 2026.

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

The Department of Health says it has no open RHTP funding opportunities and plans 50 to 100 rural workforce incentives, with no window posted yet. HCA's participation page did not render on my check; on October 28 it said no competitive bids were open.

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

Closed rounds (1)

No date posted
Closed
Competitive funding opportunities
Washington RHT
Read the official notice ↗Checked Oct 28, 2026.

Where Washington's money has gone so far

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

Innovative care$56.3M
Workforce$48.7M
Behavioral health$4.9M
Not categorized in the report$4.9M
Program administration$4M
Prevention and chronic disease$2.8M
Fostering collaboration$2.7M
Training and technical assistance$2.6M

Read the detail with care. CMS's category lines for Washington differ from its headline by $4,091,160. The figures are shown as CMS printed them.

Initiative detail

Ignite Innovation in Washington's Rural Hospitals$49.6M

$42MInvesting in critical technology infrastructure and maintenance needs. (Innovative care)
$5.4MExpand rural health network. (Innovative care)
$2.1MPayment model for long term disability. (Innovative care)

Prevent Disease and Manage Care in Community Settings$18.7M

$7KEquipment for Initiative 2. (Prevention and chronic disease)
$5.6MExpanding community-based workforce, expand & build dementia resources. (Workforce)
$13.1MEmbedding testing & training sites for long-term care, expanding dementia resources, and triaging in rural areas. (Workforce)

Invest in the Health of Native Families$2.7M

$2.7MSupporting health information exchange. (Fostering collaboration)

Adopt Technology and Data Solutions to Enable Health Improvements$6.7M

$6.7MAdopt technology & data solutions to enable health improvements. (Innovative care)

Develop Washington's Rural Workforce to Support Rural Communities$32.6M

$2.6MThe Rural Practitioner Training Program. (Training and technical assistance)
$22.9MRural Nursing Education Program (RNEP), Grow Your Own, workforce incentive. (Workforce)
$1.7MGrow Your Own. (Workforce)
$5.5MDeveloping Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) rural family residency network. (Workforce)

Expand and Sustain Washington's Rural Behavioral Health System$7.6M

$4.9MSupporting youth in rural communities. (Behavioral health)
$2.7MExpanding mobile crisis. (Prevention and chronic disease)

Program operations$4.8M

$1MPersonnel costs within Health Care Authority to operate program. (Program administration)
$283KFringe Benefit costs within Health Care Authority to operate program. (Program administration)
$17KOffice supplies within Health Care Authority. (Program administration)
$25KOther (cell) within Health Care Authority. (Program administration)
$3KTravel expenses for Centers for Medicare and Medicaid Services (CMS) Conference. (Program administration)
$361KIndirect (admin). (Program administration)
$1.2MPersonnel costs within Department of Health (DOH) to operate program. (Program administration)
$362KFringe benefit costs within Department of Social and Health Services (DSHS) to operate program. (Program administration)
$44KOffice supplies within DOH. (Program administration)
$31KOther (cell) within DOH. (Program administration)
$24KInitiative 0.0 - contracted advisory group facilitator. (Program administration)
$294KPersonnel costs within DSHS to operate program. (Program administration)
$85KFringe Benefit costs within DSHS to operate program. (Program administration)
$5KOffice supplies within DSHS. (Program administration)
$7KOther costs within DSHS. (Program administration)
$268KIndirect. (Program administration)

Program Administration Expense for Initiatives 2, 5, and 6$4.9M

$777KInitiatives 2, 5, and 6.

Source: RHTP Obligated Funds Report ↗

Funding is one part of the job

A round in Washington 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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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.

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