RHTCMS332051
Cooperative Agreement
Overview
Grant Description
Utah Rural Health Transformation Program: A bold, multi-faceted innovative effort aimed at generational investments to build resilient, sustainable rural health systems.
Utah geographically is the 13th largest state and 77% rural.
Rural residents in Utah face persistent healthcare barriers including geographic isolation, provider shortages, aging infrastructure, and economic hardships.
These challenges contribute to higher rates of chronic disease, behavioral health issues, and poor maternal and child health outcomes.
Addressing these challenges requires building a sustainable, patient-centered system of care to improve outcomes and ensure the long-term viability of rural healthcare in Utah.
Utah’s Rural Health Transformation Program (RHTP) is a bold, multi-faceted innovative effort aimed at generational investments to build resilient, sustainable rural health systems.
This outcome-focused program will be guided by four strategic pillars—making rural Utahns healthy, workforce development, innovation and access, and technology innovation.
Within these strategic pillars, Utah will implement seven integrated initiatives in collaboration with state, local, tribal, and community partners to create a rural health ecosystem designed to improve health outcomes: PATH (Preventive Action and Transformation for Health); RISE (Rural Incentive and Skill Expansion); SHIFT (Sustaining Health Infrastructure for Transformation); FAST (Financial Approaches for Sustainable Transformation); LIFT (Leveraging Innovation for Facilitated Telehealth); SUPPORT (Shared Utilities for Partnered Provider Operational Resources and Technology); and LINCS (Leveraging Interoperability Networks to Connect Services).
Combined, these initiatives will create financially sustainable health systems while supporting healthy lifestyles for rural Utahns, beginning in childhood and extending across the lifespan.
PATH fosters lifelong wellness through improved nutrition, physical activity, and healthy environments.
RISE strengthens the rural workforce through early and alternative career pathways, education, training, and structured provider incentives.
SHIFT strategically invests in preventive care infrastructure to advance proactive, community-based health delivery systems, while strengthening public health capacity.
FAST drives high-quality care, cost efficiency, and financial stability in rural health systems.
LIFT expands access to care through telehealth to overcome geographic barriers.
SUPPORT modernizes digital and administrative systems to enhance operational efficiency.
And LINCS improves and optimizes data sharing across clinics, hospitals, behavioral health providers, and community organizations to enable coordinated care.
Created through robust stakeholder engagement, these initiatives aim to unite rural providers, community partners, and public health entities to transform healthcare delivery, strengthen patient-centered care, and drive measurable improvements in health, coordination, and financial sustainability across rural Utah.
Utah’s RHTP framework ascribes to a core Utah financing principle: to use one-time funding to convert short-term investments into lasting operational efficiencies and policy reforms.
By aligning financial incentives, modernizing infrastructure, expanding telehealth capacity, and addressing workforce shortages, Utah is positioned to cultivate a data-driven, patient-centered rural health system that supports providers to thrive and ensures rural Utahns have consistent access to high-quality care for generations to come.
Lead organization: Utah Department of Health and Human Services
Subrecipients/Sub-awardees: Post notice of award, the state will select subrecipients.
Total budget amount requested: $1,000,000,000
Utah geographically is the 13th largest state and 77% rural.
Rural residents in Utah face persistent healthcare barriers including geographic isolation, provider shortages, aging infrastructure, and economic hardships.
These challenges contribute to higher rates of chronic disease, behavioral health issues, and poor maternal and child health outcomes.
Addressing these challenges requires building a sustainable, patient-centered system of care to improve outcomes and ensure the long-term viability of rural healthcare in Utah.
Utah’s Rural Health Transformation Program (RHTP) is a bold, multi-faceted innovative effort aimed at generational investments to build resilient, sustainable rural health systems.
This outcome-focused program will be guided by four strategic pillars—making rural Utahns healthy, workforce development, innovation and access, and technology innovation.
Within these strategic pillars, Utah will implement seven integrated initiatives in collaboration with state, local, tribal, and community partners to create a rural health ecosystem designed to improve health outcomes: PATH (Preventive Action and Transformation for Health); RISE (Rural Incentive and Skill Expansion); SHIFT (Sustaining Health Infrastructure for Transformation); FAST (Financial Approaches for Sustainable Transformation); LIFT (Leveraging Innovation for Facilitated Telehealth); SUPPORT (Shared Utilities for Partnered Provider Operational Resources and Technology); and LINCS (Leveraging Interoperability Networks to Connect Services).
Combined, these initiatives will create financially sustainable health systems while supporting healthy lifestyles for rural Utahns, beginning in childhood and extending across the lifespan.
PATH fosters lifelong wellness through improved nutrition, physical activity, and healthy environments.
RISE strengthens the rural workforce through early and alternative career pathways, education, training, and structured provider incentives.
SHIFT strategically invests in preventive care infrastructure to advance proactive, community-based health delivery systems, while strengthening public health capacity.
FAST drives high-quality care, cost efficiency, and financial stability in rural health systems.
LIFT expands access to care through telehealth to overcome geographic barriers.
SUPPORT modernizes digital and administrative systems to enhance operational efficiency.
And LINCS improves and optimizes data sharing across clinics, hospitals, behavioral health providers, and community organizations to enable coordinated care.
Created through robust stakeholder engagement, these initiatives aim to unite rural providers, community partners, and public health entities to transform healthcare delivery, strengthen patient-centered care, and drive measurable improvements in health, coordination, and financial sustainability across rural Utah.
Utah’s RHTP framework ascribes to a core Utah financing principle: to use one-time funding to convert short-term investments into lasting operational efficiencies and policy reforms.
By aligning financial incentives, modernizing infrastructure, expanding telehealth capacity, and addressing workforce shortages, Utah is positioned to cultivate a data-driven, patient-centered rural health system that supports providers to thrive and ensures rural Utahns have consistent access to high-quality care for generations to come.
Lead organization: Utah Department of Health and Human Services
Subrecipients/Sub-awardees: Post notice of award, the state will select subrecipients.
Total budget amount requested: $1,000,000,000
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
93.798
Funding Agency
Place of Performance
Utah
United States
Geographic Scope
State-Wide
Related Opportunity
Utah Department Of Health And Human Services was awarded
Utah Rural Health Transformation Program: Building Sustainable Systems
Cooperative Agreement RHTCMS332051
worth $195,743,566
from Centers for Medicare and Medicaid Services in December 2026 with work to be completed primarily in Utah United States.
The grant
has a duration of 4 years 10 months and
was awarded through assistance program 93.798 .
The Cooperative Agreement was awarded through grant opportunity Rural Health Transformation Program.
Status
(Ongoing)
Last Modified 3/5/26
Period of Performance
12/29/25
Start Date
10/30/30
End Date
Funding Split
$195.7M
Federal Obligation
$0.0
Non-Federal Obligation
$195.7M
Total Obligated
Activity Timeline
Transaction History
Modifications to RHTCMS332051
Additional Detail
Award ID FAIN
RHTCMS332051
SAI Number
RHTCMS332051-489380419
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
State Government
Awarding Office
75FCMC OFC OF ACQUISITION AND GRANTS MGMT
Funding Office
75FCME OFM – OFFICE OF FINANCIAL MANAGEMENT.
Awardee UEI
C172TQML5G99
Awardee CAGE
3LRJ4
Performance District
UT-90
Senators
Mike Lee
Mitt Romney
Mitt Romney
Modified: 3/5/26