RHTCMS332053
Cooperative Agreement
Overview
Grant Description
The Delaware Rural Health Transformation Plan addresses critical healthcare access and outcome disparities affecting approximately 400,000 residents in rural Sussex and Kent counties.
- Delaware Rural Health Transformation Plan - Project Summary
Lead organization: Delaware Department of Health and Social Services (DHSS), in partnership with the Division of Public Health (DPH) and the Governor's Office
Known partner organizations: Delaware State Housing Authority, Delaware Health Care Commission, Delaware Division of Libraries, Delaware Health Information Network (DHIN), Smart Health Network, Delaware Council on Farm & Food Policy, La Red Health Center, Westside Family Healthcare, Tidal Health, Beebe Healthcare, Bayhealth, ChristianaCare, Highmark Health Options, Nemours Children's Health, Delaware State University, University of Delaware, Delaware Technical Community College, and numerous community-based organizations.
Total budget: $1 billion over five years ($935.5M in direct costs + $64.5M in indirect costs).
Project goals: Delaware's Rural Health Transformation Plan addresses critical healthcare disparities affecting approximately 400,000 residents in rural Sussex and Kent counties through 15 integrated initiatives.
The plan aims to:
1. Expand access: Establish Hope Centers for homeless populations, deploy mobile health units, create school-based health centers, and expand library-based health services to eliminate transportation barriers and bring care directly to rural communities.
2. Strengthen workforce: Create Delaware's first medical school with a primary care-rural health track, establish "Train Here, Stay Here" programs with education awards for medical students and residents, and expand training programs for nurse practitioners, physician assistants, community health workers, and other critical healthcare roles.
3. Drive innovation: Build comprehensive health IT infrastructure for real-time insurance verification and prior authorizations, launch a Catalyst Fund for telehealth and remote monitoring technologies, and implement a diabetes wellness pilot integrating continuous glucose monitoring with care management.
4. Improve outcomes: Deploy food is medicine infrastructure with billing mechanisms and workforce development, establish value-based care readiness programs for rural providers and FQHCs, and create a healthcare workforce data center for real-time tracking of progress.
Use of funds: The $1 billion investment will transform rural healthcare delivery in Delaware through infrastructure development ($97.5M for Hope Centers, $50M for health information exchange), workforce development ($274M for medical school and training programs, $60.25M for educational awards and recruitment), expanded access points ($23M for mobile units, school health centers, and library services), technology innovation ($106.5M for Catalyst Fund and diabetes pilot), and sustainable care delivery models ($308M for value-based care readiness and food is medicine infrastructure and $16.25M for workforce data infrastructure).
By addressing root causes—workforce shortages, outdated care delivery models, and underutilized payment mechanisms—rather than providing temporary subsidies, this plan creates sustainable improvements in access, quality, and health outcomes for Delaware's rural communities.
- Delaware Rural Health Transformation Plan - Project Summary
Lead organization: Delaware Department of Health and Social Services (DHSS), in partnership with the Division of Public Health (DPH) and the Governor's Office
Known partner organizations: Delaware State Housing Authority, Delaware Health Care Commission, Delaware Division of Libraries, Delaware Health Information Network (DHIN), Smart Health Network, Delaware Council on Farm & Food Policy, La Red Health Center, Westside Family Healthcare, Tidal Health, Beebe Healthcare, Bayhealth, ChristianaCare, Highmark Health Options, Nemours Children's Health, Delaware State University, University of Delaware, Delaware Technical Community College, and numerous community-based organizations.
Total budget: $1 billion over five years ($935.5M in direct costs + $64.5M in indirect costs).
Project goals: Delaware's Rural Health Transformation Plan addresses critical healthcare disparities affecting approximately 400,000 residents in rural Sussex and Kent counties through 15 integrated initiatives.
The plan aims to:
1. Expand access: Establish Hope Centers for homeless populations, deploy mobile health units, create school-based health centers, and expand library-based health services to eliminate transportation barriers and bring care directly to rural communities.
2. Strengthen workforce: Create Delaware's first medical school with a primary care-rural health track, establish "Train Here, Stay Here" programs with education awards for medical students and residents, and expand training programs for nurse practitioners, physician assistants, community health workers, and other critical healthcare roles.
3. Drive innovation: Build comprehensive health IT infrastructure for real-time insurance verification and prior authorizations, launch a Catalyst Fund for telehealth and remote monitoring technologies, and implement a diabetes wellness pilot integrating continuous glucose monitoring with care management.
4. Improve outcomes: Deploy food is medicine infrastructure with billing mechanisms and workforce development, establish value-based care readiness programs for rural providers and FQHCs, and create a healthcare workforce data center for real-time tracking of progress.
Use of funds: The $1 billion investment will transform rural healthcare delivery in Delaware through infrastructure development ($97.5M for Hope Centers, $50M for health information exchange), workforce development ($274M for medical school and training programs, $60.25M for educational awards and recruitment), expanded access points ($23M for mobile units, school health centers, and library services), technology innovation ($106.5M for Catalyst Fund and diabetes pilot), and sustainable care delivery models ($308M for value-based care readiness and food is medicine infrastructure and $16.25M for workforce data infrastructure).
By addressing root causes—workforce shortages, outdated care delivery models, and underutilized payment mechanisms—rather than providing temporary subsidies, this plan creates sustainable improvements in access, quality, and health outcomes for Delaware's rural communities.
Funding Goals
REFER TO NOFO
Grant Program (CFDA)
93.798
Funding Agency
Place of Performance
Delaware
United States
Geographic Scope
State-Wide
Related Opportunity
Executive Office Of The Governor Of Delaware was awarded
Delaware Rural Health Transformation Plan: Addressing Disparities
Cooperative Agreement RHTCMS332053
worth $157,394,964
from Centers for Medicare and Medicaid Services in December 2026 with work to be completed primarily in Delaware 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 1/5/26
Period of Performance
12/29/25
Start Date
10/30/30
End Date
Funding Split
$157.4M
Federal Obligation
$0.0
Non-Federal Obligation
$157.4M
Total Obligated
Activity Timeline
Additional Detail
Award ID FAIN
RHTCMS332053
SAI Number
RHTCMS332053-539130531
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
GKQPH6J32LN7
Awardee CAGE
3QMB4
Performance District
DE-00
Senators
Thomas Carper
Christopher Coons
Christopher Coons
Modified: 1/5/26