RHTCMS332058
Cooperative Agreement
Overview
Grant Description
Building a healthier rural Montana: Investing in people, technology, & preventive care to strengthen health systems, improve access, & build a more resilient, sustainable future for rural communities.
- Name of organization: State of Montana (“the State”); Department of Public Health and Human Services as lead department for the State.
Names of subrecipients and sub-awardee organizations: To be determined post-award in accordance with the Montana Procurement Act and applicable federal and state procurement policies.
Likely partners include rural hospitals, community health centers, tribal health organizations, and other qualified providers.
Project goals: The State will advance five strategic goals through its proposed initiatives:
1. Workforce development – Strengthen recruitment, training, and retention of a high-skilled rural health workforce across Montana.
2. Sustainable access – Improve the long-term viability of rural providers as access points for care through operational and financial support.
3. Innovative care models – Implement and scale flexible, patient-centered care models that improve outcomes and care coordination.
4. Community health and prevention – Promote prevention and address root causes of disease through expanded access and community-based interventions.
5. Technology innovation – Expand the use of secure, efficient digital health tools to improve care delivery and access for rural patients and providers.
Total budget amount: $200 million per year for 5 years; $1 billion total.
Description of fund use: The State will implement five initiatives to achieve these goals, supported by existing state policy and targeted policy interventions as needed:
• Initiative 1: Develop Montana’s rural health workforce through recruitment, training, and retention.
• Initiative 2: Ensure the sustainability of Montana’s rural health facilities to ensure access through partnerships and restructuring.
• Initiative 3: Launch innovative care delivery and payment models to improve access and outcomes in Montana.
• Initiative 4: Invest in Montana’s community health and preventative infrastructure.
• Initiative 5: Deploy modern health care technologies for Montana’s providers and patients.
- Name of organization: State of Montana (“the State”); Department of Public Health and Human Services as lead department for the State.
Names of subrecipients and sub-awardee organizations: To be determined post-award in accordance with the Montana Procurement Act and applicable federal and state procurement policies.
Likely partners include rural hospitals, community health centers, tribal health organizations, and other qualified providers.
Project goals: The State will advance five strategic goals through its proposed initiatives:
1. Workforce development – Strengthen recruitment, training, and retention of a high-skilled rural health workforce across Montana.
2. Sustainable access – Improve the long-term viability of rural providers as access points for care through operational and financial support.
3. Innovative care models – Implement and scale flexible, patient-centered care models that improve outcomes and care coordination.
4. Community health and prevention – Promote prevention and address root causes of disease through expanded access and community-based interventions.
5. Technology innovation – Expand the use of secure, efficient digital health tools to improve care delivery and access for rural patients and providers.
Total budget amount: $200 million per year for 5 years; $1 billion total.
Description of fund use: The State will implement five initiatives to achieve these goals, supported by existing state policy and targeted policy interventions as needed:
• Initiative 1: Develop Montana’s rural health workforce through recruitment, training, and retention.
• Initiative 2: Ensure the sustainability of Montana’s rural health facilities to ensure access through partnerships and restructuring.
• Initiative 3: Launch innovative care delivery and payment models to improve access and outcomes in Montana.
• Initiative 4: Invest in Montana’s community health and preventative infrastructure.
• Initiative 5: Deploy modern health care technologies for Montana’s providers and patients.
Funding Goals
REFER TO NOFO
Grant Program (CFDA)
93.798
Funding Agency
Place of Performance
Montana
United States
Geographic Scope
State-Wide
Related Opportunity
Montana Department Of Public Health And Human Services was awarded
Rural Montana Health: Investing in People & Tech
Cooperative Agreement RHTCMS332058
worth $233,509,359
from Centers for Medicare and Medicaid Services in December 2026 with work to be completed primarily in Montana 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
$233.5M
Federal Obligation
$0.0
Non-Federal Obligation
$233.5M
Total Obligated
Activity Timeline
Additional Detail
Award ID FAIN
RHTCMS332058
SAI Number
RHTCMS332058-2781077968
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
TR3DAXR9MCN8
Awardee CAGE
1XYF7
Performance District
MT-90
Senators
Jon Tester
Steve Daines
Steve Daines
Modified: 1/5/26