CA California
Plan California Rural Health Transformation Program (CalRHT)
1 distribution gate. 15 sub-initiatives. $233.6M in motion.
The California Atlas names every gate that controls the money, every program officer, every dollar tracked. Source-cited PDF, refreshed quarterly. It shows you what it takes to be fundable here.
FY26 award
$233,639,308 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-05-29
- 57 rural counties
- 0.85M rural pop.
- 108 rural hospitals
- 1 distribution gates
- 15 sub-initiatives
California's award and rural demographics are verified against primary sources. The initiative budget is still under CMS review, so allocations are not yet final and are not shown. This page upgrades to the full money-flow breakdown the moment California publishes its approved budget.
Key dates
When the money moves.
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FY26 award announced CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-05-28
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Program period (FY26 to FY30) CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-05-28
The plan
3 initiatives. 15 sub-initiatives.
Rural Health Transformative Care Model (TCM) Initiative
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Regional hub-and-spoke networks California's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 8 | under review |
| Targeted transformation payments California's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 8 | under review |
| Project ECHO (Extension for Community Healthcare Outcomes) California's Rural Health Transformation funding area supporting behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 6 | under review |
| Family medicine with obstetrics fellowships California's Rural Health Transformation funding area supporting value-based care and provider payment models and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 56 | under review |
| OB Nest prenatal care model California's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 36 | under review |
| e-Consult and perinatal psychiatry access California's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 36 | under review |
| Accelerator partners California's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 8 | under review |
Rural Health Workforce Development Initiative
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Statewide Workforce Mapping and Planning Tool California's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 5 | under review |
| Education pathways (high school to universities) with wraparound supports California's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 5 | under review |
| Regional upskilling via Train-the-Trainer programs California's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 5 | under review |
| New care roles (community health workers and doulas) California's Rural Health Transformation funding area supporting value-based care and provider payment models and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 56 | under review |
Rural Health Technology & Tools Initiative
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Infrastructure, EHR, health information exchange, and cybersecurity California's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 4 | under review |
| Technical Assistance Center California's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 34 | under review |
| Telehealth and e-consult scaling California's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 3 | under review |
| Remote patient monitoring and patient-centered digital tools California's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 3 | under review |
Primary documents
1 state-published documents tracked.
People to know
Who decides where the money goes.
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Program administration California Department of Health Care Access and Information
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Director, California Department of Health Care Access and Information (HCAI) California Department of Health Care Access and Information
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Secretary, California Health and Human Services Agency California Health and Human Services Agency
Procurement portals