ME Maine

Plan Maine Rural Health Transformation Program

1 distribution gate. 24 sub-initiatives. $190.0M in motion.

The Maine 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.

$190.0M24 sub-initiatives · split in the Atlas
ME DHHS
Dollar split, officers, and deadlines: in the Atlas. →

FY26 award

$190,008,051

$968.6M planned over 5 years

Lead agency ME DHHS
Co-leads OMS, Maine CDC, OBH
Per rural resident $275
  • 12 rural counties
  • 0.69M rural pop. · 0.56M Census ACS
  • 23 rural hospitals
  • 1 distribution gates
  • 24 sub-initiatives
Last verified 2026-05-29 (16d ago, aging) sources published 2025-12-29 11 primary sources cited 0xbf489ece…28995f provenance receipt
Preliminary

Maine'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 Maine publishes its approved budget.

Key dates

When the money moves.

  1. milestone

    FY26 award announced

  2. upcoming

    Program period (FY26 to FY30)

The plan

5 initiatives. 24 sub-initiatives.

Initiative 1 - Population Health: Promoting timely access to high-quality care

$182.0M over 5y
Sub-initiative Gate Categories 5Y
Activity 1.1: Alternative Sites of Care (Mobile Units, CCBHC co-location, SBHCs) Maine's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 17 under review
Activity 1.2: Spreading Evidence-Based Practices (EBPs) Maine's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 1 under review
Activity 1.3: Nutrition Education Infrastructure Maine's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 1 under review
Activity 1.4: Community Paramedicine (CP) Programs Maine's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 17 under review
Activity 1.5: Community Health Worker and Peer Support Programs Maine's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 15 under review
Activity 1.6: Mental Health and SUD Services for Special Populations (including tribal) Maine'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

Initiative 2 - Workforce: Strengthening Maine's rural health workforce

$202.7M over 5y
Sub-initiative Gate Categories 5Y
Activity 2.1: Recruitment and Retention Maine'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
Activity 2.2: Local Workforce Development and Training Pipelines (K-12, HTFM, CHET, mobile labs) Maine'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
Activity 2.3: Innovation - Workforce Data Dashboard and Transportation Pilot Maine'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

Initiative 3 - Technology Innovation: Modernizing rural care delivery with digital health technology

$200.9M over 5y
Sub-initiative Gate Categories 5Y
Activity 3.1: Expanded Telehealth Services Maine'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
Activity 3.2: EMR Systems, Cybersecurity, and EMS Connectivity Maine's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 46 under review
Activity 3.3: Data Integration and Exchange (CHARM, HealthInfoNet, CIE) Maine'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
Activity 3.4: Patient-Facing Technology (Remote Patient Monitoring and digital tools) Maine'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
Activity 3.5: Maine Rural AI Hub and Rural Health AI Innovation Institute Maine's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 46 under review

Initiative 4 - Access: Bridging the healthcare affordability gap for rural Mainers

$185.5M over 5y
Sub-initiative Gate Categories 5Y
Activity 4.1: Uncompensated Care Payments (Year 1) Maine's Rural Health Transformation funding area supporting consumer-facing health technology. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 2 under review
Activity 4.2: Provider Payments for Essential Health Benefits to Uninsured (Years 2-5) Maine's Rural Health Transformation funding area supporting consumer-facing health technology. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 2 under review
Activity 4.3: Dynamic Medicaid Provider Enrollment (Years 4-5) Maine'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
Activity 4.4: Coordinated Transportation (Years 1-5) Maine's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 7 under review
Activity 4.5: Consumer Transparency Tool for State-Based Marketplace Maine'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

Initiative 5 - Sustainable Rural Health Ecosystems: Addressing financial instability of rural providers

$197.4M over 5y
Sub-initiative Gate Categories 5Y
Activity 5.1: Hospital Efficiency and Financial Management Maine's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability and IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 79 under review
Activity 5.2: Regional Health Ecosystems Planning and Implementation Maine's Rural Health Transformation funding area supporting IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 9 under review
Activity 5.3: Multi-Payer Alternative Payment Model (APM) Development Maine's Rural Health Transformation funding area supporting IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 9 under review
Activity 5.4: Interfacility Transport System Maine's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 7 under review
Activity 5.5: Pediatric Psychiatric Residential Treatment Facility (PRTF) Maine's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD 7 under review

Primary documents

1 state-published documents tracked.

Newest indexed engagement flyer 2026-03-30

+0

More indexed documents with direct links and change history

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People to know

Who decides where the money goes.

  • Rural Health Transformation Program Office

    As of Q2 2026

    Program administration Maine Department of Health and Human Services

  • Lisa Letourneau , MD, MPH

    As of Q2 2026

    RHTP Program Director (as named in Project Narrative) Maine DHHS, Commissioner's Office

  • Kristen McAuley

    As of Q2 2026

    RHTP Director (started March 23, 2026) Maine DHHS, Commissioner's Office

Procurement portals

Where to bid.