MT Montana Rural Health Transformation Program

Plan Montana Rural Health Transformation Program

1 distribution gate. 10 sub-initiatives. $233.5M in motion.

The Montana 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.

$233.5M10 sub-initiatives · split in the Atlas
DPHHS
Dollar split, officers, and deadlines: in the Atlas. →

FY26 award

$233,509,359

Lead agency DPHHS
Co-leads DLI
Per rural resident $336
  • 51 rural counties
  • 0.69M rural pop. · 0.50M Census ACS
  • 50 rural hospitals
  • 1 distribution gates
  • 10 sub-initiatives
Last verified 2026-09-23 sources published 2026-04-02 18 primary sources cited 0x1e6a9a56…89f440 provenance receipt
Preliminary

Montana'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 Montana publishes its approved budget.

Key dates

When the money moves.

  1. milestone

    FY26 award announced

  2. upcoming

    Period of performance ends

What's new

What Montana has announced lately.

  1. Report

    Year 1 Annual Report and Year 2 Non-Competing Continuation application submitted to CMS; to be published after CMS approval (expected Sept. or Oct.).

    DPHHS submitted the state’s Non-Competing Continuation (NCC) application for Year 2 funding on Aug. 31, per CMS requirements.
    Quote on file, page pending View source Accessed 2026-09-23

  2. Update

    Program status: staffing at 85%, every initiative has at least one executed contract.

    Staffing is now at 85%, and every initiative has at least one contract executed.
    Quote on file, page pending View source Accessed 2026-09-23

  3. Funding opportunity

    Community Integrated Health (CIH) pilot site grant for rural EMS agencies (Initiative 3), open through Sept. 15.

    The Department of Public Health and Human Services (DPHHS), as a part of the Rural Health Transformation Program (RHTP), is accepting funding proposals from emergency medical services (EMS) agencies to administer Community Integrated Health (CIH) programs.
    Quote on file, page pending View source Accessed 2026-09-23

  4. Funding opportunity

    Statewide Emergency Medical Dispatch System RFP DPHHS-RFP-2027-0692AB posted; single-contract procurement.

    Title: RHTP Emergency Medical Dispatch, DPHHS-RFP-2027-0692AB
    Quote on file, page pending View source Accessed 2026-09-23

  5. Funding opportunity

    DLI RFI on health care provider mental health and workplace wellness (DLI-RFI-2027-0091), open Aug. 12 to Aug. 31.

    Title: Rural Health Care Workforce Retention, DLI-RFI-2027-0091
    Quote on file, page pending View source Accessed 2026-09-23

  6. Funding opportunity

    $4 million in first-year EMS equipment grants opened (closed Aug. 15); funding decisions due in September 2026.

    Department of Public Health and Human Services (DPHHS) Director Charlie Brereton announced today the availability of $4 million in first-year grants to help strengthen emergency medical services (EMS) across rural Montana as part of the state’s Rural Health Transformation Program (RHTP).
    Quote on file, page pending View source Accessed 2026-09-23

  7. Leadership

    DPHHS announces appointments to the RHTP Center of Excellence Advisory Council: 25 named members (4 non-voting), including hospital, CAH, FQHC, tribal, legislator and payer seats.

    Department of Public Health and Human Services (DPHHS) Director Charlie Brereton today announced appointments to the Rural Health Transformation Program (RHTP) Center of Excellence (CoE) Advisory Council.
    Quote on file, page pending View source Accessed 2026-09-23

The plan

5 initiatives. 10 sub-initiatives.

Workforce Development

Sub-initiative Gate Categories 5Y
Talent Attraction and Recruitment Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review Y1 $1.50M

Sustainable Access

Sub-initiative Gate Categories 5Y
Center of Excellence: Strategy and Analytics Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending LEAD under review
Center of Excellence: Implementation Partner Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending LEAD under review
Telehealth Expansion and Equipment Awards Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Innovative Care Models

Sub-initiative Gate Categories 5Y
Community Paramedicine Grants Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review
EMS Blood Storage Equipment Grants Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review
Pharmacy Point-of-Care Testing Grants Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Community Health and Prevention

Sub-initiative Gate Categories 5Y
School-Based Care Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review
Community Nutrition Grants Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Technology Innovation

Sub-initiative Gate Categories 5Y
Electronic Health Record Modernization Montana's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Primary documents

1 state-published documents tracked.

Newest indexed project narrative 2026-02-17

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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 Montana Department of Public Health and Human Services

  • Charlie Brereton

    As of Q2 2026

    Director, Montana Department of Public Health and Human Services DPHHS

  • Jon Ebelt

    As of Q2 2026

    Communications Director DPHHS

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    More named officials with routing notes

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Procurement portals

Where to bid.