SD South Dakota
Plan South Dakota Rural Health Transformation Program
1 distribution gate. 17 sub-initiatives. $189.5M in motion.
The South Dakota 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
$189,477,607 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-05-29
- 64 rural counties
- 0.46M rural pop. · 0.45M Census ACS
- 43 rural hospitals
- 1 distribution gates
- 17 sub-initiatives
South Dakota'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 South Dakota 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 2026-05-29
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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 2026-05-29
The plan
10 initiatives. 17 sub-initiatives.
Tech and Data Connection for a Healthier South Dakota
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Digital Health Modernization and Technology Grant Program South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review | |
| South Dakota Data Atlas South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Building a Sustainable Rural Healthcare Workforce
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Five-Year Rural Service Commitment Incentives South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Expand and Strengthen Rural Community Health Worker Workforce
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| CHW/CHR Training and Workforce Expansion South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review |
Rural Health Forward: Training and Resource Hub
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Rural Health Forward Training and Resource Hub South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review |
Medicaid Primary Accountable Care Transformation (PACT)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Medicaid PACT Alternative Payment Model South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review |
Medicaid Rural Health Access and Quality Grants
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Rural Health Access and Quality Grants South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Strengthening Chronic Disease Management
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Chronic Disease Self-Management Programming South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review | |
| Remote Patient Monitoring South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Medicaid Health Home Chronic Care Pilot South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Caregiver Support Programming South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review |
Regional Maternal and Infant Health Hubs
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Regional Maternal and Infant Health Hubs South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Doula Workforce Advancement Program South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review | |
| Statewide Maternal Health Access and Services Assessment South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA posted | LEAD | under review |
Integrated Behavioral Health through CCBHC and Collaborative Care
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| CCBHC Certification Cohort South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Applications open | LEAD | under review | |
| Collaborative Care for Special Populations South Dakota's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Enhancing Sustainable Emergency Medical Services (EMS)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Regional EMS Hubs and HIE Integration South Dakota'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.
People to know
Who decides where the money goes.
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Program administration South Dakota Department of Health
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Governor of South Dakota Office of the Governor
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Secretary of Health South Dakota Department of Health
Procurement portals