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VA Virginia

Plan VA Rural Vitality

8 distribution gates. 15 sub-initiatives. $189.5M in motion.

The Virginia 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.

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$189.5M8 distribution gates · 15 sub-initiatives
DMAS-DVHCFVHREFVDH-OEVFCCEVIPCVDOEVIRGIN+7 more
9 rural hospitals at risk downstream.The Atlas names every officer, deadline, and portal. →

FY26 award

$189,544,888

$1.00B planned over 5 years

Lead agency DMAS
Co-leads VDH, OSHHR
Per rural resident $120
  • 76 rural counties
  • 1.58M rural pop.
  • 31 rural hospitals
  • 9 at risk (6 immediate)
  • 8 distribution gates
  • 15 sub-initiatives
Last verified 2026-05-07 (38d ago, stale) sources published 2025-12-29 49 primary sources cited 0x8a166da3…123d40 provenance receipt

The flow

$1.00B across 4 main initiatives.

Connected Care, Closer to Home holds 41% of the five-year plan, the single largest pool in Virginia.

  • CareIQ 4 sub-initiatives, technology and innovation
  • Homegrown Health Heroes 4 sub-initiatives, workforce development
  • Connected Care, Closer to Home 3 sub-initiatives, access and care delivery
  • Live Well, Together 4 sub-initiatives, chronic prevention and dual-eligible integration

Why this matters

Cited against the primary application narrative. Verifiable.

  • 63% of Virginia rural counties have no OB-GYN; 22% of rural Virginians drive over 40 minutes to labor and delivery.
  • Nine of 31 rural hospitals at risk of closing, six at immediate risk.
  • DMAS-direct competitive RFPs control 53.6% of the five-year plan.
  • 12 listening sessions held September 2025 with 400+ invitees and 350+ ideas submitted.

Key dates

When the money moves.

Program milestones and live funding-opportunity deadlines. Cited; refreshed as the calendar moves.

  1. milestone

    FY26 award announced

  2. upcoming

    Program period (FY26 to FY30)

    Federal program runs FY26 through FY30.

The plan

4 initiatives. 15 sub-initiatives.

CareIQ

Technology and innovation

$282.6M over 5y
Sub-initiative Gate Categories 5Y
Rural Tech Catalyst Fund Virginia'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. Gate not yet stood up access VIPC 34 $31.60M
Provider Productivity Virginia'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. Gate not yet stood up behavioraltech VHCF 46 $79.30M
Provider Interoperability Virginia'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. Gate not yet stood up datacybersecuritytech VHCF 46 $92.50M
Remote Patient Monitoring Virginia'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. Gate not yet stood up rpm VHREF 34 $79.20M

Homegrown Health Heroes

Workforce development

$132.0M over 5y
Sub-initiative Gate Categories 5Y
Attract and Retain Physicians Virginia's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up maternalbehavioralworkforce VHREF 4 $52.80M
Allied Health Degrees Virginia's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up workforceaccess VFCCE 4 $31.70M
Earn to Learn Apprenticeships Virginia's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up workforce VIRGINIA-WORKS 4 $21.10M
Build Career Pipelines Virginia's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up workforcepediatric VDOE 4 $26.40M

Connected Care, Closer to Home Largest

Access and care delivery

$412.1M over 5y
Sub-initiative Gate Categories 5Y
Mobile and Hybrid Care Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up telehealthtransportationaccess DMAS-DIRECT 134 $264.0M
Community Paramedicine Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up ems VDH-OEMS 13 $84.70M
Innovative Maternal Care Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up maternal DMAS-DIRECT 134 $63.40M

Live Well, Together

Chronic prevention and dual-eligible integration

$124.2M over 5y
Sub-initiative Gate Categories 5Y
Food as Medicine Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up prevention DMAS-DIRECT 13 $26.40M
Consumer Tech for Lifestyle Change Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up prevention DMAS-DIRECT 14 $74.00M
Active Kids Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up workforceprevention DMAS-DIRECT 1 $13.20M
Integrated Care for Duals Virginia's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up access DMAS-DIRECT 14 $10.60M

The gates

How money actually flows.

  • DMAS direct competitive RFP

    $451.6M (45.2%)

    state agency Visit

  • Virginia Health Care Foundation

    $171.8M (17.2%)

    501c3 Visit

  • Virginia Hospital Research and Education Foundation

    $132.0M (13.2%)

    501c3 Visit

  • VDH Office of EMS plus 3 Regional EMS Councils

    $84.70M (8.5%)

    state agency Visit

  • Virginia Innovation Partnership Corporation

    $31.60M (3.2%)

    501c3 Visit

  • Virginia Foundation for Community College Education

    $31.70M (3.2%)

    501c3 Visit

  • Virginia Works

    $21.10M (2.1%)

    state agency Visit

  • Virginia Department of Education

    $26.40M (2.6%)

    state agency Visit

Named initiatives are itemized at $950.9M of the $1B five-year plan; the remaining $49.1M is program-level funding (administration, evaluation, and indirect costs) not assigned to a single initiative.

People to know

Who decides where the money goes.

Officials current as of Q2 2026. Top 3 shown at no charge; full directory unlocked with Pro.

  • Cheryl Roberts , JD

    As of Q2 2026

    DMAS Director DMAS

  • Marvin Figueroa

    As of Q2 2026

    Secretary of Health and Human Resources OSHHR

  • Dr. B. Cameron Webb , MD, JD

    As of Q2 2026

    VDH Commissioner VDH

If you are...

Find your gate.

Buyer type Target gate Sub-initiative 5Y allocation
Virginia-based health-tech startup, less than Series B VIPC tech-innovation-fund $31.60M
AI clinical decision support, documentation, workflow VHCF provider-productivity $79.30M
EHR, cybersecurity, interoperability platform VHCF provider-interoperability $92.50M
Wearables, RPM, continuous monitoring VHREF rpm $79.20M
Mobile clinic, telehealth kiosk, hub-and-spoke operator DMAS-DIRECT mobile-hybrid-care $264.0M
Maternal health provider, CBO, or hospital DMAS-DIRECT innovative-maternal-care $63.40M
EMS agency, community paramedicine platform VDH-OEMS community-paramedicine $84.70M
Medically tailored meals or produce prescription DMAS-DIRECT food-as-medicine $26.40M
Consumer health, wellness, digital literacy DMAS-DIRECT consumer-tech $74.00M
Health system or community college (workforce) VHREF attract-retain-physicians $52.80M

Personalize

Where does your stack land?

One sentence about what you do. We match it against the 10 buyer types Virginia funds. This is a hand-built preview of the full Wizard.

Procurement portals

Where to bid.

Comparable states

Virginia ranks alongside these.

Frequently asked

Virginia RHTP, answered.

Direct answers to the questions vendors, hospitals, and policymakers most often ask about Virginia's Rural Health Transformation Program funding. Cited against primary sources.

Who administers Virginia's RHTP funding?

Department of Medical Assistance Services is the lead agency. Virginia's plan organizes the funding across 4 initiatives. The named administering agency for each sub-initiative, the lead implementers, and the routing path are detailed in the Atlas.

Virginia Atlas

Everything above. Source‑cited. Yours forever.

This page is a preview. The Atlas is the report you hand to your CFO, your board, or your procurement officer.

$1,500

one-time, includes 4 quarterly refreshes

Start the Virginia intake

30-day money-back if you have not downloaded the PDF. Atlas purchases credit 100% toward Pro within 90 days.

  • 30 to 40 page source-cited PDF, written for procurement-officer scrutiny
  • Every sub-initiative with five-year allocation, gate organization, and CMS permitted-use category mapping
  • Named at-risk hospitals (9 in Virginia, 6 immediate) with closure-risk reasoning
  • Full named-stakeholder directory: agency leads, gate-org program officers, regional EMS councils
  • Listening-session attendee patterns: who showed up September 2025, what got said, what won
  • 10 anti-supplantation framing patterns proven against the Virginia application narrative
  • Procurement portal walkthrough with eVA registration and unsolicited-proposal one-pager templates
  • 4 quarterly refresh deliveries through Q2 2027

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