WA Washington Rural Health Transformation Program

Plan Washington Rural Health Transformation Program

1 distribution gate. 22 sub-initiatives. $181.3M in motion.

The Washington 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.

Get the Washington Atlas $1,500 Read the checklist first, no charge

$181.3M22 sub-initiatives · split in the Atlas

17 rural hospitals at risk downstream.Dollar split, officers, and deadlines: in the Atlas. →

FY26 award

$181,257,515

Lead agency HCA

Co-leads DOH, DSHS

Per rural resident $165

22 rural counties
1.10M rural pop. · 0.80M Census ACS
36 rural hospitals
17 at risk
1 distribution gates
22 sub-initiatives

Last verified 2026-09-23 sources published 2026-02-10 14 primary sources cited 0xd85a541c…ae0ed8 provenance receipt

Preliminary

Washington'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 Washington publishes its approved budget.

Key dates

When the money moves.

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

2025-12-29 milestone

FY26 award announced
2030-10-30 upcoming

Period of performance ends

What's new

What Washington has announced lately.

Each line is one announcement, re-read at its source on 2026-09-23. Announcements often describe the same money, so they are never added together.

2026-09-16 Report

HCA webinar deck breaks the $181.26M year-one award into initiatives: $60M hospitals, $18M community prevention, $19M Tribal, $19M technology, $32M workforce, $25M behavioral health; $4.59M administration.
Washington RHT Administration $4.59M
Quote on file, page pending View source Accessed 2026-09-23
2026-09-16 Awards

Webinar deck names year-one sub-recipient allocations: WSHA tech and cyber $42M, The Rural Collaborative $5.43M, 29 Tribes $19.41M, UW WWAMI $5.46M, OSPI $5.14M, UW Project ECHO $4.28M, WSU $2.57M, Rural Health Redesign Center $2.14M.
1.3 WSHA - tech & cyber $42M
Quote on file, page pending View source Accessed 2026-09-23
2026-09-16 Funding opportunity

HCA webinar deck on Year 1 competitive applications and client services agreements: the 4.2 ($11.05M) and 1.4 ($10.71M) RFAs are closed and complete, 6.4 ($6.64M) is posted, and 6.1 and 6.2 client services contracts are in process.
Completed the competitive bid process for rural
Quote on file, page pending View source Accessed 2026-09-23
2026-08-27 Leadership

HCA names the RHT Advisory Committee roster (tribal, hospital, FQHC, behavioral health, labor, AAA and other seats); two-year terms, not a decision-making body.
Washington’s Rural Health Transformation Advisory Committee (RHT-AC) is now active.
Quote on file, page pending View source Accessed 2026-09-23
2026-08-06 Funding opportunity

HCA extends all three RFA deadlines by two weeks because of eastern Washington wildfires.
In response to the wildfires burning in eastern Washington, Washington’s Rural Health Transformation (RHT) Program has extended the application periods for the following funding opportunities
Quote on file, page pending View source Accessed 2026-09-23
2026-07-29 Funding opportunity

HCA posts RFA for Activity 1.4, rural hospitals (maternal, emergency and specialty services).
Find the RFA for Activity 1.4— Rural Hospitals (Maternal, Emergency and Specialty Services) —on HCA’s bids and contracts page .
Quote on file, page pending View source Accessed 2026-09-23
2026-07-22 Funding opportunity

HCA posts two RFAs: Activity 4.2 provider technology fund and Activity 6.4 opioid treatment program workforce incentive.
The Rural Health Transformation (RHT) Program team at Washington State Health Care Authority (HCA) is pleased to announce two requests for applications (RFAs).
Quote on file, page pending View source Accessed 2026-09-23

The plan

6 initiatives. 22 sub-initiatives.

Initiative 1: Ignite innovation in Washington's rural hospitals

Sub-initiative	Gate	5Y
1.1 Expand a rural health network Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
1.2 Co-design a payment model for long-term sustainability Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
1.3 Invest in critical technology infrastructure and maintenance needs Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
1.4 Sustain and strengthen maternal, emergency, and specialty services at risk in rural areas Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review

Initiative 2: Prevent disease and manage care in community settings

Sub-initiative	Gate	5Y
2.1 Expand the community-based workforce Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
2.2 Expand dementia resources and build dementia capable communities Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
2.3 Expand EMS inter-facility transport and support for trauma designated facilities Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
2.4 Triage individuals, families and caregivers to the appropriate level of services and care in their neighborhoods Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review

Initiative 3: Invest in the health of Native families

Sub-initiative	Gate	5Y
3.1 Invest in Native workforce Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
3.2 Establish care coordination agreements as the foundation for strategic partnerships Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
3.3 Investments to support health information exchange (HIE) Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review

Initiative 4: Adopt technology and data solutions to enable health improvements

Sub-initiative	Gate	Categories	5Y
4.1 Project ECHO Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD		under review
4.2 Provider technology fund Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD		under review

Initiative 5: Develop Washington's rural workforce to support rural communities

Sub-initiative	Gate	5Y
5.1 WWAMI Rural Family Residency Network Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
5.2 Washington State University (WSU) rural practitioner training programs Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
5.3 The Rural Nursing Education Program (RNEP) Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded	LEAD	under review
5.4 Grow-your-own training programs Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
5.5 Rural workforce incentive programs Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review

Initiative 6: Expand and sustain Washington's rural behavioral health system

Sub-initiative	Gate	5Y
6.1 Expand mobile crisis supports Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
6.2 Supporting providers to transition to the CCBHC model Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
6.3 Supporting youth in rural communities Washington's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design	LEAD	under review
6.4 Rural Opioid Treatment Provider recruitment and retention Washington'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.

The freshness engine watches every primary document Washington has published and fires a capture event when a new one drops or an existing one changes. Newest indexed shown below; the full directory with direct links and change history unlocks with the Atlas.

Newest indexed press release 2026-02-10

More indexed documents with direct links and change history

Unlock with Pro

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.

Rural Health Transformation Program Office

As of Q2 2026

Program administration Washington State Health Care Authority
Ryan Moran

As of Q2 2026

Health Care Director Washington State Health Care Authority
Bob Ferguson

As of Q2 2026

Governor Office of the Governor of Washington

Procurement portals