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WA Washington

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.

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$181.3M22 sub-initiatives · split in the Atlas
HCA
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 2026-05-29 (16d ago, aging) sources published 2026-02-10 12 primary sources cited 0xab3a459c…328acc 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.

  1. milestone

    FY26 award announced

  2. upcoming

    Program period (FY26 to FY30)

The plan

6 initiatives. 22 sub-initiatives.

Initiative 1: Ignite innovation in Washington's rural hospitals

Sub-initiative Gate Categories 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 Categories 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 Categories 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 Categories 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 Categories 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

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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.

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

Where to bid.