What is Rural Health Transformation?
On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengthen rural healthcare through sustainable, innovative, and transformative solutions.
Wyoming’s approved application and budget narratives detail 12 projects that nest within four major initiatives:
- Access to emergency medical care
- Rural workforce supply
- Health technology transformation
- Make Wyoming Healthy Again
Where does this funding come from?
All Requests for Applications (RFAs) on this page are funded by Wyoming’s Rural Health Transformation Program.
Wyoming’s Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $205,004,742.95 in Budget Period 1, with 100 percent funded by CMS/HHS.
The contents of these applications align with Wyoming’s approved budget and project narratives and are those of the author(s). The contents do not necessarily represent the official views of, nor an endorsement by, CMS/HHS, or the U.S. Government.
The CMS award number is RHTCMS332082-01-02.
This language is required by the Stevens Amendment (Public Law 101-166, Section 511)
Term of funding
Awards made under this funding opportunity are expected to be fully obligated by October 30, 2026. Allowable costs and activities approved under any award issued must be fully expended by the selected applicant(s) no later than September 30, 2027, unless otherwise allowed by the federal funder and WDH.
WDH anticipates issuing one-year agreements to awarded organizations, with the option to renew or amend in subsequent years. Awardees will have the opportunity to update their required work plans and budgets in subsequent years.
Unallowable costs
Please see page 18 through 20 of the Notice of Funding for a list of unallowable costs. The Department of Health reserves the right to limit any costs in its awards based on federal guidance.
What’s on this site?
This site is the portal to apply for several of the RHT Request For Applications (RFA) sub-initiatives.
What isn’t included here are the three (3) Requests For Proposals (RFPs) that are going through the standard State procurement process for a technology vendor and will be posted shortly on Public Purchase (we’ll include the links below when live).
These RFPs include:
– 3.2. Statewide telespecialist platform
– 3.3. Non-emergency transportation coordination
– 3.4. Centralized billing capacity
Notes on working on your applications
1. Everyone submitting an application for any initiative (except the ones marked “information only”) has to fill out the 0.1. Applicant Eligibility Information (required) form. If you are submitting multiple applications for different initiatives, this prevents duplication of required organizational information.
2. Some questions may only appear as follow-on items if you’ve responded a certain way to a drop-down menu or checkbox. We recommend filling out those drop-downs first so you get a sense of the full scope of questions you’ll need to answer.
3. Applications will close at midnight on August 2nd, 2026.
4. You can invite additional people to work on applications as collaborators. Follow this link for additional information
- The owner of the application (the person who started it and added the collaborators) is the only person who is able to submit. Once submitted, ownership is able to be transferred to another person.
- Click on Invite Collaborators. A Dialog box will appear, asking you to enter the email addresses of your collaborators. Enter those addresses, then click Invite.
- Invited collaborators will receive an email, letting them know you’ve invited them to collaborate on a draft submission using Submittable. In order to communicate with collaborators through the Submittable platform, all invitees must accept the invite BEFORE the owner of the submission (that’s you!) hits Submit.
- After you’ve sent invitations to collaborate, you can click on the Invite Collaborators link again anytime to see the status of your invitations. In the row for each invitee who has not yet accepted their invitation, you will see a Pending indication. There will also be a trash can next to each person’s name so that the Submission Owner can remove anyone that they no longer want to collaborate on the submission.
5. If you have technical questions, check out the Submitter Resource Center or contact Submittable Customer Support.