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.
Required
This initial form is required for all RFA applicants. It will collect all required documentation (e.g., SAM.gov registration) that are necessary for us to contract with you.
Once you've filled this out and submitted it, please apply to any of the RFAs below. We will link them together using your EIN.
Purpose
The purpose of this request for applications (RFA) is to create incentives for Critical Access Hospitals to provide and sustain services that are essential to their communities, by fostering collaboration, regionalizing services when practical, and implementing more sustainable business models.
Eligibility
The only applicants that are eligible to apply for this RFA are CAHs or hospitals that will convert to CAHs before September 1st, 2027 ("potential CAHs").
Purpose
The purpose of this request for applications (RFA) is to create incentives for ground EMS agencies to regionalize and consolidate around sustainable revenue sources. This uses time-limited funding to encourage sustainable business practices for the long-term.
Eligibility
The only applicants that are eligible to apply for this RFA are 2 or more ground EMS agencies that are applying together in order to regionalize, or an entity that has already regionalized through consolidation around a CAH or fire department.
Important Note
The Wyoming Department of Health is going to contract separately for a fiscal agent to administer this entire sub-initiative. This will allow applicants more time (i.e., next year) to apply for educational support.
- If you are interested in individual educational support and would like to be contacted when that window opens, please fill out the form under this RFA with your contact information.
- If you are only interested in being the fiscal agent for this sub-initiative, please see the RFP posted on PublicPurchase.
Purpose
This initiative aims to establish new graduate medical education opportunities needed to increase the number of physicians trained and retained within Wyoming.
Eligibility
Eligible applicants are those organizations, individuals, and entities capable of operating a graduate medical education program within Wyoming.
Scope
- Initially, a feasibility study will be needed to determine leadership, location, and the number of GME positions that can be added within Wyoming during the five-year period. This assessment must include a long-term sustainability plan, including the establishment of a Wyoming GME Council to coordinate GME activities and support physician retention efforts
- The primary goal for this funding is to create additional residency positions that increase opportunities for physicians to complete substantial portions of their training in rural and underserved settings, then establish a practice in one of these settings, with a retention plan of at least 5 years within that community.
- The program would prioritize family medicine and behavioral health training, while also supporting enhanced clinical exposure and training experiences in obstetrics and other specialties experiencing workforce shortages.
- Training experiences would occur within established healthcare systems and community partnerships capable of delivering high-quality education while exposing residents to the unique challenges and opportunities associated with rural practice environments. The establishment of new clinical training sites that offer the above will also be considered.
Important Note
The Wyoming Department of Health is going to contract separately for a fiscal agent to administer this entire sub-initiative. This will allow applicants more time (i.e., next year) to apply for these start-up grants.
- If you are an educational institution or healthcare provider with a clinical training site and are interested in a start-up grant and would like to be contacted when that window opens, please fill out the form under this RFA with your contact information.
- If you are only interested in being the fiscal agent for this sub-initiative, please see the RFP posted on PublicPurchase.
Purpose
The purpose of this RFA is to procure sensible technology investments that can reasonably be expected to help groups of rural health providers in their ability to:
- Care for people closer to home;
- Better manage chronic diseases and improve treatment outcomes;
- Increase access to clinical consults;
- Deepen the patient-provider relationship; and,
- Improve efficiency and effectiveness of healthcare through collaboration.
Eligibility
This RFA is open to groups of 2 or more independent health providers (or community organizations that provide health services) who will contribute matching funds (minimum 5%) on a technology procurement. Specifically:
- Each provider must have a unique EIN;
- Each provider must have an NPI;
- Each provider must be physically located in Wyoming;
- The larger the group and the higher the match, the more favorably the application will be scored.
Purpose
This competitive funding opportunity seeks to expand the number, geographical, and/or population reach of Federally Qualified Health Centers (FQHCs) and Tribally-run 638 clinics, with a focus on improving the integration of primary care with behavioral health, obstetric and gynecological care, and dental and preventive health services.
Eligible Entities
Priority eligibility for this funding opportunity is for any Federally Qualified Health Center (FQHC) or Tribally-run 638 clinic operating in Wyoming.
Scope
This competitive funding opportunity will support FQHC costs related to converting existing clinical spaces and practices to an integrated primary care model. Funding can support costs and activities in two primary ways, as outlined below. Bullet points are representative examples.
Converting or expanding clinical and/or non-clinical spaces for integrated health care delivery
- Renovating or retrofitting existing clinical space to offer new or expanded services
- Renovating or retrofitting space in a school or community-based site for the express purpose of delivering integrated health care services
- Establishing satellite or micro clinics in a community not already served by the applicant
- Purchasing, replacing, or enhancing mobile clinics
Expanding service lines
- Staffing new or expanded health care sites and services (e.g., clinical personnel, case management, community health workers, registered dieticians)
- Workforce training and development to support service line expansion (e.g., certifying clinicians in treatment modalities)
- Purchasing or upgrading medical equipment and related supplies (e.g., dental chairs, ultrasound equipment)
- Establishing or enhancing community-based health education and programs (e.g., teaching kitchens, nutrition education, group prenatal care, physical activity education)
Important Notes
- Applications should reflect the community's needs and consider what is most reasonable and sustainable for the applicant to implement.
- Successful applicants will be required to submit a detailed work plan upon award. Work plans must include the specific activities, time frames, and person(s) responsible for the anticipated five-year project period.
- If awarded funding, recipients must submit annual reports to WDH to demonstrate how the funding is directed toward the approved work plan and budget. Awardees will also be required to report key metrics, such as the number of new sites or communities served, the number of patients served, full-time equivalents (FTEs) for relevant provider and personnel types, and other metrics as specified.
Purpose
This component aims to improve the clinical coordination of care for dual Medicare/Medicaid eligibles who are at high risk of chronic disease.
Eligibility
Applicants must have a physical presence in Wyoming. Specific additional attestations are required at the end of the application.
Important Note
The Wyoming Department of Health is going to contract separately for a fiscal agent to administer this entire sub-initiative. This will allow smaller applicants more time (October - January of next year) to apply for projects specifically. This is therefore not the 'actual' application for these funds.
- If you are interested in applying for a specific grant under this sub-initiative and would like to be contacted when that window opens, please fill out the form under this RFA with your contact information.
- If you are only interested in being the fiscal agent for this sub-initiative, please see the RFP posted on PublicPurchase here: https://www.publicpurchase.com/gems/bid/bidView?bidId=213947 (login is required)