Alabama Rural Health Transformation Program

Governor Ivey named ADECA to serve as Alabama’s lead agency for the Alabama Rural Health Transformation Program (ARHTP). The program’s plan was developed with input from a core team, including Governor’s Office Alabama Department of Finance, the Alabama Medicaid Agency, and the Alabama State Health Planning and Development Agency. Following Federal Guidelines, ADECA submitted the state’s application and plan to the Centers for Medicare and Medicaid Services (CMS). While the ARHTP is a five-year program, it involves a cooperative agreement with CMS where the plan is reviewed, and funding is awarded on a yearly basis. The state was awarded $203 million for the program’s first year. Due to the nature of this cooperative agreement, budget amounts and the plan may be revised for each subsequent program year. The Alabama Rural Health Transformation Program (ARHTP) is supported by the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human Services (HHS) as part of a financial assistance award, with 100 percent of the funding provided by CMS/HHS. ARHTP Project Narrative Final ARHTP Rural Counties ARHTP Proposed Launch Timeline News Five new Notices of Funding Opportunities (NOFOs) have been posted on the AlabamaRHTP Resources page . The submission deadline is August 7, 2026 at 5 Central Time . The application portal is open for the five categories below: Cancer Digital Regionalization EMS Treat-in-Place Maternal and Fetal Health Simulation Training Statewide EMS Trauma and Stroke Workshops ADECA will host in-person workshops for the second five approved ARHTP initiatives on July 21 and 22. See the below memo for details: ARHTP Application Workshops Round 2 Announcement Click the image below to visit AlabamaRHTP.com.