Rural Health Outcomes Accelerator Program (RHOAP)
Evidence-based and value-based care projects for chronic disease, primary care, behavioral health and maternal and infant health.
RHTP state profile · Nevada
Nevada Rural Health Transformation Program
Nevada received $179.9 million in Year 1 of the $50 billion federal Rural Health Transformation Program, 42nd of 50 states. The Nevada Health Authority (NVHA) runs the program, which funds four initiatives across Nevada's 14 rural and frontier counties, from workforce recruitment and rural infrastructure to chronic disease care and health technology.
Year 1 awards, all 50 statesNV: $179.9M
Texas $281.3MNew Jersey $147.3M
$179.9MYear 1 award, 42nd of 50
4Funded initiatives
14 / 17Nevada counties are rural or frontier
NVHANevada Health Authority
Spending data in the RHTP Year One Report covers December 29, 2025 to July 31, 2026, the latest CMS reporting window.
At a glance
Nevada's program at a glance
The award is fixed for the year. Spending moves every quarter, so Nevada's section of the RHTP Year One Report tracks how much was put to work, and with whom, through July 31, 2026. It updates after each CMS data release.
Year 1 award$179,931,608, 42nd of 50 states
Run byNevada Health Authority
Budget Period 1December 29, 2025 to October 30, 2026
Initiatives4
Rural counties14 of 17
Spending data through July 31, 2026Nevada's section of the Year One Report →Initiatives
What does Nevada's RHTP fund?
Nevada's RHTP funds four initiatives across prevention and chronic care, rural infrastructure, workforce and health technology. Workforce is the largest, at about $80 million a year in the plan, and NVHA also sets aside 4.5% of each award for Nevada's 28 Tribal nations. Every NVHA funding opportunity maps to one of the four.
Nevada Rural Health System Flex Fund
One-time upgrades for rural clinics, hospitals and EMS, including equipment, technology, mobile units and medical transport, with shared purchasing encouraged.
Workforce Recruitment and Rural Access Program (WRRAP)
Hiring incentives, tuition support tied to rural service, apprenticeships, community health workers and rural residency programs.
Rural Health Innovation and Technology (RHIT) Grant
Health IT upgrades, data sharing, cybersecurity, telehealth, remote monitoring and consumer health tools, with consumer-facing tools capped at half of costs.
Recipients by initiative are in Nevada's section of the RHTP Year One Report.
Source documents
Nevada's full plan is public
The approved plan has more detail than any summary: goals, partners, metrics and timelines for each initiative. Read it before responding to a Nevada funding opportunity.
PDFNVHANevada RHT Project NarrativeThe full plan from NVHA, including all four initiatives and Nevada's policy commitments.PDFNVHANevada RHTP Application Executive SummaryNVHA's short summary of the plan and each initiative's annual budget.PDFCMSCMS 50-State SpotlightsCMS's short profile of each state's program, including Nevada's.PDFCMSCMS State Project AbstractsEach state's own summary, side by side.
Rural or frontier county (14)Urban counties (3)
Eligibility
Which Nevada counties are eligible for RHTP funding?
Nevada's plan targets 14 of the state's 17 counties, the 3 rural and 11 frontier counties under federal HRSA designations, leaving Clark, Washoe and Carson City as the only urban counties. The 14 counties cover about 90% of Nevada's land but hold about 294,000 residents, roughly 10% of the population. Each funding opportunity states its own geographic requirements, and Year 1 awards have reached projects in all 17 counties that serve rural Nevadans.
How to apply
How can Nevada providers apply for RHTP funding?
Nevada providers apply through competitive Requests for Applications (RFAs) from the Nevada Health Authority, posted on its RHT Funding Opportunities page. Providers and vendors don't apply to CMS directly, and technology vendors must partner with an eligible provider or Tribal organization.
- Match the work to an initiative.Funding only goes to work that fits one of the four.
- Watch for new rounds.Year 1 rounds have closed. NVHA's plan aims to post each year's rounds by December 1, so check the Funding Opportunities page.
- Register in SAM.gov.It is standard for federally funded grants and contracts.
- Plan for federal rules.Grant recipients follow federal grant, reporting and audit rules, must itemize every cost and must keep funds in Nevada. A Single Audit applies at $1 million or more in federal spending a year.
- Ask NVHA directly.Email RHTP@nvha.nv.gov.
Federal terms
Four rules that shape every award
Federal terms follow the money down to every Nevada recipient.
Grants and contracts carry different obligations
A subaward makes your organization a subrecipient that carries out part of the program, with federal reporting and audit requirements. A contract pays for goods or services, with lighter requirements.
New rounds follow CMS budget approval
States can't post funding opportunities until CMS approves their budget, so windows can open months into a budget period.
Workforce incentives need a rural commitment
Recruitment and retention payments require clinicians to commit to serving rural communities for at least five years.
Recipients must disclose the federal funding
Under the Stevens Amendment, websites, social posts and other public materials about a funded project must name the federal funding.
Allowable costs
What can Nevada's RHTP funding pay for?
Nevada's RHTP funding can pay for work on existing facilities, uncovered care, technology and administration, within federal caps on each use. Applied to Nevada's Year 1 award, the maximums are:
Capital and infrastructure20% of award
About $36.0M
Provider payments15% of award
About $27.0M
Administrative costs10% of award
About $18.0M
Rural Tech Catalyst Fund10% or $20M, whichever is less
About $18.0M
Replacing an existing EMR system5% of award
About $9.0M
Provider payments and capital
Provider payments cover services insurance doesn't pay for, quality bonuses and outcome-based payments tied to Nevada's plan. They can't raise rates for services providers already bill.
Capital funds go to existing facilities: renovations, accessibility upgrades, HVAC and like-for-like equipment replacement.
Off limits
- New construction, demolition and major expansions
- Cosmetic work such as painting, carpet or decor
- Clinician salaries at facilities that use non-compete clauses
- Home broadband installation and service
- Costs already covered by other federal or state funding
Policy commitments
Nevada's policy commitments carry deadlines
Nevada committed to four policy actions in its application. One is done. CMS can reduce or recover funding if the rest slip.
SNAP food restriction waiver
Ask USDA to exclude candy and sugar-sweetened drinks from SNAP purchases
USDA approved March 4, 2026; takes effect February 1, 2028Presidential Fitness Test
Bring back the Presidential Fitness Test in schools
Nevada Department of Education offered RHTP grants to rural and frontier school districts in fall 2026Nutrition education for physicians
Pass a law requiring nutrition continuing medical education
Bill planned for the 2027 legislative sessionPA licensure compact
Pass a law joining the PA Licensure Compact
Bill planned for the 2027 legislative sessionNevada already belongs to the physician, psychology and EMS licensure compacts.
Years 2 to 5
$40B
Future awards depend on progress
Year 1 is not a guaranteed annual amount. CMS plans up to $40 billion more nationwide through 2030 and rescores every state each year on progress, data and policy actions.
Unobligated money leaves the state
Funds not obligated by the end of a budget period can't be obligated later and are redistributed to other states.
Funds can be clawed back
CMS can withhold, reduce or recover money for unallowable costs, unapproved plan changes or missed policy commitments. States get 90 days to fix a violation, and most decisions can't be appealed.
Oversight is growing
CMS's Office of Rural Health Transformation plans site visits in all 50 states in 2026. Audits start in 2027.
Method
Reading Nevada's spending data
Use the numbers in Nevada's section of the RHTP Year One Report to understand direction and pace, not as an audit.
Put to work is not paid out
Obligated money is signed to a contract or grant. Cash reaches recipients later.
Through July 31, 2026 only
The data covers December 29, 2025 to July 31, 2026, as Nevada reported it to CMS. Commitments made after July 31, 2026 are not counted yet.
Recipients sit inside line items
The CMS report has no recipient column. Search Nevada's line item descriptions by name.
Quarterly refresh
CMS updates the data after each quarterly state report, starting with the November 30, 2026 filing.
Announcements
Major Nevada announcements
NVHA publishes its list of Year 1 funded projects, with each award's amount, service area and description.
NVHA announces $26.9 million for 37 projects in chronic disease, primary care, behavioral health and maternal and infant health, bringing Year 1 awards to nearly $150 million across 158 projects.
NVHA announces more than $50 million for rural workforce, including $32.3 million for provider recruitment and retention, $14.3 million for apprenticeships and training, and $4.8 million for rural residencies.
NVHA announces $36 million in first-round Flex Fund awards for equipment, ambulances, telehealth, mobile care and clinic upgrades, including reopening the Tonopah rural health clinic.
NVHA opens the Flex Fund, Nevada's first RHTP funding opportunity.
Awards announced after July 31, 2026 are not in the CMS spending data yet. They will appear after the next CMS refresh.
Timeline
Key dates
- Dec 29, 2025Year 1 award; Budget Period 1 begins
- Jul 31, 2026End of the first CMS reporting window; Year One Report spending data runs through this date
- Oct 30, 2026Budget Period 1 ends
- Nov 30, 2026Quarterly reports due; CMS refreshes funding data
- Dec 1, 2026Plan's target for posting the next year's funding rounds
- Oct 1, 2027Target effective date for nutrition education and PA compact laws
- Feb 1, 2028SNAP candy and sugary drink restriction takes effect
- Dec 31, 2028Presidential Fitness Test deadline
- 2030Final year of the five-year program
Implications
What this means
For rural hospitals
The Flex Fund paid for equipment, ambulances and clinic upgrades in Year 1, and workforce money is the largest share of Nevada's plan. Watch for the next NVHA rounds, and plan for the long-term financing strategy every grantee must submit.
For partners and vendors
Nevada lets only providers, Tribal organizations and provider-led regional groups lead technology projects, so vendors need a formal partner. Statewide groups such as Nevada Rural Hospital Partners have drawn some of the largest awards. Workforce, technology, chronic disease care and rural infrastructure are the most active lanes.
For applicants and grantees
Build tracking for the metrics Nevada reports to CMS before an award lands. Subrecipients file quarterly and annual progress reports, and their results feed Nevada's annual rescoring.
FAQ
Nevada RHTP FAQs
Who runs Nevada's Rural Health Transformation Program?
The Nevada Health Authority (NVHA) runs Nevada's Rural Health Transformation Program, using federal funding from the Centers for Medicare & Medicaid Services (CMS). NVHA manages the state's plan, posts funding opportunities and answers questions at RHTP@nvha.nv.gov, with a steering committee of rural, Tribal and county representatives advising on the work. The program is Nevada's share of the $50 billion federal Rural Health Transformation Program.
How much RHTP funding did Nevada receive?
Nevada received $179,931,608 for Year 1 of the Rural Health Transformation Program, 42nd of 50 states. Every state got $100 million in baseline funding, and the rest of Nevada's award was based on its rural needs, its policy commitments and the strength of its plan. Later years depend on Nevada's progress.
Can Nevada RHTP funding pay for construction?
No. RHTP funds can't pay for new construction, demolition or major expansions. Up to 20% of Nevada's award each year, about $36.0 million in Year 1, can go to work on existing facilities, such as renovations, accessibility upgrades, HVAC replacement and like-for-like equipment replacement.
Can Nevada providers use RHTP funding to pay for patient care?
Only for care that insurance doesn't already pay for. Provider payments can cover nonreimbursed services, quality bonuses and outcome-based payments tied to Nevada's plan, up to 15% of the award each year, about $27.0 million in Year 1. They can't raise rates for services providers already bill.
Where can I see how Nevada is spending its RHTP funding?
The RHTP Year One Report tracks how much of Nevada's award was put to work through July 31, 2026, by initiative and recipient, using state-reported data from CMS, and is updated after each CMS data release. Awards announced after July 31, such as $26.9 million in August 2026 for chronic disease, behavioral health and maternal care projects, will appear after the next CMS refresh.
The Alliance
RHT Alliance members serving Nevada
These RHT Alliance members serve Nevada providers, with support that spans EHR and billing, virtual nursing, virtual care, remote monitoring, health data, diagnostics, patient education and grant writing.
Azalea HealthCloud EHR and billing with AI-assisted charting for rural hospitals and clinics.
CorstrataTelehealth access to board-certified wound, ostomy and continence nurses.
Equum MedicalTelehealth-enabled physician coverage across specialties.
Health Recovery SolutionsRemote patient monitoring and care management at home.
InterSystemsHealth data platforms and interoperability.
Medical Equipment SourceDigital pathology, mobile labs and lab equipment services.
Rural Health Transformation Funding NetworkGrant writing support for RHTP funding opportunities.
Self Care DecisionsEvidence-based triage that directs patients to the right level of care.
Solid StartsInfant feeding guidance and education for families, built by pediatric feeding specialists.
Teledentistry.com24/7 virtual dental evaluations and emergency triage.
VitalChatVirtual nursing and continuous audio and video care across hospitals.
WebMD IgniteMedically reviewed patient education and outreach, including its HEART rural program.Follow Nevada's money as it moves
The RHTP Year One Report tracks obligations, initiatives and recipients for all 50 states after each CMS data release.