Rural Community Health Integration
Funds partnerships of rural hospitals, health centers, behavioral health providers and community groups to coordinate care and connect patients to health and social services.
RHTP state profile · New York
New York Rural Health Transformation Program
New York received $212.1 million in Year 1 of the $50 billion federal Rural Health Transformation Program, 12th of 50 states. The New York State Department of Health (NYSDOH) runs the program, which funds four initiatives across 47 of the state's 62 counties, from rural health partnerships and primary care to workforce and cybersecurity.
Year 1 awards, all 50 statesNY: $212.1M
Texas $281.3MNew Jersey $147.3M
$212.1MYear 1 award, 12th of 50
4Funded initiatives
47 / 62New York counties are rural
NYSDOHNew York State Department of Health
Spending data in the RHTP Year One Report covers December 29, 2025 to July 31, 2026, the latest CMS reporting window.
At a glance
New York's program at a glance
The award is fixed for the year. Spending moves every quarter, so New York'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$212,058,207, 12th of 50 states
Run byNew York State Department of Health
Budget Period 1December 29, 2025 to October 30, 2026
Initiatives4
Rural counties47 of 62
Spending data through July 31, 2026New York's section of the Year One Report →Initiatives
What does New York's RHTP fund?
New York's RHTP funds four initiatives across care coordination, primary care, workforce and technology. Technology and cybersecurity got the largest Year 1 share, about $79.5 million, followed by rural health partnerships at about $77.2 million.
Strengthening Rural Communities with Technology-Enhanced Primary Care
Helps rural primary care practices become recognized Patient-Centered Medical Homes, with grants for minor upgrades, staff training and tools such as AI and telehealth.
Rural Roots: Building a Sustainable Rural Health Care Workforce
Builds a local workforce pipeline through student exposure, clinical rotations, employer-based training, EMS education and support for students who commit to rural practice.
Investments in Technology Innovation and Cybersecurity Enhancements for Rural NY
Funds cybersecurity risk assessments and upgrades for rural facilities, plus telehealth, eConsults, care alerts and connections to the statewide health information network.
Recipients by initiative are in New York's section of the RHTP Year One Report.
Source documents
New York'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 New York solicitation.
PDFNYSDOHNew York RHT Program Project NarrativeThe full plan from NYSDOH, including all four initiatives, the rural county list and five-year milestones.PDFNYSDOHNew York RHT Program Project SummaryNYSDOH's short abstract of the plan.PDFNYSDOHAugust 12, 2026 Program UpdateNYSDOH's status report on each initiative, with upcoming funding guidance and deadlines.PDFCMSCMS State Project AbstractsEach state's own summary, side by side.
Rural county (47)Other counties (15)
Eligibility
Which New York counties are eligible for RHTP funding?
New York's plan treats 47 of the state's 62 counties as rural, combining the federal Office of Rural Health Policy definition with the state's own definition of counties with fewer than 200,000 residents. Rural New York is home to about 2.1 million people, or 10.6% of the state. The 47 counties are listed in the plan and in the Rural Community Health Integration funding guidance, and each solicitation states its own geographic requirements.
How to apply
How can New York providers apply for RHTP funding?
New York providers apply through funding guidance that NYSDOH posts on its Transforming Rural Healthcare page. No rounds were open as of November 5, 2026: NYSDOH has planned a second partnership round and guidance for primary care, workforce and technology, all subject to CMS approval, and three of the four initiatives will be run through third-party administrators. Providers and vendors don't apply to CMS directly.
- Match the work to an initiative.Funding only goes to work that fits one of the four.
- Watch for new rounds.Check the Transforming Rural Healthcare page and the NYSDOH Funding Opportunities page. Vendor contracts post on the NYS Contract Reporter.
- Line up partners early.The first partnership round required a nonprofit or municipal lead applicant in a rural county and at least one general hospital or Rural Emergency Hospital, and strongly encouraged local health departments.
- Plan for federal rules.Grant recipients follow federal grant, reporting and audit rules. A Single Audit applies at $1 million or more in federal spending a year.
- Ask NYSDOH directly.Email RHTP@health.ny.gov.
Federal terms
Four rules that shape every award
Federal terms follow the money down to every New York 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 New York's RHTP funding pay for?
New York's RHTP funding can pay for work on existing facilities, uncovered care, technology and administration, within federal caps on each use. Applied to New York's Year 1 award, the maximums are:
Capital and infrastructure20% of award
About $42.4M
Provider payments15% of award
About $31.8M
Administrative costs10% of award
About $21.2M
Rural Tech Catalyst Fund10% or $20M, whichever is less
$20.0M
Replacing an existing EMR system5% of award
About $10.6M
Provider payments and capital
Provider payments cover services insurance doesn't pay for, quality bonuses and outcome-based payments tied to New York'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
New York's program commitments
New York made no state policy commitments in its application, according to CMS, so none of its funding depends on new laws or rules. Its plan does make four program commitments. None are done yet.
Rural partnership networks
Fund rural health partnership networks in yearly rounds through the end of the program
First round: 90 awards announced September 4, 2026Rural health advisory group
Convene a stakeholder council that meets four times a year to guide the program
Advisory Workgroup set to start meeting in fall 2026Cybersecurity for rural facilities
Fund cybersecurity risk assessments, starting with hospitals in Year 1 and adding other providers, including long-term care, in Years 2 to 5
Year 1 partnership spending
Finish Year 1 partnership projects by June 30, 2027 and spend the funds by September 30, 2027
New York does not belong to the physician, nurse, psychology, EMS or physician assistant 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 New York's spending data
Use the numbers in New York'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 New York 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 New York'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 New York announcements
Governor Hochul announces $76.2 million in Rural Community Health Integration awards, 90 awards to 56 organizations, plus $1 million for school-based health centers.
NYSDOH reports that the first partnership round drew 91 applications requesting $156 million across 141 projects.
NYSDOH opens its first RHTP funding opportunity, $76.2 million for Rural Community Health Integration partnerships.
NYSDOH announces New York's $212.1 million Year 1 award.
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 14, 2026First partnership round applications close
- Jul 31, 2026End of the first CMS reporting window; Year One Report spending data runs through this date
- Aug 31, 2026New York's first annual report and Year 2 continuation application due to CMS
- Sep 4, 2026First partnership awards announced
- Oct 30, 2026Deadline to obligate Year 1 funds; Budget Period 1 ends
- Nov 30, 2026Quarterly reports due; CMS refreshes funding data
- Jun 30, 2027Year 1 partnership projects end
- Sep 30, 2027Deadline to spend Year 1 partnership funds
- 2030Final year of the five-year program
Implications
What this means
For rural hospitals
Every Year 1 partnership project had to include a general hospital or Rural Emergency Hospital, and a second partnership round is planned. Cybersecurity risk assessments start with hospitals in Year 1, so watch for that contractor's outreach.
For partners and vendors
Technology and cybersecurity is New York's largest Year 1 lane, covering telehealth, eConsults, care alerts and connections to the statewide health information network. NYSDOH plans to run three of the four initiatives through contractors and third-party administrators, so those contracts are a route in alongside direct grants.
For applicants and grantees
Build tracking for the measures New York reports to CMS before an award lands. Subrecipients can't opt out of reporting, and their results feed New York's annual rescoring. The first partnership round capped administrative costs at 5%, and its funds must be spent by September 30, 2027.
FAQ
New York RHTP FAQs
Who runs New York's Rural Health Transformation Program?
The New York State Department of Health (NYSDOH) runs New York's Rural Health Transformation Program, using federal funding from the Centers for Medicare & Medicaid Services (CMS). NYSDOH manages the state's plan, posts funding opportunities and answers questions at RHTP@health.ny.gov. The program is New York's share of the $50 billion federal Rural Health Transformation Program.
How much RHTP funding did New York receive?
New York received $212,058,207 for Year 1 of the Rural Health Transformation Program, 12th of 50 states. Every state got $100 million in baseline funding, and the rest of New York's award was based on its rural needs, its policy commitments and the strength of its plan. Later years depend on New York's progress.
Can New York RHTP funding pay for construction?
No. RHTP funds can't pay for new construction, demolition or major expansions. Up to 20% of New York's award each year, about $42.4 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 New York 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 New York's plan, up to 15% of the award each year, about $31.8 million in Year 1. They can't raise rates for services providers already bill.
Where can I see how New York is spending its RHTP funding?
The RHTP Year One Report tracks how much of New York'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. NYSDOH also posts its own list of Rural Community Health Integration awardees, which includes the $76.2 million in awards announced in September 2026.
The Alliance
RHT Alliance members serving New York
These RHT Alliance members serve New York providers, with support that spans virtual nursing, virtual care, remote monitoring, health data, diagnostics, patient education, project management 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.
GHC IndustriesProject management and funding coordination for large transformation initiatives.
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 New York's money as it moves
The RHTP Year One Report tracks obligations, initiatives and recipients for all 50 states after each CMS data release.