Connected Care Grid
Telehealth in homes, schools, libraries and other community sites, plus mobile units, remote patient monitoring and health information exchange.
RHTP state profile · West Virginia
West Virginia Rural Health Transformation Program
West Virginia received $199.5 million in Year 1 of the $50 billion federal Rural Health Transformation Program, 28th of 50 states. The West Virginia Department of Health (WVDH) runs the program, which funds seven initiatives across all 55 counties, from telehealth and medical transportation to workforce and health technology.
Year 1 awards, all 50 statesWV: $199.5M
Texas $281.3MNew Jersey $147.3M
$199.5MYear 1 award, 28th of 50
7Funded initiatives
55 / 55West Virginia counties are eligible
WVDHWest Virginia 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
West Virginia's program at a glance
The award is fixed for the year. Spending moves every quarter, so West Virginia'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$199,476,098, 28th of 50 states
Run byWest Virginia Department of Health
Budget Period 1December 29, 2025 to October 30, 2026
Initiatives7
Eligible counties55 of 55
Spending data through July 31, 2026West Virginia's section of the Year One Report →Initiatives
What does West Virginia's RHTP fund?
West Virginia's RHTP funds seven flagship initiatives under Gov. Patrick Morrisey's Health to Prosperity plan, which links better health to work and economic growth. Every WVDH funding opportunity maps to one of these seven.
Rural Health Link
Combines buses, rideshare and volunteer or private drivers into one system so patients can reach medical appointments.
Mountain State Care Force
Recruits, trains and retains health care workers, starting in high school, with apprenticeships, faculty positions and incentives for rural providers.
Smart Care Catalyst
Technology, administrative support and payment tools that help rural practices cut costs and move toward outcome-based payment.
Health to Prosperity Pipeline
Connects people in recovery or managing chronic conditions with employers, and expands worksite clinics and workplace wellness.
Personal Health Accelerator
Statewide challenges, prevention programs, nutrition education and caregiver support to encourage healthier eating and more activity.
HealthTech Appalachia
Funds the development and commercial launch of new health technologies through incubator and accelerator programs.
Recipients by initiative are in West Virginia's section of the RHTP Year One Report.
Source documents
West Virginia'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 West Virginia funding opportunity.
PDFGovernor's OfficeWest Virginia RHT Application MaterialsThe Governor's office page with the full Project Narrative, the Project Summary and the Governor's letter to CMS.PDFGovernor's OfficeWest Virginia RHT Project NarrativeThe full plan, including all seven initiatives and West Virginia's policy commitments.PDFWVDHWVDH RHTP ResourcesProgram FAQs, webinar slides and recordings from WVDH.PDFCMSCMS 50-State SpotlightsCMS's short profile of each state's program, including West Virginia's.
Eligible county (55)Other counties (0)
Eligibility
Which West Virginia counties are eligible for RHTP funding?
All 55 West Virginia counties are eligible for RHTP funding, because the state defines rural for this program itself and treats the entire state as eligible. The Governor's office calls West Virginia the third most rural state, with no city larger than 50,000 people. WVDH says some regions may be targeted more than others based on chronic conditions, health status and outcomes, and each funding opportunity states its own geographic requirements.
How to apply
How can West Virginia providers apply for RHTP funding?
West Virginia providers and vendors apply through WVDH grant announcements (Announcements for Funding Availability, or AFAs) and requests for proposals, posted on wvOASIS, the state's procurement and grants system. Year 1 funds were obligated by October 30, 2026, and Year 2 dates have not been announced. 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 seven.
- Register on wvOASIS.Grants and RFPs are submitted through the wvOASIS Vendor Self Service portal. You need a Unique Entity Identifier (UEI) from SAM.gov.
- Watch for new rounds.Join the WVDH RHTP listservs, which are organized by initiative, and check the Grant Opportunities page.
- Plan for federal rules.Recipients follow federal grant, reporting and audit rules. A Single Audit applies at $1 million or more in federal spending a year.
- Ask questions in the Q&A window.Questions on an open solicitation go through the state's Q&A form within three business days after it posts. For other questions, use the WVDH contact page.
Federal terms
Four rules that shape every award
Federal terms follow the money down to every West Virginia 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 West Virginia's RHTP funding pay for?
West Virginia's RHTP funding can pay for work on existing facilities, uncovered care, technology and administration, within federal caps on each use. Applied to West Virginia's Year 1 award, the maximums are:
Capital and infrastructure20% of award
About $39.9M
Provider payments15% of award
About $29.9M
Administrative costs10% of award
About $19.9M
Rural Tech Catalyst Fund10% or $20M, whichever is less
About $19.9M
Replacing an existing EMR system5% of award
About $10.0M
Provider payments and capital
Provider payments cover services insurance doesn't pay for, quality bonuses and outcome-based payments tied to West Virginia'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
West Virginia's policy commitments carry deadlines
West Virginia committed to three policy actions in its application. Two are done. Its SNAP restriction on soda was already approved before it applied and took effect January 1, 2026. CMS can reduce or recover funding if the remaining commitment slips.
Presidential Fitness Test
Pass a law bringing back the Presidential Fitness Test in schools
HB 4982, the Make West Virginia Healthy Act, signed February 28, 2026; in effect May 21, 2026Nutrition education for physicians
Pass a law requiring nutrition continuing medical education
HB 4951 signed March 27, 2026Remote care payment
Strengthen Medicaid payment for remote patient monitoring and provider-to-provider e-consults
West Virginia already belongs to the physician, nurse, physician assistant, physical therapy, EMS and psychology 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 West Virginia's spending data
Use the numbers in West Virginia'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 West Virginia 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 West Virginia'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 West Virginia announcements
CMS announces more than $19 million in 11 awards for mobile health units, drone delivery of medical supplies, remote eye care and monitoring, nursing education, data sharing and recovery services.
Gov. Morrisey announces nearly $2.2 million for community health centers, including $1,656,432 to the West Virginia Primary Care Association.
Gov. Morrisey announces more than $4 million for telehealth upgrades, a mobile health unit, apprenticeships and AI note-taking tools at five rural hospitals.
First RHTP awards announced, including $1.17 million to Spotted Owl for worksite health care with Chesapeake Healthcare Center.
CMS announces $4.2 million for Rural Health Link to expand medical transportation.
Gov. Morrisey announces more than $62 million in funding opportunities for workforce, telehealth, technology and provider support.
WVDH opens the first $28.56 million in funding opportunities on wvOASIS.
Gov. Morrisey signs Senate Bill 570, authorizing the state to spend its Year 1 RHTP 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
- Jan 1, 2026SNAP soda restriction takes effect
- Apr 28, 2026First funding opportunities open on wvOASIS
- May 21, 2026Make West Virginia Healthy Act, including the fitness test, takes effect
- Jul 31, 2026End of the first CMS reporting window; Year One Report spending data runs through this date
- Oct 30, 2026Budget Period 1 ends; Year 1 funds must be obligated
- Nov 30, 2026Quarterly reports due; CMS refreshes funding data
- Sep 30, 2027Last day to spend obligated Year 1 funds
- 2028Remote care payment deadline
- 2030Final year of the five-year program
Implications
What this means
For rural hospitals
Vandalia Health, WVU Medicine and Marshall Health hospitals have drawn many early awards, from staffing pools and AI note-taking tools to remote monitoring. Watch for Year 2 rounds under Smart Care Catalyst and Connected Care Grid, which fund productivity support, telehealth and mobile units.
For partners and vendors
West Virginia has used both competitive AFAs and direct awards to intermediaries such as the West Virginia Jobs Investment Trust, which runs HealthTech Appalachia's incubator and accelerator programs. Partnering with those intermediaries is one route in, alongside RFPs on wvOASIS.
For applicants and grantees
Build tracking for the metrics West Virginia reports to CMS before an award lands. Taking part in Year 1 does not guarantee Year 2 eligibility, and results feed the state's annual rescoring.
FAQ
West Virginia RHTP FAQs
Who runs West Virginia's Rural Health Transformation Program?
The West Virginia Department of Health (WVDH) runs West Virginia's Rural Health Transformation Program, using federal funding from the Centers for Medicare & Medicaid Services (CMS). Gov. Patrick Morrisey chose WVDH as lead agency. WVDH manages the state's plan, posts funding opportunities on wvOASIS and takes questions through its contact page. The program is West Virginia's share of the $50 billion federal Rural Health Transformation Program.
How much RHTP funding did West Virginia receive?
West Virginia received $199,476,098 for Year 1 of the Rural Health Transformation Program, 28th of 50 states. Every state got $100 million in baseline funding, and the rest of West Virginia's award was based on its rural needs, its policy commitments and the strength of its plan. Later years depend on West Virginia's progress.
Can West Virginia RHTP funding pay for construction?
No. RHTP funds can't pay for new construction, building expansions or major structural upgrades. Up to 20% of West Virginia's award each year, about $39.9 million in Year 1, can go to minor work on existing facilities, such as renovations, accessibility upgrades and like-for-like equipment replacement, with CMS approval.
Can West Virginia providers use RHTP funding to pay for patient care?
Only for care that insurance doesn't already pay for. Provider payments can cover services that aren't reimbursed elsewhere and support an approved initiative, up to 15% of the award each year, about $29.9 million in Year 1. They can't pay for services providers already bill.
Where can I see how West Virginia is spending its RHTP funding?
The RHTP Year One Report tracks how much of West Virginia'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 more than $19 million in October 2026 for mobile health units, drone delivery and remote eye care, will appear after the next CMS refresh.
The Alliance
RHT Alliance members serving West Virginia
These RHT Alliance members serve West Virginia providers, with support that spans 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 West Virginia's money as it moves
The RHTP Year One Report tracks obligations, initiatives and recipients for all 50 states after each CMS data release.