Attachment A_CDM Guidance.pdf

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Attached to
Chronic Disease Management Programming
Solicitation number
26RFP-26-09RHT-011
Issued by
South Dakota

About this file

This guidance document is issued by the South Dakota Department of Health's Office of Chronic Disease Prevention and Health Promotion as part of RFP #26-09RHT-002 for Chronic Disease Management Programming under the Rural Health Transformation initiative. The solicitation seeks proposals from South Dakota clinics, hospitals, pharmacies, dental clinics, tribal health facilities, and Indian Health Services entities to implement evidence-based chronic disease interventions and remote patient monitoring programs in rural communities. Component 1 focuses on developing and implementing chronic disease management activities such as care coordination, community health worker programs, blood pressure monitoring, cancer screening, medication management, and condition-specific interventions. Component 2 provides funding for remote patient monitoring equipment purchases, including blood pressure cuffs, glucometers, and pulse oximeters, along with associated Electronic Health Record system upgrades. The proposal submission deadline is May 14, 2026, at 5:00 PM CST, with offeror questions accepted through April 17, 2026, and state responses provided by April 22, 2026. The anticipated award date is June 19, 2026, with the contract term running from July 1, 2026, through October 30, 2027, and optional renewal for three additional one-year periods. Preference is given to organizations in and serving rural and frontier communities.

Funding is capped at $150,000 per 12-month year, with year one budgets extended to 16 months and capped at $200,000; Component 2 equipment purchases are limited to no more than $50,000 over the entire four-year funding period. Allowable costs include personnel, supplies, travel at state per diem rates, remote patient monitoring equipment, and pre-approved conferences and trainings, with salary and fringe benefits capped at a federally approved indirect cost rate of 6.3%. Unallowable costs include gift cards, food, incentives, research activities, lobbying, out-of-state travel, construction or renovation, and permanent equipment unrelated to remote patient monitoring. No carry-over funding is permitted, requiring updated budgets and work plans annually. The project is 100% funded by the Centers for Medicare & Medicaid Services/Health and Human Services with a total financial assistance award of $189,477,607.26 across all participants. Required deliverables include monthly progress reports with itemized invoices, annual reports with performance measures and success stories, and participation in Rural Health Transformation evaluation activities. Applicants must disclose any other Rural Health Transformation funding applied for with South Dakota or other states and potential duplication of efforts.

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File Type Posted
RFP Document.pdf PDF
Response to Offeror Questions document.doc DOC document
Attachment C_CDM Activities.pdf PDF
Attachment B_CDM Project Narrative Form.pdf PDF
Addendum 1-RFP Document.docx DOCX document
Addendum 1-RFP Document.docx DOCX document
Attachment B_CDM Project Narrative Form.pdf PDF
RFP Document.pdf PDF
Attachment A_CDM Guidance.pdf PDF
Attachment C_CDM Activities.pdf PDF
Attachment A_CDM Guidance.pdf PDF
Attachment C_CDM Activities.pdf PDF
RFP Document.pdf PDF
Attachment B_CDM Project Narrative Form.pdf PDF
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Attachment A: RFP #26-09RHT-011 Application Guidance

Description:

The purpose of this funding is to address the leading causes of death and disability in South Dakota’s rural communities by implementing chronic disease management activities. Work will comprise of two components focused on chronic disease evidence-based interventions and remote patient monitoring programs.

Component 1:

Component 1 focuses on the development and implementation of evidence-based chronic disease interventions. Activities must be evidence-based with an emphasis on long-term sustainability and systems change. This may include cross-cutting activities, such as chronic disease care coordination, addressing barriers to health with Community Health Workers or Community Health Representatives, and screening and referrals for social drivers of health; or more condition-specific interventions such as self-measured blood pressure programs, cancer screening reminders, and medication management programs. A list of example activities can be found in Attachment C.

Applicants may propose multiple interventions across chronic conditions.

Component 2:

Component 2 provides funding for the purchase of remote patient monitoring (RPM) equipment and technology. This may include, but is not limited to, blood pressure cuffs, glucometers, and pulse oximeters. This equipment may be provided or lent to eligible patients. This funding is not intended to replace Medicaid, Medicare, or other third-party payer support for the purchase or provision of RPM equipment. Purchases of RPM equipment should be relative to the applicant’s service population and justified within the Attachment B Project Narrative Form.

This funding may also be used to support Electronic Health Record (EHR) upgrades relative to the implementation of RPM programs.

If an applicant chooses to apply for Component 2 funding, there must be a corresponding remote patient monitoring activity in Component 1.

Funding Parameters

There will be a $150,000 funding ceiling per 12-month year. As the first year has been extended to 16 months, year one budgets may have a ceiling of $200,000.

Component 1:

• Funding may be used for staff time, developing and implementing policies and workflows, implementing reminders, provider interventions, navigation, key project initiatives, screening reminder mailings, etc.

Component 2:

• Funding may be used for the purchase of remote patient monitoring technology and corresponding Electronic Health Records upgrades; all equipment purchases must be pre-approved by the Department of Health.

• Remote patient monitoring technology purchases are allowed and encouraged but must be justified by patient load.

• Eligible entities may request no more than $50,000 over the 4-year funding period for

Component 2 purchases.

Allowable Costs:

• Personnel, Supplies, Travel, Other, Indirect Costs

• Remote patient monitoring equipment.

• Conferences and trainings directly related to planned activities. These must be pre-approved by the Department of Health before registration.

Unallowable Costs:

• Gift cards, food, or other incentives

• Administration of direct services

• Research activities

• Lobbying activities at the local, state, or federal level

• Out-of-state travel. All conference registrations or trainings must be pre-approved.

• To replace dollars currently earmarked for proposed projects

• Construction or renovation

• Permanent equipment unrelated to remote patient monitoring

Please Note: Carry-over funding will not be granted. Each year will require an updated budget and work plan.

Reporting Requirements

• Monthly progress reports with detailed invoices. Templates for both reporting and invoices will be provided by the Department of Health

• Annual report including performance measure updates and success stories.

• Maintain contact with the Department of Health and the identified program management staff.

• Awarded vendors may be requested to participate in additional Rural Health Transformation evaluation activities throughout the funding period.

Technical Assistance

• Technical assistance will be available after the Notice of Award for all awarded vendors.

• The Department of Health will provide contact information for general technical assistance.

Subject matter experts from the Department of Health chronic disease programs will also be available throughout the funding period.

• Technical assistance will not be provided during the RFP application period outside of the noted timeline for Offeror Questions in the Schedule of Activities of RFP #26-09RHT-011.

Application Template

• All applicants are required to complete and submit Attachment B: RFP 26-09RHT-011 Application

Template

This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. department of Health and Human Services (HHS) as part of the Rural Health Transformation Project, a financial assistance award totaling

$189,477,607.26 with 100% funded by CMS/HHS. The contents are those of the South Dakota DOH and DSS and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

Updated: March 2026

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