Attachment B_CDM Project Narrative Form.pdf

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

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Attachment B is a Project Narrative Form for the Chronic Disease Management Programming Request for Proposal #26-09RHT-002, administered by the South Dakota Department of Health, Office of Chronic Disease Prevention and Health Promotion. The form requires applicants to describe evidence-based chronic disease management interventions and remote patient monitoring programs addressing leading causes of death and disability in South Dakota's rural communities. The proposal encompasses two components: Component 1 focuses on chronic disease management activities including care coordination, community health worker programs, blood pressure monitoring, cancer screening, diabetes self-management education, and pharmacist-led medication management; Component 2 addresses remote patient monitoring equipment purchases and Electronic Health Record system upgrades. The form mandates applicants identify affected South Dakota counties, document identified needs with local and systems-level data, describe project plans with clear measurable goals and 3-4 specific activities per goal, identify target populations and stakeholders, and establish 3-5 performance metrics with baseline measurements and year four goals. Proposals must be submitted by May 14, 2026, at 5:00 PM CST, with an anticipated award decision on June 19, 2026. The contract term runs from July 1, 2026, through October 30, 2027, with optional renewal for three additional one-year periods.

Eligible applicants include South Dakota clinics, hospitals, pharmacies, dental clinics, tribal health facilities, and Indian Health Services entities, with preference given to organizations in and serving rural and frontier communities. Individual award values are 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 four-year funding period. Allowable costs include personnel with salary and fringe benefits capped at a federally approved indirect cost rate of 6.3%, supplies, travel at state per diem rates, remote patient monitoring equipment, and pre-approved conferences and trainings. 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. The project is 100% funded by the Centers for Medicare & Medicaid Services/Health and Human Services with total financial assistance of $189,477,607.26 across all participants. No incumbent contractors are identified, and applicants must disclose any other Rural Health Transformation funding applied for and potential duplication of efforts. No carry-over funding is permitted, requiring updated budgets and work plans annually.

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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
Attachment A_CDM Guidance.pdf PDF
RFP Document.pdf PDF
RFP Document.pdf PDF
Attachment A_CDM Guidance.pdf PDF
Attachment C_CDM Activities.pdf PDF
Addendum 1-RFP Document.docx DOCX document
Attachment C_CDM Activities.pdf PDF
RFP Document.pdf PDF
Attachment B_CDM Project Narrative Form.pdf PDF
Attachment A_CDM Guidance.pdf PDF
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Attachment B: Project Narrative Form List the SD counties impacted by this proposal:

Identified Need/Problem Statement:

• Include local/systems-level data identifying needs within the service population

• Clearly outline the scope of the issue and the need for intervention

• Identify impacts on rural South Dakotans

(500 words or less)

Project Plan, Component 1:

(500 words or fewer for each section)

Description of Project: Briefly describe what, who, when, where, and why for your proposed project, and include how a gap will be filled, or existing services enhanced or built upon. If applying for Component 2 funding, there must be a connected Remote Patient Monitoring activity in Component 1.

Goals and Objectives: Write clear, measurable goals that address the identified problem, and list 3 to 4 specific activities per goal you will complete within the funding period.

Describe how the proposed activities expand, support, and/or improve upon existing efforts or services currently available.

Describe the target population(s) for this project.

List any potential stakeholders and community partners.

Describe how the proposed activities will create a positive, systems-level impact on chronic disease management.

Describe the supporting evidence or basis for your project. How do you know the project will work as you intend it to? Include reference to any evidence-based programs or protocols, or other basis or research, that support the implementation of your project.

Project Plan, Component 2:

Describe your proposed remote patient monitoring equipment purchase and/or Electronic Health Record updates.

Success Metrics:

You must include any of the three performance measures listed below if they apply to your proposed activities.

Submit 3-5 additional performance measures to track success throughout the funding period. Include baseline measurements and goals for all performance measures.

Performance Measure Baseline Year 4 Goal

Hospital readmission rates for individuals with chronic conditions.

Number of Remote Patient Monitoring patients reporting a change of their blood pressure to controlled (blood pressure readings being in the normal range <140/90, current medication adherence, and no medication changes needed).

Number of patients engaged in Remote Patient Monitoring.

Sustainability Plan:

Explain how the project’s impact will continue beyond the funding period, such as integration into existing programs, use of other sustainable funding, or community partnerships.

Timeline:

Timeline should include detailed milestones through all four (4) years of the funding period, ending in October 2030. This should provide a clear outline of anticipated progress throughout the funding period.

Milestone Target Date Notes

RPM Equipment Order Placed 7/2026 Blood pressure cuffs

Staff Training, SMBP 7/2026-9/2026 Completed by providers and nurses

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

Attachment B: Project Narrative Form
Target geographic area(s) for this project:
Project Plan, Component 1:
Project Plan, Component 2:
Success Metrics:
Sustainability Plan:
Timeline:
BaselineHospital readmission rates for individuals with chronic conditions:
Year 4 GoalHospital readmission rates for individuals with chronic conditions:
BaselineNumber of Remote Patient Monitoring patients reporting a change of their blood pressure to controlled blood pressure readings being in the normal range 14090 current medication adherence and no medication changes needed:
Year 4 GoalNumber of Remote Patient Monitoring patients reporting a change of their blood pressure to controlled blood pressure readings being in the normal range 14090 current medication adherence and no medication changes needed:
BaselineNumber of patients engaged in Remote Patient Monitoring:
Year 4 GoalNumber of patients engaged in Remote Patient Monitoring:
Number of patients engaged in Remote Patient MonitoringRow1:
BaselineRow4:
Year 4 GoalRow4:
Number of patients engaged in Remote Patient MonitoringRow2:
BaselineRow5:
Year 4 GoalRow5:
Number of patients engaged in Remote Patient MonitoringRow3:
BaselineRow6:
Year 4 GoalRow6:
Number of patients engaged in Remote Patient MonitoringRow4:
BaselineRow7:
Year 4 GoalRow7:
Number of patients engaged in Remote Patient MonitoringRow5:
BaselineRow8:
Year 4 GoalRow8:
Staff Training SMBPRow1:
7202692026Row1:
Completed by providers and nursesRow1:
Staff Training SMBPRow2:
7202692026Row2:
Completed by providers and nursesRow2:
Staff Training SMBPRow3:
7202692026Row3:
Completed by providers and nursesRow3:
Staff Training SMBPRow4:
7202692026Row4:
Completed by providers and nursesRow4:
Staff Training SMBPRow5:
7202692026Row5:
Completed by providers and nursesRow5:
Staff Training SMBPRow6:
7202692026Row6:
Completed by providers and nursesRow6:
Staff Training SMBPRow7:
7202692026Row7:
Completed by providers and nursesRow7:
Staff Training SMBPRow8:
7202692026Row8:
Completed by providers and nursesRow8:
Staff Training SMBPRow9:
7202692026Row9:
Completed by providers and nursesRow9:
Staff Training SMBPRow10:
7202692026Row10:
Completed by providers and nursesRow10:
Staff Training SMBPRow11:
7202692026Row11:
Completed by providers and nursesRow11:
Staff Training SMBPRow12:
7202692026Row12:
Completed by providers and nursesRow12:
SD County:
Identified Need/Problem Statement:
Descirption of Project:
Goals and Objectives:
Description:
Target Populations:
Stakeholders/Community Partners:
Positive Impact:
Evidence or Basis:
Project Plan:
Sustainability Plan:

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