New York State Rural Health Transformation Program - Rural Community Health Integration

Closed State & local contract opportunity Posted

Solicitation number
2136101
State
New York
Responses due

Opportunity facts

Point of contact

Updated .

About this opportunity

The New York State Department of Health is soliciting applications for the Rural Community Health Integration (RCHI) program, a component of the Rural Health Transformation Program, with applications due July 8, 2026 at 4:00 p.m. EST. This is a grant program, not a competitive procurement, allocating $76.19 million in Budget Period 1 (100 percent federal CMS/HHS funding) for rural health system transformation across eligible New York counties.

Eligible Lead Applicants must be registered not-for-profit 501(c)(3) organizations or municipal hospitals with a minimum three-year history of regulatory compliance and regulatory adherence to Department rules. Each application must include at least one General Hospital or Rural Emergency Hospital, which may serve as either the Lead Applicant or a Partner Organization. Partner Organizations may include Local Health Departments (County Public Health Departments are strongly encouraged), safety-net hospitals, critical-access hospitals, sole-community hospitals, rural emergency hospitals, Federally Qualified Health Centers, and other community-based organizations. Lead Applicants must be located in counties designated as rural under the RHTP program (listed in the guidance document).

Applicants must address at least one of three key result areas: increased access to the right care (measured by potentially preventable emergency visits and hospital-wide all-cause unplanned readmission rates), decreased readmissions through quality discharge planning and post-acute supports, or increased preventive care spanning primary and specialty care (measured by colorectal screening rates). Each county may request up to $500,000 in planning funds to develop collaborative integrated health network plans, and applicants may submit up to three implementation projects not to exceed $3 million in total budget. All projects must be completed by June 30, 2027, with contracts executed by October 30, 2026. Allowable costs include collaboration and integration activities, behavioral health services, emergency medical services, information technology advances, maternal health services, and training and technical assistance; administrative costs are capped at 5 percent. Questions are due June 17, 2026, with answers posted on or about June 24, 2026. All grantees must participate in statewide learning collaboratives and submit reporting metrics by June 30, 2027.

Opportunity text

Applications should demonstrate a community-focused collaborative approach to rural health integration. Each application must consist of a Lead Applicant, Partner Organization(s), and at least one General Hospital or Rural Emergency Hospital. The hospital can be either the Lead Applicant or the Partner Organization.Lead Applicants should be those institutions that possess strong institutional capacity, deep community ties, and a record of demonstrable commitment to serving their constituents.Lead Applicants must meet the following minimum qualifications by completing the Attestation in Attachment 3 and submitting it with application. Lead Applicant is a registered not-for-profit 501(c)(3) organization or municipal hospital. Lead Applicant has a three-year or more history of regulatory compliance including adherence to Department rules and other direction. Lead Applicant is an eligible entity located in counties defined as rural in New York's Rural Health Transformation Program application and listed in Attachment 1. Funded projects will be completed by June 30, 2027. At least one hospital located in the counties listed in Attachment 1 is included in the application. Additionally, applicants must address at least one key area specified in New York's RHTP application: Increased access to the right care at the right time Potentially Preventable Emergency Visits Decreased readmissions due to high quality discharge planning and post-acute supports Hospital-wide all-cause unplanned readmission Increased preventative care spanning primary and specialty care Colorectal screening Eligible Lead Applicants and Partner Organization(s) include but are not limited to the following: Local Health Departments (The Department strongly encourages the inclusion of County Public Health Departments as Partner Organizations.) Hospitals including safety net hospitals, general hospitals, sole community hospitals, rural emergency hospitals, and critical access hospitals; Federally Qualified Health Centers (FQHC); Certified Community Behavioral Health Clinics (CCBHC); Rural Health Networks; Primary care or multi-specialty practices; Diagnostic and treatment centers; Urgent care centers; Office of Mental Health - licensed facilities Office of Addiction Services and Supports - licensed facilities Developmental disability service providers; Long-term care providers; Hospice and palliative care providers; Ambulatory surgery centers; Independent Practice Associations; Emergency Medical Service (EMS) providers. The minimum geographic unit for any application is the county. County-level geography is required for all applications. Multi-county applications are permitted and encouraged where regional collaboration supports the goals of the project. Funding levels will reflect the scope of the geographic area proposed. Business enterprises awarded an identical or substantially similar procurement contract within the past five years: NONE

Files

File Type Posted
RCHI Application Final.pdf PDF
RCHI Funding Guidance Final.pdf PDF

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