HarperRHTP Tracker
All States/Alabama

Alabama

Planning

Access to Care

FY26 Award
$/Rural Resident
$126
Rank
24th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $103.4M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Maternal and Fetal Health

Digital obstetric regionalization and telerobotic ultrasound to improve maternal and fetal health outcomes in rural communities.

Community Medicine

Mobile wellness and nutrition units serving rural Alabama communities.

Rural Health Practice

Networked clinics integrating behavioral, physical, and dental health services.

Workforce Development
Rural Workforce

Physician, nurse, EMS, midwife, dentist, dental hygienist, and dental assistant training programs to strengthen the rural healthcare workforce.

Simulation Training

Specialty-based simulation education expansion for rural healthcare providers.

Financial Sustainability
EMS Treat-in-Place

EMS pilot for on-site treatment of low-acuity patients, reducing unnecessary transports.

Quality & Health Outcomes
Cancer Digital Regionalization

Mobile and regional cancer screening through digital regionalization strategies.

Mental Health

Behavioral health facility conversion and expansion, including converting Community Mental Health Centers into CCBHCs.

Infrastructure & Technology
Collaborative EHR, IT, and Cybersecurity

Regional IT hubs supporting EHR integration, IT infrastructure, and security across rural health facilities.

Rural Health Telehealth

Statewide telehealth/teleconsult network for specialty access.

Statewide EMS Trauma and Stroke

Improving the statewide EMS diversion and routing system for faster emergency response.

Source: CMS state abstracts

How to Participate in Alabama

Steps for healthcare organizations to access RHTP funding through Alabama's programs.

Lead State Agency
Alabama Department of Economic and Community Affairs (ADECA)
Visit agency website
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in Alabama's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Alabama's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

11
initiatives statewide
Alabama is deploying 11 coordinated initiatives spanning EHR modernization, maternal health, workforce, and EMS transformation across its rural communities.
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$151.1M
$161.5M
$183.3M
$175.3M
$211.2M
$308.2M
$294.1M
$214.8M
$222.1M
$212.2M
RHTP $203.4MHRSA $212.2M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$415.6M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

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