HarperRHTP Tracker
All States/California

California

Draft Released

Access to Care

FY26 Award
$/Rural Resident
$85
Rank
3rd /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $133.6M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Rural Health Transformative Care Model

Create hub-and-spoke care networks linking rural providers with specialty centers, expanding maternal care and e-Consult services.

Workforce Development
Rural Health Workforce Development

Conduct workforce mapping, establish education pathways, and deploy community health workers and doulas to address rural staffing shortages.

Financial Sustainability
Targeted Transformation Payments

Provide targeted transformation payments to support rural hospitals in transforming their systems for regional care delivery and financial sustainability.

Quality & Health Outcomes
Maternal and Chronic Disease Outcomes

Improve maternal and chronic disease outcomes through OB Nest prenatal monitoring, obstetrics fellowships, perinatal psychiatry access, and earlier detection with coordinated management.

Infrastructure & Technology
Rural Health Technology and Tools

Modernize EHR systems, expand health information exchange, strengthen cybersecurity, and deploy remote patient self-monitoring.

Source: CMS state abstracts

How to Participate in California

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

Lead State Agency
California Department of Health Care Access and Information (HCAI)
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 California's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating California'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.

2.76M
rural Californians
California serves 2.76 million rural residents through three coordinated areas: transformative care models, workforce development, and health technology.
Source:CMS·KFF·Census

Federal Health Funding

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

$1.1B
$1.1B
$1.2B
$1.2B
$1.5B
$2.5B
$1.3B
$1.4B
$1.3B
$1.3B
RHTP $233.6MHRSA $1.3B
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$1.5B

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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