HarperRHTP Tracker
All States/Hawaii

Hawaii

Planning

Infrastructure & Tech

FY26 Award
$/Rural Resident
$528
Rank
39th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $88.9M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Rural Infrastructure for Care Access (RICA)

Expand EMS, community paramedicine, and behavioral health services to improve care access across Hawaii's rural islands.

Rural Respite Network (RRN)

Reduce preventable hospital utilization by providing respite care and alternative treatment settings.

Workforce Development
HOME RUN

Hawaii Outreach for Medical Education in Rural Under-resourced Neighborhoods — build a rural healthcare workforce pipeline from education through placement.

Financial Sustainability
Rural Value-Based Innovation (RVBI) & AHEAD Readiness Fund

A competitive fund enabling rural providers to adopt innovative care models and succeed under the CMS AHEAD model by financing local value-based innovations.

Quality & Health Outcomes
Pili Ola Telehealth Network

A statewide telehealth network connecting rural communities to providers and integrating digital health access, virtual care, and telehealth training.

Infrastructure & Technology
Rural Health Information Network (RHIN)

Build a statewide digital backbone with interoperable EHR systems connecting rural providers across all islands.

Source: CMS state abstracts

How to Participate in Hawaii

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

Lead State Agency
Governor's Office (Hawaii)
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 Hawaii's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Hawaii'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.

95.1%
of land area is rural
Despite being an island state, 95.1% of Hawaii's land area is classified as rural, creating unique healthcare delivery challenges.
Source:CMS·KFF·Census

Federal Health Funding

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

$66.7M
$64.4M
$71.6M
$72.5M
$94.4M
$143.4M
$98.4M
$90.5M
$90.1M
$93.9M
RHTP $188.9MHRSA $93.9M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$282.8M

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
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·HRSA HPSA

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