All States/Kentucky

Kentucky

Planning

Workforce Development

FY26 Award
$/Rural Resident
$95
Rank
11th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $112.9M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Rooted in Health, Kentucky Rural Dental Access Program

Improve rural access to preventive dental care and treatment through expanded training and mobile, portable services.

From Crisis to Care, Integrated EMS and Trauma Response

Strengthen EMS and trauma care capacity, responsiveness, and coordination in rural communities.

Workforce Development
PoWERing Maternal and Infant Health

Increase timely perinatal care in maternity care deserts through coordinated, telehealth-enabled teams.

Financial Sustainability
Rural Community Hubs for Chronic Care Innovation

Reduce obesity and diabetes rates through evidence-based, community-led strategies focused on upstream prevention.

Quality & Health Outcomes
Rapid Response to Recovery (EmPATH Model)

Expand integrated, technology-enabled crisis care from community response to long-term support.

Source: CMS state abstracts

How to Participate in Kentucky

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

Lead State Agency
Kentucky Cabinet for Health and Family Services (CHFS)
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 Kentucky's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Kentucky'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.

41st
in national health rankings
Kentucky ranks 41st in national health rankings with average life expectancy ranging from 64.5 to 79.7 years across counties — a 15-year gap within the state.
Source:CMS·KFF·Census

Federal Health Funding

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

$117.2M
$123.4M
$132.2M
$140.7M
$185.3M
$284.2M
$155.6M
$181.3M
$175.3M
$175.2M
RHTP $212.9MHRSA $175.2M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$388.1M

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)

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