HarperRHTP Tracker
All States/Maine

Maine

Planning

Access to Care

FY26 Award
$/Rural Resident
$274
Rank
36th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $90.0M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Supply of Care

Grow the supply of healthcare services by deploying technologies and expanding provider capacity in rural Maine.

Workforce Development
Grow Rural Healthcare Workforce

Build the rural healthcare workforce through recruitment, training, and retention programs.

Financial Sustainability
Affordability, Quality, and Fiscal Durability

Improve quality and efficiency while building fiscal durability — targeting 75% of rural hospitals at 1%+ operating margin.

Quality & Health Outcomes
Healthy Living

Deploy proven population health solutions targeting 10% blood pressure control improvement, 10% readmission reduction, and 10% reduction in delayed care.

Infrastructure & Technology
Health Technology Deployment

Implement health information technology to connect rural providers and improve care coordination.

Source: CMS state abstracts

How to Participate in Maine

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

Lead State Agency
Maine Department of Health and Human Services
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 Maine's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Maine'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.

75%
hospital margin target
America's oldest and one of its most rural states, Maine targets 75% of rural hospitals operating at 1%+ margins through its affordability initiative.
Source:CMS·KFF·Census

Federal Health Funding

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

$64.6M
$64.8M
$73.0M
$76.9M
$96.2M
$135.1M
$101.5M
$86.5M
$82.6M
$81.6M
RHTP $190.0MHRSA $81.6M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$271.6M

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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