HarperRHTP Tracker
All States/Maryland

Maryland

Planning

Quality & Outcomes

FY26 Award
$/Rural Resident
$348
Rank
44th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $68.2M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Promote Sustainable Access and Innovative Care

Expand primary, specialty, and school-based care alongside AI patient risk alerts, telehealth, remote monitoring, and mobile health.

Workforce Development
Transform the Rural Health Workforce

Build apprenticeships, train community health workers, and develop a workforce pipeline for rural Maryland.

Financial Sustainability
Immediate Impact and Transformation Funds

Deploy immediate-impact and long-term transformation funding to sustain rural healthcare delivery.

Quality & Health Outcomes
Empower Rural Marylanders to Eat for Health

Build food infrastructure, deploy mobile markets, and promote local sourcing to address nutrition-related health disparities.

Infrastructure & Technology
AI and Remote Monitoring

Deploy AI-powered patient risk alerts, remote monitoring, and telehealth to modernize rural care delivery.

Source: CMS state abstracts

How to Participate in Maryland

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

Lead State Agency
Maryland Department of Health
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 Maryland's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Maryland'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.

3
bold goals
Maryland's RHTP plan pursues three bold goals: transform the workforce, promote sustainable access, and empower rural residents to eat for health.
Source:CMS·KFF·Census

Federal Health Funding

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

$137.2M
$160.2M
$173.3M
$190.4M
$210.1M
$268.5M
$224.0M
$205.1M
$197.3M
$195.6M
RHTP $168.2MHRSA $195.6M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$363.8M

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
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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