All States/Massachusetts

Massachusetts

Planning

Quality & Outcomes

FY26 Award
$/Rural Resident
$666
Rank
46th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $62.0M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Innovation in Rural Care Models

Facilitate the introduction and redesign of care models in rural MA to increase access, broaden service availability, and improve efficiency.

EMS Service Integration

Investments and programs to increase viability, integration, and expanded role of EMS in rural communities.

Workforce Development
THRIVE

Training Healthcare for Retention, Innovation, & Excellence — strengthen the full continuum of the healthcare workforce through development, recruitment, and retention.

Financial Sustainability
Population Health Advancement

Improve clinical infrastructure, increase coordination, and expand payment methodologies to advance value-based care and lower costs.

Quality & Health Outcomes
Healthy Rural Communities

Support community-informed and led prevention activities to empower communities to address gaps related to root causes of health.

Infrastructure & Technology
Enhancing Technology Interoperability and Connectivity

Improve technological infrastructure of rural health providers to increase connectivity, create efficiencies, and support better outcomes.

Facility Modernization & Re-Use

Support minor renovations of rural facilities to optimize space and expand access.

Source: CMS state abstracts

How to Participate in Massachusetts

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

Lead State Agency
Massachusetts Executive Office of Health and Human Services (EOHHS)
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 Massachusetts's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Massachusetts'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.

11 → 6
rural hospitals since 2014
Massachusetts rural hospitals have declined from 11 in 2014 to just 6 in 2025, with a primary care provider (PCP) ratio of 79 per 100K vs 102 in non-rural areas.
Source:CMS·KFF·Census

Federal Health Funding

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

$247.8M
$256.9M
$280.3M
$289.9M
$337.5M
$464.1M
$319.7M
$318.6M
$303.9M
$307.9M
RHTP $162.0MHRSA $307.9M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$469.9M

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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