All States/Montana

Montana

Planning

Access to Care

FY26 Award
$/Rural Resident
$394
Rank
4th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $133.5M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Sustainable Access

Provide operational and financial support to rural providers to ensure sustained access to care across Montana.

Innovative Care Models

Implement and scale flexible, patient-centered care models that improve outcomes and care coordination.

Workforce Development
Workforce Development

Recruit, train, and retain healthcare professionals through targeted workforce development programs.

Quality & Health Outcomes
Community Health and Prevention

Promote prevention and address root causes of disease through expanded access and community-based interventions.

Infrastructure & Technology
Technology Innovation

Expand the use of secure, efficient digital health tools to improve care delivery and access for rural patients and providers.

Source: CMS state abstracts

How to Participate in Montana

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

Lead State Agency
Montana Department of Public Health and Human Services (DPHHS)
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 Montana's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Montana'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.

$200M
per year for 5 years
Montana proposes $200 million per year for 5 years ($1 billion total) across five initiatives: workforce, sustainable access, innovative care models, prevention, and technology.
Source:CMS·KFF·Census

Federal Health Funding

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

$59.9M
$62.1M
$69.1M
$71.3M
$85.9M
$117.4M
$80.7M
$82.9M
$82.3M
$79.5M
RHTP $233.5MHRSA $79.5M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$313.0M

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

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