HarperRHTP Tracker
All States/New Hampshire

New Hampshire

Planning

Quality & Outcomes

FY26 Award
$/Rural Resident
$326
Rank
22nd /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $104.0M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Rural Healthcare Access Initiative

Expand prevention, primary care, specialty telehealth, and CCBHCs to improve healthcare access.

Workforce Development
Rural Workforce Recruitment and Retention

Build career pathways, establish simulation labs, and create a family medicine residency in Coos County.

Financial Sustainability
Rural Financial Solvency Initiative

Implement value-based payment models and streamlined operations to ensure financial solvency for rural providers.

Quality & Health Outcomes
Rural Population Health Initiative

Deploy team-based primary care, chronic disease management, and Dual-Eligible Special Needs Plan to improve population health.

Infrastructure & Technology
Rural Health Technology Initiative

Invest in digital health tools, AI applications, and cybersecurity protections for rural providers.

Source: CMS state abstracts

How to Participate in New Hampshire

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

Lead State Agency
New Hampshire 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 New Hampshire's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating New Hampshire's RHTP compliance?

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Granite Strong
Future Ready
New Hampshire's Granite Strong. Future Ready. program includes five coordinated initiatives spanning population health, care access, workforce, technology, and financial solvency.
Source:CMS·KFF·Census

Federal Health Funding

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

$39.4M
$40.0M
$45.3M
$48.2M
$57.8M
$77.4M
$68.1M
$52.5M
$52.5M
$53.1M
RHTP $204.0MHRSA $53.1M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$257.1M

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
Sources:HRSA·Census·USDA ERS·HRSA HPSA

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