HarperRHTP Tracker
All States/South Dakota

South Dakota

Planning

Access to Care

FY26 Award
$/Rural Resident
$379
Rank
38th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $89.5M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Keeping Healthcare Local and Strong

Explore new Medicaid payment models, award Rural Health Access and Quality Grants for facility optimization, and strengthen chronic disease management and maternal care.

Workforce Development
Advancing the Rural Workforce

Deploy recruitment incentives, expand community health worker programs, and establish a Training and Resource Hub.

Financial Sustainability
Transforming Systems for Sustainability

Implement CCBHCs, Collaborative Care Model, and regional EMS hubs for sustainable care delivery.

Quality & Health Outcomes
Chronic Disease and Maternal Care

Address chronic disease management and maternal care access through targeted rural programs.

Infrastructure & Technology
Connecting Technology and Data

Deploy certified EHRs, health information exchange, telehealth, cybersecurity, and a Rural Data Atlas.

Source: CMS state abstracts

How to Participate in South Dakota

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

Lead State Agency
South Dakota 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 South Dakota's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating South Dakota'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.

Rural Data Atlas
for evidence-based planning
South Dakota is building a Rural Data Atlas alongside certified EHR deployment and statewide health information exchange to drive data-informed care.
Source:CMS·KFF·Census

Federal Health Funding

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

$29.9M
$30.0M
$33.1M
$33.6M
$43.3M
$62.3M
$38.0M
$41.5M
$42.7M
$43.9M
RHTP $189.5MHRSA $43.9M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$233.3M

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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