HarperRHTP Tracker
All States/Washington

Washington

Planning

Infrastructure & Tech

FY26 Award
$/Rural Resident
$162
Rank
41st /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $81.3M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Create Opportunities for Health

Expand access through partnerships, telehealth, and innovative care delivery for rural Washingtonians.

Workforce Development
Grow Workforce

Expand WSU rural provider training, Project ECHO, and workforce pipeline programs for Tribal providers, nurses, and long-term care workers.

Financial Sustainability
Improve Financial Solvency

Transform payment models for rural hospitals and behavioral health clinics to improve financial solvency.

Quality & Health Outcomes
Foster Partnerships for Health

Build partnerships to address health equity and improve outcomes across rural and Tribal communities.

Infrastructure & Technology
Deploy Technology and Data Solutions

Invest in AI, cybersecurity, data integration, and digital health tools to modernize rural care.

Source: CMS state abstracts

How to Participate in Washington

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

Lead State Agency
Washington State Health Care Authority
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 Washington's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Washington'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.

Project ECHO
expansion statewide
Washington is expanding Project ECHO and WSU rural provider training alongside AI and cybersecurity investments to reach its rural and Tribal communities.
Source:CMS·KFF·Census

Federal Health Funding

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

$231.6M
$217.3M
$215.1M
$238.9M
$307.0M
$488.6M
$275.7M
$264.2M
$269.9M
$256.8M
RHTP $181.3MHRSA $256.8M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$438.0M

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
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

Stay Updated on Washington RHTP

Get RFP alerts and compliance guidance from Harper as Washington rolls out RHTP programs.

Let us know