Il Dept of Healthcare and Family Services

Illinois’ Rural Health Transformation Program will support rural communities across the State of Illinois in improving healthcare access, quality, and outcomes by transforming healthcare delivery. This program seeks to reshape healthcare delivery to better align with community needs and improve the long-term financial viability of rural hospitals. Awards may be used to support service line transformation and develop sustainable, high-quality care models through investment to establish regional partnerships and governance structures; develop a transformation plan to identify delivery system gaps and unmet community needs and outline strategies to transform service lines, deploy new models of care delivery, and test sustainable VBP methodologies; hire clinical and non-clinical staff across hospitals and partnership entities to carry out the strategies identified in the transformation plan; and support limited capital expenditures for renovations to transition lines of service. Program Year 1 will award planning grants to awardees to develop a regionally tailored and data driven transformation plan.

Section 71401 of Public Law 119-21

N/A

N/A

The Transforming Rural Healthcare Delivery initiative seeks to support innovative care models, strategic partnerships, and targeted investments to stabilize rural hospitals, close access gaps, and build a resilient and sustainable healthcare system for the future. This will be implemented in part by investing hospital transformation planning efforts.

Yes

As identified in the opportunity.

Other;

As identified in the opportunity.

The beneficiaries of the Transforming Rural Healthcare Delivery initiative will be residents of rural communities where access to essential health services is limited by geographic isolation, workforce shortages and resource constraints. This initiative will help to ensure all residents of the State of Illinois will have access to high-quality, sustainable care.

Non-competitive

Healthcare

Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal is required, www.grants.illinois.gov/portal.

Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal.

The potential applicants will be contacted directly by the Department and provided additional information regarding the application requirements and necessary documentation needed to submit a complete application packet. The applicants will be expected to demonstrate how it will spend the funds received and to submit proposals with compelling evidence of impact for direct awards as subrecipients of RHT funds.

The potential applicants will be contacted directly by the Department and provided additional information regarding the application requirements and necessary documentation needed to submit a complete application packet. The applicants will be expected to demonstrate how it will spend the funds received and to submit proposals with compelling evidence of impact for direct awards as subrecipients of RHT funds.

The Department will make direct contact with award recipients. Based on the named grantees in the HFS federal award received, this will not be a competitive grant, and a merit-based review would not be necessary.

As identified in the opportunity.

As identified in the opportunity.

Not applicable.

Grant agreements are subject to appropriations and receipt of federal funds.

None

Awardees are to use funds for support staff, consulting contracts, and infrastructure payments to support the implementation of the Rural Health Transformation Program, Transforming Rural Healthcare Delivery initiative related to hospital transformation efforts.

Awardees will be expected to submit monthly progress and financial reports to the Department of Healthcare and Family Services and assist with other HFS reporting needs as applicable. Reports will include but are not limited to: Submit program reports Submit financial status reports Submit closeout financial status report, property inventory, and closeout program report

Awardees must comply with the audit requirements listed in 2 CFR 200 and Administrative Rule, 44 Illinois Administrative Code 7000.90.

Awardees must maintain for three (3) years from the date of submission of the final expenditure report, adequate books, all financial records and, supporting documents, statistical records, and all other records pertinent to this Award, adequate to comply with 2 CFR 200.334 and 44 Ill. Admin. Code 7000.430(a) and (b).

Award# RHTCMS332055-01-01

Subject to available funding, total RHT-HDP specific funding is estimated at $25,000,000 for the first federal Budget Period (January 2026 to October 2026). Subject to available funding. total RHT-HT specific funding is estimated at $0 in the current fiscal year (SFY26).

To be determined

As identified in the opportunity.

2 CFR 200 and 2 CFR 300; https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview

Statewide

Illinois Dept of Healthcare and Family Services 201 South Grand Ave E Division of Medical Program Services Springfield, IL 62763-1000

https://hfs.illinois.gov/info/fedresctr/ruralhealthtp.html

Not applicable.

New programming.

FY 2027 : $25,000,000