Rural Health Transformation Program - Transforming Rural Healthcare Delivery, Community Care Infrastructure
CSFA Number: 478-00-3980
Agency Name
Department Of Healthcare And Family Services (478)
Agency Identification
Il Dept of Healthcare and Family Services
Agency Contact
Dani Mendez
(773)720-9469
Dani.Mendez@Illinois.gov
Short Description
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 will support rural primary care and behavioral health providers to develop the infrastructure, staffing, and workflows necessary for implementing integrated models of care. This may include standing up evidence-based, integrated models of care, implementing regionalized, enhanced care coordination and health system navigation models; building clinical connections between rural primary care providers and specialists; embedding primary care providers and services in outpatient behavioral health settings; embedding new provider types, such as CHWs, peer support professionals, and doulas into care teams; and enhancing health IT infrastructure to improve integration and coordination, population health management, and/or AI-enabled clinical decision supports.
Federal Authorization
Section 71401 of Public Law 119-21
Illinois Statue Authorization
N/A
Illinois Administrative Rules Authorization
N/A
Objective
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 in community care infrastructure in partnership with the Illinois Public Health Care Association and the Community Behavioral Health Association.
Prime Recipient
Yes
UGA Program Terms
As identified in the opportunity.
Eligible Applicants
Other;
Applicant Eligibility
Eligible applicant(s)include (must also be registered and in good standing with the State): Illinois Primary Health Care Association Community Behavioral Health Association
Beneficiary Eligibility
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.
Types of Assistance
Non-competitive
Subject / Service Area
Healthcare
Credentials / Documentation
Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal is required, www.grants.illinois.gov/portal.
Preapplication Coordination
Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal.
Application Procedures
The recipients 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 recipients 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.
Criteria Selecting Proposals
The recipients 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 recipients 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.
Award Procedures
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.
Deadlines
Not applicable.
Range of Approval or Disapproval Time
Not applicable.
Appeals
Not applicable.
Renewals
Grant agreements are subject to appropriations and receipt of federal funds.
Formula Matching Requirements
None
Uses and Restrictions
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 community care infrastructure efforts.
Reports
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
Audits
Awardees must comply with the audit requirements listed in 2 CFR 200 and Administrative Rule, 44 Illinois Administrative Code 7000.90.
Records
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).
Account Identification
Award# RHTCMS332055-01-01
Obligations
Subject to available funding, total RHTP-CCI specific funding is estimated at $20,000,000 for the first federal Budget Period (January 2026 to October 2026). Subject to available funding. total RHT-CCI specific funding is estimated at $0 in the current fiscal year (SFY26).
Range and Average of Financial Assistance
Subject to available funding, the Illinois Public Health Care Association will be awarded an estimated $12,500,000 for the first federal Budget Period. Award amounts for Budget Periods 2 to 5 will be determined at a later time. Subject to available funding, the Community Behavioral Health Association will be awarded an estimated $7,500,000 for the first federal Budget Period. Award amounts for Budget Periods 2 to 5 will be determined at a later time.
Program Accomplishments
As identified in the opportunity.
Regulations, Guidelines, and Literature
2 CFR 200 and 2 CFR 300; https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
Regional or Local Assistance Location
Statewide
Headquarters Office
Illinois Dept of Healthcare and Family Services 201 South Grand Ave E Division of Medical Program Services Springfield, IL 62763-1000
Program Website
https://hfs.illinois.gov/info/fedresctr/ruralhealthtp.html
Example Projects
New programming.
Published Date
Funding By Fiscal Year
FY 2027 : $20,000,000
Federal Funding
Notice of Funding Opportunities
None
None