CMS Just Launched a $50B Program for Rural Health:
Here’s What States Need to Know
Applications are due this November. Here's how states can prepare—and how VSM can help.
CMS just unveiled a new opportunity that could reshape the future of healthcare in rural America.
The Rural Health Transformation (RHT) Program , authorized by the One Big Beautiful Bill Act, will distribute $50 billion over five years to states committed to improving rural health systems. From care access and workforce development to tech-enabled innovation and value-based care models, the RHT Program is designed to support strategic, system-wide improvements.
But this isn't a wait-and-see opportunity. States must act quickly.
Key Dates:
📅 Expected mid-September 2025: Notice of Funding Opportunity (NOFO)
📅 Early November 2025: Application Deadline
📅 December 31, 2025: Awards Announced
How Can States Use Rural Health Transformation ( RHT) Funds?
Eligible states (limited to the 50 U.S. states—territories are excluded) must select at least three use categories for their proposal.
Options include:
- Chronic disease management and preventive health programs
- Recruitment and retention of rural health workforce
- Adoption of advanced technologies like AI, telehealth, and remote monitoring
- Enhancing cybersecurity and health IT infrastructure
- Building or restructuring rural care delivery systems
- Expanding mental health and SUD services
- Developing value-based care or ACO models
This isn’t about patching holes—it’s about long-term transformation .
How VSM Can Help Your State Win—and Deliver
At Value Services Management (VSM) , we specialize in exactly the kinds of solutions this funding supports. Our team manages ACOs and value-based care initiatives in rural and underserved markets across the country—so we understand the real-world challenges of access, sustainability, workforce strain, and care fragmentation.
Here’s what we bring to the table:
- ACO Infrastructure & Strategy – We’ve built ACOs from the ground up and supported long-term success in the Medicare Shared Savings Program (MSSP), REACH, and other models.
- Workforce Pipeline Support – We help provider groups restructure delivery to practice at top of license and attract new talent to rural markets.
- Tech-Enabled Care Models – From telehealth and AI to predictive analytics and remote monitoring, we help implement solutions that actually work.
- Application Guidance – We can help your state identify priorities, structure a compliant proposal, and write a competitive application that demonstrates both impact and sustainability.
Whether you’re already forming a response team or just starting to explore options, now is the time to plan.

Want to talk about how we can support your state’s application?
Reach out here: info@valueservicesmgmt.com
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