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Building a Healthier Rural Montana: Investing in People, Technology, & Preventive Care to Strengthen Health Systems, Improve Access, & Build a More Resilient, Sustainable Future for Rural Communities.

Award Number: RHTCMS332058
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 12/29/2025
PERIOD OF PERFORMANCE END DATE: 10/30/2030

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Building a Healthier Rural Montana: Investing in People, Technology, & Preventive Care to Strengthen Health Systems, Improve Access, & Build a More Resilient, Sustainable Future for Rural Communities. - Name of organization: State of Montana (“the State”); Department of Public Health and Human Services as lead department for the State. Names of subrecipients and sub-awardee organizations: To be determined post-award in accordance with the Montana Procurement Act and applicable federal and state procurement policies. Likely partners include rural hospitals, community health centers, tribal health organizations, and other qualified providers. Project goals: The State will advance five strategic goals through its proposed initiatives: 1. Workforce Development – Strengthen recruitment, training, and retention of a high-skilled rural health workforce across Montana. 2. Sustainable Access – Improve the long-term viability of rural providers as access points for care through operational and financial support. 3. Innovative Care Models – Implement and scale flexible, patient-centered care models that improve outcomes and care coordination. 4. Community Health and Prevention – Promote prevention and address root causes of disease through expanded access and community-based interventions. 5. Technology Innovation – Expand the use of secure, efficient digital health tools to improve care delivery and access for rural patients and providers. Total budget amount: $200 million per year for 5 years; $1 billion total. Description of fund use: The State will implement five initiatives to achieve these goals, supported by existing State policy and targeted policy interventions as needed: • Initiative 1: Develop Montana’s rural health workforce through recruitment, training, and retention. • Initiative 2: Ensure the sustainability of Montana’s rural health facilities to ensure access through partnerships and restructuring. • Initiative 3: Launch innovative care delivery and payment models to improve access and outcomes in Montana. • Initiative 4: Invest in Montana’s community health and preventative infrastructure. • Initiative 5: Deploy modern health care technologies for Montana’s providers and patients.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $233,509,359 )
2026	2026	STATE OF MT DEPT HEALTH AND HUMAN SERVICES	2401 COLONIAL DR	HELENA	MT	59601	LEWIS AND CLARK	USA	Rural Health Transformation Program	00	1	12/29/2025	NEW	$233,509,359
2026	2026	State of Montana Department of Health and Human Services	111 N Sanders St	Helena	MT	59601	LEWIS AND CLARK	USA	Rural Health Transformation Program	02	1	3/11/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	State of Montana Department of Health and Human Services	111 N Sanders St	Helena	MT	59601	LEWIS AND CLARK	USA	Rural Health Transformation Program	01	1	2/19/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $233,509,359

Grand Total All Awards = $233,509,359

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Building a Healthier Rural Montana: Investing in People, Technology, & Preventive Care to Strengthen Health Systems, Improve Access, & Build a More Resilient, Sustainable Future for Rural Communities.

Award Number: RHTCMS332058

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

PERIOD OF PERFORMANCE START DATE: 12/29/2025

PERIOD OF PERFORMANCE END DATE: 10/30/2030

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