California Rural Health Transformation Program (CalRHT)
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● The Federal Program
Rural Health Transformation Program (RHTP)
The Rural Health Transformation (RHT) Program was authorized by the Working Families Tax Cut (Section 71401 of Public Law 119-21) to invest $50 billion over five years in rural healthcare delivery in rural communities. The program created the Rural Health Transformation Fund, a $50 billion investment over five years, available to all 50 states that apply.
The purpose of RHTP is to give states the flexibility and resources to reimagine how rural health care is delivered and financed. Funding is not intended to supplement Medicare or Medicaid, but instead to support innovative, state driven approaches that address longstanding rural challenges such as access, workforce shortages, and infrastructure gaps.
● California’s Implementation
California Rural Health Transformation (CalRHT)
The California Rural Health Transformation (CalRHT) program is California’s approach to the federal Rural Health Transformation Program (RHTP), led by the Department of Health Care Access and Information, with Centers for Medicare & Medicaid Services (CMS) oversight. CalRHT is designed to strengthen health care delivery in rural communities where access challenges, workforce shortages, and infrastructure gaps create unique barriers to care.
A Connected and Resilient Rural Health System
$233.6 million
Awarded to California for Federal Fiscal Year 2026 to support rural communities across the state.
HCAI and its partners are implementing a shared vision of a connected and resilient rural health system, helping ensure rural Californians can access timely, person-centered care closer to home.
Explore CalRHT
Find program information, funding opportunities, and resources for California’s rural health transformation efforts.
Funding Opportunities
Explore CalRHT funding opportunities and related information.
Rural Health Policy Council
Learn about the council, its role, and its meetings.
Resources & Meeting Materials
Find CalRHT program documents, FAQs, CMS guidance, meeting presentations and minutes, and webinar recordings in one place.
We’re Here to Help
Need Help?
Questions about grant applications?
Email info@calruralhealth.org
Call 855-CAL-RHTP (855-225-7487)
General CalRHT questions?
Email CalRHT@hcai.ca.gov
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Disclaimer: Information on this page is provided for general informational purposes and is subject to change. Funding opportunities, program requirements, and award information are governed by official CalRHT announcements, application materials, and applicable agreements. Please refer to the relevant official program pages and documents for the most current information.
The CalRHT program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $333,639,308.46 with 100 percent funded by CMS/HHS. The contents are those of CalRHT and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.