Civic Operator
Rural Health Transformation Program · Q2 2026 Quarterly Report

Q2 RFP Review / Q3 RFP Watcher

Every procurement that published this quarter, the near-term contracting outlook for next, and where the federal money actually stands — across the $50B CMS Rural Health Transformation Program.

WATCH

Open & upcoming procurements — Q3 2026

Live targets: procurements open or upcoming with deadlines July–October 2026. Sort by deadline or ceiling; filter by month. Ceilings are program maximums as reported and often fund multiple awards — always confirm on the state portal before bidding.

REVIEW

Published procurements catalog — through Q2 2026

The full tracker: every procurement we captured this quarter — RFPs, RFAs, NOFOs, awards and more — with links to the source document. Filter by state or type; sort any column, including the extracted dollar amount.

01

The map

All 50 states by implementation maturity or rural-geography tier. A ring marks frontier-tier states; an inner border marks regional-hub operators. Click a state to open its profile below.

02

The quarter in one view

Every state cleared the starting line — all 50 have a program page and a submitted plan. The spread is in procurement velocity.

Implementation maturity

By procurements issued this cycle (tracker, cross-checked vs. Rural Care Journey). A few states run a letter-of-intent model rather than RFPs (e.g. Alaska: 1,787 LOIs, 430 advanced) and show full maturity with few listed procurements.

Quarter pulse

State activity events per week across the daily briefs.
03

The money starts to move

Federal obligations vs. federal outlays, from USAspending (CFDA 93.798). The full FY2026 tranche is obligated; as of early July most states have begun recording outlays — though still well under one percent of the total.

Obligated · FY26
Federal outlays
04

State intelligence & profiles

Maturity, geography, and federal dollars per state. Sort any column; filter by stage. Click any state for its profile, its dated activity log, and a link to the deep dive. The Procurements column shows the higher of our tracked count and the cross-checked total, so its sum exceeds the deduplicated catalog above.

05

Geography — the operating models

How a state defines “rural” for RHTP reveals how it administers the program. Tier 1 delineated its own operational rural geography; Tier 3 defers to the federal HRSA definition.

06

How this was built