Arizona

Arizona received $166,988,956 in Year 1 funding under CMS Notice of Award RHTCMS332059-01-00, dated December 29, 2025, with a five-year period of performance running through October 30, 2030. The award is Arizona's share of the federal $50 billion Rural Health Transformation Program.

AHCCCS (the Arizona Health Care Cost Containment System) is the single CMS awardee. The Governor's Office named three lead agencies to administer distinct slices: the Office of Economic Opportunity (OEO) runs workforce; the Department of Health Services (ADHS) runs maternal health and chronic-disease work; and AHCCCS runs everything else. Program coordination runs through the Arizona Center for Rural Health (manand@arizona.edu).

Arizona is using RHTP dollars to strengthen the rural health workforce, expand access through telehealth, mobile care and satellite sites, and make rural providers financially and operationally resilient through diagnostic equipment, EHR modernization and shared-services consortiums — coordinated across three state agencies rather than a single office.

• Rural Health Education & Training (OEO) — 28% (≈$47M), the single largest slice.
• Maternal Health (ADHS) — 3%; Chronic Disease Prevention & Management (ADHS) — 7%.
• Behavioral Health & SUD (AHCCCS) — 6%.
• Making Rural Health Care Accessible (AHCCCS) — 23% (telehealth/digital 10%, rural-health innovation 13%).
• Making Rural Health Resilient (AHCCCS) — 23% (diagnostic/EHR tech 18%, shared-services consortiums 3%, operational/fiscal TA 2%).

Arizona's first live solicitation was the AHCCCS Opioid Antagonist Distribution Initiative RFGA, released July 10, 2026 — targeting rural counties, Tribal communities, fire districts and frontier clinics. OEO (workforce) and ADHS (maternal/chronic disease) previewed their procurement calendars at the June Arizona Rural Health Conference, with the bulk of solicitations expected across the back half of 2026. Every dated dispatch covering Arizona is listed below, newest first.

The Opioid RFGA's application deadline is posted on the AHCCCS grant application page (confirm it there — it is not printed on the toolkit card). AHCCCS is also hosting three regional “Share Your Voice on Rural Health” public meetings, with dates on the RHTP hub. Live procurement dates surface first in the dated dispatches below.

The Rural Health Transformation Program was created by Section 71401 of the One Big Beautiful Bill Act (2025) and is administered federally by CMS. Arizona's participation is administered through AHCCCS under its CMS-approved project and budget narratives, with the Governor's Office designating the three lead agencies. Detailed state appropriation and allocation figures are set out in Arizona's approved Project Narrative and Budget Narrative.

Eligibility runs on two tracks. Direct-to-state contracts go out as competitive RFPs, where firms bid as prime contractors. Subgrants and subawards flow to rural providers — hospitals, Rural Health Clinics, FQHCs, Tribal health organizations, EMS agencies, counties and fire districts — and it is here that technology vendors and consultants most often engage as subcontractors or implementation partners rather than as direct grantees.

Track opportunities on the AHCCCS RHTP hub and the Grants Administration portal; attend the regional “Share Your Voice” meetings to shape priorities before more solicitations drop; and request a letter of support from the Arizona Center for Rural Health (as State Office of Rural Health) by sending them a link to an open funding opportunity.