Oklahoma

Oklahoma received $223,476,949 in Year 1 funding under the federal $50 billion Rural Health Transformation Program — the fifth-largest RHTP award in the country. As with every state, the award is disbursed by CMS annually across five budget periods (FY2026–FY2030), with each year's payment tied to performance. Year 1 (Budget Period One) runs December 28, 2025 through October 30, 2026.

The Oklahoma State Department of Health (OSDH) administers the Oklahoma Rural Health Transformation Program. Program Directors Lisa Rother and Jackie Kanak run day-to-day operations, with Commissioner Keith Reed as the public face. General inquiries go to OklahomaRHTP@health.ok.gov.

Oklahoma's plan is built around 29 CMS-approved programs across six pillars — innovating care models, growing talent, health data, rural maternal health, EMS stabilization, and a value-based payment shift, with behavioral health, chronic care, and provider stabilization threaded through. The state layers on a facilitator-led regional structure (Rural Regional Reorientation) so that funding maps to region-specific objective plans rather than a single statewide template.

Oklahoma RHTP hub →

Oklahoma has published a program-by-program map in its Program Quick Summary Guide. The largest bucket is Regional Collaboration at roughly $75.1M in Year 1, anchored by a $43.1M Provider Collaborative Network and a still-forming statewide Clinically Integrated Network. Other major lines: Rural Residency Programs (~$22.1M, six new training sites, co-administered by OU and OSU), a Technology Cooperative for primary-care and behavioral-health providers (~$13.8M), Rural Regional Reorientation (~$27.5M in the narrative, $20M in the first NOFO), Chronic Disease Management (~$15.3M), and School-Based Health Services (~$15.1M over five years). The full breakdown lives in the state's Quick Summary Guide and budget narrative.

Oklahoma is front-loading procurement. Closed solicitations include Community-Led Wellness Hubs Microgrants (~$4M, 69 of 75 counties), Rural Regional Reorientation NOFO RHTP2026002 ($20M, closed June 12), Chronic Disease Management RHTP2026003 (~$15M, closed June 8), Behavioral Health Integration — MOUD/MAUD ($2.8M, closed July 10), and EMS & Community Paramedicine Vehicles ($3.7M, deadline extended to July 27). Also live this summer: the Expanding Care: Doulas NOFO (at least $2.5M, due July 27) and school-based grants through OSDE (ROOTS, School-Based Health Services). By mid-June OSDH reported ~70% of the Year-1 award obligated. Every dated dispatch covering Oklahoma is listed below, newest first.

Near-term dates: 16 in-person county-cluster kickoffs run July 27–August 14, 2026; Year-1 awards are due to be announced late July or early August; CMS holds a site visit August 4–5; and OSDH files its first annual report August 30 — the document that determines Year 2 funding. The next competitive Rural Regional Reorientation NOFO is expected to open around February 2027. Subrecipients should note the BP1 spend-down rules: personnel, fringe and travel must be spent by October 30, 2026; all other BP1 funds spent and invoiced by July 31, 2027; and drawn down by OSDH by September 30, 2027. Live 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. In Oklahoma, Governor Stitt signed HB3066 on May 11, 2026, which creates the Oklahoma Rural Health Transformation Program inside OSDH and stands up a dedicated Rural Health Transformation Revolving Fund to manage the state's Year-1 award. The bill also ties the Health Care Workforce Training Commission's authority to RHTP grant parameters rather than treating the money as ordinary state appropriations.

Eligibility runs on two tracks. Direct-to-state contracts go out as competitive NOFOs (submitted through Smartsheet forms), 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. Note that many of Oklahoma's 29 programs move through inter-agency agreements (OU, OSU, OHCA, OSDE, CareerTech) and subrecipient channels such as the Oklahoma Hospital Association, without competitive solicitation.

Track open opportunities on the RHTP funding page and connect through the state's network of Regional Champions.

Oklahoma RHTP funding page →