RHTP Specialty and Acute Care Bundle (Bundle Two)

June 9, 2026 - Addendum No. 5 is hereby issued to update the RFA Timeline. Please see the addendum posted below. May 26, 2026 - Addendum No. 4 is hereby issued to provide answers to written supplemental questions. Please see the addendum posted below. May 20, 2026 - Addendum No. 3 is hereby issued to provide answers to written questions and modify requirements of the RFA. Please see the addendum posted below. April 29, 2026 - Addendum No. 2 is hereby issued to modify the Super Regions table in Attachment I, RHTP Standard Terms and Administrative Requirements. Please see the addendum posted below.  April 27, 2026 - Addendum No. 1 is hereby issued to modify the Super Regions table, update the RFA Timeline, and remove the Technical Assistance Webinar Series section in Attachment I, RHTP Standard Terms and Administrative Requirements. Please see the addendum posted below.  April 21, 2026 - The Florida Agency for Health Care Administration (Agency) is issuing this Request for Applications (RFA) to establish grant agreements with eligible subrecipients under Florida’s Rural Health Transformation Program (RHTP). RHTP is a five-year, federally funded initiative administered by the Agency under the Centers for Medicare and Medicaid Services (CMS) Cooperative Agreement No. 1RHTSSCMS332067-01-00 (the “cooperative agreement”). The RHTP was developed pursuant to Florida’s approved RHTP application and the Medicaid and Children’s Health Insurance Program (CHIP) funding authorities under Title XIX and Title XXI of the Social Security Act.   The RHTP is organized around five strategic goals — Make Rural America Healthy Again, Sustainable Access, Workforce Development, Innovative Care, and Tech Innovation — and is implemented through 14 distinct initiatives described in the RFA.  The Specialty and Acute Care Bundle (Bundle Two) is a collection of multiple initiatives under Florida's RHTP. The bundle is designed to strengthen rural health care facilities capacity to deliver specialty, acute, and behavioral health care through shared technology platforms, integrated data infrastructure, and expanded telehealth service lines. The bundle consists of two required Core service components — Florida HIE/ENS Onboarding (Initiative 13) and Diagnostics Technology Support (Initiative 14) — and four elective telehealth lead initiatives.