Telehealth Digital Transformation, Adoption, & Care Coordination

The Arizona Health Care Cost Containment System, or AHCCCS, is issuing the Telehealth Digital Transformation, Adoption, and Care Coordination Grant as the third public competitive grant solicitation under Arizona's Rural Health Transformation Program. The Arizona RHTP is supported by the Centers for Medicare and Medicaid Services within the U.S. Department of Health and Human Services. The broader five-year program is intended to strengthen healthcare access, workforce capacity, provider sustainability, and population health outcomes for approximately 800,000 rural Arizonans. The Arizona RHTP financial assistance award totals $166,998,955.92 and is 100 percent supported by CMS and HHS. Continuation funding during the five-year program is contingent on annual CMS review and approval of a Non-Competing Continuation application and any applicable rescoring or continuation award recalculation. This grant is intended to expand telehealth capacity, modernize digital infrastructure, and strengthen coordinated care delivery in rural and rural Tribal communities in Arizona. Projects may establish or expand telehealth hubs, telehealth-enabled mobile health units, remote patient monitoring programs, digital infrastructure, telehealth equipment, care coordination platforms, tele-behavioral health services, and chronic care services. The initiative seeks to increase access to virtual specialty, primary, and behavioral health care; improve remote monitoring and digital care readiness; strengthen coordination among rural hospitals, community health centers, Tribal health systems, and healthcare providers; and reduce dependence on travel to urban locations for advanced services. Proposed projects must represent new or expanded activities beyond an applicant's current operations. AHCCCS will award funding through four programmatic tiers. Tier 1 provides awards from $10,000 to $75,000 for foundational, small-scale projects such as basic telehealth equipment, digital literacy training, connectivity assessments, community health navigation, and small remote monitoring pilots. Tier 2 provides $75,001 to $500,000 for telehealth hubs, remote monitoring, infrastructure modernization, care coordination platforms, tele-behavioral health, community health worker programs, mobile health units, and supporting cybersecurity. Tier 3 provides $500,001 to $2,000,000 for comprehensive telehealth transformation, mobile health units, EMS network expansion, regional care coordination systems, and satellite clinics. Tier 4 provides $2,000,001 to $5,000,000 for large multi-site or regional initiatives, statewide care coordination platforms, EMS modernization and community paramedicine, value-based care transformation, AZREACH Behavioral Health Transfer Program expansion, and enterprise-level technology and security improvements. Up to $17,000,000 per budget year is available for this initiative. No matching contribution is required. Eligible applicants are limited to the exhaustive categories identified in the RFGA. These include small rural clinics; Tribal health programs and 638 facilities; community-based organizations and providers serving rural populations; rural EMS agencies and fire departments; rural school-based health centers; Rural Health Clinics; Federally Qualified Health Centers serving rural areas; Tribal and Indian Health Service facilities serving eligible rural areas; county health departments; rural provider consortiums; Critical Access Hospitals; regional health systems with rural service areas; large Tribal health facilities and authorities; provider collaborative networks; universities and colleges with rural health programs; and managed care organizations. Applicants must also fall within the listed organizational categories of local governments, academic institutions, consortia, Native American Tribes, nonprofits, private-sector entities, or schools and school districts. Proposed services must be delivered in Arizona areas meeting HRSA rural eligibility criteria, including rural counties, rural-designated portions of partially rural counties, and Tribal service areas. Eligibility is determined by where proposed services will be delivered rather than solely by the applicant's organizational location. Applicants must also meet applicable federal grant requirements, including SAM.gov registration and financial capability requirements. Tribal partnerships are strongly encouraged and are eligible for scoring bonuses. Applications opened July 17, 2026 and must be submitted no later than August 21, 2026 through the State of Arizona's EUNA online grant system, formerly eCivis. Applications submitted after the deadline will not be considered, and AHCCCS will not provide an extension or grace period for internet connectivity problems, file upload difficulties, incomplete proposals, or misunderstandings of the submission requirements. Applicants are responsible for routinely checking the online grant system for solicitation or grant amendments and should follow the additional application preparation instructions included with the solicitation. Questions concerning the RFGA were required to be submitted electronically using the Questions and Answers form and emailed to procurement@azahcccs.gov by July 27, 2026 at 3:00 PM Arizona Time. A virtual pre-application conference was held July 24, 2026 from 1:00 PM to 2:30 PM MST. The source identifies no mandatory LOI, concept paper, pre-proposal, or other pre-application gating requirement. The anticipated period of performance for this RFGA begins on the award date and continues through October 30, 2026, corresponding to Budget Period 1 of the Arizona RHTP, although the tier descriptions identify project durations ranging from 12 to 60 months. Funding for Budget Years 2 through 5 is contingent on approval of an annual Non-Competing Continuation application, satisfactory programmatic and financial progress, and availability of funds. The source does not state the number of awards, an award notification date, or a recurring application schedule. Questions regarding the solicitation should be directed to procurement@azahcccs.gov. Persons with disabilities may request interpreters, alternative formats, or physical accessibility assistance with 72 hours prior notice to the assigned Procurement Officer.

Read the entire RFGA carefully and follow its preparation instructions; Submit through EUNA by the deadline because late applications are not considered and no grace period is provided for connectivity, upload, or misunderstanding issues; Routinely check EUNA for amendments; Clearly demonstrate that proposed services will be delivered in HRSA-eligible rural Arizona areas; Propose new or expanded activities beyond current operations; Consider qualifying Tribal partnerships because they are eligible for scoring bonuses