RHTP Preventive Care and Care-at-Home Grant Program

The Preventive Care and Care-at-Home Bundle is a funding opportunity issued by the Florida Agency for Health Care Administration under the Rural Health Transformation Program, a federally funded initiative supported through a cooperative agreement with the Centers for Medicare and Medicaid Services. The program is part of a broader multi-year effort to transform rural healthcare delivery across Florida by improving access, strengthening workforce capacity, and integrating technology-driven care models. This specific bundle represents a coordinated investment in preventive care and home-based services designed to address persistent barriers in rural communities, including transportation limitations, workforce shortages, and fragmented care coordination. The purpose of this funding opportunity is to establish a fully integrated continuum of care that begins with community-based outreach and extends into patients’ homes while maintaining connectivity through shared data systems. The bundle requires applicants to implement five interdependent initiatives: mobile health services, community paramedicine, remote patient telemonitoring, on-site pharmacy or retail clinic services, and onboarding to the Florida Health Information Exchange and Event Notification System. These components must function together as a unified program, and applicants are not permitted to apply for individual components independently. The program emphasizes early identification of patient needs, chronic disease management, post-discharge follow-up, and real-time data sharing to improve outcomes and reduce avoidable hospital utilization. Funding for the first year totals 60.5 million dollars statewide, distributed across the five required initiatives. Allowable uses of funds include program coordination, technology systems, training, mobile unit leasing, telemonitoring equipment, and administrative support, subject to restrictions. Funds may not be used for clinician salaries related to direct patient care, capital construction, or to replace existing funding streams such as Medicaid or other federal programs. Administrative costs are capped at three percent of the total award. The program operates under a broader federal performance period extending through 2030, with annual continuation funding contingent on performance, reporting compliance, and federal approval. Eligibility for this funding opportunity is structured around the lead initiative selected by the applicant, which must be one of three qualifying areas: mobile health, community paramedicine, or retail clinic services. Eligible entities include healthcare providers such as federally qualified health centers, rural health clinics, hospitals, EMS agencies, pharmacies, and other qualified organizations depending on the initiative. Applicants must demonstrate the capacity to deliver all five required components either directly or through formal partnerships. This includes establishing clinical oversight, executing partnership agreements, and coordinating data integration across all participating entities. All services must be delivered within eligible rural areas as defined by federal and state criteria. The application process requires submission of a single, comprehensive application package that includes detailed narratives, budgets, partnership agreements, implementation plans, and supporting documentation for all five initiatives. Applicants must follow strict formatting and content requirements, including multiple narrative sections covering program design, organizational capacity, data collection, sustainability planning, and financial solvency. The evaluation process consists of a pass or fail compliance review followed by a technical evaluation that scores each initiative component and the overall integration strategy. Applications that fail to address any required component are deemed non-responsive. The application timeline specifies a release date in April 2026 and a final submission deadline of June 10, 2026. Applicants may submit written questions to the agency prior to the deadline, with official responses posted publicly. The first year of funding begins August 1, 2026 or upon execution of the agreement and runs through July 30, 2027. Awards are determined based on technical merit, geographic need, and alignment with program goals, with the agency reserving discretion to distribute funding across regions to avoid duplication of services. This funding opportunity does not indicate a recurring annual cycle, but it is part of a multi-year program with potential continuation funding based on performance. Overall, this grant represents a large-scale, systems-level investment in rural healthcare transformation, requiring applicants to design and implement coordinated, multi-component programs that integrate clinical services, technology infrastructure, and community-based care delivery. The emphasis on interoperability, care coordination, and measurable outcomes reflects a broader shift toward value-based care and population health management in rural settings.

Ensure full integration across all five required initiatives; incomplete bundle submissions are disqualified; emphasize rural service coverage, data integration, and partnerships; align proposal with evaluation criteria and statewide outcome metrics