In late 2025, the Centers for Medicare and Medicaid Services released Rural Health Transformation Program (RHTP) grants totaling $50 billion, with average awards of $200 million per state per year over five years. The funding aims to help states implement various technologically-based and efficiency-oriented strategies to sustain rural providers as Medicaid enrollment declines.

While each state was able to design its own RHTP structure, most states are focusing on behavioral health system enhancements, technology upgrades, and workforce incentives —all of which could benefit supportive housing service providers in rural areas. This report shows how states are using the grants to improve access to healthcare in rural communities.