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California moves to submit RHTP application, CalSOAR reports stakeholder priorities

California Department of Health Care Access and Information (State Office of Rural Health) · November 5, 2025

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Summary

HCAIs CalSOAR team briefed stakeholders on recent webinars, the Rural Health Transformation Program application to CMS, stakeholder input and priorities and constraints on permitted RHTP uses and caps; California planned to submit its RHTP application by Nov. 5.

Eddie Wong, state flex program coordinator at the California State Office of Rural Health (CalSOAR), summarized recent outreach and the status of Californias Rural Health Transformation Program (RHTP) application to CMS.

CalSOAR reported more than 350 stakeholders completed an RHTP survey and the team held six listening sessions and targeted interviews. Stakeholder priorities aligned across the five RHTP goals CMS expects: prevention/chronic disease, sustainable access, workforce development, innovative care models and technology adoption.

Wong said CMS expects state applicants to prioritize sustainable, long-term solutions and regional collaboration, and called out limits in permissible uses: capital and infrastructure is capped at 20% of each budget period, certain provider payments are capped, and new construction is generally unallowable. CMS will score applications annually, and the award size can change year to year based on a states rural population and the strength of its application, Wong said.

CalSOAR encouraged stakeholders to subscribe to the rural health listserv; the office will post updates and resources and urged continued proposals and comments during the implementation phase if California is awarded RHTP funds.