Vivo RHTP Pursuit Plan

Rural Primary Care Access RFA (GO-NORTH Initiative 2)

Foundation for Healthy Communities (FHC) GO-NORTH hub

Portal opened early Sept; initial deadline Oct 15, 2026, 5:00 PM ET; first cohort notified late October; rolling afterward (decisions in 45-60 days) while funds last. Sept 2 info session recording is posted.

~$15.5M total; awards run through Sept 30, 2027 with possible non-competitive continuation; no per-award cap stated

Eligible care models explicitly include lifestyle programs (physical activity, nutrition), linking patients to community wellness and disease-management programs, chronic disease self-management support, CHW health coaching, fall risk assessments and virtual-first care - all tied to rural primary care.

Direct application: Unclear

A rural NH primary care lead (FQHC, RHC, rural practice, or hospital with a primary care clinic in an HRSA-rural area such as the North Country, Lakes Region or Upper Valley) forming a Regional Partnership, with Vivo as a funded subrecipient

Updated Sept 28 Sept 28: FHC's Q&A says partner organizations must be in New Hampshire, but a vendor or contractor may be out of state. Vivo's route is paid contractor, not funded subrecipient.

1) By Sept 19, email GO-NORTH-FHC@healthynh.org asking for introductions to primary care leads building Regional Partnerships, and to confirm rules for for-profit, out-of-state subrecipients. 2) Watch the Sept 2 recording. 3) Confirm SAM.gov UEI and NH Secretary of State status. 4) Pitch 3-5 rural FQHCs/RHCs a scope that sends participation data back to the primary care provider. 5) Get a signed letter of commitment to the lead by Oct 8.

By Sat Sep 19

HTH-PHN-1-26 Rural Community Health Worker Pilot RFP

Hawaii Department of Health, Communicable Disease and Public Health Nursing Division (posted on HANDS)

Released Sept 2; orientation (Sept 9) and written-question deadline (Sept 11) have passed; due Sept 22, 2026, 4:30 PM HST by hand delivery, or USPS postmark by Sept 22 and received within 10 days; contract Oct 28, 2026 - July 31, 2027

Single cost-reimbursement contract up to $658,000

The contractor is employer of record and administrator (HR, payroll, travel, IT, data) for 6.0 FTE CHWs and a 0.5 FTE project manager, with CHWs directed day-to-day by DOH public health nurses. Target populations (older adults, chronic conditions) match, but no program delivery is being bought.

Direct application: No

A Hawaii-based CHW employer with multi-island operations bidding as prime, with Vivo as a subcontracted health-education resource

Do not bid as prime (mandatory experience, 7 days left, paper-only submission). Optional: by Sept 17, offer likely Hawaii bidders a subcontract line for virtual evidence-based classes CHWs can refer older adults into. After award (~Oct 28), ask doh.rica@doh.hawaii.gov who won and pitch a referral partnership.

By Thu Sep 17

Long-Term Care Quality Investment Program (QIP), RFA 67-212

Pennsylvania Department of Health, Long-Term Care Transformation Office (e-Marketplace; listed on the DHS RHTP funding page)

Sept 1 - Oct 1, 2026, 7:00 AM. Pre-application conference Sept 9 (attendance required; slides posted as Addendum 1). Performance period Jan 1 - Sept 30, 2027.

DHS page: ~$2.75M. RFA text: ~$12M total program. $2,500 per licensed bed up to $250,000 per facility; 48-100 awards.

Facilities buy training, technology and equipment. The closest lines are Track 4.D (software/equipment for virtual visits, $25K) and Track 6.C (resident council support); neither clearly covers evidence-based group exercise or falls-prevention classes.

Direct application: No

A rural Pennsylvania skilled nursing facility, personal care home, assisted living facility or intermediate care facility that attended the Sept 9 pre-application conference

Low priority. 1) By Sept 22, email azechman@pa.gov asking whether a virtual resident wellness or falls-prevention subscription is allowable under Track 4.D or 6.C. 2) If yes, by Sept 25 give interested rural facilities a quote at or under $25K so they can attach it before the Oct 1, 7:00 AM deadline.

By Tue Sep 22

UTHSC Tennessee Rural Health Care Center of Excellence - Call for Letters of Intent (Planning and Implementation Grants)

University of Tennessee Health Science Center (UTHSC)

LOI due Sept 28, 2026

Not stated

The call is themed 'Clinical Practice Transformation' (operations, EHR and IT, shared services), not prevention or healthy aging.

Direct application: Unclear

Rural clinic or regional health system proposing a shared-services model

Skip unless a rural clinic partner wants a shared virtual-prevention service line. If so, submit the LOI by Sept 28 and first ask aharkrid@uthsc.edu whether for-profits and prevention services qualify.

By Mon Sep 28

RAMP (Rural Healthcare Access Modernization Program) RFA No. 34320-36927

TDH State Office of Rural Health (paid for with TennCare Shared Savings, not federal RHTP money)

Due Sept 30, 2026 at 2:00 PM CT. Page last updated Aug 26, 2026. Grant period ends June 30, 2031.

About $104.4M: $100M capital investment (tiered awards of $40M, $20M, $10M and smaller), RHTP grant extensions as a sub-objective of the capital goal, and $4.43M in primary care seed grants capped at $500K (priority pediatrics and OB). Equipment/IT is capped at 20%.

RAMP mostly pays for buildings and primary care start-up, with a pediatric and OB focus. A virtual group program for older adults has no natural funded project here.

Direct application: Unclear

Rural hospital or FQHC seeking a Goal 2 extension of an RHTP prevention project

Low priority. Optional: before Sept 30, email Competitive.Health@tn.gov with subject 'ATTN: RAMP' asking whether Goal 2 extensions can fund non-capital prevention services. Otherwise skip.

By Wed Sep 30

Community Paramedicine RFA - NOT PURSUING

Virginia Department of Health (via eVA)

Opened Sept 4; due Oct 6, 2026 (closing time not verified - eVA shows reCAPTCHA)

~$3.7M total; awards up to $400K; first awards concentrated in three Regional EMS Council service areas, to be picked through the competitive review

Declined by Vivo on Sept 16, 2026: the EMS-led scope does not fit live virtual group programming, despite the RFA listing chronic disease management and aging-in-place among eligible project types.

Direct application: Unclear

Rural Virginia EMS agency, or a hospital/health system running community paramedicine or mobile integrated health (MIH), in a rural EMS region such as Region 1 (Southwest), Region 2 (south-central) or Region 3 (Shenandoah Valley/Highlands). The three funded council areas are not yet named.

No action. Vivo is not bidding this round.

UNE Shaw Institute evidence-based practice (EBP) activity proposals - Maine RHTP Population Health Activity 1.2

University of New England (UNE) Shaw Institute for Public and Planetary Health, on behalf of Maine DHHS

UNE partnership announced July 31, 2026. UNE says it will publish an online solicitation for EBP activity proposals, but no timeline had been released as of Sept 15, 2026.

Part of a $12M UNE partnership that also pays for community health worker (CHW) expansion. The EBP share is not published.

Maine's plan pays a vendor to deliver EBP trainings and implementation funding across age groups and health areas. Vivo's evidence-based healthy-aging programs fit squarely, and Maine has the oldest population in the nation.

Direct application: Unclear

Rural Maine organizations that would carry out EBPs: rural hospitals, FQHCs, Area Agencies on Aging, or Maine Prevention Network sites (UNE subcontracts with the Prevention Network)

1) Attend the MCD and Maine DHHS info session on Tuesday Sept 22, noon ET (registration on mcd.org/rhtp) and ask when UNE's evidence-based practice solicitation posts and whether out-of-state or virtual EBP providers may apply. 2) Sign up for Maine RHTP email updates at maine.gov/dhhs/ruralhealth. 3) Register in Maine Vendor Self-Service. 4) Line up 2-3 rural Maine partners (Area Agency on Aging, FQHC, hospital) ready to co-propose.

By Tue Sep 22

Integrated Care for Duals (DARS)

Virginia Department for Aging and Rehabilitative Services (DARS)

Navigator says Fall 2026; Ways to Apply still shows TBD as of Sept 15; no release date, webinar or DARS web page found

Not announced (Navigator: additional details pending)

Vivo's target opportunity in Virginia. It is sponsored by the Department for Aging and Rehabilitative Services and aimed at dual-eligible older adults, the population Vivo serves. The drafted scope centers on technology and technical assistance for community navigators, so confirm that program delivery is fundable when it posts.

Direct application: Unclear

Rural Virginia Area Agency on Aging (AAA) as lead, or a Medicaid managed care / D-SNP plan serving rural dual-eligibles

Updated Sept 28 Sept 28: downgraded. The Navigator scopes this as plan-comparison technology and navigator support, with one award and both metrics counting platform usage. Watch item, not a pursuit target.

1) Email Leonard Eshmont at DARS for the release date and whether a for-profit virtual provider can be a subrecipient or contractor. 2) Open teaming talks with rural Area Agencies on Aging, which already run CDSMP, Bingocize and A Matter of Balance. 3) Subscribe to Virginia RHT updates and check the Ways to Apply page weekly for the posting.

By Tue Sep 22

Alaska RHTP Year 2 LOI/application cycle - Healthy Communities initiative (prevention, chronic disease, healthy lifestyles)

Alaska Department of Health (DOH); subawards run through the Alaska Community Foundation

Sept 22, 2026: Anchorage regional meeting (curated attendance). Sept 23, 2026: Advisory Council 8-10am (Zoom), then Applicant Convening 10am-3pm at the Dena'ina Center, Anchorage, in person or virtual (registration link 'coming soon' as of Sept 15). DOH anticipates Year 2 LOI/application 'as early as fall 2026,' with performance periods potentially starting Jan 1, 2027.

Year 2 amounts not announced. In Year 1, Healthy Communities awards were about $15.1M of ~$207M awarded through Sept 4.

Healthy Communities funds early chronic disease management, consumer-facing digital tools and healthy lifestyles. Live virtual groups suit remote, off-road communities. Year 1 funded chronic disease prevention (Fresh Start, lifestyle medicine) and an aging-in-place hybrid model.

Direct application: Yes

Alaska-based partners: Tribal health organizations (Tanana Chiefs Conference, Norton Sound, Bristol Bay Area Health Corp), FQHCs (Interior Community Health Center, Girdwood/Turnagain), Frontier Community Services (aging in place), DOH Division of Public Health Fresh Start program, Senior and Disabilities Services, Food Bank of Alaska.

1) Sign up for GovDelivery RHTP updates. 2) Watch the Sept 11 Year 2 webinar (youtu.be/3uZ_M9nulxk). 3) Attend the Sept 23 convening, virtually if needed; email RHTP@alaska.gov if registration is still not posted. 4) Use the Healthy Communities office hours to confirm the Year 2 vendor-partner pathway. 5) Secure a Tribal health or FQHC partner letter before the LOI window opens.

By Wed Sep 23

Healthy Rural Communities initiative - community-based chronic disease prevention programs

Executive Office of Health and Human Services (EOHHS) / Massachusetts Department of Public Health (DPH)

The Summer 2026 'procurements begin via COMMBUYS' milestone has passed with no program RFR. COMMBUYS searches for 'Rural Health' and 'RHTP' on Sept 15 returned only administrative solicitations. State target: year-one funds contracted in Fall 2026.

Not published

The initiative funds community-led prevention in rural towns with many residents over 60. Virtual group chronic-disease and healthy-aging programs fit, most likely delivered through local partners.

Direct application: Unclear

Rural community organizations, Councils on Aging or senior centers, and local public health in rural western and central MA (e.g., Franklin County)

1) Register Vivo as a COMMBUYS supplier and set up bid notifications. 2) Join the EOHHS RHTP contact list (Microsoft Form). 3) Search COMMBUYS weekly for 'RHTP' and 'Rural Health'. 4) Start talks with rural Councils on Aging and community organizations so Vivo is ready as a named partner.

By Fri Sep 25

ICAHN Hospital Disease Prevention Grant Program (Disease Prevention & Chronic Disease Programs)

Illinois Critical Access Hospital Network (ICAHN), HFS RHTP subrecipient

Application opens in ICAHN's Euna system on a date TBD and stays open about 2 weeks (10 working days). Informational webinar held Aug 17, 2026 (recording and slides on ICAHN page). Funds must be committed by July 2027 and spent by Sept 30, 2027.

$14M in Budget Period 1 ($16M/yr Years 2-5, preliminary per HFS). Project tiers: under $100K up to $500K.

Funds rural hospitals' evidence-based chronic disease prevention, including diabetes prevention, 'nutrition and physical activity programs' and chronic disease self-management. Allowable costs explicitly include 'external vendor services'.

Direct application: No

One of the 78 eligible rural hospitals on ICAHN's list, plus its local health department (letter of support required). Examples from the list: Sarah Bush Lincoln Health Center (Mattoon), Carle Richland Memorial Hospital (Olney), Hammond-Henry Hospital (Geneseo), McDonough District Hospital (Macomb), Gibson Area Hospital (Gibson City).

1) Email Kathy Hull (Khull@icahn.org) this week: confirm out-of-state virtual program vendors are allowable and ask when Euna opens. 2) Use ICAHN's sample application and budget worksheet to build a turnkey vendor packet (evidence base, outcomes, budget line). 3) Recruit 3-5 eligible hospitals whose needs assessments cite diabetes, obesity or falls, plus their health departments, before the 10-day window.

By Wed Sep 30

Vaya Partners (Region 3) NC ROOTS grant opportunities: Prevention and Chronic Disease Management

Vaya Partners / Vaya Health, NC ROOTS Hub Lead for Region 3

Vaya says grant funding opportunities 'will open in Fall 2026' (no date). The interest/intake form is open now.

Not published per hub. Initiative 2 (primary care, prevention, chronic disease) is an estimated $120M over 5 years across all hubs (NC plan).

Verified Sept 18, 2026 in North Carolina's application: 'Implement evidence-based physical activity programs in rural communities... Partner with schools, YMCAs, and senior centers to expand reach', alongside a Medicare age-in-place activity and, most usefully, 'Facilitated Remote DSMES in rural areas lacking internal capacity' - the state has written remote delivery into the plan for rural sites that cannot staff programs themselves.

Direct application: Unclear

Region 3 county health department, FQHC/RHC, senior center or YMCA. Counties: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union.

1) Submit Vaya's interest/intake form now, describing evidence-based strength, falls and diabetes-prevention group classes for Medicare older adults. 2) Subscribe to the Vaya newsletter. 3) Email RHTP@vayahealth.com asking whether out-of-state for-profit providers can be subrecipients and when the Fall grants open. 4) Line up a Region 3 health department or FQHC partner.

By Wed Sep 30

Year 2 continuation of Vivo's current award (DOHP26RHT, Advancing Technology, Prevention, and Workforce Capacity in Rural NJ)

NJ Department of Health (NJDOH), with NJ Department of Human Services (DHS)

Year 1 awards announced July 31, 2026. Final Year 1 progress report due Nov 15, 2026. Budget Period 1 ends Oct 30, 2026 and Budget Period 2 runs Oct 31, 2026 - Oct 30, 2027. Year 2 funding levels 'not yet known.'

Impactiv, Inc. won $157,737 in Year 1. The allocations list describes it as 'evidence-based virtual exercise programming for older adults (55+) in rural New Jersey to reduce fall risk... and improve social connectedness.'

This is Vivo's own funded program. The Year 2 goal is continuation or expansion to more rural counties.

Direct application: Yes

Community partners already named in the Year 1 project, plus rural county senior services and FQHCs (e.g., Zufall Health, CompleteCare) to deepen reach

1) Deliver strong Year 1 reporting: Budget Period 1 ends Oct 30 and the final Year 1 progress report is due Nov 15. 2) Ask Impactiv's NJDOH project officer about Year 2 continuation and expanding to more rural counties. 3) Email mahs.njrht@dhs.nj.gov and RHTP.Application@doh.nj.gov about Year 2 timing. 4) Join the DHS NJRHT listserv and watch the NJDOH grant notices page.

By Fri Oct 30

MCD Global Health RHTP Technology & Innovation / Digital Health funding opportunities (Virtual Quick Care, Automated Text Messaging for chronic conditions, Nursing Home Telehealth, and others)

MCD Global Health (subrecipient running Maine DHHS's Technology & Innovation initiative)

Announced Sept 10, 2026 for release 'over the coming weeks.' Every posted project lists Opens: TBD / Closes: TBD. Info sessions Thu Sept 17 and Tue Sept 22, 2026, noon ET (Teams).

Per-project amounts not posted. Two funding types: Grants (to provider sites) and Partner Service Agreements (PSAs, to vendors).

Virtual care vendors are explicitly invited. However, none of the nine defined projects is a group healthy-aging program (they cover virtual urgent care, text messaging, perinatal, youth behavioral health, geriatric consults and teledentistry). The plausible opening is MCD's undefined third category, 'other technology-enabled care.'

Direct application: Unclear

A Maine rural provider, FQHC or nursing facility applying for a site Grant and naming Vivo as its service. Not needed for vendor-track PSAs.

Updated Sept 28 Sept 28: MCD published the full catalog, 18 opportunities across 9 projects, each with a vendor track and no Maine-domicile rule. One is open (youth tele-behavioral health); the other 17 are dated TBD.

1) Register for the Sept 17 noon ET session (Teams link on mcd.org/rhtp), with Sept 22 as backup. 2) Ask whether a live virtual group chronic-disease or falls-prevention service fits any PSA or the 'other technology-enabled care' category, and whether out-of-state vendors qualify. 3) Send follow-up questions to rhtp-dh@mcd.org. 4) Confirm Vivo's SAM.gov UEI is active.

By Thu Sep 17

Tech Innovation Fund

Virginia Innovation Partnership Corporation (VIPC)

Navigator timeline is September 2026; Ways to Apply shows TBD and vipc.org has no posting as of Sept 15

$250,000-$999,999 per award; 15-20 subrecipients expected

This is the only Virginia path where a company applies directly, and Vivo's platform is well past prototype stage. But the fund targets health technology solutions, so a care-delivery service would need to frame its platform as the innovation and show rural Virginia users.

Direct application: Unclear

A rural Virginia provider, AAA or CBO willing to host a pilot, to meet the 'providing direct services to rural Virginia' test

1) Email Allison Youngblood: release date; does an out-of-state company with a rural Virginia pilot qualify; does a virtual care-delivery platform count as a technology solution? 2) Confirm the SAM.gov UEI. 3) Get a pilot-site letter from a rural Virginia partner. 4) Assemble readiness (TRL) and outcomes evidence now, since the Navigator targets September.

By Fri Sep 18

Hospital-to-Home Community Paramedicine (Aging and Access initiative)

PA Department of Health Bureau of EMS (per the plan); listed by DHS as upcoming

Listed under DHS Upcoming Opportunities with no release date. Federal Budget Period 1 funds must be obligated by Oct 30, 2026.

Not announced

The plan lets paramedics expand into preventive visits (chronic disease management, fall risk assessments, wellness checks) with referrals to community services - making Vivo's virtual falls-prevention classes a natural referral destination.

Direct application: No

A rural Pennsylvania EMS agency or health system running community paramedicine

1) Subscribe to the RHTP ListServ and submit the RHTP Inquiry Form describing Vivo. 2) Identify rural EMS agencies interested in community paramedicine and offer a referral or subcontract model. 3) Check the DHS funding page weekly.

By Tue Sep 22

Consumer Tech for Education and Lifestyle Change

Virginia Foundation for Healthy Youth (VFHY)

Navigator says Fall 2026; Ways to Apply shows TBD; vfhy.org has no RHT posting (checked Sept 15)

Not announced (Navigator: additional details pending)

Metrics reward getting rural residents onto a consumer digital health platform with engagement support (coaching, reminders) and keeping them active at 6 months. Live virtual group coaching fits well if Vivo's platform counts as consumer tech.

Direct application: Unclear

Rural Virginia health system, FQHC/RHC or free clinic, or a CBO serving rural older adults, as lead - with Vivo as the digital technology partner

1) Email Michael Parsons: expected release date; can a technology company be lead applicant; does live virtual group coaching count as an engagement platform? 2) Line up one or two rural provider or CBO leads and draft a letter of commitment. 3) Check VFHY and the Ways to Apply page every two weeks.

By Tue Sep 22

RHTP 2.7T Mobile Health - other rural local health departments now, regional RFPs/RFAs in Budget Period 2

Maryland Department of Health (MDH) Prevention and Health Promotion Administration, through 18 rural local health departments (LHDs)

Budget Period 1 (BP1): county-specific projects underway; no other LHD mobile health RFP found as of Sept 15. Budget Period 2 (BP2, Oct 31, 2026 - Oct 30, 2027): partners issue opportunities Nov 2026 - Mar 2027, awards Dec 2026 - Oct 2027. CMS targets the BP2 award ~Oct 15. RHT Committee meets Dec 10, 2026, 10:00 AM.

$23M Mobile Health line across 18 rural LHDs (BP1)

The state plan's mobile health activities include community-based care teams, micro access points and CHW integration aimed at chronic disease. A virtual group program can be one component of a regional partnership.

Direct application: No

A regional partnership led by a rural provider, hospital, EMS agency or other lead in a Maryland rural region (Western Maryland, Eastern Shore or Southern Maryland)

1) Submit the MDH Rural Health Vendor Directory form and join the RHTP listserv this week. 2) Email mdh.transformruralhealth@maryland.gov for the Budget Period 2 regional RFP schedule and contacts at the 18 rural local health departments; BP2 partners issue opportunities Nov 2026 - Mar 2027, with awards Dec 2026 - Oct 2027. 3) Ask which counties move from county-specific to regional procurement in BP2, so a partner search can start in the right region. 4) Watch eMMA for the next local health department mobile health RFPs; St. Mary's ran about three weeks from release to deadline, which is too short to start a partner search cold. 5) Attend the Rural Health Transformation Committee meeting on Dec 10, 2026, 10:00-11:30 AM.

By Fri Sep 25

PACE Organization RFP - Northwest Hills pilot PACE Center

CT Department of Social Services (DSS)

RFP expected late 2026 - early 2027, pending CMS approval. Operator selected early 2027. Operator's application to CMS in Q2-Q3 2027.

Not published

PACE serves older adults who qualify for nursing-home care. The operator will contract 50-200 outside providers, including recreation and community services, which opens a subcontract route for virtual strength and social programming, but only on a 2027+ timeline.

Direct application: No

The PACE operator DSS selects (experienced PACE operators bidding for the Northwest Hills area)

1) Subscribe to the weekly CT RHTP newsletter. 2) Watch the CTSource Bid Board for the RFP in late 2026. 3) Once likely bidders are known, offer letters of interest as a network provider. 4) Send PACE design feedback to carrie.amero@ct.gov or RHTP-Questions@ct.gov.

By Wed Sep 30

RFP COMPADM26007 Cardiovascular Health Hub and Spokes

Iowa Department of Health and Human Services (Healthy Hometowns)

Notice of Intent to Release projected a July/Aug 2026 release on IowaGrants, proposals due Sept or Oct 2026, and awards Oct-Nov 2026. Still not posted as of Sept 15 (the HHS Funding Opportunities page lists only the notice and the May 13 RFI).

Not stated in the notice

Awardees must carry out 'required activities related to chronic disease prevention and management,' which is a lane for virtual hypertension and self-management groups. The core, though, is clinical cardiovascular networks among Iowa providers.

Direct application: No

An Iowa hospital or health system forming a cardiovascular hub with rural spoke hospitals and clinics. Secondary: University of Iowa Health Care, the Health Hub technical assistance provider (COMPADM26002).

Updated Sept 28 Sept 28: the RFP posted Sept 21. Mandatory letter of intent Oct 19, applications Nov 17, Option 3 worth $3.3M in year one. Only rural Iowa organizations may lead or join a network. Issuing officer is now Jennifer Zepeda, and questions go through IowaGrants, not email.

1) Sign up for Healthy Hometowns updates and check IowaGrants and the HHS Funding Opportunities page twice a week. 2) Now, contact rural Iowa hospitals and health systems likely to lead cardiovascular hubs, offering virtual hypertension/diabetes self-management as a subcontracted service. 3) Once posted, send written questions only to stacey.hewitt@hhs.iowa.gov, including whether out-of-state subcontractors are allowed.

By Wed Sep 30

Year 2 ARHTP NOFOs - Rural Health Initiative (telehealth and virtual care, chronic disease management) and Rural Health Practice Initiative (preventive care, chronic disease management)

Alabama Department of Economic and Community Affairs (ADECA)

The site says 'Applications will reopen for Year 2', with no dates. FAQ: Budget Year 2 begins Oct 1, 2026, and application timing will follow CMS approval of the Year 2 budget. Year 1 windows ran about 3 weeks, and awards came 3-4 weeks after the deadline.

Not announced. No minimum or maximum per request, partial awards are possible, and admin and indirect costs are not allowed.

The Rural Health Initiative funds 'virtual care' and chronic disease management, where Vivo could be the funded service. Rural Health Practice stresses preventive care but must be led by a rural provider.

Direct application: Yes

Rural health clinics, FQHCs, critical access hospitals or Area Agencies on Aging in HRSA-rural counties (58 of Alabama's 67 counties) as consortium members. For Rural Health Practice, a rural provider must be the lead.

1) Submit the Contact Us form on alabamarhtp.com for Year 2 alerts. 2) Email info@alabamarhtp.com: Year 2 NOFO timing, and does 'operating in Alabama' require a physical site? 3) Activate SAM.gov (under 10 business days) and consider Alabama foreign-entity registration. 4) Line up rural clinic and AAA partners with letters of commitment.

By Thu Oct 1

Initiative 2 'Rural Texas Patients in the Driver's Seat'

Texas HHSC (Rural Texas Strong)

Estimated application deadline October 2026, notice of award January 2027, contracts March 2027, start April 2027 (PFD page). Missing from the 9/10/2026 HHS procurement forecast, so it may slip.

Estimated $150M or 15% of federal funding, scalable (narrative)

Consumer apps must 'provide tailored, data-driven support' for people at risk of or living with diabetes and obesity, and subcontractors must provide digital literacy training. Both suit Vivo's program, though the core spend is portals, HIE and devices.

Direct application: No

A consortium of 2+ CINs, ACOs or cooperatives whose membership is at least 60% rural providers. Candidates (not vetted): TORCH CIN (Texas Organization of Rural & Community Hospitals CIN; press reports 45 rural and community hospitals), Alliance ACO (physician-owned MSSP ACO with rural presence).

Updated Sept 28 Sept 28: the procurement now has a number, HHS0017518, and an October 2026 estimated posting.

1) Subscribe to Rural Texas Strong GovDelivery; check ESBD and resources.hhs.texas.gov/rfa weekly. 2) Contact TORCH CIN and other rural CINs/ACOs now about joining a consortium as the diabetes/obesity engagement and digital-literacy subcontractor. 3) Check Vivo's alignment with the CMS Health Tech Ecosystem criteria, since Early Adopters get priority.

By Thu Oct 1

Initiative 4.3 Exercise & Healthy Diet Promotion - statewide community mini-grants run by a fiscal agent

Wyoming Department of Health (WDH), through a fiscal agent picked by competitive RFP

Budget approved by the Advisory Committee Aug 11, 2026. The fiscal-agent RFP had not been found as of Sept 15. A search summary says smaller applicants get an Oct - Jan application window (unverified). Next Advisory Committee meeting is targeted for Nov 4 or 5, 2026. Year 1 money must be obligated by Oct 30, 2026 and spent by Sept 30, 2027.

$4,181,087 total. $1.7M goes via competitive RFP to a fiscal agent for community mini-grants. $2.4M goes to the Department of Family Services for the SNAP waiver and Cent$ible Nutrition.

Evidence-based exercise participation is the stated goal, and Vivo's classes raise measurable activity among older adults. But the design leans toward outdoor recreation and small local grants.

Direct application: No

A Wyoming-based entity as grantee: senior centers, county public health, critical access hospitals, FQHCs (e.g., Health West Rock Springs, Community Health Center of Central Wyoming) or community action agencies. Vivo would be the subcontracted program.

1) Email monique.mcbride@wyo.gov: when does the fiscal-agent RFP post, when does the mini-grant window open, and can a Wyoming grantee subcontract an out-of-state virtual provider? 2) Watch Public Purchase and wyrhtp.submittable.com. 3) Line up 2-3 Wyoming senior center or public health partners before the window opens. 4) Attend the Nov 4-5 Advisory Committee meeting.

By Thu Oct 1

Rural Tech Catalyst Fund (RTCF) Cohort 2

Louisiana Innovation (LA.IO) / Louisiana Economic Development, with the Louisiana Department of Health (LDH)

la.io/rural: 'COHORT 2 APPLICATIONS WILL BE OPEN SOON' (no date). Cohort 1 awards anticipated mid-October 2026. CMS guide: Budget Period 1 RTCF funds must be paid to awardees by Sept 30, 2027.

About $20M RTCF (CMS cap: lesser of 10% of the state's budget-period allocation or $20M). Up to $3M per awardee. Milestone-based; initial payment generally no more than 20%.

CMS targets 'consumer-facing, technology-driven solutions for prevention and management of chronic diseases' and prefers solutions that directly deliver care, which suits Vivo. It excludes fully commercialized products unless meaningfully adapted.

Direct application: Yes

A rural Louisiana clinical deployment partner, such as a Critical Access Hospital, rural health clinic, FQHC or parish health unit. Food is Medicine or Care Convener awardees could work (intent-to-contract notices due end of Sept 2026).

Updated Sept 28 Sept 28: Delaware opened a near-identical fund with the same federal maturity test, which excludes a fully commercialized product. Confirm Vivo's stage before working either one.

1) Sign up for RTCF updates on la.io/rural. 2) Draft a Cohort 2 application around a genuinely new rural adaptation, e.g., low-bandwidth or phone dial-in group classes with clinic referral and outcome milestones for diabetes or obesity in rural Medicaid/dual older adults. 3) Get a letter of intent from a rural Louisiana clinic. 4) Review Cohort 1 awards in mid-October.

By Thu Oct 15

Rural Community Health Integration (RCHI) Round 2 - Budget Period 2 funding guidance

New York State Department of Health (NYSDOH)

Aug 12, 2026 update deck: Budget Period 2 funding guidance planned for November 2026, subject to CMS approval. Budget Period 2 runs Oct 31, 2026 - Oct 30, 2027. Round 1 dates were: guidance June 11, applications due July 14, 2026.

Round 2 amount not announced. Round 1 was $76.2M: 90 awards to 56 organizations ($22.7M planning, $53.5M implementation).

Allowable costs include 'Prevention & Chronic Disease: Evidence-based interventions' and consumer tech for chronic disease. Target measures are preventable ED visits and readmissions, which falls prevention and self-management support. Maternal health, behavioral health integration and SUD prevention get scoring priority.

Direct application: No

A lead that is a 501(c)(3) or municipal hospital located in one of NY's 47 RHTP rural counties, with at least one rural hospital in the application. Rural health networks, FQHCs, and aging or long-term care providers are the best fits for older adults.

Updated Sept 28 Sept 28: unchanged. The lead must be a 501(c)(3) or municipal hospital in a listed rural county, so Vivo can only join as a partner.

1) Pick 3-5 rural leads from the awardees list and pitch virtual falls-prevention and chronic-disease groups aimed at preventable ED visits and readmissions. 2) Get a signed partner or subcontract commitment before November. 3) Email RHTP@health.ny.gov to ask for the Round 2 guidance release date and whether partner rules are unchanged. 4) Watch the program page in November.

By Sat Oct 31

HFS Hospital Transformation Implementation Grants (Years 2-5)

Illinois Department of Healthcare and Family Services (HFS)

HFS 'anticipates that hospitals will apply for continued Years 2-5 competitive Implementation Grants by December 2026'. Planning grant award notices (NOSAs) not publicly announced as of Sept 15, 2026.

Preliminary: $44M Year 2, $52M Year 3, $48M Years 4 and 5 (HFS March 9, 2026 overview; contingent on CMS)

Implementation money funds new care models and regional partnerships, where an older-adult prevention program can be written in. The core focus is service-line change and value-based payment.

Direct application: No

Planning Grant awardee hospitals (from the 97 eligible) and their regional partnerships (hospital, primary care, behavioral health, local health department). The plan encourages local Area Agencies on Aging to apply.

1) Once planning awards are public, target awardee hospitals drafting transformation plans (Oct-Nov 2026) to write Vivo's older-adult prevention program in as a partnership line item. 2) Ask via the HFS Office of Medicaid Innovation RHTP question form whether implementation budgets may contract non-hospital program vendors.

By Sun Nov 15

LEO Office of Rural Prosperity RHTP grants (telehealth, remote monitoring, technology-based care coordination)

Michigan Department of Labor and Economic Opportunity (LEO) - Office of Rural Prosperity (ORP)

Announced September 2026. Eligibility and timelines 'will be available in the coming months.' Nothing RHTP-related was on the ORP page as of Sept 15, 2026.

$16.7M per the MDHHS newsletter (the subrecipients page lists $16,130,623 plus $600,000)

The focus is rural digital infrastructure and telehealth capacity, not paying for a delivered care program.

Direct application: Unclear

A rural Michigan provider or community organization applying for telehealth capacity

Check michigan.gov/ORP monthly. Email Henry Wolf (ORP Director, Policy and Grant Programs) at WolfH@michigan.gov asking to be notified when RHTP telehealth grant guidelines post, and whether virtual care services are an eligible cost.

By Thu Oct 15

Initiative 3 'Lone Star Advanced AI and Telehealth' (RFA HHS0017519)

Texas HHSC (Rural Texas Strong)

Estimated posting October 2026 (forecast updated 9/10/2026). Estimated deadline November 2026, notice of award February 2027, start May 2027 (PFD page).

Not stated in the sources reviewed

Focus is provider-facing ambient AI and specialist telehealth. Telehealth must go to 'prevention, behavioral health treatment, or remote monitoring of chronic conditions by relevant specialists'; the new patient telehealth hubs could host group classes only as a minor add-on.

Direct application: No

The same CIN/ACO consortium leads as Initiative 2 (e.g., TORCH CIN)

Watch ESBD and the HHSC RFA page for HHS0017519 in October. In the Initiative 2 consortium talks, offer Vivo as optional preventive group-class content for Initiative 3 patient telehealth hubs. Put in little effort until the RFA scope is public.

By Sat Oct 31

Food is Medicine

Virginia Hospital and Healthcare Foundation (VHHA Foundation)

Navigator says Fall 2026; not yet listed on the VHHA Foundation RHT page (checked Sept 15)

Not announced; 1 awardee expected in Year 1; 1-year performance period

Adjacent only: food pharmacy infrastructure and nutrition counseling measured by HbA1c and blood pressure. Vivo could at most add a virtual lifestyle component under the single CBO awardee.

Direct application: No

The rural Virginia CBO likely to lead (e.g., a food bank or food pharmacy operator)

Low priority. Email Adrianne Hill about timing and whether digital health technology partners can be subcontractors. If yes, find the likely CBO applicant and offer a virtual lifestyle and self-management component.

Rural Health Outcomes Accelerator Program (RHOAP) - Budget Period 2 RFA

Nevada Health Authority (NVHA)

Sept 21, 2026, 9:00 AM Pacific: public workshop on Microsoft Teams (common application weaknesses, tips, BP2 RFA timeline). Oct 15, 2026: CMS expected to issue BP2 awards. Oct 31, 2026: BP2 starts. February 2027: BP2 RHOAP RFA to be published (Sept 8 Steering Committee slides). BP1 RHOAP closed June 26, 2026.

BP2 share rises from 15% to 21% of Nevada's award. That is roughly $37.8M if the BP2 award is similar to BP1's $179.9M (estimate). BP1 RHOAP had $26.99M, with tiers from $100K-$250K (planning or pilot) up to $1.5M-$2.5M (system-level).

RHOAP funds evidence-based chronic disease prevention and management with community and hybrid delivery. NVHA's Q&A confirmed a virtual evidence-based chronic disease program with no rural office can apply. BP2 adds emphasis areas (child and family behavioral health, correctional reentry), but chronic disease remains a key area.

Direct application: Yes

A rural Nevada provider or consortium signed via intent-to-contract, LOA or MOU. Examples: Nevada Rural Hospital Partners Foundation (13 rural hospitals), Nevada Health Centers or Nevada Primary Care Association (both BP1 RHOAP awardees per press), rural critical access hospitals (Humboldt General, Banner Churchill, Carson Valley Health), and the UNR Sanford Center for Aging.

Updated Sept 28 Sept 28: Nevada published its full Year 1 award list, which is the partner shortlist for the February 2027 round.

1) Attend the Sept 21 workshop (Teams link is in the agenda PDF) and send written questions to rhtp@nvha.nv.gov by 5 PM that day. Ask whether vendors will stay eligible in the BP2 categories. 2) Request meeting notices via nvhapio@nvha.nv.gov. 3) Watch the June 2 RHOAP webinar (youtu.be/N_glt9eYJWM). 4) Sign an intent-to-contract with a rural provider or consortium by January 2027.

By Mon Sep 21

Promoting Healthy Aging in Rural Connecticut Through Engaging Exercise (project #8)

CT Department of Aging and Disability Services (ADS), under the DSS-led RHTP

No solicitation on CTSource, the OPM Request for Proposals page or the DSS RHTP page as of Sept 15, 2026. Year 1 plan: pick sites and run two 10-week cycles at up to 30 senior centers.

ADS 'Older Adult Engagement' contracts total $701,000 (shared with Bridging the Digital Divide). Exercise-related lines: Program Coordinator & Research Consultant $130,000; Exercise Innovations/Bingocize $41,000; Senior Centers $30,000.

Verified Sept 18, 2026 in Connecticut's own project summaries: 'Implement a 10-week exercise program in rural Connecticut senior centers to improve strength, balance, and fall prevention in older adults.' The narrative adds an evidence-based, structured program in up to 30 rural municipalities, run by Aging and Disability Services with the Area Agencies on Aging. That is Vivo's service described by the state.

Direct application: Unclear

Rural CT senior centers and Area Agencies on Aging (the named key stakeholders), or the budgeted contractor Exercise Innovations/Bingocize

Updated Sept 28 Sept 28: closed out. The approved budget names Bingocize inside a $701K line and state rules allow using a vendor already under contract, so no competition is expected.

1) Email RHTP-Questions@ct.gov asking whether ADS will competitively procure the exercise program or contract the budgeted vendor, and whether a virtual or hybrid EBP can be proposed. 2) Subscribe to the weekly CT RHTP newsletter. 3) Watch the CTSource Bid Board and OPM RFP page. 4) Build relationships with rural senior centers in northeast and northwest CT.

By Tue Sep 22

UNC Health (Region 4) NC ROOTS subgrants: chronic disease priority

UNC Health, NC ROOTS Hub Lead for Region 4, with Piedmont Health and Granville Vance Public Health

UNC says it is 'currently developing the application process'. No dates.

Not published

UNC lists chronic disease and access to healthy foods among its 5-year priorities and will award subgrants. Vivo's evidence-based group programs for Medicare and dual-eligible older adults map directly to the chronic disease and aging-in-place projects.

Direct application: Unclear

Piedmont Health (FQHC) or Granville Vance Public Health (UNC's named partners), or a rural hospital in the 14-county Region 4 (Alamance to Wilson, up to the Virginia border)

1) Submit UNC's 'Connect your organization' form at unchealth.org/ncroots (it returned an error in automated testing; retry in a browser). 2) Email NCROOTSRegion4@unchealth.unc.edu with a one-page offer on older-adult chronic disease and falls prevention, asking about out-of-state for-profit subrecipient eligibility. 3) Approach Piedmont Health and Granville Vance Public Health as delivery partners.

By Wed Sep 30

Impact Health (Region 1) and Access East (Region 6): first NC ROOTS subgrant RFAs

Impact Health (Region 1 Hub Lead); Access East, Inc. (Region 6 Hub Lead)

No RFAs or dates published by either hub

Not published

Impact Health's stated priorities include 'chronic disease prevention and management'. Both hubs must run the plan's required chronic disease gap assessment and Medicare aging-in-place project.

Direct application: Unclear

County health departments, FQHCs or senior centers in Region 1 (19 westernmost counties plus the Qualla Boundary) or Region 6 (27 eastern counties, Beaufort through Wayne). Neither hub has published partner lists.

1) Complete Impact Health's engagement form (ihorg.jotform.com/261876411843058). 2) Email t.smith@impacthealth.org and rhtp@accesseast.org with a one-page offer on Medicare older-adult prevention and falls, tied to the plan's aging-in-place project. Ask about RFA timing and out-of-state for-profit eligibility. 3) Identify one health department partner per region.

By Wed Sep 30

Rural Care Collaboratives - Aging and Access and Community Wellness Hubs (evidence-based prevention programs)

PA Department of Human Services via 8 regional Rural Care Collaboratives (RCCs), built on existing PREP economic development organizations

No solicitation or date; an RCC nomination form is open on the DHS rural health page

Not announced

The plan says Community Wellness Hubs will coordinate evidence-based programs for physical activity and chronic disease self-management, and every RCC will run an Aging and Access initiative for rural older adults.

Direct application: Unclear

A regional RCC backbone organization, a rural Area Agency on Aging, or a CBO running a wellness hub

1) Submit the RHTP Inquiry Form and subscribe to the ListServ. 2) Identify the RCC lead organizations and rural AAAs and request intro calls. 3) Watch the DHS events page for webinars or regional summits.

By Wed Sep 30

Year 2 'Improving Chronic Disease Outcomes' community grants (model: closed RFA DOHP26CDO - R-SPAN physical activity, Umbrella Hub, Screening & Education)

NJDOH Division of Health Promotion

Year 1 RFA was due Apr 10, 2026, with a May 1 - Oct 30, 2026 project period. No Year 2 RFA yet. The NJRHT FAQ says future opportunities 'will be posted as they become available.'

Year 1: R-SPAN $1.17M (up to $200K each), Umbrella Hub $200K, Screening & Education $1.088M, Pharmacy medication therapy $500K, Cancer (ERCH) $330K

R-SPAN funds arthritis-appropriate evidence-based programs and physical activity. Umbrella Hub and Screening & Education fund DSMES, DPP and CDSMP - squarely Vivo's category.

Direct application: Unclear

Year 1 awardees. R-SPAN (Atlantic, Cumberland, Salem, Cape May counties only): AtlantiCare Health Services, NJ Innovation Institute, Shore Memorial Hospital, Rutgers, Virtua Health. Umbrella Hub: Mowana Care (Healthy People Worldwide), Rutgers. Screening & Education: CompleteCare, Zufall Health, Hunterdon Medical Center.

1) Pitch Vivo's programs to R-SPAN and Umbrella Hub awardees for Year 2, citing Impactiv's DOHP26RHT award. 2) Ask the Division of Health Promotion, through Impactiv's project officer, whether for-profit healthcare providers can lead a Year 2 chronic disease application. 3) Vivo is already in the 8/5/26 Vendor Directory; send any update to RHTP.Application@doh.nj.gov.

By Fri Oct 30

Chronic Disease Management Program NOFO - Year 2 round

Oklahoma State Department of Health (OSDH)

OSDH will begin launching Budget Period 2 funding opportunities in January 2027 (KGOU/KOSU report of the Aug 28 OSDH update). Year 1 NOFO (RHTP2026003) closed June 8, 2026. Oklahoma expects its Year 2 award amount in October 2026.

Year 1: $15M, up to 15 awards of $1M-$5M. NOFO says the program is 'anticipated to continue through the lifetime' of RHTP, subject to funding.

It funds evidence-informed chronic disease management for heart disease, diabetes, COPD, cancer and stroke, and names CDSMP as an example model. Remote services supporting rural participants are allowed.

Direct application: No

An Oklahoma-based lead with a rural service footprint: rural FQHCs, critical access or rural hospitals, Tribal health systems, CBOs, or a Microgrant awardee. Vivo would be the subcontracted virtual program provider.

1) Email OklahomaRHTP@health.ok.gov to ask when the Year 2 Chronic Disease Management round opens and whether out-of-state subcontractors must be named. 2) Use the Regional Champions map to reach champions in high-need rural regions and ask for FQHC, hospital or Tribal introductions. 3) Sign an MOU with an Oklahoma lead before January 2027.

By Fri Oct 30

Rural Community Hubs expansion to the remaining regions (future hub lead RFAs)

FHKY / Kentucky RHT

No dates. Later phases run 10/1/2027-9/30/2031, if funded (per RFA).

Not announced (Phase 1 precedent: up to $3.5M per region)

Same obesity and diabetes prevention model, with physical activity and digital self-management components, extended to more rural regions.

Direct application: No

Future hub lead applicants in the other 12 regions (organizations with 3+ years of presence there): regional development districts, local health departments, Area Agencies on Aging, FQHCs

Get to know likely hub lead applicants in rural regions now so they can name Vivo as a committed partner. Ask FHKY, through its RCH question form, when the next regional round is expected. Watch healthy-ky.org/rch and the KY RFA page.

Future rounds of ODH chronic disease solicitations (successors to RO27 and DOH59808)

Ohio Department of Health

No dates; ODH pointed to 'future years'

Unknown

Repeat rounds would again fund community physical activity, self-management education and lifestyle medicine programs.

Direct application: No

LHD or local nonprofit lead for the community track; health system or clinic lead for the clinical track

Stay on the ODH RHT listserv. Line up 2-3 rural LHD partners now so a letter of support and subcontract are ready when a round posts. Ask RuralHealthTransformation@odh.ohio.gov whether an FFY2027 chronic disease round is planned.

FHC Year 2 community-based access points

Foundation for Healthy Communities (FHC) GO-NORTH hub

Year two; no date

Not announced

Community-based access points run with CBOs could host live virtual group programs for rural older adults.

Direct application: Unclear

NH CBO or regional health network, e.g., North Country Health Consortium (Littleton, runs a CHW program)

In the Sept 19 email to FHC, ask to be notified when year-two access point planning starts. Build a relationship with a North Country CBO now.

By Sat Sep 19

Bridging the Digital Divide - Virtual Platform pilot for rural older adults (project #29)

CT Department of Aging and Disability Services (ADS)

Not solicited as of Sept 15, 2026

Inside the $701,000 ADS contracts: contractors listed as 'UCP' ($242,500) and 'NEAT' ($242,500), plus Jotforms ($15,000)

The scope includes piloting a virtual platform with online wellness and engagement programming for rural older adults, which could carry Vivo's live classes. Most of the money, though, goes to devices and tech support.

Direct application: Unclear

The budgeted contractors listed as UCP and NEAT, or ADS directly, with Vivo as a content provider

1) In the same RHTP-Questions@ct.gov email, ask how content for the Virtual Platform will be sourced. 2) Confirm who the budgeted 'UCP' and 'NEAT' contractors are and offer Vivo classes as platform programming. 3) Watch CTSource.

By Tue Sep 22

OHA regional rural health funding opportunity (end of Year 2) and Phase 2 awards (FY28-30)

OHA, with regional preparation run by the OHSU Oregon Office of Rural Health (ORH)

Regional convenings: 9/23 Cottage Grove (Region 8), 9/24 Tillamook (Region 1), 9/29 Madras (Region 4). In-person regional meetings Jan-July 2027 (dates TBD). ORH technical assistance requests accepted through Sept 2027. Funding opportunity opens at the end of Year 2 (about late 2027). Phase 2 runs FY28-30.

Not announced

Regional proposals will bundle shared services, and a virtual evidence-based healthy aging program could be one of them. The main focus, however, is network sustainability rather than prevention programs.

Direct application: Unclear

Regional coalitions forming at the ORH convenings: rural hospitals, rural health clinics, FQHCs, CCOs, local public health authorities, and CBOs in each of the 8 regions

1) Before 9/23, email ansarah@ohsu.edu to ask whether a vendor may attend the Region 8, 1 and 4 convenings. 2) Request ORH technical assistance (dickard@ohsu.edu), framed as helping regions add healthy aging programs. 3) Join the OHA RHTP newsletter. 4) Track the Jan-July 2027 regional meetings.

By Wed Sep 23

Future RHTP procurements - Pili Ola Telehealth Network and Rural Respite Network

State of Hawaii RHTP (non-state entity procurements posted on HANDS)

No dates. A HANDS search for 'rural' on Sept 15 returned only HTH-PHN-1-26 and a Small Rural Hospital Improvement Program RFI.

Not announced

Pili Ola funds virtual care access points in community centers, libraries and homes - a plausible host for live virtual group classes for rural older adults.

Direct application: Unclear

A Hawaii FQHC, rural hospital or community center network likely to run Pili Ola access points

1) Submit the rhtp.hawaii.gov Contact Us form under 'Vendor interested in RFPs', describing virtual healthy-aging classes for rural older adults. 2) Email rhtpinfo@hawaii.gov asking when Pili Ola procurements are expected. 3) Check HANDS weekly.

By Fri Sep 25

Budget Period 2 MDHHS RHTP grant funding opportunities (GFOs)

MDHHS

Budget Period 1 ends Oct 30, 2026 and Budget Period 2 begins Oct 31, 2026. The September 2026 newsletter announced no new GFO timeline.

Unknown; depends on Michigan's Budget Period 2 CMS award

If MDHHS reissues chronic-disease or healthy-aging GFOs, Vivo can likely apply directly. However, in Budget Period 1 most aging and chronic-disease money went to pre-designated regional partners.

Direct application: Yes

A rural Michigan Hub lead, local health department or AAA as co-applicant or letter-of-support partner

1) Subscribe to the RHT listserv now. 2) Have a Vivo project director request EGrAMS access ahead of time (help desk: MDHHS-EGrAMS-Help@michigan.gov). 3) Email MDHHS-RHTP@michigan.gov asking about Budget Period 2 GFO topics, timing and any out-of-state applicant limits.

By Wed Sep 30

Coordinating Care Across Wisconsin - full 4-year Care Coordination grants (invitation only for planning-grant recipients)

Wisconsin Department of Health Services (DHS), Office of Grants Management

Planning grant applications closed Aug 21, 2026. Planning grant awards expected in October 2026 (July 23 council slides). Planning period Nov 1, 2026 - Apr 30, 2027 (search summary). Full application goes to planning-grant recipients in Feb 2027. RHTP Advisory Council meets Oct 22, 2026, in person.

Planning grants up to $10M total. Full program about $25M in its first year, pending CMS approval. The Feb 2026 overview slides put the initiative at $230M overall.

The initiative targets fragmented coordination across primary care, behavioral health, 'chronic disease prevention, and community social supports.' A virtual healthy-aging program could be a funded partner service in a regional model.

Direct application: No

Planning-grant lead partnerships (hospitals, health systems, clinics and community partners) in any of Wisconsin's 7 Healthcare Emergency Readiness Coalition regions. Recipients are not public yet; watch for October awards.

1) Subscribe to DHS RHTP GovDelivery updates. 2) Attend the Oct 22, 2026 Advisory Council meeting (agenda on publicmeetings.wi.gov). 3) When planning grants are announced in October, contact rural and older-adult-focused leads before the Feb 2027 application. 4) Ask aharburn@wchq.org and RHTP-evaluation@wisc.edu for introductions. 5) Ask DHSRuralHealth@dhs.wisconsin.gov whether grantees can add partners in Feb 2027.

By Thu Oct 22

Future CalRHT grant phases (Budget Year 2) - prevention/chronic disease and consumer technology

California Department of Health Care Access and Information (HCAI), CalRHT

Budget Year 2 application went to CMS by 8/31/2026. Rural Health Policy Council (RHPC) Meeting #2 on 10/27/2026, 10:00 AM-12:00 PM PT (registration pending). RHPC #3 on 2/2/2027. No RFA dates published.

Not announced (FFY2026 award $233.6M)

The plan's Transformative Care Model and Technology & Tools initiatives list 'Prevention and Chronic Disease' and 'Consumer tech solutions' as uses of funds, and aim to 'support aging in place'. But the Year 1 RFAs went to hospitals, EHR modernization and workforce.

Direct application: Unclear

Rural California hospitals, FQHCs, RHCs, Tribal clinics, or rural CBOs and aging-services providers. No partners are named; HCAI said it will not post a list of eligible organizations.

1) Subscribe to HCAI's Rural Health News list. 2) Email CalRHT@hcai.ca.gov: will Budget Year 2 RFAs cover prevention/chronic disease or consumer tech, and can an out-of-state virtual provider be the primary applicant? 3) Register for RHPC #2 (10/27) and raise older-adult programming in public comment. 4) Line up a rural hospital or FQHC partner.

By Tue Oct 27

Year 2 (FFY2027) Idaho RHTP competitive subgrants

Idaho DHW

All Year 1 funds must be obligated by 10/30/2026 (DHW About page). No Year 2 solicitation dates are published.

Unknown. The Feb 2026 overview budgets 'Cancer & Chronic Disease Prevention & Treatment Subgrants' at $10,000,000 (diabetes, cancer, heart disease, dementia).

If DHW repeats its chronic disease or dementia subgrants, Vivo-style programs would fit. So far, though, the lists of who can apply directly have favored Idaho-based and nonprofit organizations.

Direct application: Unclear

Idaho public health districts, rural hospitals, FQHCs, or the Year 1 chronic disease lead subgrantees

Email IdahoRHTP@dhw.idaho.gov to ask whether FFY2027 solicitations will include chronic disease self-management, fall prevention or dementia programs, and when. Check the funding page weekly through November.

By Fri Oct 30

Rural Regional Reorientation (RRR) NOFO - Years 2-5

OSDH

NOFO says OSDH 'anticipates future RRR NOFOs in Years 2-5.' OSDH plans Budget Period 2 launches starting January 2027. Year 1 (RHTP2026002) closed June 12, 2026; 20 organizations are being notified of awards.

Year 1: up to $4M per application.

RRR targets reductions in disease and avoidable hospitalizations through rural partnerships. A virtual prevention program can be a deliverable, but the program centers on reorganizing hospitals and systems.

Direct application: No

Partnerships of Oklahoma rural hospitals, clinics, long-term care and social service providers. OSDH has five regional RRR facilitators who help stakeholders build partnerships.

1) Email OklahomaRHTP@health.ok.gov for regional RRR facilitator contacts and ask whether contracted out-of-state service vendors may be budgeted. 2) Through the facilitators and Regional Champions, join forming partnerships as a proposed contracted service. 3) Watch the RHTP Funding page from January 2027.

By Fri Oct 30

Trillium Health Resources (Regions 2 and 5) NC ROOTS wave-2 RFAs

Trillium Health Resources, NC ROOTS Hub Lead for Regions 2 and 5

Wave-1 RFAs closed Aug 24 and Aug 31, 2026; award notices expected Sept/Oct 2026 (prior tracker). Trillium: 'Additional funding opportunities will be released in future RFAs.'

Not published

Wave 1 covered NCCARE360, Food is Medicine and perinatal care, with no chronic disease or physical activity RFA yet. Later waves must still cover the plan's chronic disease portfolio.

Direct application: Unclear

An in-region CBO, FQHC or health department. Region 2: Alleghany, Ashe, Davidson, Davie, Forsyth, Guilford, Randolph, Rockingham, Stokes, Surry, Watauga, Wilkes, Yadkin. Region 5 includes New Hanover, Pender, Sampson, Bladen, Robeson, Cumberland, Harnett. Wave-1 Food is Medicine awardees, once announced.

1) Join Trillium's NC ROOTS updates list (Smartsheet form on the Trillium NC ROOTS page). 2) Email Region2NCRootsHub@trilliumnc.org and Region5NCRootsHub@trilliumnc.org asking whether wave 2 will include chronic disease or physical activity for older adults, and whether out-of-region subcontractors are allowed. 3) After Sept/Oct awards, approach Food is Medicine awardees.

By Sat Oct 31

WV RHTP Year 2 (FFY2027) funding announcements (AFAs)

West Virginia Department of Health

No dates. The grants page shows 'No upcoming funding opportunities at this time' (checked 9/15/2026). Questions on a new AFA are accepted only within 3 business days of posting.

Unknown

The Personal Health Accelerator (prevention and wellness) and Smart Care Catalyst (PACE) initiatives run through FY2030, and the FAQ lists aging populations as a priority.

Direct application: Yes

WV hospitals, FQHCs, PACE and day health developers, or senior services organizations for in-state delivery and data integration

Subscribe to the General, Smart Care Catalyst and Personal Health Accelerator listservs. Register in the wvOASIS vendor portal. Prepare a WV partner letter and a data-integration statement ahead of time. Check health.wv.gov/grant-opportunities weekly.

Community Medicine Initiative (11th initiative, starts Year 2 / 2027)

Alabama Department of Economic and Community Affairs (ADECA)

Program Manual (9/8/26): 'begins program Year 2 / 2027; no Year 1 funding.' No NOFO date.

$5M over 4 years

The objective includes health education and wellness programs, but every listed use of funds is equipment: mobile screening units, mobile grocery units, and new locations.

Direct application: Unclear

Community organizations or health providers running mobile screening or food-access units (county health departments, food banks, FQHC mobile units) that could refer screened older adults into Vivo classes

In the same email to info@alabamarhtp.com, ask whether Community Medicine will fund health-education or wellness program delivery, or only equipment. If equipment only, treat it as a referral-partner play with mobile screening awardees.

By Thu Oct 1

ICAHN Technology Transformation / Illinois Connected Care Collaborative (IC3): consumer-facing digital tools and telehealth menu

ICAHN (Technology Navigator and Implementation Partner for HFS Technological Innovation for Virtual Care)

First, a digital readiness assessment of the 78 eligible hospitals (ICAHN vendor RFP for the assessment; Q&A posted Sept 2026). Hospital funding applications follow. Informational webinars 'to be announced soon'.

$31,008,264 ICAHN Technology Transformation agreement (Aug 1, 2026 - June 30, 2027)

Hospitals will pick from 'a menu of pre-identified, vetted technology solutions' that includes telehealth expansion and consumer-facing digital tools. The menu is infrastructure-oriented, and Vivo is a care-delivery service.

Direct application: No

Eligible rural hospitals, or inclusion on ICAHN's vetted solution menu

Low priority. Call ICAHN (815-875-2999) to ask how solutions get onto the IC3 vetted menu and when the technology webinars are, and position Vivo as consumer-facing virtual prevention. Pursue this only after the Disease Prevention effort.

By Mon Nov 30

Community-Led Wellness Hubs: Microgrants - Years 2-5

OSDH

FAQ: 'OSDH anticipates future microgrant NOFOs in Years 2-5 and/or renewal periods.' Year 1 awards reached 68 of 75 rural counties.

Year 1: up to $50K base plus $50K supplemental per county, up to 5 counties per applicant.

Microgrants fund one-time investments such as fitness equipment and education materials. Staffing and subscription costs are not allowed, so an ongoing live program is hard to fund.

Direct application: No

Rural Oklahoma nonprofits, local governments or clinics. Year 1 recipients are listed on the Microgrants-by-county dashboard and are useful contacts for the Chronic Disease Management round.

Do not pursue directly. Use the recipient list to find rural wellness hubs to recruit as partners or sites for a Chronic Disease Management application.

Year 2 RHTP RFA cycle (Budget Period 2) - renewals and expanded eligibility

Wyoming Department of Health

No dates posted. The workforce RFA window is expected 'likely in November' per the FAQ. The Advisory Committee meets Nov 4-5, 2026.

Not announced. WDH plans to renew or amend Year 1 one-year agreements.

Most Year 2 money flows to Year 1 hospitals, EMS and FQHC awardees. The only prevention-adjacent pieces are integrated primary care (4.1) and the Medicaid care-coordination pilot (4.2).

Direct application: No

4.1 Integrated Primary Care awardees (e.g., Health West Rock Springs, Wind River Family & Community Healthcare, Cheyenne Health & Wellness, Community Action of Laramie County) or 4.2 care-coordination practices

Low priority. After the Nov 4-5 meeting, offer 4.1 FQHC awardees a subcontracted virtual group program as their preventive-medicine piece.

Diabetes Prevention and Management Network (RHTPDIA1) - downstream local implementation partner subgrants

Idaho Department of Health and Welfare (DHW), through up to 2 Lead Subgrantees acting as pass-through entities

Lead applications closed 9/8/2026. Lead award notices 9/28/2026. Lead subaward start 10/19/2026. Leads run their subgrant solicitations and awards in months 3-6, about Jan-Apr 2027 (anticipated). Performance period ends 9/30/2027.

$2M total; 1-2 lead awards of $1M-$2M. Leads must put most of the money into local partner subgrants.

Pays local partners statewide to deliver the National DPP and DSMES, and names older adults as a priority population. A virtual group DPP/DSMES provider is a natural local subgrantee.

Direct application: No

Subgrant from the Lead Subgrantee(s), not yet announced. Lead types allowed by the solicitation: health systems, public health districts, universities, nonprofits, CBOs, professional associations, pharmacy networks.

1) Confirm Vivo has, or can get, CDC DPP recognition (distance learning) and ADA or ADCES DSMES status. 2) After 9/28, email IdahoRHTP@dhw.idaho.gov for the lead names and the local subgrant timeline. 3) Approach the leads before their subgrant solicitation with a rural Idaho delivery plan.

By Mon Sep 28

Rural Community Hubs for Chronic Care Innovation, Phase 1 initiative subawards (Big Sandy, Lake Cumberland, Purchase regions)

Kentucky CHFS / Department for Public Health, through the Foundation for a Healthy Kentucky (FHKY) and regional Hub Lead Organizations

Hub lead RFA closed 6/1/2026. Phase 1 runs 7/1/2026-9/30/2027. The RFA's planned milestones: initiative proposals by 8/30/2026; workplans, plus subrecipients identified and awarded, by 9/30/2026. FHKY announced the program 9/8/2026.

Per region: up to $500K for hub operations, plus up to $3M for obesity and diabetes initiatives

Each hub funds 2-4 evidence-informed obesity and diabetes initiatives that 'integrate nutrition, physical activity programs and digital self-management tools'. Area Agencies on Aging and senior centers are named partners.

Direct application: No

Subrecipient or contractor to each region's Hub Lead Organization (names not published). Reach them through FHKY and regional partners: local health departments, Area Agencies on Aging and Independent Living, senior centers. The five Big Sandy county health departments formed the Mountain Wellness Collaborative in May 2026; its hub role is unconfirmed.

1) Now: email rchgrant@healthy-ky.org for hub lead contacts in the three regions, and ask whether initiative subawards are still being chosen. 2) Submit the KY RHTP Interest & Information Form. 3) Pitch hub leads a virtual diabetes prevention and physical activity initiative for older adults, with metrics ready for their reporting.

By Wed Sep 30

Chronic Disease Collaborative Care Fund - Michigan Hubs subawards and DHME-2027 Diabetes and Hypertension Management and Education grant funding opportunity (GFO)

Michigan Department of Health and Human Services (MDHHS)

DHME-2027 GFO closed Aug 11, 2026. Award period Oct 1, 2026 - Sept 30, 2027. Subrecipient list current as of Aug 31, 2026. Budget Period 2 begins Oct 31, 2026.

$15M fund: $10M in direct Michigan Hubs subawards named in the budget, $2.5M Diabetes/Hypertension GFO (8 awards), and $2.5M Chronic Disease and Healthy Homes (removing home health hazards)

Diabetes and hypertension prevention and management through local partnerships is core Vivo programming. The Hub leads include an Area Agency on Aging and regional health alliances covering rural counties.

Direct application: No

Budget Period 1 Hub subrecipients: Northern Michigan Public Health Alliance ($3M), UPCAP ($1.5M), Michigan Health Improvement Alliance ($1.5M), Thumb Community Health Partnership ($1M), Region IV AAA ($850K). Also DHME-2027 awardees once posted.

1) By Sept 30, email the Hub leads above offering virtual diabetes/hypertension self-management and DPP-style groups as a subcontracted service in their rural counties. 2) Watch the subrecipients page for DHME-2027 awardees and pitch them after Oct 1. 3) Ask MDHHS-RHTP@michigan.gov whether subrecipients may subcontract out-of-state virtual providers.

By Wed Sep 30

Catalyst Awards - Healthy Communities & Prevention awardees (subrecipient or contractor route)

Oregon Health Authority (OHA)

Awards announced 7/7/2026. Year 1 covers project costs 7/1/2026-9/30/2027. Budget Period 2 depends on CMS funding.

This initiative funded 54 projects with $39.2M in Year 1 (per the awards data file)

Oregon's plan names Walk With Ease, Chronic Disease Self-Management Education, and aging-in-place programs. Catalyst projects had to serve a priority population, and 'individuals aging in place' and chronic disease were among them.

Direct application: No

Subrecipient or contractor to awardees in this initiative. Statewide: Comagine Health, Center M Connective, OHSU Department of Neurology. Regional: Willamette Health Council, Sky Lakes Foundation (Healthy Klamath), Oregon Office of Rural Health, Grande Ronde Hospital, Wallowa County Health Care District, One Community Health, Pharmacy Foundation of Oregon.

1) Submit the OHA Vendor Interest Form now. 2) Screen the awardees above for older-adult, self-management or physical activity projects (the data file has no descriptions). 3) Email the top 5 with a subcontract offer for Budget Period 2. 4) Ask RHTP@oha.oregon.gov whether awardees can add subrecipients mid-award.

By Wed Sep 30

Chronic Disease Self-Management Programming RFP (26RFP-26-09RHT-002) - award pending; possible Year 2 re-release or renewal

South Dakota Department of Health (Office of Chronic Disease Prevention and Health Promotion)

Published Mar 12, 2026; due Mar 25, 2026. On Sept 15, 2026 the ESM board shows status 'Event Under Review' with no award date. The funding forecast (updated 08/19/2026) marks Q4 2026 as 'Prepare to release Year 2 of Grant Program Funding' for this pillar.

First year: $7.0M shared across the chronic disease line (project management, CDSMP, caregiver support, chronic disease management). The project narrative budgets $45.08M over 5 years for the initiative.

A direct vendor RFP to expand CDSMP in rural and Western South Dakota: training lay leaders, running community workshops, marketing. The narrative targets 750 workshop completers a year by 2030 through a 'statewide coordinating entity.' Virtual workshops could extend reach.

Direct application: Yes

The eventual awardee, or SDSU Extension's Better Choices, Better Health SD (the existing statewide CDSMP network, not confirmed as bidder or awardee), plus rural and Western SD hosts such as critical access hospitals, Tribal health organizations and senior centers.

1) Vivo registers a free ESM supplier account with health-service NIGP codes and downloads the RFP 002 documents to confirm eligibility, contract length and renewal terms. 2) Email DOH.info@state.sd.us to ask whether RFP 002 has been awarded and whether Year 2 will be a re-release or a renewal. 3) Contact SDSU Extension's BCBH-SD about virtual workshop capacity.

By Wed Sep 30

Initiative 1 'Make Rural Texans Healthy Again': rural hospital district awardees subcontracting community wellness programming

Texas HHSC grants to rural hospital districts (awardees)

Part 1 deadline May 26, 2026; Part 2 June 4, 2026. Contracts routed July 15 and Aug 31, 2026. Program start September 2026 (PFD schedule).

Per-award amounts not verified in this pass

The plan lets hospital districts issue 'sub-contracts or sub-grants for a community wellness center' offering 'group exercise classes, fitness/strength training, and/or nutritional education classes', with diabetes as the main focus.

Direct application: No

Rural hospital districts that received Initiative 1 Part 1 or Part 2 grants (awardee list not found in this pass)

Updated Sept 28 Sept 28: CMS announced $51M to 68 rural hospital districts for chronic disease prevention, wellness and nutrition. These are direct awards, so this is a sales list rather than a grant chase.

1) Email RuralTexasStrong@hhs.texas.gov for the public Initiative 1 Part 1 and Part 2 awardee list; file a Texas Public Information Act request if needed. 2) Pitch awardee districts on Vivo as a subcontracted virtual strength and diabetes-prevention group class provider for their wellness-center plans. 3) Subscribe to Rural Texas Strong GovDelivery.

By Wed Sep 30

Healthier Ohio Community-Level Chronic Disease Prevention and Management (RO27) - contractor to grantees

Ohio Department of Health (ODH), Center for Public Health Excellence

Closed 9/8/2026 at 4:00 PM. Program period 10/1/2026-6/30/2029; first budget period 10/1/2026-6/30/2027. Award date not published.

Up to $7M; multiple grants; minimum award $100,000

The required physical activity strategy names Walk with Ease, EnhanceFitness, Tai Chi for Arthritis and SilverSneakers for older adults, and the strategy guide includes self-management education. Vivo can deliver these by video across multi-county rural service areas.

Direct application: No

Contractor to RO27 grantees: local health departments or local nonprofits in Ohio's 73 non-urban counties (awardees not yet published)

1) Join the ODH RHT listserv and ODH grant email notifications. 2) Email Erica.Gardner@odh.ohio.gov to ask when RO27 awards post and whether the grantee list will be public. 3) Contact rural LHDs now about Vivo as their physical activity or self-management contractor. 4) Plan for contracts after the first quarterly payment.

By Thu Oct 1

RFP COMPADM26005 Communities of Care Co-Location Program

Iowa Department of Health and Human Services (Healthy Hometowns)

Applications closed Sept 1, 2026. Oral presentations around Oct 2. Notice of Intent to Award around Oct 16, 2026. Contract around Oct 31, 2026 - Sept 30, 2031. Awardees must sign subcontracts with partner service entities within 6 months.

About $39,558,631 in the first contract year for about 7 co-location site pilots

Every site must include a chronic disease prevention/management provider and 'offer or refer clients' to programs such as DSMES, NDPP, CDSME and Walk With Ease. Aging services organizations are listed partners and dual-eligible clients are tracked, so Vivo fits as a referral or subcontracted EBP provider.

Direct application: No

The ~7 Co-Location Site Leads at rural Iowa sites (named around Oct 16) and the Iowa Primary Care Association (the Communities of Care technical assistance provider)

1) Check the Iowa HHS Notice of Intent to Award page on Oct 16, 2026. 2) Within two weeks, contact each awardee offering a referral or subcontract for virtual DSMES/CDSME-style groups tied to their site metrics. 3) Introduce Vivo to Iowa PCA's Communities of Care technical assistance team. 4) Send general questions to healthyhometowns@hhs.iowa.gov.

By Fri Oct 16

Chronic Disease Prevention and Cancer Screening (RHTPDIS1) - downstream local partners

Idaho DHW, through 1-2 statewide subgrantees that may pass funds to local partners

Closed 9/8/2026. Subaward start 10/19/2026. Subgrant solicitation and awards in months 3-6, about Jan-Apr 2027 (anticipated). Performance period 9/30/2026-9/30/2027.

$2M total; 1-2 subgrantees at $1M-$2M

The listed activities are very close to Vivo's model: structured physical activity classes, lifestyle behavior-change series, community-based chronic disease self-management, caregiver support, small group coaching, and telehealth coaching platforms.

Direct application: No

Local implementation partner or contractor to the 1-2 statewide subgrantees (not yet announced)

1) In early October, email IdahoRHTP@dhw.idaho.gov for the RHTPDIS1 awardee names. 2) Pitch awardees on Vivo delivering physical activity, self-management and fall prevention programs by video to rural sites such as senior centers and clinics. 3) Offer fidelity and attendance logs that match the required deliverables.

By Mon Oct 19

RHTP Year 1 competitive grants that fit Vivo: MaRTHA (Make Rural Tennessee Healthy Again), Chronic Disease Prevention, MCAN (Memory Care Assessment Network), plus the expected Year 2 round

Tennessee Department of Health (TDH), State Office of Rural Health

Application windows have closed: Chronic Disease Prevention June 5 - July 6, MCAN June 19 - July 20, MaRTHA July 3 - Aug 3, 2026. The Sept 3, 2026 release announced only the 53 HART awards. MaRTHA, MCAN and Chronic Disease Prevention awards are still unannounced. TDH aims to commit Year 1 funds by the CMS deadline of Oct 30, 2026. No Year 2 dates yet.

MaRTHA is about $33M per a third-party listing (not on a state page). Award sizes for MCAN and Chronic Disease Prevention were not found. Awards are reimbursement-only and admin costs are capped at 10%.

MaRTHA funds prevention and access through telehealth and mobile services. Chronic Disease Prevention and MCAN (memory care for older rural adults) match Vivo's healthy-aging and chronic disease programs.

Direct application: Unclear

Once awards post: MaRTHA, Chronic Disease Prevention and MCAN awardees (rural hospitals, FQHCs, Area Agencies on Aging, community groups) in distressed counties. Warm leads from the HART wellness awards: Free Medical Clinic of Oak Ridge (Anderson), YMCA of Metropolitan Chattanooga (Bradley), Macon Hospital (Macon).

1) Sign up for TDH funding alerts now. 2) Email RuralHealth@tn.gov: are for-profit virtual providers 'other eligible healthcare partners', and when does Year 2 open? 3) Register a Partner Portal account and a Tennessee state registration. 4) When MaRTHA/MCAN/Chronic Disease awards post (expected by Oct 30), pitch awardees serving older adults as a subcontracted service.

By Fri Oct 30

SmartCare Catalyst PACE AFA ($1.25M) - partner with grantees

West Virginia Department of Health, WV RHTP (Smart Care Catalyst initiative)

Announced 8/21/2026. Release webinar 8/25 (recording on the RHTP Resources page). Close date not confirmed. Awards pending; all Year 1 funds must be obligated by 10/30/2026.

$1.25M

Funds day health and activity centers for older adults (nursing care, medication management, social activities) on a path to PACE. Vivo can supply evidence-based strength, balance and social programs by video to rural centers.

Direct application: No

PACE AFA grantees (not yet announced): local organizations launching or expanding day health centers

1) Subscribe to the Smart Care Catalyst listserv. 2) Register in the wvOASIS vendor portal (UEI needed). 3) Watch governor.wv.gov for the PACE award release before 10/30. 4) Contact grantees within a week of the announcement to offer programming for their centers.

By Fri Oct 30

Personal Health Accelerator - Nutrition and Lifestyle AFA and Closed-Loop Referral Operator AFA grantees

West Virginia Department of Health, WV RHTP

RHT-AFA-06-24-2026-PHA closed 7/20/2026; referral operator AFA closed 7/21/2026. Awards not yet announced. Obligation deadline 10/30/2026.

Up to $24.1M (nutrition and lifestyle); up to $1.5M (referral platform operator)

Funds evidence-based nutrition and lifestyle interventions, including physical activity and weight management, to prevent chronic disease. The referral platform will connect providers to community diabetes prevention and physical activity resources.

Direct application: No

Grantees of the nutrition and lifestyle AFA, and the selected referral platform operator (none announced yet)

1) Subscribe to the Personal Health Accelerator listserv. 2) Email mario.j.padron@wv.gov to ask when awards will be announced and whether the referral platform will list community programs. 3) When awards post, pitch grantees and ask the platform operator to list Vivo as a resource.

By Fri Oct 30

RFP #27-05 Mobile Health Services Expansion Initiative

St. Mary's County Health Department (via eMMA)

Closed Sept 17, 2026 at 5:00 PM ET. Vivo did not bid; the window was too short to secure a St. Mary's County lead. Project period Oct 1, 2026 - June 30, 2027.

Not stated in the county's announcement; a third-party grant listing cites ~$700K with multiple awards (unverified)

'Mobile health' is defined broadly (community-based micro-access points, telehealth access points, digital navigation, CHW models), and chronic disease prevention is a service area. However, the county gives priority to locally or regionally anchored applicants.

Direct application: Unclear

A St. Mary's County-anchored organization, e.g., a St. Mary's 360 partner such as Greater Baden Medical Services (FQHC), St. Mary's Family YMCA, or the county Department of Emergency Services

Decide today. If pursuing: register in eMMA and download RFP #27-05 and any addenda; by Sept 16, secure a local partner to lead or co-propose a virtual falls-prevention and chronic disease self-management component; submit by Sept 17, 5 PM ET. If not: after awards, email smchd.healthdept@maryland.gov about subcontracting with winners.

By Wed Sep 16

Initiative 2.4 Community-based mobile services and care coordination hubs

DSHS and DOH under interagency agreements with HCA (AAA mobile assistance vans, WA 211, community center refits, Care-A-Van)

Settled by the Sept 16, 2026 HCA webinar: Initiative 2.4 is delivered through interagency agreements, not a competitive bid. Next program webinar December 2026. Budget Period 1 funds must be obligated by Oct 30, 2026.

$6-7M/yr for all of activity 2.4 (narrative v.3). Initiative 2 totals about $18M/yr (Feb 9, 2026 revised budget).

The narrative's community engagement hubs became interagency work, not a purchasable solicitation. The Sept 16 deck maps 2.4 to AAA mobile assistance vans ($3.51M), WA 211 resource specialists ($1.50M), community center refits ($0.54M at DSHS and DOH) and Care-A-Van triage ($0.08M). The live Vivo-adjacent work is Building Dementia Capable Communities expanding from two Area Agencies on Aging to six, and 16 community hub proposals from Tribal and local health partners now under evaluation.

Direct application: No

The six Area Agencies on Aging running Building Dementia Capable Communities, and whichever Tribal or local health partners win the 16 community hub proposals

1) Approach the six Area Agencies on Aging expanding Building Dementia Capable Communities; they hold the older-adult money and can contract programming. 2) Ask HCARuralHealthTransformationProgram@hca.wa.gov which partners won the 16 community hub proposals, then pitch those hubs directly. 3) Watch the 'How to participate' page and the December 2026 webinar for any new competitive bid; nothing in Initiative 2 is bid today.

By Mon Sep 21

Pillar 2 Transformation Funds (technology-enabled chronic disease management) - subcontracts with BP1 awardees and a possible BP2 round

Maryland Department of Health and Health Services Cost Review Commission (HSCRC)

BP1 RFA closed May 26; award offers to 33 entities Aug 5; projects expected to start ~Sept 1. A BP2 round, if offered, would fall Nov 2026 - Mar 2027.

$73M in BP1 (Service Expansion/HIT, Behavioral Health, Innovative Care combined)

The plan calls for technology-enabled chronic disease management for Maryland's older rural population and names technology vendors and AAAs among expected collaborators.

Direct application: Unclear

A BP1 awardee (rural hospital, FQHC or health system), or a regional collaboration that includes an AAA

1) Review the posted Pillar 2 Transformation Fund BP1 award offers list. 2) Pitch rural awardees with older-adult chronic disease projects on a virtual self-management or falls-prevention subcontract. 3) Ask MDH whether Pillar 2 will re-compete in BP2.

By Wed Sep 30

LDH Initiative 4 (Make Rural America Healthy Again): Food is Medicine Year 1 awardees now; Year 2 NOFOs and community wellness mini-grants anticipated

Louisiana Department of Health, Office of Rural Health Transformation and Sustainability

Food is Medicine Year 1 closed Aug 14, 2026; intent-to-contract notices end of Sept 2026. LDH monthly webinar Oct 1, 2026, 9-10 a.m. Advisory Council Nov 5, 2026, 9-11 a.m. CT, House Committee Room 3 (public). Year 2 planning listening sessions TBD. Rural Clinician Credit Bank Year 2 opens Nov 2026, a signal of the Year 2 cycle.

Initiative 4 is an estimated $45M over 5 years. Food is Medicine Year 1: $2.7M projected, awards $10K-$500K. The plan's Aug-Dec 2026 phase includes community wellness pilots and mini-grants.

Initiative 4 funds 'broader nutritional and fitness programs' to prevent chronic disease. Food is Medicine projects need nutrition education and clinical referral, and Vivo could add the evidence-based exercise and self-management component.

Direct application: Yes

A rural Louisiana hospital, RHC or FQHC plus a community organization, or the Food is Medicine Year 1 awardees (not yet announced). Pennington Biomedical Research Center and WellAhead are named Initiative 4 partners.

1) Register for LDH's Oct 1 webinar and ask when Year 2 Initiative 4 NOFOs and community wellness mini-grants will post. 2) Email RuralHealthTransformation@la.gov asking to join Year 2 planning listening sessions. 3) After end-of-September intent-to-contract notices, offer Food is Medicine awardees a group exercise and education add-on. 4) Start Louisiana vendor registration.

By Thu Oct 1

Promoting Healthy Aging in Rural Communities Blueprint ($5M)

MDHHS (Care Closer to Home Initiative)

Subawards listed as of Aug 31, 2026. No competitive GFO was issued (the RHTP Updates page shows only the three July GFOs). Funds run through Sept 30, 2027.

$5M: $2M care transition coordination through AAAs, $1M rural PACE alternative care settings, $2M home and community-based services (emergency battery generators). $3M is listed as awarded.

The funded AAAs and PACE programs serve rural older adults at home, which makes them natural buyers of or referrers to virtual strength, balance and self-management groups. But the funded scope is discharge coordination, PACE sites and generators, not group programming.

Direct application: No

Awardees: Region 9 AAA (NEMCSA), Region 10 AAA of Northwest Michigan, Region 11 UPCAP, Region IIIC Branch-St. Joseph AAA, Region IV AAA, Region VII AAA, PACE Central Michigan, PACE Northeast Michigan

1) In October, pitch the six AAAs and two PACE organizations on adding virtual falls-prevention and chronic-disease groups for recently discharged or homebound rural clients, paid from their RHTP subawards or Budget Period 2 requests. 2) Ask MDHHS-RHTP@michigan.gov whether Budget Period 2 will add competitive healthy-aging funding.

By Thu Oct 15

RCHI Round 1 awardees - subcontract or vendor role in funded projects

NYSDOH (awards announced by the Governor Sept 4, 2026)

Awards announced Sept 4, 2026. Funded projects must be completed by June 30, 2027. Budget Period 1 funds must be spent by Sept 30, 2027.

$76.2M across 90 awards. Individual leads range from $81K to $3.5M.

Awardees are building care coordination networks and may still be picking vendors. A virtual group program could fill prevention or post-discharge gaps for older rural residents within the June 2027 window.

Direct application: No

Round 1 leads with network, community or aging-care profiles: Care Compass Collaborative (Southern Tier), Healthy Alliance Foundation (Schenectady/Montgomery), Pivital Public Health Partnership (Finger Lakes), Chautauqua Health Network, Chenango Health Network, Madison County Rural Health Council, Fort Drum Regional Health Planning Org (North Country), Upstate Caring Partners, Trustees of the Masonic Hall & Asylum Fund (Oneida/Herkimer), Hudson Headwaters, Bassett Medical Center.

1) From the awardees list, email leads in counties with older populations and offer a short-term virtual prevention component with outcome reporting. 2) Ask whether their approved scope includes prevention or chronic disease vendor dollars. 3) Offer to help write the DOH subcontract approval request.

By Thu Oct 15

Activity 2.2 Building Dementia Capable Communities (BDCC) expansion through Area Agencies on Aging

WA RHT Program (HCA, DOH, DSHS) through AAAs named as subcontractors

Plan: rapid contract execution with named subcontractors (Q2 2026). Expands from 3 existing AAAs to 10 new AAAs. No public solicitation.

$3-4M/yr (narrative v.3)

Dementia support and caregiver programming for rural older adults. Vivo's group classes could be a brain-health or social-connection service that AAAs add as a 'new community partner'.

Direct application: No

The participating AAAs, which are not named in the plan. Start with Olympic Area Agency on Aging (Advisory Committee AAA seat).

1) Email the HCA RHT inbox asking which AAAs receive BDCC expansion funds and whether they may subcontract program providers. 2) Pitch those AAAs, starting with Olympic AAA, on evidence-based virtual strength, balance and social-connection classes for people with early-stage dementia and their caregivers.

By Thu Oct 15

CalRHT Accelerator Partners (Transformative Care Model) awardees - partner route

HCAI, CalRHT

Closed 8/14/2026. Award notices Aug/Sept 2026. Grant agreements Sept/Oct 2026. Funds must be used by 9/30/2027.

Not captured from the documents reviewed

Projects are scored on metrics that include hypertension control, diabetes control and telehealth visits, and applicants could name up to five funded partners. Vivo could help an awardee move the chronic disease metrics.

Direct application: No

Accelerator Partner awardees (hospitals or other organizations in rural regions); names not published

Ask CalRHT@hcai.ca.gov (and at RHPC #2) whether HCAI will publish the Accelerator Partner awardees. Separately, approach rural hospitals in high-senior regions about partner roles in Budget Period 2.

By Tue Oct 27

Rural Ohio Clinically Integrated Networks and Rural Health Innovation Hubs (DOH59718) - vendor to awardees

Ohio Department of Health

Closed 9/1/2026. Project period 9/30/2026-6/30/2027, with up to four renewal years.

Not to exceed $61,695,461 (per the RFP); multiple awards

Hubs link providers with community organizations, so a virtual prevention program could be a contracted service. The core scope, though, is network infrastructure and clinical integration.

Direct application: No

Awarded hub or network leads (Ohio hospitals, health systems, nonprofits, associations with 5+ years serving the 73 counties); names not yet published

When awards post, contact hub leads in counties with many older residents. Offer a contracted fall prevention and chronic disease program tied to their referral and care coordination workplans.

Statewide Chronic Disease Education Network (RHTPDIS2)

Idaho DHW

Closed Sept 15, 2026 at 5:00 PM MT. Award on or about Oct 6, 2026. Performance period Oct 9, 2026 - Sept 30, 2027; continuation funding: No.

$2M, one award

This pays for education and training of the rural healthcare workforce, not for patient programs. Vivo could at most be a referral resource or a caregiver and dementia content partner inside the network.

Direct application: No

The single network awardee (announced about 10/6)

Do not apply: it is due today and Vivo is not an eligible type. After about 10/6, ask IdahoRHTP@dhw.idaho.gov who won, then offer Vivo as a community program resource for the network's learning collaboratives (referral pathways, caregiver engagement, dementia).

By Tue Oct 6