RHTP Value-Based Purchasing (Initiative 11)

The Florida Agency for Health Care Administration is issuing a Request for Applications (RFA) to establish grant agreements with eligible subrecipients under the Rural Health Transformation Program (RHTP), a federally funded, five-year initiative aimed at improving rural healthcare in Florida. The RHTP operates under a cooperative agreement with the Centers for Medicare and Medicaid Services and is aligned with Medicaid and CHIP funding authorities. The program focuses on five strategic goals—enhancing rural health, ensuring sustainable access, workforce development, innovative care, and technology innovation—implemented through 14 specific initiatives. One key component is the Value-Based Purchasing (VBP) Initiative, which supports rural healthcare providers transitioning from fee-for-service reimbursement to performance-based payment models that promote quality, better outcomes, cost efficiency, and care coordination. This initiative funds necessary infrastructure, including data systems and workforce capacity, to help providers effectively participate in VBP arrangements, particularly with Medicaid Managed Care Organizations. Addendum No. 1 and Addendum No. 2, issued in late April 2026, modify the Super Regions table within the RHTP Standard Terms and Administrative Requirements and update the RFA timeline, while removing the Technical Assistance Webinar Series section. The solicitation, identified as AHCA RFA 035-25/26, was posted on April 21, 2026, with a response deadline of August 1, 2026. The program specifically targets State, Local, and Education agencies (SLED) in Florida as eligible applicants. For additional information or application assistance, contact Trey Collins at the Agency’s provided email and phone number.