[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-240358-105":53,"doc-detail-240358-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","proposed-rhtp-reporting-requirements-supporting-statement-a","Proposed RHTP Reporting Requirements - Supporting Statement A","","Supporting Statement A outlines the Rural Health Transformation (RHT) Program reporting requirements for CMS. It describes the background of Public Law 119-21, the program’s $50 billion five-year federal investment, and how baseline and performance-based workload funding are determined through scoring. The statement explains annual and quarterly reporting purpose, retention expectations, budget periods, and how CMS recalculates technical scores and workload funding each budget cycle.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/proposed-rhtp-reporting-requirements-supporting-statement-a/240358/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/proposed-rhtp-reporting-requirements-supporting-statement-a/240358.png","ImageObject",442,249,{"name":88,"@type":89},"Jordan Avery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-18","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What reporting does the RHT Program require from State awardees?","Question",{"text":108,"@type":109},"State awardees must submit annual and quarterly reports. The reports track progress against goals, support annual re-scoring, and provide data for broader program analysis.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How is funding for State awardees determined under the RHT Program?",{"text":113,"@type":109},"Funding is composed of baseline funding distributed equally and performance-based workload funding allocated based on rural and technical score factors in each State’s application and annual performance.",{"name":115,"@type":106,"acceptedAnswer":116},"How does CMS adjust funding for subsequent budget periods?",{"text":117,"@type":109},"CMS recalculates each approved State’s technical score and corresponding workload funding amount for each subsequent budget period using the information provided in the required annual reporting.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},240358,1790386789,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},1099523882367,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Supporting Statement A  \nRural Health Transformation (RHT) Program Reporting  \nCMS-10949, OMB 0938-TBD (New)  \nThe contents ofthis Supporting Statement and the associated attachments have been reviewed to ensure that they are consistent with the Trump administration’s policies, goals, and objectives.  \nBackground  \nOn July 4, 2025, President Trump signed Public Law 119-21, which the Centers for Medicare & Medicaid Services (CMS) refers to as the “Working Families Tax Cut”(WFTC) legislation, into law. The legislation authorized the Rural Health Transformation (RHT) Program, marking a significant federal investment of $50 billion over five years and is designed to empower as many as 50 State awardees to catalyze transformative improvements within their rural healthcare ecosystems. The principal objective is to enhance healthcare access, quality, and outcomes through innovative, system-wide change, thereby investing in the health of rural communities for future generations.  \nFunding for approved State awardees is determined through a formal scoring and allocation process. The financial architecture of the program is composed of two primary streams: baseline funding, distributed equally among all awardees, and performance-based workload funding, which is allocated based on the scoring of specific rural and technical score factors within each State's application and their subsequent annual performance.  \nTo ensure continued eligibility and funding, State awardees must adhere to key program requirements, including the submission of annual and quarterly reports. This data serves multiple critical functions: it details State progress against their goals, informs the annual rescoring process used to determine funding for subsequent years, and provides valuable data for broader program analysis. CMS will award funding in five budget periods:  \n• Budget period 1: December 29, 2025 through October 30, 2026 (10 months)  \n• Budget period 2: October 31, 2026 through October 30, 2027  \n• Budget period 3: October 31, 2027 through October 30, 2028  \n• Budget period 4: October 31, 2028 through October 30, 2029  \n• Budget period 5: October 31, 2029 through October 30, 2030  \nCMS will re-calculate each approved State’s technical score and corresponding workload funding amount for each subsequent budget period based on the information and data the approved State provides in the required annual reporting each year.  \nIn these reports, States will provide updates on programmatic milestones, report on performance and evaluation metrics, and detail the expenditure of funds. CMS will provide States with relevant guidance on how to complete the annual and quarterly reports including a checkpoint guidance document, sample project plan template, and informational webinars.  \nOverall, we estimate an annual burden of 20,000 hours across all 50 states at a cost of $1,709,200 (see section 12 for details) .  \n1 SEC. 71401 of Public Law 119-21, the Big Beautiful Bill, signed into law on July 4, 2025, and added to 42 U. S.C. 1397ee, Sec. 2105 of the Social Security Act.  \n2 NOFO, pg. 14  \napproval would occur on the same day the report is due.  \n• Retain records, other than health, medical, government contract, grant-in-aid, or tax records for more than three years;  \no The RHT Program spans 5 years, therefore, progress reports and other program data will be retained for more than three years.  \nOtherwise, there are no special circumstances that would require an information collection to be conducted in a manner that requires respondents to:  \n• Report information to the agency more often than quarterly;  \n• Submit more than an original and two copies of any document;  \n• Collect data in connection with a statistical survey that is not designed to produce valid and reliable results that can be generalized to the universe of study;  \n• Use statistical data classification that has not been reviewed and approved by OMB;  \n• Include a pledge of confidentiality that ","cbCaikjiEf3bxWV7","https://ap.wps.com/l/cbCaikjiEf3bxWV7","pdf",20027400,205,"English","# Supporting Statement A\n## Background\n## Reporting and Funding Structure\n## Budget Periods\n## Record Retention and Submission Constraints\n## Federal Register and Public Comments\n## Non-Substantive Changes","[{\"question\":\"What reporting does the RHT Program require from State awardees?\",\"answer\":\"State awardees must submit annual and quarterly reports. The reports track progress against goals, support annual re-scoring, and provide data for broader program analysis.\"},{\"question\":\"How is funding for State awardees determined under the RHT Program?\",\"answer\":\"Funding is composed of baseline funding distributed equally and performance-based workload funding allocated based on rural and technical score factors in each State’s application and annual performance.\"},{\"question\":\"How does CMS adjust funding for subsequent budget periods?\",\"answer\":\"CMS recalculates each approved State’s technical score and corresponding workload funding amount for each subsequent budget period using the information provided in the required annual reporting.\"}]","Proposed RHTP Reporting Requirements - Supporting Statement A | PDF",1789160364,72]