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RHTP Funding

Oklahoma's RHTP offers an opportunity to transform how healthcare is delivered in rural areas.

Timely distribution of funding, in accordance with state procurement laws, is our top priority. All open funding opportunities related to the RHTP will be posted on this page.

Active Funding Opportunities

OHCA’s HIE & EHR Assistance

Year 1 Application

Through the Rural Health Transformation Program (RHTP), the Oklahoma Health Care Authority (OHCA) is providing assistance to eligible rural healthcare providers seeking to participate in Oklahoma's statewide Health Information Exchange (HIE) and/or implement, replace, optimize, or expand certified Electronic Health Record (EHR) systems.

This application notifies the Office of the State Coordinator for Health Information Exchange (OSC) of your organization's interest in HIE assistance, EHR assistance, or both.

Submission of this application does not guarantee funding or approval for assistance. Applications will be reviewed based on program eligibility, funding availability, provider need, implementation readiness, and program priorities. 

Application

Deadline to apply: 11:59 p.m. CST, December 31, 2026

Apply Now

OSDE's ROOTS Competitive Grant: Rural Opportunities for Optimal Transformation in Students' Health

Year 2 Application

The Oklahoma State Department of Education (OSDE) is offering a 12-month ROOTS grant (November 2026-October 2027) for 60 rural PK–12 schools to enhance physical education, fitness, and wellness initiatives aligned with state standards. Selected sites will receive professional development, mentoring, and up to $10,000 for approved equipment, with funding contingent on completing required activities such as trainings, coaching sessions, and collaborative learning opportunities.

Application

Deadline to apply: 11:59 p.m. CT, October 15, 2026

Apply Now

If you have questions, email Virginia Mitchell, Project Manager of Physical Fitness.

General Procurement Information

Types of Funding Opportunities

  • Notice of Funding Opportunity (NOFO): An announcement of competitive grant program funding opportunities and application procedures. ​Awards made under a NOFO are generally to subrecipients, which means the funded entity typically has responsibilities related to program design and implementation.
  • Request for Proposal (RFP): A solicitation for proposals from potential contractors and vendors to provide goods and services. An RFP is generally used for entities operating in their regular course of business as service providers or suppliers.
  • Request for Information (RFI): An open inquiry used to gather preliminary information to guide procurement and/or grant funding strategy.

To be eligible for funding opportunities, applicants must:

  • Have an active Unique Entity ID (UEI)
  • Have a Certificate of Insurance that meets minimum requirements (defined below, required insurance shall be underwritten by an insurance carrier with an A.M. Best rating of A- or better).
    • Workers' compensation and employer's liability insurance in accordance with and to the extent required by applicable law.
    • Commercial general liability insurance covering the risks of personal injury, bodily injury (including death) and property damage, including coverage for contractual liability, with a limit of liability of not less than 2,000,000 per occurrence.
    • Automobile liability insurance with limits of liability of not less than $2,000,000 combined single limit each accident.
    • If the supplier will access, process or store state data, then security and privacy liability insurance, including coverage for failure to protect confidential information and failure of the security of supplier's computer systems that results in unauthorized access to customer data with a limit of not less than $5,000,000 per occurrence.
    • Additional coverage required in writing in connection with a particular acquisition.
  • Be able to sign the Oklahoma RHTP subrecipient agreement
  • If awarded, must have an active Oklahoma vendor ID

*During application processes, applicants have the ability to complete the Exceptions Form to the Subrecipient Terms and Conditions and submit with their application. 

Public Resources

For questions regarding supplier registration, contact the Supplier Registration Assistance team:

For questions regarding the individual solicitation, attachments or specifications, contact the OMES buyer listed on the solicitation event page or submit questions through the Event Q&A Forum.  

Closed Funding Opportunities

OSDE's Project 695

Promoting School Health Services Through Medicaid Billing

The Oklahoma State Department of Education (OSDE) is offering the PRIMS Project 695 grant to eligible PK–12 districts to fund new health/mental health professional positions capable of billing for Medicaid services. Eligible roles include, but are not limited to:

  • School nurses
  • Licensed counselors
  • Physical therapists
  • Occupational therapists
  • Speech‑language pathologists

Selected districts may receive funding for up to 90% of the salary and benefits for this position. Funding is contingent upon the employee being properly credentialed and able to bill for Medicaid services in the school setting.

Nurses and counselors have not previously been able to bill Medicaid, but that will change this school year. OSDE is implementing EdPlan Health—the platform schools will use for billing. Now, all licensed nurses can bill: LPN, RN, APRN, etc.

Project 695 Grant Flyer

Application

The application period has closed.

Notice of Funding Opportunity (NOFO)

Emergency Medical Service and Community Paramedicine Vehicles

Emergency Medical Service and Community Paramedicine Vehicles funding is intended to help fill that gap and enable emergent and non-emergent healthcare access. 

Many of Oklahoma’s rural communities are limited in their ability to acquire lasting assets that would demonstrably improve healthcare access, outcomes, and whole-person health. During stakeholder engagement used to develop Oklahoma’s RHTP application, many communities reported hours-long turnarounds when ambulances had to take longer trips, aging vehicles without the funds to replace them, and struggles activating Community Paramedicine programs without diverting existing EMS vehicles. 

Applicants must currently provide mobile emergency medicine services, mobile integrated healthcare, community paramedicine, or related services in a rural Oklahoma community.

OSDH anticipates allocating up to 20 grants, with individual awards of up to $350,000, to eligible entities to purchase Community Paramedicine-specific vehicles or ambulances to serve the needs of rural Oklahoma and facilitate deployment of Community Paramedics. The vehicles purchased with this grant funding must primarily (90%+) serve rural communities in Oklahoma, defined for the purposes of OK RHTP as communities with populations of 55,000 or fewer that are located outside of Oklahoma and Tulsa counties. 

Application

The application period has closed. 

Webinar: Application Overview

A pre-recorded application assistance video is available now to assist with initial application planning and questions.

Application Information Video

Frequently Asked Questions

EMS & Community Paramedicine Vehicles FAQs

Applicants can apply for funding for one of the following: ambulance, community paramedicine-specific SUV, or other EMS vehicle. Recipients of funding must demonstrate reasonable usage of vehicles and will be expected to provide utilization reports to OSDH for a period of five years. 

Please note that, consistent with 2 CFR § 200.320, successful applicants will be required to obtain price or rate quotations from at least three qualified sources for applicable purchases of under $350,000. For purchases of over $350,000 that are partially funded by non-RHTP sources, successful applicants will be required to follow a formal procurement process. Please see Attachment B for further information on procurement expectations.

This funding is solely for the purchase of vehicles. For the full list of prohibited funding uses for the RHTP please see Attachment E.

These funds may not be used to replace (supplant) other federal, state, or local government funds previously awarded for the proposed project/purchase. If the proposed purchase costs more than the limit of this grant and cannot be broken into smaller parts (e.g., a specialized vehicle costing $500,000), the applicant should explain how they will pay for the remaining amount in Attachment C. It is the applicant's responsibility to show that they are not replacing (supplanting) other funds.

Applicants may submit questions regarding funding uses through the EMS/Community Paramedicine Vehicle Question Submission Form.

All responses will be posted publicly via updates to the EMS & Community Paramedicine Vehicles FAQ.

Applicants are required to meet all the criteria below in order to be eligible for vehicles funding:

  • Be currently providing emergency medicine, mobile integrated healthcare, community paramedicine, or related services in a rural Oklahoma community.

  • Provide services to communities with populations of 55,000 or fewer residents (see Attachment A).

  • Applicants must have an active Unique Entity Identifier (UEI) and maintain an active registration in SAM.gov throughout the application, review, and award period. The registration process is described here: Entity Registration | SAM.gov. Timelines for registration for a UEI vary significantly. Applicants must not be suspended, debarred, or otherwise excluded from participating in federally funded programs or activities. 

  • Applicants must have an active Certificate of Insurance. For additional information on the specific insurance types required, please refer to the Oklahoma RHTP website’s procurement information.

All applicants must be registered on SAM.gov and have a UEI number. We will accept fiscal sponsorship, but the fiscal sponsor must be the applying entity. All information provided in the application under the “Organization overview and capacity” section must be completed for the fiscal sponsor. 

Notice of Funding Opportunity (NOFO)

Expanding Care: Doulas Program

The Expanding Care: Doulas Program opportunity is intended to fund entities to implement and/or expand proven models for doula training and certification, launch an awareness-building and education campaign for expecting parents, in addition to medical providers, and create and maintain a doula network across rural Oklahoma. 

This program seeks to support rural maternal and child health by expanding access to doula care, focused on four distinct components: 

  1. Expand training opportunities to prospective doulas who would serve rural communities in Oklahoma across pre-conception, pre-natal, birthing, and post-natal periods, using an approved curriculum and ensuring that trainees are credentialed, enrolled, and trained on Medicaid claims processes 
  2. Provide awareness-building and education for expecting parents to better understand doula care, the support it provides, and the opportunities to have care covered via insurance 
  3. Build stronger partnerships between other maternal health providers (e.g., OB/GYN) and doula providers, including education about the role of doulas, resources to clarify referral processes, etc. 
  4. Facilitate peer community and support for doulas across Oklahoma to compare learnings and best practices (e.g., care strategies, support with billing), receive support from peers, and potentially provide shared services for independent doulas (e.g., billing co-op or shared resources for managing claims) 

This multi-pronged approach seeks to provide holistic support not only to increase the number of doulas in rural Oklahoma in the short term, but also to elevate awareness and understanding of doula services, ensuring that rural communities have access to doula care for years to come. 

This program will issue at least $2,500,000 in one or more awards.   

Application

The application period has closed. 

Funding Recipients

Webinar: Application Overview

A pre-recorded application assistance video is available now to assist with initial application planning and questions.

Doula Expansion Application Information Video
Doula Expansion Webinar Slides

Frequently Asked Questions

Doula Expansion FAQs
Behavioral Health Integration NOFO FAQs

Applicants must meet the criteria below to be eligible for this funding opportunity:

  • Demonstrate a track record of successful doula programming and partnerships in rural communities
  • Deliver direct program services supported by this award solely in eligible Oklahoma rural communities with populations under 55,000 (see Attachment A for a full list of eligible communities), except for select remote services that support participants in the rural community (e.g., remote training modules)
  • While preference will be given to entities based in Oklahoma, out-of-state entities are eligible to apply. Out-of-state entities will be expected to clearly demonstrate the success of their program outside of Oklahoma, rationale for building a presence in Oklahoma, and commitment to supporting doula expansion in Oklahoma beyond the five-year RHTP period.
  • Maintain relevant licenses and/or certifications as required by the State of Oklahoma and its regulatory bodies in accordance with proposed program activities (e.g., training doulas); if no licenses and/or certifications are required for the proposed program activities, please indicate this in the application. Applicant must possess the required licensure and certifications to provide all the services and programming described in their application, including certifications required to train doulas to bill Medicaid for services. Training curriculum used must align with the qualifications linked here.
  • Have an active Unique Entity Identifier (UEI) and maintain active registration in SAM.gov throughout the application, review, and award period. Timelines for registration and receipt of a UEI vary significantly (e.g., weeks to months), so applicants should plan accordingly, as a UEI number is required to apply. The registration process is available here: Entity Registration | SAM.gov.
  • Must not be suspended, debarred, or otherwise excluded from receiving federal funds
  • Have an active Certificate of Insurance (see the Subrecipient Terms and Conditions linked in Attachment D for a detailed list of required insurance types, coverage limits, and other insurance-related requirements)
  • Have or currently be applying for an Oklahoma Supplier ID. Instructions for registration are linked here.  

While funds can be used to provide training for doulas, paying for individual certification fees (e.g., DONA processing fee) will trigger a five-year service commitment through the RHTP. As such, RHTP funds should not be used pay for these fees. 

Other key ineligible costs under this program include the following: 

  • Alcoholic beverages 
  • Bad debt & collection costs 
  • Goods and services for personal use of employees 
  • Fundraising and investment management costs 
  • Lobbying activities 
  • Fines, penalties, damages, and settlement resulting from violations of law 
  • Pre-award costs incurred before award date 
  • Land acquisition and depreciation of land 
  • Endowments, capital funds, or investment vehicles to generate income 
  • New construction or major building expansions or renovations 
  • International visa sponsorship for clinical workers 
  • Clinical services that duplicate billable services 
  • Medications, whether prescription or over-the-counter (OTC) 
  • Payments or rate enhancements for services currently billable or reimbursable through Medicaid, commercial insurance, or another funding source, including when payment is only partially available, at a lower rate than the applicant seeks, or where the applicant does not routinely bill for the service 
  • Meeting matching requirements for any other federal funds or local entities 
  • Food costs, including medically tailored meals and community meeting meals 
  • Broadband infrastructure 

These funds may not be used to supplant (replace) other federal, state, or local government funds previously awarded for the proposed project/purchase. It is the applicant's responsibility to demonstrate in the application that they are not supplanting other funds. 

Please refer to Attachment E for a full list of allowable and unallowable funding uses under broader RHTP or federal guidelines. 

Additionally, certain funding categories are subject to RHTP-wide spending limits and must be documented. These include: 

  • Provider payments that are not already reimbursable 
  • Costs for grant administration (e.g., grants management, compliance, fiscal oversight) are limited to five percent for award recipients. This should include all direct grant admin costs and a proportional share of indirect costs: Total grant admin = Direct costs for grant admin + (Direct costs for grant admin * Indirect Cost Rate) 

Notice of Funding Opportunity (NOFO)

Rural Regional Reorientation (RRR) Program

RRR funding is intended to improve access to critical localized and/or specialized care, quality through meaningful reductions in disease and avoidable hospitalizations, and sustainability through more effective and efficient care in rural Oklahoma. To quickly begin to achieve reorientation objectives, priority will be given to applications that can immediately action on the needs of rural Oklahomans.

RRR will provide grants of up to $4 million to eligible clinical and social service providers, either individually or in partnership with one or more entities.

RRR aims to achieve its goals through an investment in the future of rural health partnerships. OSDH anticipates subsequent years of funding will aim to further these objectives through coordinated and sustained partnerships that require more intensive planning. Participation in year one is not a requirement for participation in years 2-5. More details about years 2-5 RRR funding are expected to be released in the coming months.

Application

The application period has closed. 

Webinar: Application Overview

A pre-recorded application assistance video is available now to assist with initial application planning and questions.

RRR Application Information Video
Frequently Asked Questions
RRR FAQs
Webinar: Frequently Asked Questions

Watch the recording of the May 7th webinar.

Webinar Recording

All projects funded under this NOFO must align with at least one of the RRR objectives listed below: 

  • Access: Improve access for critical localized care (e.g., primary care/behavioral health/OBGYN/etc.) and/or improve access to specialized care in areas/for populations with pronounced barriers to access.
  • Quality: Realize meaningful reductions in chronic disease rates and avoidable hospitalizations for complications related to chronic disease.
  • Sustainability: Improve effectiveness and efficiency of rural care resources to ensure existing care assets are sustained.

Funding Uses 

Priority will be given to ‘shovel-ready’ initiatives (see NOFO for more detail) that can most immediately make a meaningful difference towards program objectives and that do not involve intensive planning. Funding should be self-sustained, meaning that additional funding is not a requirement for program success. 

If additional funding is necessary, the application should explain the plan to secure this funding outside of RRR or other RHTP programs. Funding can be used for both planning (e.g., technical assistance ahead of implementation) and implementation, though application must explicitly identify any funding intended for planning.    

Applicants can submit multiple applications as part of one or more partnerships, or as an individual and as part of partnership(s). Preference for applications that are partnerships of two or more organizations, but individual organizations are still eligible for funding. All applicants (lead and partners) are required to meet all of the criteria below to be eligible for funding.   

  • Be located in and currently providing services in Oklahoma.
  • Funding must benefit rural Oklahomans with care delivered within their communities, but applicants are not required to be headquartered in a rural community. Rural populations defined as towns/communities with populations of 55,000 or fewer (see Attachment A). 
  • Be a clinical (e.g., hospital, outpatient clinic, long-term care) or social service (e.g., food bank, school, local government) provider.
  • Local government entities, including Counties and School Districts, are eligible to apply. Tribal governments are also eligible to apply. County Health Departments are not eligible to receive funding. 

Lead applicants, or any applicants that intend to directly receive this funding, must meet three additional requirements. 

  • Applicants must have an active Unique Entity Identifier (UEI) and maintain an active registration in SAM.gov throughout the application, review, and award period. The registration process is described here: Entity Registration | SAM.gov. Timelines for registration for a UEI vary significantly.
  • Applicants must not be suspended, debarred, or otherwise excluded from participating in federally funded programs or activities. 
  • Applicants must have an active Certificate of Insurance.

Notice of Funding Opportunity (NOFO)

Chronic Disease Management Program

Despite a significant chronic disease burden, Oklahoma has seen success with programs tailored to community needs. This initiative will build on previous successes by funding proven chronic disease management programs. 

The Chronic Disease Management Program is intended to fund providers, community-based organizations, and other organizations to implement and/or expand proven models for chronic disease management across rural regions of Oklahoma.

While chronic disease encompasses a broad range of conditions, this grant is specifically focused on programs addressing cardiovascular diseases, cancer, chronic respiratory diseases, diabetes, and stroke, given their prevalence and impact in Oklahoma (CDC).

Application

Please read NOFO and attachments thoroughly for all application information.

Deadline to apply: 11:59 p.m. CT, June 8, 2026

The application period has closed.

Funding Recipients

Frequently Asked Questions

FAQs

Applicant Webinar

Watch the recording of the April 29 webinar.

Webinar Recording
  • Participant recruitment (e.g., promotional materials, event supplies or space fees for community engagement, related overhead)
  • Equipment, supplies, and other materials necessary for program implementation (e.g., general office supplies, medical equipment that is not otherwise reimbursable or billed to a payer) 
  • Program design (e.g., staff time for workflow development or development of participant education materials, technical assistance for program design) 
  • Program implementation, e.g., necessary staff travel or facilities costs 
  • Program evaluation (e.g., participant surveys, clinical outcome measurements) 
  • Education directly related to program implementation for staff or partners (e.g., training on protocols, data collection, or required tools) 
  • Digital tool build and maintenance when necessary for program implementation
  • Currently providing services in rural Oklahoma 
  • Have a physical location, either headquarter or branch, in Oklahoma 
  • Provide healthcare and/or health-promoting services, programs, or supports 
  • Demonstrate a history of serving the proposed rural community(ies) in Oklahoma, either directly or through formal partnership with locally-rooted organizations or providers. Organizations without an existing service footprint in rural Oklahoma are not eligible. 
  • Deliver direct program services supported by this award solely in eligible Oklahoma rural communities with populations under 55,000 (see Attachment A for a full list of eligible communities), except for centralized administrative, care coordination, telehealth-based clinical support, or other remote services that support participants in the rural community 
  • Have an active Unique Entity Identifier (UEI) at time of application and maintain an active registration in SAM.gov throughout the application, review, and award period
  • Must not be suspended, debarred, or otherwise excluded from receiving federal funds 
  • Have an active Certificate of Insurance   

OSDE's ROOTS Competitive Grant: Rural Opportunities for Optimal Transformation in Students' Health

This funding opportunity is provided by OSDE for the Presidential Fitness Test Preparation program under an RHTP subaward.

The Oklahoma State Department of Education (OSDE) is offering a six-month ROOTS grant (May–October 2026) for 60 rural PK–12 schools to enhance physical education, fitness, and wellness initiatives aligned with state standards. Selected sites will receive professional development, mentoring, and up to $10,000 for approved equipment, with funding contingent on completing required activities such as trainings, coaching sessions, and collaborative learning opportunities.

Application

The response period has closed.

ROOTS Grant Recipients

If you have questions, email Shana Classen, Project Manager of Health and Physical Education.

Request for Information (RFI)

Expanding Care: Doula Program

OSDH is seeking input from stakeholders with expertise and experience with doula and maternal healthcare to help inform the design and build out of the Oklahoma RHTP Doula Program. 

The goal of this RFI is to:

  • Understand the landscape of programs/offerings across Oklahoma to minimize any potential duplication 
  • Refine the anticipated scope and estimated cost to deliver these programs 
  • Better understand requirements for successful program deployment 

The Expanding Care: Doula RHTP program will aim to expand on and maximize the impact of existing efforts within the state, increasing access for rural Oklahomans.

This RFI is for the purpose of gaining knowledge and does not constitute a solicitation of proposals, a commitment to conduct procurement, an offer to contract, or a prospective contract. 

Response

The response period has closed.

Funding Recipients

A reasonable accommodation will be provided, including the provision of informational material in an alternative format for qualified individuals with disabilities upon request. If a respondent needs accommodation at the outset of this process, please email OklahomaRHTP@health.ok.gov. 

Notice of Funding Opportunity

Community-Led Wellness Hubs: Microgrants

Many rural communities in Oklahoma have limited resources to purchase lasting assets that could improve healthcare access, outcomes and whole-person health.

During stakeholder engagement for Oklahoma’s RHT Program application, communities shared a need for basic health enablers such as diagnostic tools or exercise and fitness equipment.

This Microgrant program is designed to support one-time purchases that can make an immediate, meaningful difference in healthcare access, outcomes and community wellness.

Application

The application period has closed.

Funding Recipients

Webinar: Application Overview and Q&A Session

Watch the recording of the March 19 webinar.

Webinar Recording

Frequently Asked Questions

FAQs

  • Purchase or refurbishment of clinical diagnostic equipment
  • Clinical access infrastructure, such as telehealth carts
  • Wellness enablers, such as fitness and/or sports equipment
  • Installable equipment or fixtures that can be purchased and attached with minimal labor
  • Health education and promotion materials
  • Targeted sub-contractor support for carrying out the planned investment (e.g., graphic design support for health education or promotion materials)

 

  • Must be currently providing services in Oklahoma.
  • Must be located in a rural Oklahoma county – or have a branch in a rural county where said branch is to be the recipient of the microgrant investment. Rural Counties are defined as all counties except for Tulsa County and Oklahoma County.
  • Must provide services to communities with populations of 55,000 or fewer residents.
  • Must have an active Unique Entity Identifier (UEI) and maintain an active registration in SAM.gov throughout the application, review, and award period. Applicants must not be suspended, debarred, or otherwise excluded from participating in federally funded programs or activities.
  • Must have an active Certificate of Insurance.

 

Notice of Funding Opportunity (NOFO)

Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder

Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder funding is intended to expand access to medications for opioid use disorder (MOUD) and medications for alcohol use disorder (MAUD) for rural communities through evidence-based provider upskilling and/or integrated/alternative care delivery models (e.g., hub-and-spoke, mobile units, telehealth-enabled approaches).  

The program will distribute $2.8 million in budget Year 1, with most individual awards expected to be $1 million or less. The exact number of awards will depend on the applications received. OSDH may choose to fund one project or several, based on need and available resources.

The awards must benefit rural populations with care delivered within their community. Rural communities are defined for the purposes of OK RHTP as communities with populations of 55,000 or fewer. 

Applicants may propose projects for a single year or spanning multiple years and should indicate whether they anticipate seeking continuation of funding in future years. Proposing multi-year projects only indicates interest and does not guarantee future awards, as funding is subject to available funding from CMS and program progress.   

Application

The application period has closed.

Webinar: Application Overview

A pre-recorded application assistance video is available now to assist with initial application planning and questions.

Behavioral Health Integration Application Information Video

Frequently Asked Questions

Behavioral Health Integration FAQs
Behavioral Health Integration NOFO FAQs

Allowable uses include but are not limited to:

  • Program design (e.g., contractor/consulting support for workflow development or development of participant education materials, technical assistance for program design)
  • Program implementation (e.g., facilities costs, site support for hub-and-spoke models including training and integration)
  • Participant recruitment and engagement (e.g., outreach materials, event supplies or space fees for community engagement, related overhead). Participants could include healthcare providers (upskilling model) or sites (hub-and-spoke model)
  • Personnel to support training and integrated/alternative care model
  • Workforce training, education, and ongoing practice support (e.g., DEA-aligned SUD training, training on medications (MOUD/MAUD), clinical protocols, ongoing provider check-ins, coaching, and engagement)
  • Service delivery enablement (e.g., development of screening and referral workflows, mobile units)
  • Technology enablement (e.g., telehealth platforms, connectivity, digital tools)
  • Equipment, supplies, and other materials necessary for program implementation (e.g., general office supplies, medical equipment that is not otherwise reimbursable or billed to a payer)
  • Program evaluation and reporting (e.g., participant surveys, clinical outcome measurements, contracting/consulting support for external evaluation)

Funding is available for inpatient and ambulatory settings, but funding for inpatient should focus on non-addiction medicine providers (e.g., hospitalists).

All costs of preparing this application are the sole responsibility of the applicant; OSDH is not responsible for any costs incurred related to the preparation or submission of the application or any other activities undertaken by the applicant related in any way to this NOFO.

Please note that, consistent with 2 CFR § 200.320, successful applicants will be required to obtain price or rate quotations from an adequate number of qualified sources for applicable purchases. OSDH’s policy interprets “adequate number” to mean obtaining at least three price quotes prior to making a purchase with funds for anything over $15K. 

The purpose of this funding opportunity is to support the implementation of evidence-informed approaches to expand access to behavioral health and SUD services. Approaches without a clear evidence base or rationale are not the focus of this funding opportunity. Applicants must demonstrate how their proposed approach is grounded in evidence, best practices, or established MOUD or MAUD protocols. Examples of evidence-based, best practice guidance for treating OUD and AUD, include:

Prohibited fund uses: Key ineligible costs under this program include the following:

  • Alcoholic beverages
  • Bad debt & collection costs
  • Entertainment costs, amusement, and social activities
  • Goods and services for personal use of employees
  • Fundraising and investment management costs
  • Lobbying activities
  • Fines, penalties, damages, and settlement resulting from violations of law
  • Costs of social organization memberships
  • Pre-award costs incurred before award date
  • Land acquisition and depreciation of land
  • Endowments, capital funds, or investment vehicles to generate income
  • New construction, major building expansions, or renovations. Supplanting (replacing) funding for in-process or planned construction projects or directing funding towards new construction builds is also unallowable.
  • Student loans and student loan repayment programs
  • International visa sponsorship for clinical workers from other countries
  • Clinical services that duplicate billable services
  • Medications, whether prescription or over-the-counter (OTC)
  • Payments or rate enhancements for services currently billable or reimbursable through Medicaid, commercial insurance, or another funding source, including when payment is only partially available, at a lower rate than the applicant seeks, or where the applicant does not routinely bill for the service
  • Meeting matching requirements for any other federal funds or local entities
  • Services, equipment, or supports that are the legal responsibility of another party under federal, State, or tribal law, such as vocational rehabilitation or education services
  • Services, equipment, or supports that are the legal responsibility of another party under any civil rights law, such as modifying a workplace or providing accommodations that are obligations under law
  • The cost of independent research and development, including their proportionate share of indirect costs
  • Food costs, including medically tailored meals and community meeting meals
  • Broadband infrastructure
  • EMR/EHR replacement or implementation

Restricted fund uses: Additionally, certain funding categories are subject to RHTP-wide spending limits and must be documented. This includes:

  • Provider payments that are not already reimbursable
  • Costs for grant administration (e.g., grants management, compliance, fiscal oversight) are limited to five percent for award recipients. This should include all direct grant admin costs and a proportional share of indirect costs: Total grant admin = Direct costs for grant admin + (Direct costs for grant admin * Indirect Cost Rate)
  • Infrastructure improvements, such as equipment upgrades and minor building renovations or alterations, when clearly linked to program goals

These funds may not be used to replace (supplant) other federal, state, or local government funds previously awarded for the proposed project/purchase. If the proposed project/purchase costs more than the limit of this grant the applicant should explain how they will pay for the remaining amount in Attachment C. It is the applicant's responsibility to show that they are not replacing (supplanting) other funds.

Applicants may submit questions regarding funding uses to Behavioral Health Integration Program FAQs by June 26, 2026. All responses will be posted publicly via updates to the OSDH RHTP BH Integration FAQ, available here: RHTP Program Website

Potential applicant types include but are not limited to:

  • Community-based organizations (including 501(c)(3) organizations, other non-profits)
  • Healthcare provider or organization (both non-profit and for-profit), including Community Mental Health Centers (CMHCs) and Opioid Treatment Providers (OTPs)
  • Tribal entities/governments
  • Higher education institutions
  • State agencies
  • County and city governments and facilities 

Applicants must meet the criteria below to be eligible for this funding opportunity:

  • Be currently providing services in Oklahoma
  • Have a physical location, either headquarters or branch, in Oklahoma
  • Provide healthcare and/or health-promoting services, programs, or supports
  • Demonstrate a history of serving rural community(ies) in Oklahoma, either directly or through formal partnership with locally-rooted organizations or providers. Organizations without an existing service footprint in rural Oklahoma are not eligible
  • Deliver direct program services supported by this award solely in eligible Oklahoma rural communities with populations of 55,000 or fewer (see Attachment A for a full list of eligible communities), except for centralized administrative, care coordination, telehealth-based clinical support, or other remote services that support participants in the rural community (e.g., for hub-and-spoke model, hub is not required to be located in rural community)
  • Have an active Unique Entity Identifier (UEI) at time of application and maintain an active registration in SAM.gov throughout the application, review, and award period. The registration process is described here: Entity Registration | SAM.gov. Timelines for registration and receipt of a UEI vary significantly
  • Must not be suspended, debarred, or otherwise excluded from receiving federal funds
  • Have an active Certificate of Insurance (see the Subrecipient Terms and Conditions linked in Attachment D for a detailed list of required insurance types, coverage limits, and other insurance-related requirements)

Fiscally sponsored organizations may seek funding through an application submitted by their fiscal sponsor, with the sponsored organization identified in the application as a planned partner or subcontractor. The fiscal sponsor must provide all required information, including the UEI number and a fiscal sponsorship agreement. Though the fiscal sponsor does not need to be located in Oklahoma, the organization they are sponsoring must still:

  • Have a physical location, either headquarters or branch, in Oklahoma
  • Provide healthcare and/or health-promoting services, programs, or supports
  • Demonstrate a history of serving the proposed rural community(ies) in Oklahoma, either directly or through formal partnership with locally-rooted organizations or providers. Organizations without an existing service footprint in rural Oklahoma are not eligible
  • Deliver direct program services supported by this award solely in eligible Oklahoma rural communities with populations under 55,000
  • Must not be suspended, debarred, or otherwise excluded from receiving federal funds

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Points of Contact

For questions regarding supplier registration, contact the Supplier Registration Assistance team:

For questions regarding the individual solicitation, attachments or specifications, contact the OMES buyer listed on the solicitation event page or submit questions through the Event Q&A Forum.

Last Modified on Oct 02, 2026