Florida RHTP Compliance Prerequisites

No sub-grant solicitation has been published by Florida's Agency for Health Care Administration (AHCA) as of March 2026. Use this preparation window to build the compliance infrastructure your organization needs — organizations that arrive at the application window ready move faster than those that treat compliance as a post-award problem.

Florida's RHTP is administered by AHCA, which has described a regional collaborative model as its expected distribution mechanism. Based on this framing, the likely mechanism for sub-grants will be a grant — not a procurement contract — which means 2 CFR 200 Uniform Guidance requirements will apply to sub-recipients. However, until the RFA is published, the mechanism is not confirmed. AHCA has mentioned both vendor RFQs (suggesting contract vehicles for some components) and applicant RFAs (suggesting grant vehicles for regional collaborative awards). Organizations should prepare for 2 CFR 200 compliance as the baseline while remaining alert to any solicitation-specific deviations. No state-specific compliance requirements beyond the federal baseline have been published. Whether Florida will require a reimbursement-based or advance payment structure has not been stated. For small rural providers and tribal health programs with thin operating reserves, the payment mechanism will materially affect cash flow planning.

SAM.gov registration with an active Unique Entity Identifier (UEI) is a baseline requirement for any entity receiving federal sub-award funds. While the Florida RHTP RFA has not yet cited SAM.gov explicitly (it has not been published), federal sub-award rules require active SAM.gov registration before award execution. Do not wait for the RFA to begin this process. Initial registration or renewal typically takes 7–10 business days; delays are common during high-application periods. Confirm your organization's registration status at sam.gov and note your annual renewal date — SAM.gov registrations expire annually and a lapsed registration will disqualify an otherwise eligible application.

Under 2 CFR 200, any organization receiving federal grant funds must have a written, board-approved cost allocation methodology that is consistently applied across all funding sources. For organizations with multiple funding streams (e.g., Medicaid, HRSA grants, state contracts), the cost allocation plan must demonstrate that shared costs — including indirect costs like administration, rent, and HR — are allocated fairly across all sources. Florida has not yet published solicitation-specific guidance on indirect cost rates or caps; organizations should document their current methodology now using either a Negotiated Indirect Cost Rate Agreement (NICRA) with their federal cognizant agency or the 10% de minimis rate allowed under 2 CFR 200.414(f).

Any organization receiving $1,000,000 or more in federal financial assistance in a fiscal year is subject to Single Audit requirements under 2 CFR 200 Subpart F (updated threshold effective for fiscal years ending on or after October 1, 2024). Florida has not cited clean audit history as a specific review criterion in any published solicitation — because no solicitation has been published — but AHCA is likely to treat audit history as a review criterion for organizations awarded significant sub-grant amounts.

None identified as state-specific requirements as of March 2026. No solicitation has been published. Monitor ahca.myflorida.com/rural-health-transformation-program for the RFA release. When the RFA is published, review it for state vendor registration requirements, insurance minimums, match or cost-share requirements, indirect cost rate documentation, organizational age or prior grant history requirements, and audited financial statement requirements.