Georgia RHTP Compliance Prerequisites
What your organization needs in place before applying for RHTP sub-grants in Georgia.
No RFGA has been published by Georgia's Department of Community Health (DCH) as of March 2026, but the GREAT Health Program is moving quickly — RFGAs are expected in spring 2026. Use this preparation window to build the compliance infrastructure your organization needs before the application window opens.
Georgia's GREAT Health Program is administered by the Department of Community Health (DCH), the state's Medicaid agency. The distribution mechanism is a competitive Request for Grant Application (RFGA) — a grant instrument, not a procurement contract — which means 2 CFR 200 Uniform Guidance requirements apply to sub-recipients. DCH has not published details on whether payment will be advance-based or reimbursement-based; given Georgia's rural hospital closure crisis, the payment mechanism will significantly affect which providers can sustain participation. DCH is also working with three sub-grantee agencies (DPH, DBHDD, Board of Health Care Workforce) that may issue their own sub-awards; organizations should monitor each agency's website in addition to DCH's GREAT Health hub. No state-specific compliance requirements beyond the federal baseline have been published as of March 2026.
SAM.gov registration with an active Unique Entity Identifier (UEI) is a baseline requirement for any organization receiving federal sub-award funds. While DCH has not yet published its RFGA citing SAM.gov explicitly, the federal sub-award rules under 2 CFR 200 require active SAM.gov registration before award execution. Do not wait for the RFGA to initiate or renew your registration. Initial registration or renewal typically takes 7–10 business days. Verify your SAM.gov registration status at sam.gov and note your annual renewal date.
Any organization receiving federal grant funds must maintain a written, board-approved cost allocation methodology that is consistently applied across all funding streams, per 2 CFR 200. For Georgia rural providers that blend Medicaid reimbursements, HRSA grants, state grants, and now RHTP funds, the cost allocation plan must demonstrate that shared indirect costs are fairly apportioned. Organizations without a current NICRA should either pursue one with their federal cognizant agency or elect the 10% de minimis rate 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 $1M threshold effective for fiscal years ending on or after October 1, 2024). Georgia's GREAT Health awards are expected to be substantial for hospital and health system recipients. DCH has not yet cited clean audit history as a specific eligibility criterion, but strong financial management — including an unqualified audit opinion and documented corrective actions on any findings — is standard practice for competitive grant review.
Required Prerequisites
SAM.gov Registration
All federal sub-grant applicants must have an active System for Award Management (SAM.gov) registration at the time of submission. Registration takes 7–10 business days for initial setup or annual renewal. Your Unique Entity Identifier (UEI) is assigned through SAM.gov. Do not wait until the application window opens to check your status.
Cost Allocation Methodology (2 CFR 200)
You must have a written, consistently applied cost allocation methodology that documents how shared costs are distributed across funding streams. This does not need to be complex, but it must be written and board-approved. An informal practice that hasn't been reduced to documentation will not satisfy this requirement. The methodology must be in place before you apply — not after you receive the award.
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