Kentucky RHTP — Pre-Solicitation Framework
Kentucky
Eligible Entity Types
Funding
Tribal Provisions
Kentucky has no federally recognized tribal nations with land or headquarters in the state per the BIA tribal directory. The Eastern Band of Cherokee Indians is in North Carolina. No tribal set-aside, tribal-specific track, or tribal eligibility provisions appear in any publicly accessible CHFS RHTP source. Tribal health provisions are not applicable to this program.
Application Guide
Kentucky received $212,905,591 in Year 1 RHTP funding. The lead agency is the Kentucky Cabinet for Health and Family Services (CHFS), Department for Public Health, implementing through the A3 Team (Aspire → Activate → Attain) — an interdisciplinary coordination body structured across all five initiatives. CHFS has committed to following Kentucky procurement law and competitive bidding requirements for all vendor and partner engagements. This procurement-oriented model means solicitations will appear on the Kentucky state procurement system, not a traditional health grant portal.
Kentucky's rural health burden is among the most severe in the nation. The 54-county Appalachian region of eastern Kentucky carries some of the highest rates of chronic disease, opioid use disorder, cancer, and maternal mortality in the United States. Kentucky's five RHTP initiatives map directly onto these crises. The state also has the largest FQHC footprint of any state in this national cohort relative to rural population — 413 FQHC sites — reflecting decades of safety-net investment in Appalachian and rural communities.
An important compliance signal: CHFS describes its distribution as following "Kentucky procurement law and competitive bidding requirements" — language that suggests contracts rather than grants may be the mechanism for some or all awards. If CHFS issues contracts (not grants), the compliance framework differs: 2 CFR 200 Uniform Guidance applies fully to sub-recipients under federal grants but applies differently to contractors. Watch whether each solicitation is issued as an RFP (contract mechanism) or RFA (grant mechanism); the mechanism determines which compliance requirements apply to your organization.
These five initiative names are confirmed verbatim from CHFS program materials. Dollar allocations per initiative have not been published.
Both for-profit and nonprofit vendors are described as potentially eligible — an important distinction from states that restrict to nonprofit applicants only.