RHTP-4.4A: Chronic Disease Management Navigation and Education

RHTP-4.4A funds chronic disease management navigation and education for rural Nebraskans. This solicitation is part of Nebraska's fourth RHTP initiative — eHealth and Mobile Care — which addresses telehealth services, oral health expansion, and chronic disease management. The $26.9 million preliminary budget is one of the largest single-RFA allocations in Nebraska's Year 1 program. Nebraska DHHS released RHTP-4.4A simultaneously with two other RFAs in early March 2026, making it the highest-stakes and earliest-closing solicitation in the Year 1 batch.

The RFA targets organizations that can provide navigation and education services to rural patients managing chronic conditions — connecting patients to care, supporting adherence, and reducing avoidable hospitalizations. Individual award amounts were not published in available materials; applicants should download the full RFA document for award range guidance.

Eligible applicant types for RHTP-4.4A, as listed in the RHIHub funding listing and DHHS announcement: rural clinics, Federally Qualified Health Centers (FQHCs), Certified Community Behavioral Health Clinics (CCBHCs), local health departments (LHDs), Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), rural hospitals (non-CAH/non-REH), and tribal health facilities.

Tribal health facilities are explicitly named as eligible applicants in RHTP-4.4A. Nebraska's four federally recognized tribes — the Omaha Tribe, Ponca Tribe, Santee Sioux Nation, and Winnebago Tribe (Ho-Chunk) — operate tribal health programs that may include rural clinic functions. Tribal health departments meeting the rural eligibility threshold are eligible to apply directly. A separate dedicated tribal set-aside or tribal-specific award track has not been announced. RHTP-4.4A was the clearest Year 1 pathway for tribal health programs focused on chronic disease.