Ohio RHTP — Pre-Solicitation Framework

Ohio received a Year 1 RHTP award on December 29, 2025, though the exact amount has not been confirmed from accessible sources as of March 22, 2026. The expected lead agency is either the Ohio Department of Medicaid (ODM) or the Ohio Department of Health (ODH), though neither has published an RHTP program page as of the research date.

Ohio's rural health geography is defined by its Appalachian dimension: 32 counties in southeastern Ohio are designated as part of the Appalachian region, with elevated opioid mortality, high rates of chronic disease, limited primary care access, and rural hospital financial fragility. Community Memorial Hospital in McConnelsville closed in 2024 — the most recent rural hospital closure in Ohio — and several other Appalachian-region hospitals operate near zero margin. Ohio's 205 FQHC service sites suggest robust community health infrastructure that could serve as a distribution backbone. NACHC's RHTP state application analysis noted that Ohio included housing support provisions in its application, suggesting a social determinants dimension to the program design.

Investment categories have not been confirmed from any primary source. CMS application abstract PDF not accessible. No sub-grantee solicitation, RHTP program page, or lead agency designation has been published as of March 22, 2026.