SD RHT — Chronic Disease Self-Management Programming (26RFP-26-09RHT-002)

26RFP-26-09RHT-002 funds expansion of chronic disease self-management programming in rural and western South Dakota through lay leader training and community workshops. This is a service delivery solicitation under Initiative 8 (Strengthening Chronic Disease Management), which carries a 5-year total of $25.24M.

The self-management programming model — training community members as lay leaders who facilitate chronic disease self-management workshops — is an evidence-based approach particularly effective in rural areas with limited healthcare workforce. South Dakota's rural chronic disease burden (diabetes, hypertension, cardiovascular disease) in frontier and reservation counties creates acute need for community-level management support beyond clinic visits.

Based on Initiative 8 program framing, eligible entities include rural hospitals, rural health clinics, FQHCs and FQHC look-alikes, long-term care facilities, home health agencies, schools (for community programming partnerships), and community organizations with existing chronic disease self-management programs. Tribal health organizations are explicitly eligible as rural providers. Urban providers may be eligible if the proposal demonstrably benefits rural South Dakotans.

If awarded, subrecipients must obtain written SDDOH approval before entering any third-party agreements. Plan for this step before making commitments to partners.

South Dakota's nine federally recognized tribal nations — including the Oglala Sioux (Pine Ridge), Rosebud Sioux (Sicangu Lakota), Cheyenne River Sioux, Standing Rock Sioux, and five additional nations — are explicitly eligible as rural providers across RHT initiatives. No tribal set-aside for this specific solicitation has been published. Tribal health programs with existing chronic disease programming (diabetes prevention, hypertension management, community health worker programs) should assess fit.