Virginia RHTP — Pre-Solicitation Framework
Virginia
Eligible Entity Types
Funding
Tribal Provisions
Virginia has one federally recognized tribe: the Pamunkey Nation (recognized 2015, King William County). No tribal set-aside or tribal-specific provisions have been published by DMAS as of March 22, 2026. Several additional tribes are state-recognized (Chickahominy, Eastern Chickahominy, Upper Mattaponi, Rappahannock, Monacan, Nansemond) but do not have federal BIA recognition — these organizations may be eligible as community-based organizations under the general solicitation. The application's tribal consultation provisions have not been confirmed from text-accessible sources. Pamunkey Nation and state-recognized tribal organizations should engage DMAS directly for eligibility clarification when the solicitation is announced.
Application Guide
Virginia received $189,544,888 in Year 1 RHTP funding (~$118.50/rural resident). The lead agency is the Virginia Department of Medical Assistance Services (DMAS) — confirmed via TAGGS record RHTCMS332088. Virginia has branded the program "VA Rural Vitality."
Virginia's rural health landscape is geographically polarized: Southwest Virginia's Appalachian coalfields (Lee, Wise, Dickenson, Buchanan, Russell, Tazewell counties) carry some of the highest rural health disparity burdens in the nation — elevated poverty, opioid mortality, cardiovascular disease, and cancer mortality — with hospitals under significant financial pressure as coal employment has declined for decades.
The DMAS program page references "four key goals and initiatives" but both the full project narrative PDF and the 3-page overview were binary-encoded and not text-accessible in automated research. Human browser review of the DMAS project narrative PDF is the single highest-priority action for Virginia. No sub-grantee solicitation has been published as of March 2026.
Planning — no solicitation published. Investment category names not confirmed (DMAS PDFs not text-extractable). "VA Rural Vitality" brand established. DMAS confirmed lead via TAGGS RHTCMS332088. Human review priority: Download and review DMAS project narrative PDF (dmas.virginia.gov/media/visgijnd/rhc-transformation-project-narrative.pdf) to confirm investment categories, eligibility, and tribal provisions. Year 1 expenditure deadline: September 30, 2027.