The Arizona Telemedicine Program Blog, Category: mHealth

In January 2026, as rural healthcare continues to face challenges like geographic isolation, provider shortages, and limited infrastructure, the Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation (RHT) Program stands out as a pivotal initiative. This $50 billion effort awards funds to all 50 states to bolster rural health systems, with a strong emphasis on innovative capabilities like telemedicine and telehealth.

The Centers for Medicare & Medicaid Services’ (CMS) “Rural Health Transformation Program (RHTP),” notice of funding opportunity (NOFO), published September 15, 2025, provides States with an historic funding opportunity that seeks to help them transform healthcare delivery for their rural residents.   Each state can separately apply for a portion of $25 billion dollars of “Workload Funding” which is in addition to $25 billion dollars of “Baseline Funding”.

The COVID-19 pandemic has fundamentally reshaped healthcare, with telehealth emerging as a vital tool for delivering crucial services to patients from the comfort and safety of home.

Now, a groundbreaking new program takes this a step further in the expansion of the Home Test to Treat, an entirely virtual community health initiative offering free at-home rapid tests for COVID-19 and the flu, as well as telehealth consultations, and medication delivery for eligible participants nationwide.

The Centers for Disease Control and Prevention’s (CDC) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) defines a community health worker (CHW) as “a frontline public health worker who is a trusted member or has a particularly good understanding of the community served. A CHW serves as a liaison between health and social services and the community to facilitate access to services and to improve the quality and cultural competence of service delivery.”

In Arizona’s rural communities they are frequently called community health workers. In tribal nations and within the Indian Health Service, they are often known as community health representatives (CHRs). In Southern Arizona communities, they may be called promotoras or promotores.

The University of Arizona Center for Rural Health’s AZHEALTHTXT service is a bilingual information-sharing platform that disseminates timely, expert-curated, health information tailored to the unique needs of Arizonans via text messaging.

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