Rural Health Transformation Program Resources

Rural Facility and Population Score Estimates by State

Title: Rural Health Transformation Program: Rural facility and population score estimates by state

File: RHTP: Rural facility and population score estimates by state   Updated: October 24, 2025

Description: This file contains our estimates of rural facilities and population scores, as defined by CMS’s Rural Health Transformation Program Notice of Funding Opportunity.

Source: Centers for Medicare & Medicaid Services (CMS). Rural Health Transformation Program, Notice of Funding Opportunity (CMS-RHT-26-001). Appendix Table 4, Section A: Rural Facility and Population Score Factors (A.1-A.7) pp. 63-74.

Note: These scores are estimated based on our interpretation of the rural facility and population score factors, based on methodology presented in Appendix Table 4 of the Rural Health Transformation Program Notice of Funding Opportunity (Opportunity number: CMS-RHT-26-001). As scoring methodology is clarified or revised and/or we identify errors, we may post periodic updates. We acknowledge that our interpretation may not match CMS’s intent. For details of our analytical assumptions, please see the technical notes in our data file.

Author: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill

Suggested Citation: Rural Health Transformation Program: Rural facility and population score estimates by state. NC Rural Health Research Program. UNC Sheps Center. 2025.

Change Log:

  • 2025/09/17: First published
  • 2025/09/23: Updated Scoring for A6: Zero points for any state below the 90th percentile.  This means only NM, MT, CA, TX, and AK get points for this score. Added new Worksheet D with scoring example.
  • 2025/10/24: Updated A7 with 2019 SPRY data (as opposed to HCRIS data). (Additionally, updated the formatting of this value, converting from decimals to percentages for consistency with other score factors that are percentages: e.g. from 0.0736 to 7.36.) Added data source information for the Opioid Treatment Facilities to the technical notes.

For questions or feedback, please contact contact@schsr.unc.edu.

* Note: Red text in file indicates updates since previous version.