Application Submission Form

Virginia Rural Vitality
Provider Interoperability: "Where Connection Meets Care"

July 31, 2026

Issued by: Virginia Health Care Foundation
The Opportunity
The Virginia Health Care Foundation (VHCF) is now accepting applications for "Provider Interoperability: Where Connection Meets Care," a sub-initiative of Virginia's Rural Health Transformation Program (RHTP). Congress established the RHTP to structurally transform rural health care delivery nationwide.

VHCF anticipates awarding approximately $14 million under this funding opportunity to transform rural health care providers' digital health care infrastructure through investments in network capacity, electronic health records, cybersecurity, and electronic health data exchange. Collectively, these investments should allow Virginia's rural health care providers to "leapfrog" legacy health care infrastructure and enable more targeted and connected care delivery in rural communities.

Key Dates
  • RFA Release Date: July 31, 2026
  • Pre-Application Webinar: August 6, 2026, at 11:00 AM - 12:00 PM EDT.
  • Application Due Date: August 31, 2026, at 5:00 PM EDT.
  • Review Period: September 1 – September 30, 2026
  • Notice of Awards: October 1, 2026
*Please note, applicants must complete this form in its entirety before submitting. You cannot save and return to a form in progress. Please refer to the full RFA for additional information and guidance.
APPLICANT AND PROJECT INFORMATION

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Project Title: (Required.)

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Total Funding Requested (USD): (Required.)

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Legal Name of Organization: (Required.)

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DBA / Trade Name (if applicable)

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Organization Type. Select all that apply. (Required.)

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Year Established: (Required.)

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Number of Full-Time Employees (FTEs): (Required.)

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Organization Website: (Required.)

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EIN (Federal Tax ID, 9 digits): (Required.)

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Please upload the organization's Active SAM.gov Registration Confirmation and Debarment Certification.

Applicants must hold an active SAM.gov registration with a current Unique Entity Identifier (UEI) and no active exclusions, debarments, or suspensions. (Required.)

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Unique Entity Identifier (UEI):

Check SAM.gov for the organization's UEI number. (Required.)

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Mailing Address: (Required.)

PROJECT NARRATIVE, BUDGET & OTHER ATTACHMENTS
Please upload your project narrative below as a single PDF with all sections clearly labeled according to the RFA guidance:
  • Section A: Organizational Overview (2 pages max)
  • Section B: Project Design and Need (3 pages max)
  • Section C: Project Readiness (3 pages max)
  • Section D: Work Plan & Key Programmatic Staff (3 pages max, please upload resumes separately below)
  • Section E: Stakeholders Engagement & Partnerships (2 pages max, please upload letters of support separately below)
  • Section F: Performance Metrics and Evaluation Plan (1 page max)
  • Section G: Sustainability (1 page max)
  • Section H: Previous Grant Experience (1 page max)

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Project Narrative: (Required.)

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Budget & Budget Narrative
Please refer to the template, available here (Required.)

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Most recent audited financial statements (or most recent Federal Single Audit, if applicable).
 (Required.)

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Adverse Action Disclosures

Please refer to Section 6.19 of the RFA for required adverse action disclosures.
 (Required.)

Please upload all other attachments below as a single PDF, including key programmatic staff resumes, letters of support, Memorandums of Understanding, etc.

Please note: Associations or convening entities must attach a letter of support or memorandum of understanding by an authorized representative/organizational leader at each participating organization. See Section 2.3 of the RFA for guidance.

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Other attachments: (Required.)

AUTHORIZED ORGANIZATIONAL REPRESENTATIVE (AOR) CERTIFICATION
By signing below, the Authorized Organizational Representative certifies that all information in this application is true, accurate, and complete; that the organization accepts all conditions of a Virginia RHTP subrecipient award; and that the organization will comply with 2 CFR Part 200, CMS RHTP Program Terms and Conditions, and all applicable federal and state requirements (See Part VI, “Award Terms, Reporting, and Compliance Requirements” in RFA document).

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Full Name: (Required.)

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Title: (Required.)

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Email: (Required.)

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Direct Phone: (Required.)

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Date: (Required.)

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AOR Signature:
Please enter your full name to serve as a digital signature (Required.)

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