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RHT Program Project Plan Template

ICR 202610-0938-011 · OMB 0938-1498 · Object 174218900.

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RHT Program Project Plan Template
Knisely, Samuel
Calc
2026-05-27
2026-10-28
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Disclosures:

Rural Health Transformation Program Reporting (CMS-10949; OMB 0938-TBD)
This is a new collection of information request that has not been approved by the Office of Management a
number has yet to be determined. OMB will issue the control number upon their approval of the 30-day co

• This is a draft document that is subject to change.
• The draft template is not approved by OMB.
• Interested parties should refer to the Federal Register for dates/instructions on submitting comments sp
collection of information request.
• CMS is in the process of obtaining OMB’s approval of the template under the Paperwork Reduction Act (P
• CMS will inform when the final template has been approved by OMB.
• Respondents should not complete/submit the draft template to CMS.
• CMS will not accept the draft template.

RHT Program Project Plan Template

The purpose of this workbook is to provide States with an optional template to create their initiative projec
plan information using this template should create a new project plan tab for each initiative. Each initiative
present in the initiative project plan. If the State would like to include additional tasks for a milestone, they
milestone. CMS will provide the list of milestones identified from the State application along with additiona

Initiative 1: XXXX

Key
Stage
Milestone
Task

As shared on May XX, 2026
Designated State Lead: John Doe
Team Members: Jane Doe, etc.

Status Report
9 Complete
0 In Progress - On Track
2 In Progress - Behind Schedule
4 Not Yet Started
4 Upcoming

Note: All milestones from the approved State application for this initiative should be present in this project plan.
Number

Milestones/Tasks

Target Start

Target Due Date

Status

Task Owner

Stage 0
0.1.
0.1.1.

Milestone 1
Task 1

11/15/2025
11/15/2025

12/15/2025 Complete
12/15/2025 Complete

Full team
Full team

0.1.2.

Task 1

11/15/2025

12/15/2025 Complete

Full team

0.1.3.

Task 3

11/15/2025

12/15/2025 Complete

Full team

0.2.

Milestone 2

12/1/2025

2/9/2026 Complete

Full team

0.3.

Milestone 3

12/1/2025

3/23/2026 Complete

Full team

0.3.1.

Task 1

12/1/2025

3/23/2026 Complete

Full team

0.3.2.
Stage 1

Task 2

12/1/2025

3/23/2026 Complete

Full team

1.1.

Milestone 1

3/23/2025

5/1/2026 In Progress - Behind Schedule John

1.1.1.

Task 1

3/23/2025

4/15/2026 Complete

1.1.2.

Task 2

3/23/2025

5/1/2026 In Progress - Behind Schedule Jane

1.2.
1.2.1.

Milestone 2
Task 1

4/15/2026
4/15/2026

5/1/2026 Not Yet Started
5/1/2026 Not Yet Started

Full team
Full team

1.2.2.

Task 2

4/15/2026

5/1/2026 Not Yet Started

Full team

1.3.

Milestone 3

6/8/2026

6/26/2026 Upcoming

Contractor X

1.3.1.

Task 1

6/8/2026

6/12/2026 Upcoming

Contractor X

1.3.2.

Task 2

6/8/2026

6/18/2026 Upcoming

Contractor X

1.3.3.

Task 3

6/8/2026

6/26/2026 Upcoming

Contractor X

Stage 2

Stage 3

Stage 4

Stage 5

John

Notes