OMB control number
[Medicaid] Rural Health Transformation (RHT) Program Reporting (CMS-10949)
OMB 0938-1498 · HHS/CMS.
OMB 0938-1498
On July 4, 2025, President Trump signed Public Law 119-21, which the Centers for Medicare & Medicaid Services (CMS) refers to as the “Working Families Tax Cut” (WFTC) legislation, into law. The legislation authorized the Rural Health Transformation (RHT) Program, marking a significant federal investment of $50 billion over five years and is designed to empower as many as 50 State awardees to catalyze transformative improvements within their rural healthcare ecosystems. The principal objective is to enhance healthcare access, quality, and outcomes through innovative, system-wide change, thereby investing in the health of rural communities for future generations.
The latest form for [Medicaid] Rural Health Transformation (RHT) Program Reporting (CMS-10949) expires 2029-08-31 and is listed under ICR 202608-0938-012.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10949 RHT Program Project Plan Template | Form and Instruction |
| Form CMS-10949 RHT Program Reporting Template | Form and Instruction |
 CMS-10949 (0938-1498) RHTP Justification of Non-substantive change memo (final 8-14-26 @218pm).docx | Justification for No Material/Nonsubstantive Change |
| RHTP_CMS PRA 30 Day Comment Responses_08.11.2026.docx | Supplementary Document |
| RHTP_CMS PRA Comment Responses_06.09.2026_final_clean.docx | Supplementary Document |
| CMS-10949 - Supporting Statement A (2026 version 9).docx | Supporting Statement A |
 Rural Health Transformation (RHT) Program Reporting (CMS-10949) |
Form and Instruction |
| Rural Health Transformation (RHT) Program Reporting (CMS-10949) |
Form and Instruction |
| Rural Health Transformation (RHT) Program Reporting (CMS-10949) |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202608-0938-012 | No material or nonsubstantive change to a currently approved collection | 2026-08-14 | Approved without change | |
| 202607-0938-002 | New collection (Request for a new OMB Control Number) | 2026-07-06 | Approved with change |