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PREVIEW ONLY: Rural Health Transformation Program (RISE) Application Questions - Division of Workforce Development and Adult Learning

RHTP: Rural Incentives for Strengthening Employment in Healthcare (RISE) will deploy resources to projects dedicated to the transformation of Maryland’s rural communities by establishing a sustainable workforce ecosystem, with a framework to bolster and retain mid-level and advanced practice providers in Maryland’s rural communities. MD Labor will fund projects aimed at improving access to high quality innovation in healthcare delivery and management across 18 state-designated rural counties. Successful applicants will propose plans that implement high-impact interventions aligned with the Rural Health Transformation Program (RHTP) purpose and offer proven strategies to improve rural healthcare workforce shortages and can apply to one or both of the projects:

  1. Rural Health Talent Pipelines, and
  2. Rural Health Advanced Provider Pathways

Completed applications, along with required documentation, should be submitted via Google Forms by 11:59 pm EST on Sunday, August 9, 2026. Incomplete applications will not be considered.

To Review Before Applying

Applicants should carefully review the Maryland RHTP: RISE Policy on the RHTP website before submitting the application in Google Forms. The policy outlines required program components and key terminology for this project.

Attendance at the Pre-Proposal Conference Wednesday, July 15, 2026 at 1:00 p.m is strongly encouraged. To register, see our meeting registration.

In order to receive the application materials, including the Google Forms link(s), applicants must submit a Notice of Intent to Apply by Friday, August 7.

Applicants must be registered with the federal System for Award Management at the time of their application.

Required Documentation

The following documents are required as a part of the application. At the end of the application, you will be asked to upload the documents listed below.
For the lead applicant:

  1. Certificate of Good Standing with the Maryland State Department of Assessments and Taxation (SDAT). A screenshot of the organization's status is acceptable.
  2. A completed and signed W-9
  3. A completed and signed Conflict of Interest Affidavit and Disclosure form
  4. If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS.
  5. Must be registered with the federal System for Award Management, sam.gov, at the time of their application.

Specific to each project:

  1. A completed budget template
  2. At least one letter of commitment from an employer partner. Note: if the lead applicant is serving as the employer of individuals being funded by the project, a letter of commitment is not required.
  3. If working with diverse entity partners (i.e., entities supporting the project but not employing grant-funded participants such as Institutes of Higher Education, Non-Profit or Community Based Organizations, Local Workforce Development Boards, Local Government), a letter of commitment from each diverse entity. While not required, partnering with diverse entities is strongly encouraged.
  4. A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  5. A completed and signed W-9 for each subrecipient

For questions about the application process, please email [email protected] until Friday, July 24.


Preview of Application Questions:
Rural Health Talent Pipelines

SECTION 1: COVER PAGE

For questions 1 - 8, provide the requested information about the lead applicant organization.

  1. Lead Applicant Organization’s Name
  2. Organization Street Address
  3. Primary Contact First and Last Name
  4. Primary Contact Position Title
  5. Primary Contact Email
  6. Primary Contact Phone
  7. Organization Federal Employer Identification Number (FEIN or EIN)
  8. Organization Type. Select all that apply.
    • Local Workforce Development Board
    • Local Health Department
    • Hospital Organization/Employer
    • Institution of Higher Education
    • Training Provider
    • Local Education Agency
    • Career and Technical Education (CTE) program
    • Industry Association
    • Registered Apprenticeship Sponsor
    • Local and regional economic development entity
    • Other organization:
  9. Which of the following counties will your project serve. Select all that apply.
    • Allegany
    • Calvert
    • Caroline
    • Carroll
    • Cecil
    • Charles
    • Dorchester
    • Frederick
    • Garrett
    • Harford
    • Kent
    • Queen Anne's
    • St. Mary's
    • Somerset
    • Talbot
    • Washington
    • Wicomico
    • Worcester
  10. List all employer partners that have provided a letter of commitment for this project. At least one is required.
  11. If applicable, list all diverse entity partners that have provided a letter of commitment for this project. Note: diverse entity partners are not required but are strongly encouraged.
  12. Amount of Funding Requested (Amount must be between $250,000 - $500,000):
  13. Leveraged Resources - List the total value of cash or in-kind contributions committed by partners or the applicant to support the project.

SECTION 2: EXECUTIVE SUMMARY

  1. Provide a clear and concise summary of the project that explains the need, goals, activities, timeline, and key partners involved. (Maximum 500 words)

SECTION 3: APPLICANT PROFILES AND EXPERIENCE

  1. Provide a brief profile of the lead applicant’s organization.
    1. How long has your organization been active?
    2. What is the organization’s mission?
    3. What population(s) are served?
  2. If your organization has managed a project that is similar in scope, please describe the final outcomes of that project. If not applicable, please share relevant experience that makes the organization an ideal candidate for an award.

SECTION 4: PROJECT DESIGN

  1. Please select the target occupations for the project. Select all that apply. Clinical occupations targeted for this project may be subject to service commitment requirements. Refer to page 11 in the RISE program policy to review information about the service commitment.
    • Central Processing Technician
    • Magnetic Resonance Imaging (MRI) Technician
    • Radiation Technologist
    • Cardiovascular Technician
    • Surgical Technician
    • Patient Care Technician
    • Pharmacy Technician
    • Behavioral Health Technician
    • Alcohol and Drug Trainee
    • Emergency Medical Technicians and Paramedics
    • Dental Assistants
    • Healthcare Administration
    • Health Information Technology (HIT)
    • Other: _________
  2. Describe the rationale for each target occupation, highlighting recent data and/or labor market information from the past two years and specific to the region that will be served.
  3. Describe the participant groups identified for the program (e.g., high school students, unemployed/underemployed individuals, veterans, returning citizens, SNAP recipients, long-term unemployed, incumbent workers.) Explain your rationale for targeting these populations to build local talent for the healthcare workforce pipeline in rural Maryland.
  4. How will participants be recruited?
    • Describe the tailored recruitment strategy that will be used for each participant group outlined above.
    • What recruitment methods will be used?
    • Which partners will be responsible for recruitment and what will their roles be?
  5. Project Activities: Middle and High School Students
    Which of the following activities will your project undertake for middle and high school students? Please review pages 11-12 of the program policy regarding allowable activities. Select all that apply.
    • 1a. Work-Based Learning: HSLRA (High School Level Registered Apprenticeship), internships, fellowships, High school fellowships, internships, and "earn-while-you-learn" models with participation stipends
    • 1b. Accelerated Credentialing: Programs enabling high school students to earn entry-level healthcare certifications prior to graduation
    • 1c. Career Readiness: Structured programming focused on professional soft skills and long-term career planning
    • 1d. Early Career Awareness: Outreach and education opportunities, including but not limited to career coaching, shadowing, and/or industry information sessions for parents/caregivers
    • 1e. Mentorship Models: Near-peer mentoring programs that connect students with nursing candidates, technicians, and recent healthcare graduates
    • 1f. Instructional Infrastructure: Establishment of on-site simulation and skills labs within secondary schools, to complement the establishment or expansion of workforce programming
    • 1g. Educator Externships: Specialized industry residencies for teachers and guidance counselors to align curricula with rural healthcare needs
    • Other. Please describe.
    • None or Not Applicable
  6. Project Activities: Entry-Level Professionals
    Which of the following activities will your project undertake for entry-level professionals? Please review pages 12-13 of the program policy regarding allowable activities. Select all that apply.
    • 1a. Training opportunities for existing staff to transition into more advanced roles, with a focus on the priority occupations and populations
    • 2a. Employer incentives that encourage participation and student hiring in the Registered Apprenticeship model, including supportive services for apprentices
    • 3a. Recruitment strategies aimed at attracting staff representative of the cultures, languages, ages, and demographics shared by the local community
    • 3b. Strategic recruitment and retention bonuses, pay-differentials, or other financial incentives for clinical instructors, with preference given to applicants supporting the development of the priority occupations
    • 4a. Support for rural healthcare organizations to serve as Host Site Partners for the Maryland Corps and Service Year Option
    • Other. Please describe.
    • None or Not Applicable
  7. Project Activity Implementation
    • Describe the implementation plan for each major activity proposed for your project.
    • How will these activities help participants in rural Maryland prepare for, secure, and retain employment in the target healthcare occupations?
  8. Supportive Services
    • Describe the specific barriers you anticipate your participants facing in rural Maryland, and how grant funds or partnerships with local community organizations will be leveraged to address these barriers.
    • Describe any supportive services and benefits that will be provided to participants and explain how this will support recruitment and/or retention.
  9. Describe how your project will help participants live, stay, and thrive in rural Maryland communities while strengthening the rural health workforce. Be specific about the strategies, supports, and opportunities that will promote long-term career and community retention. Refer to page 8 in the RISE program policy to review information about the service commitment.

SECTION 5: PROJECT PARTNERS

  1. Employer Partners
    1. For each of the employer partners, describe:
      1. What are their specific activities or responsibilities?
      2. How many participants are they committed to hiring?
      3. Why were they selected?
  2. Diverse Entity Partners
    1. For each diverse entity partner, if applicable, describe:
      1. What are their specific activities or responsibilities?
      2. Why were they selected?
  3. Describe any other partners or key stakeholders’ involvement and commitment to the project.
  4. Will any partners or stakeholders be subrecipients of these grant funds?
    1. Yes
      1. List the name of the partner and how much total funding they will receive here. In the budget, please include specific line items for each subrecipient.
    2. No

SECTION 6: STAFF AND ADMINISTRATION

  1. Describe the staffing and administrative structure that will support this program.
    1. Include the following key roles:
      1. Program leadership,
      2. Subrecipients, if applicable (individuals working at partner organizations whose jobs are being funded by this grant),
      3. Data tracking and reporting,
      4. Participant support,
      5. Training,
      6. Fiscal management, and
      7. Compliance.
  2. Are any of the positions described in the previous response vacant or partially funded?
    1. Yes
      1. What is the plan and timeline for filling those positions during the period of performance, September 1, 2026 - September 30, 2027?
      2. How will continuity of services be maintained in the interim?
    2. No

SECTION 7: TIMELINE

  1. Describe your plans for spending funds between September 1, 2026 and September 30, 2027. For each quarter, provide estimated program activities and obligation and expense totals.
    1. Quarter One: September 1, 2026 - November 30, 2026
    2. Quarter Two: December 1, 2026 - February 28, 2027
    3. Quarter Three: March 1, 2027 - May 31, 2027
    4. Quarter Four: June 1, 2027 - August 31, 2027
    5. Final Month: September 1, 2027 - September 30, 2027

SECTION 8: SUSTAINABILITY

  1. Describe how the program will continue in the absence of RHTP funding.

SECTION 9: OUTCOMES

Provide the following expected outcomes of your project. If your project includes more than one occupation, outcomes should be provided for each occupation. If an outcome is not relevant to your project, please enter “N/A.”
Example:
Central Processing Technician - 24
Cardiovascular Technician - 8
Surgical Technician - 16

  1. Total number of individuals served
    (This is defined as the total number of individuals enrolled in any Rural Health Talent Pipelines programming.)
  2. Total number of individuals enrolled in training/education
    (This is defined as the total number of individuals enrolled in Rural Health Talent Pipelines training or education that leads to a measurable skills gain and/or industry-recognized credential or license.)
  3. Total number of individuals to complete training/education
    (This is defined as the total number of individuals to complete the entirety of a Rural Health Talent Pipelines training or education program.)
  4. Total number of individuals to obtain a credential or license
    (This is defined as the total number of individuals to obtain an industry-recognized credential or license as a result of participation in Rural Health Talent Pipelines programming.)
  5. Total number of individuals employed
    (This is defined as the total number of individuals to obtain unsubsidized employment as a result of participation in Rural Health Talent Pipelines programming.)
  6. Average hourly wage of employed individuals
    (This is defined as the average hourly wage for individuals that obtained unsubsidized employment as a result of Rural Health Talent Pipelines programming. Please provide this as an hourly wage.)
  7. Other outcomes
    (Please define and indicate targets for other outcomes your project will track, if any.)
  8. Please describe how the lead applicant will collect and track required data for project outcomes. Include any databases or tools that will be utilized.

SECTION 10: ASSURANCES

The applicant hereby affirms and certifies that it will comply with all applicable regulations, policies, guidelines, and requirements of the MD Labor and the State of Maryland as they relate to the application, acceptance, and use of funding for the Program. The applicant further affirms and certifies that:

  • It possesses legal authority to apply for the grant, i.e., an official act of the applicant’s governing body has been duly adopted or passed, authorizing filing of the application, including all understandings and assurances contained therein and directing and authorizing the person identified as the official representative of the applicant and to provide such additional information as may be required.
  • It will comply with applicable federal, State, and local laws regarding discrimination and equal opportunity in employment, and credit practices.
  • It will expend funds to supplement new and/or existing funds and not use these funds to supplant non-grant funds.
  • It will participate in any statewide assessment program or other evaluation program as required by MD Labor.
  • It will give MD Labor, or an authorized representative, the right of access to, and the right to examine all records, books, papers, or documents related to the grant.
  • It will assure that quarterly status reports will be submitted to MD Labor, as required.
  • It will comply with all requirements imposed by MD Labor concerning special requirements of law and other administrative requirements.
  • It will avoid any activity, employment, or business arrangement that would create an actual or apparent conflict of interest in the performance of its duties under any grant awarded. It will promptly notify MD Labor of any actual or potential conflict of interest that arises during the term of any grant awarded. Upon such disclosure, MD Labor will determine whether the conflict requires mitigation, modification, or termination of any grant awarded.

The Fiscal Agent acts on behalf of the applicant by performing all financial management duties of the grant and accepting responsibility for the proper use of grant funds. The Fiscal Agent is responsible for maintaining separate records of disbursements made on the Applicant’s behalf and disbursing those funds in accordance with the restrictions related to the grant. The Fiscal Agent takes full responsibility for managing and documenting grant expenditures, as well as submitting financial reports for the grant.
The Fiscal Agent is responsible for receiving and safeguarding grant funds. Furthermore, the Fiscal Agent is legally obligated to:

  • Maintain separate records of disbursements related to the grant;
  • Keep receipts for at least five years following closing of the grant;
  • Make financial records available to the State of Maryland and its representatives upon request;
  • Disburse funds in accordance with the purpose of the grant application; and
  • File the final financial report at the conclusion of the grant.

I certify that I have read and reviewed all required application materials and supporting documents, including the sections describing the rural service commitment and provider payment requirements in the FAQ. I understand the terms and conditions of the service commitment and acknowledge that, if selected, I will be expected to fulfill these requirements. I certify that the information provided in this application is true and complete to the best of my knowledge.
I certify that I have read and reviewed the Centers for Medicare and Medicaid Services (CMS) documents below and agree to and comply with RHTP terms and conditions included in the following documents available on the Maryland RHTP Solicitation page:

  • CMS Notice of Funding Opportunity (NOFO)
  • CMS NOFO -  Frequently Asked Questions
  • Maryland Notice of Award Terms and Conditions
  • CMS RHTP Frequently Asked Questions—April 2026

SECTION 11: REQUIRED DOCUMENTS

The following documents must be uploaded for the lead applicant.

  • Certificate of Good Standing with the Maryland State Department of Assessments and Taxation (SDAT). A screenshot of the organization's status is acceptable.
  • A completed and signed W-9 form
  • A completed and signed Conflict of Interest Affidavit and Disclosure form
  • If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS

The following documents must be uploaded specific to this project.

  • Completed budget template
  • At least one letter of commitment from employer partner
  • Letters of commitment from any diverse entity partners, if applicable
  • A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  • A completed and signed W-9 for each subrecipient

Preview of Application Questions:
Rural Health Advanced Provider Pathways

SECTION 1: COVER PAGE

For the following questions, provide the requested information about the lead applicant organization.

  1. Lead Applicant Organization’s Name
  2. Organization Street Address
  3. Primary Contact First and Last Name
  4. Primary Contact Position Title
  5. Primary Contact Email
  6. Primary Contact Phone
  7. Organization Federal Employer Identification Number (FEIN or EIN)
  8. Organization Type. Select all that apply.
    • Local Workforce Development Board
    • Local Health Department
    • Hospital Organization/Employer
    • Institution of Higher Education
    • Training Provider
    • Local Education Agency
    • Career and Technical Education (CTE) program
    • Industry Association
    • Registered Apprenticeship Sponsor
    • Local and regional economic development entity
    • Other organization:
  9. Which of the following counties will your project serve. Select all that apply.
    • Allegany
    • Calvert
    • Caroline
    • Carroll
    • Cecil
    • Charles
    • Dorchester
    • Frederick
    • Garrett
    • Harford
    • Kent
    • Queen Anne's
    • St. Mary's
    • Somerset
    • Talbot
    • Washington
    • Wicomico
    • Worcester
  10. List all employer partners that have provided a letter of commitment for this project. At least one is required.
  11. If applicable, list all diverse entity partners that have provided a letter of commitment for this project. Note: diverse entity partners are not required but are strongly encouraged.
  12. Amount of Funding Requested (Applicants may request up to $500,000):
  13. Leveraged Resources - List the total value of cash or in-kind contributions committed by partners or the applicant to support the project.

SECTION 2: EXECUTIVE SUMMARY

  1. Provide a clear and concise summary of the project that explains the need, goals, activities, timeline, and key partners involved. (Maximum 500 words)

SECTION 3: APPLICANT PROFILES AND EXPERIENCE

  1. Provide a brief profile of the lead applicant’s organization.
    1. How long has your organization been active?
    2. What is the organization’s mission?
    3. What population(s) are served?
  2. If the lead applicant’s organization has managed a project that is similar in scope, please describe the final outcomes of that project. If not applicable, please share relevant experience that makes the organization an ideal candidate for an award.

SECTION 4: PROJECT DESIGN

  1. Please select the target occupations for the project. Select all that apply. Clinical occupations targeted for this project may be subject to service commitment requirements. Refer to page 7 in the RISE program policy to review information about the service commitment.
    • Registered Nurse (RN)
    • Advanced Practice Nurses (APN)
    • Physician Assistant (PA)
    • Physician
    • Dentist
    • Other: _________
  2. Describe the rationale for each target occupation, highlighting recent data and/or labor market information from the past two years and specific to the region that will be served.
  3. Describe the participant groups and local talent identified for the program (e.g., recent graduates, veterans, practitioners who are currently living and/or working in rural areas or those who are from rural areas and are looking to return home, spouses and immediate family members of practitioners.) Provide your rationale for targeting these populations for the Rural Health Advanced Providers Pathway project.
  4. How will participants be recruited?
    1. Describe the tailored recruitment strategy that will be used for each participant group outlined above.
    2. What recruitment methods will be used?
    3. Which partners will be responsible for recruitment and what will their roles be?
  5. Which of the following activities will your project undertake? Please review pages 13-14 of the RISE program policy regarding allowable activities. Select all that apply.
    • 1a. Immersive Rural Tracks: Development of longitudinal curricula and "rural track" programs within health professional schools to place students in rural settings early and often
    • 1b. Interprofessional Training Hubs: Creation of centralized, multi-disciplinary training hubs integrated with community-based education partnerships
    • 1c. Advanced Skill Simulation: Telehealth training and high-acuity simulations to maintain provider competency and integrate technology
    • 1d. Service-Linked Financial Support: Implementation of training cost reductions or tuition offsets tied to specific rural service commitments
    • 2a. International Professional Integration: Targeted recruitment and licensure navigation support for work-authorized, internationally-trained healthcare professionals committed to relocating to rural Maryland
    • 2b. Preceptor Incentives: Development and stipends to augment preceptor programs
    • 3a. Rural Roots Incentives: Focus on retaining existing professionals and their families in rural MD, or incentivizing relocation for skilled professionals committed to returning home to rural MD.  This could be accomplished through incentivizing “rural roots” via supportive services, including housing and relocation assistance, support to manage family care responsibilities, spousal employment placement or educational support, and/or appropriate support for families of practitioners
    • 3b. Community Integration ("Welcome Teams"): Structured initiatives to connect new clinicians and their families with local schools, civic groups, and faith communities to foster long-term retention
    • 3c. Clinician Resiliency: Dedicated wellness initiatives and peer support networks designed to mitigate burnout and reduce professional isolation
    • Other. Please describe.
  6.  Project Activity Implementation
    1. Describe the implementation plan for each major activity proposed for your project.
    2. How will these activities strategically bolster training, recruitment, and retention of advanced practice healthcare professionals in rural Maryland?
  7. Supportive Services
    1. What specific barriers do your participants face as practitioners in rural Maryland, and how will grant funds or partnerships be leveraged to address these barriers?
    2. Describe any supportive services and benefits that will be provided to participants and explain how this will support recruitment and/or retention.
  8.  Describe how your project will help participants live, stay, and thrive in rural Maryland communities while strengthening the rural health workforce. Be specific about the strategies, supports, and opportunities that will promote long-term career and community retention. Refer to page 8 in the RISE program policy to review information about the service commitment.

SECTION 5: PROJECT PARTNERS

  1. If you are working with external employer partners, describe the following:
    1. What are their specific activities or responsibilities?
    2. How many participants are they committed to hiring?
    3. Why were they selected?
  2. For each diverse entity partner, if applicable, describe:
    1. What are their specific activities or responsibilities?
    2. Why were they selected?
  3. Describe any other partners or key stakeholders’ involvement and commitment to the project.
  4. Will any partners or stakeholders be subrecipients of these grant funds?
    1. Yes
      1. List the name of the partner and how much total funding they will receive here. In the budget, please include specific line items for each subrecipient.
    2. No

SECTION 6: STAFF AND ADMINISTRATION

  1. Describe the staffing and administrative structure that will support this program. Include the key roles:
    1. Program leadership,
    2. Subrecipients, if applicable (individuals working at partner organizations whose jobs are being funded by this grant),
    3. Data tracking and reporting,
    4. Participant support,
    5. Training,
    6. Fiscal management, and
    7. Compliance.
  2. Are any of the positions described in the previous response vacant or partially funded?
    1. Yes
      1. What is the plan and timeline for filling those positions during the period of performance, September 1, 2026 - September 30, 2027?
      2. How will continuity of services be maintained in the interim?
    2. No

SECTION 7: TIMELINE

  1. Describe your plans for spending funds between September 1, 2026 and September 30, 2027. For each quarter, provide estimated program activities and obligation and expense totals.
    1. Quarter One: September 1, 2026 - November 30, 2026
    2. Quarter Two: December 1, 2026 - February 28, 2027
    3. Quarter Three: March 1, 2027 - May 31, 2027
    4. Quarter Four: June 1, 2027 - August 31, 2027
    5. Final Month: September 1, 2027 - September 30, 2027

SECTION 8: SUSTAINABILITY

  1. Describe how the program will continue in the absence of RHTP funding.

SECTION 9: OUTCOMES

Provide the following expected outcomes of your project. If your project includes more than one occupation, outcomes should be provided for each occupation. If an outcome is not relevant to your project, please enter “N/A.”
Example:
Physician Assistants - 16
Advanced Practice Nurses - 36

  1. Total number of individuals served
    (This is defined as the total number of individuals enrolled in any Rural Health Advanced Provider Pathways programming.)
  2. Total number of individuals enrolled in training/education
    (This is defined as the total number of individuals enrolled in Rural Health Advanced Provider Pathways training or education that leads to a measurable skills gain and/or industry-recognized credential or license.)
  3. Total number of individuals to complete training/education
    (This is defined as the total number of individuals to complete the entirety of a Rural Health Advanced Provider Pathways training or education program.)
  4. Total number of individuals to obtain a credential or license
    (This is defined as the total number of individuals to obtain an industry-recognized credential or license as a result of participation in Rural Health Advanced Provider Pathways programming.)
  5. Total number of individuals employed
    (This is defined as the total number of individuals to obtain unsubsidized employment as a result of participation in Rural Health Advanced Provider Pathways programming.)
  6. Average hourly wage of employed individuals
    (This is defined as the average hourly wage for individuals that obtained unsubsidized employment as a result of Rural Health Advanced Provider Pathways programming. Please provide this as an hourly wage.)
  7. Other outcomes
    (Please define and indicate targets for other outcomes your project will track, if any.)
  8. Please describe how the lead applicant will collect and track required data for project outcomes. Include any databases or tools that will be utilized.

SECTION 10: ASSURANCES

The applicant hereby affirms and certifies that it will comply with all applicable regulations, policies, guidelines, and requirements of the MD Labor and the State of Maryland as they relate to the application, acceptance, and use of funding for the Program. The applicant further affirms and certifies that:

  • It possesses legal authority to apply for the grant, i.e., an official act of the applicant’s governing body has been duly adopted or passed, authorizing filing of the application, including all understandings and assurances contained therein and directing and authorizing the person identified as the official representative of the applicant and to provide such additional information as may be required.
  • It will comply with applicable federal, State, and local laws regarding discrimination and equal opportunity in employment, and credit practices.
  • It will expend funds to supplement new and/or existing funds and not use these funds to supplant non-grant funds.
  • It will participate in any statewide assessment program or other evaluation program as required by MD Labor.
  • It will give MD Labor, or an authorized representative, the right of access to, and the right to examine all records, books, papers, or documents related to the grant.
  • It will assure that quarterly status reports will be submitted to MD Labor, as required.
  • It will comply with all requirements imposed by MD Labor concerning special requirements of law and other administrative requirements.
  • It will avoid any activity, employment, or business arrangement that would create an actual or apparent conflict of interest in the performance of its duties under any grant awarded. It will promptly notify MD Labor of any actual or potential conflict of interest that arises during the term of any grant awarded. Upon such disclosure, MD Labor will determine whether the conflict requires mitigation, modification, or termination of any grant awarded.

The Fiscal Agent acts on behalf of the applicant by performing all financial management duties of the grant and accepting responsibility for the proper use of grant funds. The Fiscal Agent is responsible for maintaining separate records of disbursements made on the Applicant’s behalf and disbursing those funds in accordance with the restrictions related to the grant. The Fiscal Agent takes full responsibility for managing and documenting grant expenditures, as well as submitting financial reports for the grant.
The Fiscal Agent is responsible for receiving and safeguarding grant funds. Furthermore, the Fiscal Agent is legally obligated to:

  • Maintain separate records of disbursements related to the grant;
  • Keep receipts for at least five years following closing of the grant;
  • Make financial records available to the State of Maryland and its representatives upon request;
  • Disburse funds in accordance with the purpose of the grant application; and
  • File the final financial report at the conclusion of the grant.

I certify that I have read and reviewed all required application materials and supporting documents, including the sections describing the rural service commitment and provider payment requirements in the FAQ. I understand the terms and conditions of the service commitment and acknowledge that, if selected, I will be expected to fulfill these requirements. I certify that the information provided in this application is true and complete to the best of my knowledge.
I certify that I have read and reviewed the Centers for Medicare and Medicaid Services (CMS) documents below and agree to and comply with RHTP terms and conditions included in the following documents available on the Maryland RHTP Solicitation page:

  • CMS Notice of Funding Opportunity (NOFO)
  • CMS NOFO -  Frequently Asked Questions
  • Maryland Notice of Award Terms and Conditions
  • CMS RHTP Frequently Asked Questions—April 2026

SECTION 11: REQUIRED DOCUMENTS

The following documents must be uploaded for the lead applicant.

  • Certificate of Good Standing with the Maryland State Department of Assessments and Taxation (SDAT). A screenshot of the organization's status is acceptable.
  • A completed and signed W-9 form
  • A completed and signed Conflict of Interest Affidavit and Disclosure form
  • If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS

The following documents must be uploaded specific to this project.

  • Completed budget template
  • At least one letter of commitment from employer partner
  • Letters of commitment from any diverse entity partners, if applicable
  • A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  • A completed and signed W-9 for each subrecipient