A Generational Funding Opportunity
for Tribal Health
The Tribal Health Transformation Partnership is here to help Tribal health centers access federal funding from the Rural Health Transformation Program. We offer free upfront support to craft strong grant proposals for RHTP funding, then assist you in implementing the programs that are funded for your tribal health initiatives.
Led by Experience,
Rooted in Sovereignty
The Tribal Health Transformation Partnership is led by the Cayuse Holdings family of companies, 100% owned by the Confederated Tribes of the Umatilla Indian Reservation.
The Partnership supports Tribes in transforming healthcare through culturally-grounded strategies that strengthen workforce systems, care delivery, and community capacity. Work 100% funded via the Rural Health Transformation Program.
Tribes are being invited into unprecedented levels of health system planning and investment. States are dedicating substantial funding for Tribal-led initiatives, workforce development, digital health, and culturally-aligned care delivery models.
With opportunity comes pressure. Tribes are being asked to absorb additional responsibilities all while continuing to deliver care in under-resourced environments.
The risk is not lack of vision. The risk is capacity strain. Tribes should not be forced to choose between accessing transformational funding and protecting long-term stability and sovereignty.
Our Approach
Phase 1: Awareness & Program Design
We help you understand the federal Rural Health Transformation Program - what your state will fund and when - then help you create an application plan that is responsive and culturally grounded for your community.
Phase 2:
Apply
We help you write a winning grant application by providing feedback and insight on how to align narratives, budgets, metrics.
With around $200M available per state in 2026, we help ensure your organization is positioned for successful funding acquisition.
Phase 3: Implement
If you’re awarded a grant, we can act as your subcontractor to implement your program(s).
Strategic clinical and infrastructure transformation. Implementation fees are fully covered by the RHTP grant, allowing Tribal health leadership to deliver measurable health improvements without financial burden.
Phase 4: Sustain
We work with a mindset to invoke long-term transformation and sustainability of your tribal health programs.
We help you secure long-term generational health equity. We establish robust monitoring systems to ensure your transformed Tribal health programs remain sustainable throughout the 5-year federal program and beyond.
A $50 Billion
Federal Investment
The Rural Health Transformation Program (RHTP) represents a historic opportunity for Tribes to enhance healthcare for their communities. Learn more about the federal Rural Health Transformation Program (CMS RHTP overview).
The RHTP represents one of the largest federal investments in rural healthcare in U.S. history—$50 billion between 2026 and 2031. This initiative goes beyond temporary fixes to build sustainable, community-rooted systems that expand access, stabilize hospitals and clinics, strengthen workforce pipelines, and improve chronic disease and specialty care for rural populations.
For Tribal Nations, this moment carries profound significance. Many of the most rural, highest-need communities are Tribal or Tribal-adjacent, yet have been systematically under-resourced for decades. States, including Alaska, Oregon, Washington, and Idaho, have earmarked over $100M of funding specifically for Tribal Health providers. RFPs for funding programs in all states are expected to emerge in Q1 and Q2 of 2026.
Connect With
Our Partnership
Discuss how the Rural Health Transformation Program
can enhance your health programs.
Contact us at Info@CayuseNS.com.
Call 541.429.6983
Cayuse Health is a tribally owned business
providing professional health and medical support services for government and federal agencies. Cayuse’s comprehensive program management, business process services and technology solutions are strategically poised to assist clients in advancing their mission objectives.
A sister company of Cayuse Health, Cayuse Native Solutions' leadership and staff are tribal citizens who live in tribal communities, work to support tribal entities and who receive health care from tribes. They specialize in digital marketing, web mobile apps, IT support and other technology focused services.
Nurse Recruitment Experts (an affiliate of Applichat) brings complementary expertise in workforce strategy, recruitment, relocation, public health communications, and program implementation across rural and Tribal-serving systems. Applichat has supported state agencies and Tribal health providers like the Southeast Alaska Regional Health Consortium.