Officials brief Health & Welfare on $195 million RHT award, CMS oversight and spending limits State Health & Welfare presenters outlined the first-year Rural Health Transformation cooperative agreement (~$195 million), explained CMS approval requirements, described a 15% cap on provider payments that held several projects, and reiterated obligation and spending deadlines.

Vermont is set to receive an unprecedented $195 million for rural health transformation, but strict federal oversight could reshape how the state spends these critical funds.

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