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Rural Health Transformation
Federal Program · CMS

$50 Billion Rural Health Transformation Program (RHTP)

Established under the One Big Beautiful Bill (P.L. 119-21), the RHTP is the largest rural health investment in U.S. history — $10 billion per year from FY 2026 through FY 2030, awarded to all 50 states. Every state received a first-year award averaging $200 million. Funds flow from CMS through state agencies, which must implement approved Rural Health Transformation Plans across five CMS strategic goals. TSCTI supports state agencies as an implementation partner across all five goals.

0B
over 5 years
0
states funded
Goal 1
Make Rural America Healthy Again
Preventive care, chronic disease management, maternal health, and behavioral health access in rural communities.
TSCTI role: Clinical staffing · CHW programs · behavioral health
Goal 2
Sustainable Access

Help rural providers — critical access hospitals, FQHCs, rural health clinics — become long-term care access points through efficiency and sustainability improvements.

TSCTI role: Program management · operations · care coordination

Goal 3
Workforce Development

Recruit and retain clinical talent in rural areas with 5-year service commitments. Expand the pipeline of community health workers, pharmacists, and care navigators.

TSCTI role: Rural workforce deployment · recruitment · retention

Goal 4
Innovative Care

Test new models of care delivery — value-based care, alternative payment models, mobile care units, and community paramedicine to improve outcomes and lower costs.

TSCTI role: Program design · payment model support · outcomes tracking

Goal 5
Technology Innovation

Deploy telehealth platforms, remote patient monitoring, health IT upgrades, cybersecurity improvements, and data-sharing infrastructure in rural facilities.

TSCTI role: HealthTech platforms · telehealth enablement · interoperability

Case Studies

Proven results in government health

State RHTP Implementation Partner

Rural Health Transformation XtractIQ, InteropConnect, and PopulationHealth AI directly address RHTP’s technology innovation goal — enabling rural facilities to modernize IT infrastructure and improve data sharing.

All 5
CMS strategic goals addressable by TSCTI

HealthTech Platforms for Rural Program Implementation

XtractIQ, InteropConnect, and PopulationHealth AI directly address RHTP’s technology innovation goal — enabling rural facilities to modernize IT infrastructure, improve data sharing, and deploy remote patient monitoring.

4
Purpose-built platforms aligned to RHTP tech goals

RHTP Funding Evaluation & Consulting

Health Transformation Mixed-methods program evaluation design for state RHTP and RHTF programs — supporting CMS grant reporting, performance metrics, stakeholder engagement, and sustainability planning.

Mixed-methods
Evaluation design · CMS reporting · stakeholder engagement

How states receive and deploy RHTP funds

CMS awards states

Avg. $200M/yr · range $147M–$281M

States implement plans

Across approved RHT initiatives

Subcontracts & subawards

States flow funds to implementing partners

Annual CMS reporting

States report progress; funds at risk if unspent

Clients & program relationships