You won the RHTP award. Now you have to ship it.
The Rural Health Transformation Program (RHTP) — the federal initiative funneling rural-health dollars through your state to the clinics and community programs that need them — only works once the software behind it does. Year-1 funds must be obligated by October 30, 2026, and CMS (the federal Centers for Medicare & Medicaid Services) recalculates your technical score every year. We’re the tech partner that keeps your scoring intact and your audit clean while you ship what your state plan promised.
At a glance
Where the money flows — and where we plug in
RHTP money travels a known path. We plug in at any upstream node — the state administrator, the fiscal intermediary, or the subrecipient who owes deliverables back.
What "shipped" actually looks like
Not slideware. Working software in your team’s hands by week 1 — here’s the shape of a Subrecipient Reporting Workbench, one of the eight builds below.
Every obligation, on one screen, with a real due date
Quarterly progress, the SF-425 (the federal financial report), FFATA (Federal Funding Accountability and Transparency Act) subaward disclosures, single-audit prep under 2 CFR 200 (the federal uniform grant-management rules) — every obligation on one screen, tied to the calendar. When something slides, your PM sees it in week 2, not week 11.
- Audit log built in — not bolted on after a finding
- One-click CMS packet export in the format your state administrator already asks for
- Per-row status visibility for the subrecipients reporting upward to you, if you’re the intermediary
Eight build shapes RHTP grantees actually have to ship
Each maps to a specific post-award obligation. Pick the one your state plan owes — we ship the others as you need them.
1 · Subrecipient reporting workbench
Quarterly progress, SF-425, FFATA subawards, and single-audit prep on one screen — each tied to a due date, with one-click CMS-packet export.
2 · LOI / subaward intake & triage portal
Public LOI form, eligibility screening, reviewer queue, and scoring rubric — for fiscal intermediaries triaging hundreds to thousands of applications.
3 · Collaboration evidence pack
MOU repository, partner roster, and joint-metric dashboard — the documentary artifact CMS scores at the annual technical-score recalc.
4 · Closed-loop referral + care coordination
FHIR-aware referral routing, consent capture, and status callbacks — a light coordination layer, not an HIE or EHR replacement.
5 · Workforce pipeline tracker
Applicant CRM, credential and license tracking, interstate-compact integration, and cohort retention against state-plan metrics.
6 · AI governance & evaluation harness
Use-case registry, model cards, drift and safety logs, and a human-review queue for states deploying AI under RHTP funds.
7 · T-MSIS / HIE data-quality pipeline
Schema mapping, validation rules, and submission monitoring with FHIR / USCDI on-ramps to your state HIE.
8 · RPM / consumer-tech adoption dashboard
Enrollment funnel, device-data ingestion, escalation alerting, and adherence / outcome reporting against state-plan metrics.
How we’re shaped differently from your other options
If you’ve been quoted by the usual generalist consultancy — or you’re still running this in Excel and email — this is how a small civilian software studio fits the gap.
Already running the shape
We’ve shipped this since 2025 with the Arctic Slope Community Foundation — an integrated grant platform for all 8 North Slope Iñupiat villages: applicant portal, admin / review dashboard, AI navigator, impact reporting. The fiscal-intermediary shape we run at ASCF is the same one the Alaska Community Foundation now runs for the state’s RHTP subaward administration.
If you’ve already won an RHTP award — let’s scope what you owe
Tell us your state, your initiative pillar(s), and your nearest reporting deadline. We come back within two business days with a 3–6 week scoped-pilot proposal or an honest fit / no-fit read.