State RHTP Contracting Support
ESI helps states turn Rural Health Transformation Program funding into governed, compliant, and implementable projects that improve rural access, strengthen provider capacity, modernize healthcare delivery, and support measurable outcomes.
RHTP State Services
Support for states managing RHTP grants, projects, providers, and outcomes.
ESI supports state agencies with the work required to move Rural Health Transformation Program funding from strategy into governed, measurable, and sustainable implementation. Our services help states assess needs, review incoming grant requests, manage awards, coordinate stakeholders, support providers, and maintain CMS-aligned reporting.
We help states understand the regional healthcare landscape, rural access barriers, provider capacity, implementation constraints, and program opportunities before funding decisions move into execution.
ESI can support states in reviewing incoming grant requests for compliance, cost reasonableness, feasibility, risk, sustainability, regional fit, HIT considerations, and alignment with state RHTP priorities.
ESI can help states provide technical assistance to funded providers so projects move beyond award and into practical launch, adoption, and sustained use.
ESI provides program and project management support across CMS, state leadership, ESI, providers, vendors, and other implementation partners.
ESI can provide licensed grant administration support to help states manage award documentation, budgets, reporting calendars, subrecipient coordination, compliance follow-up, and financial tracking.
ESI helps states connect implementation activity to reporting requirements, outcome measures, sustainability evidence, and CMS-aligned metrics.
Scalable Teams - Technical, Regional, Policy SMES & Partners
A flexible state-side team built around grant review, administration, project management, and technical expertise.
ESI structures RHTP support around the state’s operating needs. The team can scale from a focused grant review and program management group to a broader implementation support model with technical SMEs, grant administrators, project managers, regional advisors, and provider-facing technical assistance resources.
The team structure is designed to keep stakeholders aligned, connect project activity to grant requirements, support drawdown documentation, and ensure metrics, risks, and outcomes are visible throughout implementation.
RHTP Capabilities
Support across the rural healthcare initiatives states are funding.
ESI’s state-side support model can be applied across a wide range of RHTP project types. Whether a state is reviewing grant requests, organizing technical assistance, managing implementation, or tracking outcomes, our team brings the program, grant, technology, healthcare, and advisory expertise needed to evaluate and support diverse rural health initiatives.
HIT readiness, data exchange, interoperability, EHR/EMR modernization, information sharing, and infrastructure needs.
Telehealth strategy, specialty access, virtual care models, TeleED, TeleStroke, provider readiness, and implementation planning.
Mobile care delivery, remote monitoring, rural access expansion, equipment planning, workflows, staffing, and sustainability.
Care access barriers, regional service gaps, patient travel challenges, provider capacity, care coordination, and delivery model design.
Behavioral health integration, access models, follow-up measures, crisis response, substance use programs, and community partnerships.
Program models that improve access, screening, care coordination, chronic condition management, prevention, and continuity of care.
Workforce readiness, training plans, change adoption, provider education, operating model changes, and implementation support.
Local partnerships, community care models, rural outreach, navigation, social needs alignment, and provider-community coordination.
Population health strategy, disparities, access barriers, rural equity measures, outcome tracking, and performance improvement.
Advisory support for tribal health considerations, culturally responsive engagement, community priorities, and rural implementation realities.
Technology, operational, facility, workflow, and implementation planning needs connected to rural healthcare modernization.
Medicaid modernization, provider strategy, value-based care, incentive design, payment system modernization, and sustainability planning.
ESI applies a consistent state-side support model across RHTP initiatives: assess the need, review the grant or project, identify risk, support administration, manage implementation, assist providers when needed, and connect outcomes to reporting and sustainability.
Why States Work WIth ESI
Independent advisory support for complex public-sector healthcare transformation.
Rural Health Transformation Program funding creates opportunity, but it also creates pressure: states must make defensible funding decisions, manage implementation risk, support providers, document progress, and demonstrate measurable outcomes. ESI brings public-sector modernization, healthcare transformation, grant, technology, and implementation oversight experience to help states move with structure and confidence.
ESI is not tied to a product, platform, or implementation vendor. Our role is to help states evaluate needs, risks, costs, feasibility, and implementation options with objective advisory support.
ESI has supported state modernization, governance, risk, compliance, procurement, project oversight, and federal certification environments where documentation, accountability, and executive visibility matter.
Our healthcare transformation work connects rural access, Medicaid modernization, healthcare IT, interoperability, provider readiness, value-based care, and outcome measurement.
ESI can draw from specialized consultants, regional advisors, nonprofit partners, grant professionals, healthcare SMEs, technology advisors, and implementation resources based on the state’s scope.
ESI can support focused workstreams or broader program capacity, helping states add experienced advisory, grant, PMO, technical, and reporting support without assuming every RHTP program will be structured the same way.
RHTP Support Flyer
Download our RHTP Support Flyer
ESI is vendor neutral and partners with non-profits to ensure independent advisory.