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Safety-Net Providers · Measurement & Outcomes · 5 min read

What outcomes should safety-net providers and FQHCs measure for RHTP funding?

RHTP rewards measurable improvement, so safety-net providers and FQHCs should track uniform data system (UDS) clinical measures, access and no-show rates for uninsured and Medicaid patients, screening and follow-up for chronic conditions, and health-related social needs resolution. Building these metrics in from the start is what separates a fundable, renewable program from a one-time pilot.

Why measurement is non-negotiable

CMS built measurability into the allowable uses, so states pass that expectation to sub-recipients. For safety-net providers and FQHCs, a credible measurement plan is part of the eligibility story, not an afterthought.

Metrics that matter

The most defensible metrics for safety-net providers and FQHCs include:

  • uniform data system (UDS) clinical measures
  • access and no-show rates for uninsured and Medicaid patients
  • screening and follow-up for chronic conditions
  • health-related social needs resolution

Turning metrics into renewals

With $10 billion flowing each year through FY2030, programs that report clean outcome data are best positioned for continued state support. Enabling services are easy to fund and hard to sustain; build them into a reimbursable or measurable model early.

Frequently asked questions

Does RHTP require safety-net providers and FQHCs to report outcomes?
States are accountable to CMS for outcomes and pass reporting expectations to their sub-recipients, so yes, in practice.
How soon should measurement start?
From day one. Retrofitting measurement after launch weakens both the funding case and the results.

Figures reflect the CMS Rural Health Transformation Program NOFO and the December 2025 award announcement. RHTP Tracker is an independent resource by Moodr Health and is not affiliated with CMS.