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Safety-Net Providers · Readiness · 6 min read

Is your organization ready for RHTP? A checklist for safety-net providers and FQHCs

safety-net providers and FQHCs are RHTP-ready when they have a fundable program tied to the right allowable-use categories, a partner relationship with the state's mechanism, a measurement plan, and a path to sustainability beyond FY2030. The most common gap is sustainability planning.

Readiness checklist

Before pursuing RHTP dollars, safety-net providers and FQHCs should be able to answer yes to each:

  • Do you have a fundable program (e.g., chronic-disease and prevention programs for underserved patients)?
  • Can you map it to evidence-based prevention and chronic-disease management, and additional uses that promote sustainable access?
  • Do you know your state's solicitation path? (FQHCs and safety-net clinics participate as sub-recipients, frequently in partnership with hospitals and behavioral health agencies.)
  • Can you measure uniform data system (UDS) clinical measures and related outcomes?
  • Do you have a sustainability plan for after FY2030?

The gap most organizations miss

Enabling services are easy to fund and hard to sustain; build them into a reimbursable or measurable model early.

Frequently asked questions

What disqualifies safety-net providers and FQHCs most often?
A weak measurement story or no sustainability plan. Enabling services are easy to fund and hard to sustain; build them into a reimbursable or measurable model early.
How long does readiness take to build?
Organizations with an existing program and data can be ready in weeks; those starting from scratch should plan for months.

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.