01
Make Rural America Healthy Again
Preventive care, chronic disease management, behavioral health, prenatal care.
$50 billion. Five years. Someone in the boat.
The largest single federal rural-health investment ever made — channeled through state lead agencies, scored on alignment to statutory categories, deployed by providers who can prove they can operate. The window is constantly opening and constantly closing. Velocity helps you qualify, deploy, and prove — with no capital at risk.
$50B
Total commitment
Across the full five-year program.
50
States participating
Every state runs its own RHTP program with its own scoring and timeline.
10
Permissible categories
Each state must spend in three or more.
15% · 20%
Hard structural caps
Direct payments to providers / existing buildings & infrastructure.
The program, plainly
A federal program designed for the work you're already doing.
What it is
The Rural Health Transformation Program is authorized under Section 71401 of Public Law 119-21 — the largest single federal investment in rural and underserved care in a generation. Funds flow as cooperative agreements to state governments, not directly to providers.
Each state runs its own program through a designated lead agency — typically the state Medicaid agency, Health and Human Services department, Health Authority, or Department of Public Health. States then sub-grant funds to rural hospitals, FQHCs, RHCs, EMS, behavioral health providers, workforce programs, and digital health vendors.
Structural caps mean the bulk of the money flows to workforce, technology, value-based care infrastructure, and prevention — not direct hospital subsidy.
The cadence — every month
State RFPs open and close on a rolling basis. Some states run continuous-application windows; others batch in quarterly cycles; many issue agency-specific calls outside the main cycle. The window is never "open" or "closed" universally.
Practically: somewhere in the country a deadline opens or closes every month. Renewals, new RFPs, modification windows, FY-rollover cycles. The Atlas tracks all of them.
The providers who win are not the ones who watch their state. They're the ones who watch all fifty.
CMS's five strategic goals
Every state proposal organizes against these five.
CMS asked states to organize their applications against these strategic goals. Knowing them is table stakes for any proposal a provider hopes to be part of.
02
Sustainable access
Long-term access points; shared services, regional systems, telehealth, EMS.
03
Workforce development
Recruit and retain providers; CHWs, pharmacists, navigators; top-of-license practice.
04
Innovative care
Value-based care, ACO arrangements, payment mechanisms that incent quality.
05
Technology innovation
Remote care, data sharing, cybersecurity, AI, remote monitoring, robotics.
The ten permissible use categories
States must use three or more of these.
Per Section 71401(d). Most state programs span four to six. Providers position against the categories where they can show real operational capability — not all of them.
01
Prevention & chronic disease
Evidence-based interventions for prevention and chronic disease management.
02
Provider payments
Payments to health care providers for items or services.
Capped at 15%
03
Consumer-facing tech
Solutions for prevention and management of chronic disease, patient-facing.
04
Training & technical assistance
For tech-enabled solutions including remote monitoring, robotics, AI, advanced tech.
05
Workforce
Recruit and retain clinical workforce with a minimum five-year rural service commitment.
06
Information technology
Software, hardware, and TA for IT advances improving efficiency, cybersecurity, outcomes.
07
Right-sizing
Identify needed service lines across preventive, ambulatory, pre-hospital, ED, inpatient, outpatient, post-acute.
08
OUD / SUD / mental health
Access to substance use disorder and mental health treatment services.
09
Innovative care models
Value-based and alternative payment models.
10
Additional uses
As determined by the Administrator to promote sustainable access.
Where Velocity fits
Six capabilities that map cleanly to seven of the ten categories.
Velocity isn't trying to be every category. We're trying to be the operational layer behind the categories where providers actually need to prove they can deliver — and where AI-native infrastructure changes the math.
The capabilities
- Lifetime patient engagement — persistent contact across language, transportation, and digital barriers.
- Community relationships — trust at the community level: local organizations, SDOH networks, faith communities.
- Dynamic clinical AI — decision support adapted to your population, not back-fit from urban systems.
- Conversational AI — patients get answers across SMS, voice, and web without calling a phone tree.
- Ambient scribe — real-time structured notes that give clinicians their hours back.
- Revenue cycle auditing — missed charges and coding gaps caught before they become write-offs.
The categories Velocity strengthens
- Prevention & chronic disease — engagement + clinical AI lift adherence and risk stratification.
- Consumer-facing technology — conversational AI is the patient-facing access layer.
- Training & technical assistance — every workflow ships with documentation and training built in.
- Workforce — top-of-license practice from ambient scribe and conversational support.
- Information technology — the AI-native infrastructure underneath every capability.
- Innovative care models — operating layer for value-based contracts that need attribution and outcome data.
- OUD / SUD / mental health — engagement + community context for the hardest-to-reach cohorts.
The Atlas
Every state. Every program. Every deadline.
Knowing your state isn't enough.
A provider that only watches its home state's program is fishing in the wrong river. Some states fund the work you do best; others don't. Some neighboring states sub-grant to providers across the line. Some federal renewals open windows that your state's main program won't.
The Atlas is Velocity's living map — lead agencies, scoring criteria, structural caps, current open RFPs, renewal calendars, modification windows — across all 50 states. We watch them so you don't have to, and we tell you when something opens that fits your initiative.
How we engage
Aligned to your outcomes. No capital. No IT project.
The commercial model is built for the reality of rural and non-profit care. We earn when you earn — and you don't pay to find out whether it works.
Capital
None required
No software purchase, no infrastructure spend, no implementation fee.
Commercials
Gainshare-aligned
A minimum four-to-one multiple of state transformation investments in hard-dollar returns — contractually backed.
IT project
None to launch
Agents stand up on the systems you already have. No replatforming, no parallel-stack work.
Proof
45-day outcome
Pick the highest-value initiative first. Live in production by day 30. Outcome measured by day 45.
Where do you stand right now?
The readiness assessment takes about five minutes. Eight questions, real read on where you are, the gaps to focus on first, and the next move.
Want to size your 340B opportunity too? Run the estimator →