Maryland's Rural Health Transformation Program, administered by the State Office of Rural Health, is in the initial implementation phase following a $168 million federal award in December 2025 targeting 18 state-designated rural areas. The program prioritizes workforce transformation, sustainable care access and innovation, and improved rural nutrition, with immediate and long-term funding mechanisms focused on primary care, telehealth, behavioral health, and food infrastructure. Competitive funding opportunities and structured initiatives are scheduled throughout 2026, with no subrecipient awards yet issued. The program’s design and event schedule reflect an emphasis on workforce recruitment, provider training, and expanded service delivery. Current structured plan tracks 9 key initiatives and 6 strategic goals.
Maryland received $168 million in federal funding for RHTP in December 2025, with CMS approval of program plans. As of July 2026, multiple state-level RFAs and RFPs remain open, including major Pillar 1 and Pillar 2 initiatives, with dedicated information sessions and pre-proposal conferences underway. Subawards and provider agreements are actively launching across core program pillars, and 3 competitive funding opportunities have been posted for rural providers. Strategy alignment: supports workforce, telehealth, and prevention priorities. State opportunities: 3 total (3 past/closed), $169.8M listed funding. Key opportunities: Maryland RHTP Pillar 3 – Empower Rural Marylanders to Eat for Health; Maryland Rural Health Transformation Program (RHTP): Grant Funding to Expand Primary Care Access in Rural Maryland; Maryland RHTP: Revenue Cycle Management and Billing Technical Assistance (Pillar 2). Strategy alignment: supports workforce, telehealth, prevention priorities.
RHTP Strategy
Maryland's Rural Health Transformation Program (RHTP) implements a coordinated, state-led and locally-engaged strategy to modernize rural health care. It emphasizes expanding workforce pipelines, investing in facility and advanced primary care infrastructure, scaling health information technology and telehealth, and strengthening food and nutrition systems. Competitive subawards are issued to regional partners, informed by extensive stakeholder input, to target immediate impacts and sustainable transformation across 18 rural counties.
Model
Integrated, pillar-based transformation model anchored in workforce development, care access innovation, health information technology/telehealth expansion, and food/nutrition system strengthening. Governance is led by the State Office of Rural Health, with implementation via direct investments and competitive partner-driven subgrant projects.
Key Initiatives
1Expand registered apprenticeship, RAMP, and Area Health Education Center (AHEC) programs to build the rural clinician, allied health, and peer recovery workforce.
2Launch Rural Incentives for Strengthening Employment in Healthcare (RISE) to strengthen health workforce pipelines and provider pathways.
3Increase primary, specialty, behavioral, and school-based health capacity through facility investment, mobile health unit deployment, and new care delivery models.
4Scale health information technology and telehealth infrastructure across rural communities to enable care integration and digital access.
5Fund post-harvest cold storage, aggregation, and local food system planning to broaden healthy food access and support small farms.
6Integrate nutrition education and chronic disease prevention initiatives into clinical and community health projects.
7Establish a rural health workforce data clearinghouse for recruitment and outcomes monitoring.
8Issue competitive subawards to local and regional organizations for workforce, care access, technology, and nutrition infrastructure projects.
9Award grants to expand brick-and-mortar advanced primary care practices in rural counties, prioritizing integration with value-based payment models.
Timeline: Period 1: All funds obligated by October 30, 2026, subaward competitions from April through July 2026, implementation and evaluation through 2030.
Health Priority
Workforce Development: Expanding recruitment, retention, and training programs to develop a robust rural health workforce, including allied health professionals and physicians. (Regions: State-designated rural areas, Southern Maryland)
Jul 14, 2026
Health Priority
Health Access & Innovative Care: Improving access to primary care, telehealth, emergency services, and behavioral health by implementing new programs, expanding service capacity, and integrating technology. (Regions: State-designated rural areas, Garrett County, Southern Maryland)
Jul 14, 2026
Health Priority
Nutrition & Healthy Eating: Enhancing rural food infrastructure and creating opportunities for nutrition education and access to fresh, locally grown foods through cold storage, food aggregation, and food planning. (Regions: State-designated rural areas)
Jul 14, 2026
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2025-2026
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MD - 2025 - Maryland Notice of Award Terms and Conditions
MHCC is allocated $6.3M to support the establishment and expansion of primary care practices in rural Maryland counties, offering competitive grants to eligible organizations and overseeing program monitoring, technical assistance, and capacity building.
$6.3M
Quality Improvement
Announcement Documents (3)
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AnnouncementJun 25, 2026TXT
Maryland senators have voiced concern that the Rural Health Transformation Program may disadvantage independent rural hospitals, urging program adjustments. The announcement highlights ongoing policy discussions for RHTP implementation in Maryland.
Award AnnouncementMay 22, 2026PDF2025-2026Opportunity ↗
Maryland Department of Health is a recipient of the CMS Rural Health Transformation (RHT) Program cooperative agreement beginning December 2025. Funds are restricted until revised budget materials are submitted and approved by CMS, with approval required for drawdown. Award continues for up to five budget periods, subject to progress and continued funding.
Event schedule:
- Budget Period 1 Start - 12/29/2025
- Budget Period 1 End - 10/30/2026
- Revised Budget Due - 01/30/2026 - COB
- Annual Progress Report #1 Due - 08/30/2026
OTHER · HEALTH_INFORMATION_TECHNOLOGY · FINANCE · QUALITY_IMPROVEMENT
Core Initiatives
Implement state-approved rural health transformation activities and policy actions
Achieve satisfactory progress on milestones and CMS-approved metrics
Advance state policy and practice reforms for improved rural health outcomes
🌐
Award AnnouncementApr 15, 2026HTML2025FederalOpportunity ↗
Application Documents (13)
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ApplicationMay 25, 2026PDF2025
Maryland’s proposal emphasizes transformative initiatives across workforce development, healthcare access, and nutrition. It requests up to $1 billion over five years, focusing on immediate impact activities and longer-term transformation funds.
This FAQ explains the Maryland RHTP's rural primary care infrastructure grant program, describing eligibility, allowed uses of funds, scoring, and deadlines. Maryland was awarded $168M in federal RHTP funds for 2026, of which $6.3M is allocated for up to 15 competitive grants to expand or establish advanced primary care practices in rural counties. The program prioritizes physical, brick-and-mortar primary care access, technology, interdisciplinary workforce, and alignment with sustainable payment models. Key contacts: Melanie Cavaliere mhcc.grants@maryland.gov
Event schedule:
- Application Due Date - 06/01/2026 - 5:00 PM ET - mhcc.grants@maryland.gov
- Grant Program Start (proposed) - 08/01/2026
- Funds Obligation Deadline - 10/30/2026
- Funds Expenditure Deadline - 09/30/2027
Award: $168.0MQUALITY_IMPROVEMENT · POPULATION_HEALTH · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Contacts
Melanie Cavaliere - <mhcc.grants@maryland.gov> - Grants Program Contact - Statewide
Core Initiatives
Expand and strengthen access to high-quality primary care in rural Maryland.
Support the development of advanced primary care practices in designated rural areas.
Improve health care access, quality, and outcomes in rural Maryland communities.
Maryland received a $168 million CMS cooperative award for Rural Health Transformation in 2026. RHTP focuses on workforce, sustainable access/innovation, and nutrition for health across 18 rural counties. Competitive funding opportunities and implementation details will roll out April–August 2026.
Maryland's Rural Health Transformation Program Plan outlines a strategy to use RHTP funds to target workforce development, transform care access points, expand primary and specialty care, behavioral health, and address chronic disease. Maryland plans to implement three main initiatives with an estimated $992 million budget over five years. The strategy employs both immediate impact and transformation subgrant funding, aiming to reach all 18 state-designated rural counties and improve rural health outcomes through value-based care, partnerships, and data-driven solutions. Key contacts: Sara Seitz; Elizabeth Edsall Kromm, Ph.D., M.Sc.
Event schedule:
- RHTP Implementation Staff Recruitment Completion - 2026-02-28 - Maryland
- RFI Survey Disseminated - 2025-09-08 - Maryland
This document is a CMS Office of Rural Health Transformation summary of FY26 state Rural Health Transformation Program (RHTP) applications, noting federal awards to each state with program priorities and thematic initiatives. States address access/barrier issues, workforce pipeline, digital and telehealth expansion, and chronic/maternal health. No explicit sub-grantee or project-level award details are itemized.
Budget: $3.5B
Core Initiatives
Make Rural America Healthy Again
Expand access to maternal and primary care
Enhance workforce recruitment and training
Show all initiatives (54)
Make Rural America Healthy Again
Expand access to maternal and primary care
Enhance workforce recruitment and training
Expand health IT and interoperability
Expand access to behavioral/mental health
Promote value-based and coordinated care
Empower rural Mainers to achieve their own healthy living goals through expanded population health solutions.
Expand the supply of care by growing a rural workforce and spreading technologies that connect every community to advanced care.
Ensure care will be available and affordable long into Maine’s future by pairing affordability measures with strategies that advance quality, efficiency, and fiscal durability.
Transform the rural health workforce through new apprenticeships, improved IT, and expansion of Area Health Education Centers, and pipeline programs.
Promote sustainable access and innovative care through new and expanded capacity for primary care, specialty practices, school-based health centers, and behavioral health expansion.
Expand access to essential healthcare services for rural residents.
Reduce hypertension and diabetes ED visits.
Improve health and well-being through targeted initiatives and partnerships.
Strengthen the foundation of rural health systems through integrated, community-driven solutions that expand access to care, modernize health information exchange, build workforce capacity, and address key community supports.
The Maryland Rural Health Strategic Plan outlines three key priorities to enhance rural health: engaging communities, leveraging health in all policies, and building a coordinated health system integrating public health and clinical care. It provides a data-driven overview and actionable objectives for 2025-2030.
Reference Documents (6)
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ReferenceJun 12, 2026HTML2026
This document outlines consulting and support services for Maryland's Rural Health Transformation Program (RHTP) application preparation. Guidehouse assists states, providers, and community organizations in designing and implementing rural health initiatives, including technical assistance, IT modernization, advanced payment models, and workforce development, to meet CMS requirements and promote long-term sustainability. Key contacts: Hanford Lin; Raquel Malmberg; Kaajal Singh; Frank Winegar
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MD - 2026 - Pages - Maryland Rural Health Program Funding Opportunities
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MD - 2024 - Rural Health Vendor Directory
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MD - 2025 - Moore-Miller Administration Secures $168 million in Federal Funding to Advance Health Care in Rural Maryland Communities
MD - 2025 - Pages - Moore-Miller Administration secures $168 million in federal funding to advance health care in rural Maryland communities
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MD - 2025 - Pages - RHTP
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MD - 2025 - Pages - Rural Health
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The CMS Rural Health Transformation (RHT) Program is a new $50 billion initiative to support rural health delivery system transformation across all 50 states, spanning 2026-2030. States will receive funding to implement innovative, evidence-based models that improve healthcare access, chronic disease management, workforce, technology, behavioral and maternal health. 50% of funds will be distributed equally, and 50% based on state rural needs, with awards announced by the end of 2025. Key contacts: MAHARural@cms.hhs.gov
Event schedule:
- NOFO Release - 09/15/2025 - grants.gov
- RHT Program Applicants Webinar - September 19, 2025
- Application Submission Deadline - Early November 2025
- Awards Announced - 12/31/2025
<MAHARural@cms.hhs.gov> - CMS RHTP Program Contact
Core Initiatives
Make rural America healthy again
Sustainable access
Workforce development
Show all initiatives (5)
Make rural America healthy again
Sustainable access
Workforce development
Innovative care
Tech innovation
Maryland was awarded $168M in RHTP funding for 2026, with $6.3M delegated to MHCC to competitively fund primary care expansion in rural communities. The program prioritizes innovative models of care, sustainability through value-based payment, technology investment, and addressing workforce shortages. Up to 15 grants will be made, with a maximum single award of $1.6M; funds support infrastructure, staffing, and technology for new and expanded rural primary care sites. Key contacts: Melanie Cavaliere mhcc.grants@maryland.gov
Event schedule:
- RFA Webinar - 05/11/2026 - ET
- Application Deadline - 06/01/2026 - 5:00 PM ET - mhcc.grants@maryland.gov
- Grant Program Start - 08/01/2026
Support rural health innovations and new access points to promote preventative health and address root causes of diseases
Help rural providers become long-term access points for care by improving efficiency and sustainability
Spark the growth of innovative care models to improve health outcomes, coordinate care, and promote flexible care arrangements
Show all initiatives (4)
Support rural health innovations and new access points to promote preventative health and address root causes of diseases
Help rural providers become long-term access points for care by improving efficiency and sustainability
Spark the growth of innovative care models to improve health outcomes, coordinate care, and promote flexible care arrangements
Foster use of innovative technologies to promote efficient care delivery, data security, and access to digital health tools
Maryland Department of Health has secured $168 million in federal funding for the first year of its Rural Health Transformation Program, which will be renewable over five years. The program emphasizes improving health care access, workforce development, innovative care models, and expanding nutrition infrastructure in rural Maryland communities. Strategic listening sessions and community feedback informed the award submission, ensuring priorities reflect rural stakeholder input. Key contacts: Ammar Moussa ammar.moussa@maryland.gov
Event schedule:
- Federal Award Announcement - 12/31/2025 - ET - Maryland Department of Health, Annapolis, MD
Strengthen and modernize health care in rural communities
Improve health care access and affordability for rural residents
Enhance workforce recruitment, training, and retention
Show all initiatives (5)
Strengthen and modernize health care in rural communities
Improve health care access and affordability for rural residents
Enhance workforce recruitment, training, and retention
Support innovative care models and technology advances
Expand access to healthy, fresh food and support agricultural economy
Maryland's application to the Rural Health Transformation Program proposes a comprehensive five-year strategy to address persistent rural health disparities across 18 rural counties. The plan focuses on expanding the rural health workforce, building value-based care models, improving health IT, strengthening partnerships, and investing in nutrition and behavioral health. Immediate and competitive transformation fund opportunities will be deployed. Key contacts: Sara Seitz; Elizabeth Edsall Kromm, Ph.D., M.Sc.
Event schedule:
- Recruitment completion for RHTP staff - 2026-02 - Maryland
- RFI Survey Dissemination - 2025-09-08 - Maryland
- Maryland Hospital Association Roundtables - 2025-10 - Maryland
Increase access to priority health services via mobile solutions
Help rural providers adopt value-based care and alternative payment models
Make Rural America Healthy Again
Increase sustainable access to the full behavioral health continuum of care across the lifespan in rural communities
Improve dietary quality of Marylanders and economic viability of Maryland farmers
Stimulate increased market access for small to mid-size Maryland farmers
Increase volume and value of local healthy food sold
Expand team-based care and population health management principles
Optimize EHR and health IT for quality and risk management
Strengthen rural health workforce through training and role expansion
Improve coordination and collaboration among rural health stakeholders
The Maryland Department of Health hosted a webinar to inform stakeholders about the new Rural Health Transformation Program (RHTP), created under H.R. 1 in July 2025 and administered by CMS. Maryland could receive at least $100 million annually from 2026-2030 if its application is successful. The program seeks public input through an RFI and community listening sessions and will focus on prevention, chronic disease, behavioral health, sustainable access, and rural workforce development. Key contacts: mdh.transformruralhealth@maryland.gov
Event schedule:
- Notice of Funding Opportunity (NOFO) Release - 09/15/2025
- Request for Information (RFI) Submission Deadline - 09/30/2025
<mdh.transformruralhealth@maryland.gov> - Maryland State Office of Rural Health - Statewide
Core Initiatives
Make Rural America Healthy Again
Prevention and management of chronic disease
Behavioral Health
Show all initiatives (7)
Make Rural America Healthy Again
Prevention and management of chronic disease
Behavioral Health
Sustainable Access
Workforce Development
Innovative Care
Tech Innovation
Award: $168.2MWORKFORCE · POPULATION_HEALTH · OTHER
Event Schedule
Document Date - 2026-04
Funding Announcement Window - 2026-04 to 2026-08
Core Initiatives
Transform the rural health workforce
Promote sustainable access and innovative care
Empower rural Marylanders to eat for health
This Maryland-focused Rural Health Vendor Directory connects rural health program stakeholders to a diverse set of vendors and service providers relevant to the Rural Health Transformation Program (RHTP). It catalogs offerings for workforce, HIT, telemedicine, care navigation, community health initiatives, and technology adoption to inform strategic engagement and project planning. No funding, awards, or recipient grants are documented; the directory is strictly for informational and networking purposes.
Connect rural health stakeholders in Maryland to potential vendors supporting RHTP projects
Enable networking for capacity building, technology adoption, and innovation in rural health transformation
Primary Care Access/ Capacity/ Expansion
Show all initiatives (13)
Connect rural health stakeholders in Maryland to potential vendors supporting RHTP projects
Enable networking for capacity building, technology adoption, and innovation in rural health transformation
Primary Care Access/ Capacity/ Expansion
Behavioral Health Access/ Capacity/ Expansion
Health Information Technology (HIT)
Health Information Exchange (HIE) Connectivity
Telemedicine Support/ Expansion
Patient Outreach/ Navigation
Mobile Health
Governance/Program Management
Workforce Pipeline/Pathway Programs
Workforce Training, Recruit, and Retain
Other
Sustainably expand healthcare workforce.
Improve healthcare availability in rural New Jersey by investing in primary and specialty providers.
Make rural areas healthier through technology, workforce development, community partnerships, and value-based care models.
Build sustainable rural healthcare networks and hubs.
Strengthen healthcare workforce, secure financial solvency for rural providers, embed prevention and community health at the center of care, and expand technology use.
Promote regional and local collaboration through a hub-and-spoke model to improve healthcare outcomes and provider sustainability.
Improve healthcare access and quality in rural areas with a focus on chronic disease management.
Improve rural residents' quality of life through access to primary and preventative care, chronic disease management, maternal health care, behavioral health services, and oral health care.
Catalyze innovative care models, transform the rural care experience, and create a sustainable rural healthcare delivery system.
Rebuild and retain rural health workforce through new residencies, grow-your-own workforce pipelines, recruitment and retention grants, and training.
Improve health outcomes through Make Rural America Healthy Again and primary care initiatives.
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, mobile health care services, rural hospital improvements, and home visits.
Improve health outcomes through expansions of behavioral health services.
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management.
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic management.
Build a future where every community has access to high-quality, locally grounded care connected through technology, regional collaboration, and a strong rural workforce.
Reduce preventable hospitalizations and emergency department visits year over year.
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care across rural regions.
Design data-driven solutions tailored to the unique needs of rural residents.
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs.
Establish financially sustainable care models through shared clinical, data, and administrative resources.
Promote sustainable access by focusing on integration and comprehensive delivery of services leveraging technology and supporting the workforce.
Increase adoption and integration of technology, interoperability, workflow redesign, and workforce training focused on rural clinical workforce at all career levels.
Make Rural America Healthy Again through increased provision of primary care services, oral health services, and nutrition education.
Promote sustainable access by expanding outpatient behavioral health services and reducing regulatory hurdles.
Strengthen the workforce through rural clinical placements and policies allowing top-of-license practice.
Increase healthcare access and quality for improved chronic disease management and health outcomes in rural communities.
Improve digital health literacy to increase telehealth and online service usage in rural communities.
Prioritize direct investment in provider capacity over creating new programs, allowing flexibility for local innovation.
Address rural health workforce shortages, improve preventative care utilization, and expand transportation solutions in rural areas.
Leverage state-wide technology initiatives, clinical workforce support, clinically-integrated networks, and empower patients for disease prevention.
Improve rural health through wellness/nutrition initiatives, workforce support, technology leverage, and access improvements.
Improve primary care and long-term support by leveraging technology, new delivery system networks, workforce development, and insurance reforms.
Focus on patient empowerment and disease prevention by expanding access to care, technology, and workforce development.
Address high rates of substance use disorder, hospital clinician turnover, and emergency room strain through rural health networks and technology investments.
Improve workforce participation, health outcomes, and healthcare system sustainability through technology, mobility, and service access improvements.
Improve rural care coordination, mental health support, technology use, and workforce development, especially addressing farmer mental health.
Improve access to care by focusing on rural clinical workforce, technology adoption, and delivery system optimization.
This is Maryland's statewide Rural Health Strategic Plan for 2025-2030, developed by the State Office of Rural Health and partners to guide rural health transformation initiatives. The plan results from extensive data analysis, CHNAs, and stakeholder engagement sessions, including input supporting Maryland's CMS Rural Health Transformation Program proposal. Key issues addressed include workforce shortages, chronic disease burden, behavioral health, and social determinants of health.
POPULATION_HEALTH · QUALITY_IMPROVEMENT · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Core Initiatives
Engage partners and communities to address rural public health challenges.
Leverage a Health in All Policies approach to address social determinants of health.
Build a strong, coordinated health system encompassing public health, clinical, and social service delivery.
Show all initiatives (6)
Engage partners and communities to address rural public health challenges.
Leverage a Health in All Policies approach to address social determinants of health.
Build a strong, coordinated health system encompassing public health, clinical, and social service delivery.
Meaningfully Engage With Partners and Communities to Measurably Address Rural Public Health Challenges
Leverage a Health in All Policies Approach to Illuminate Health as a Component of Every Aspect of Rural Life
Build a Strong, Well-Coordinated Health System that Encompasses Public Health, Clinical, and Social Service Delivery to Best Serve Rural Maryland
Core Initiatives
Strengthen multi-sector collaboration
Advance health equity
Foster a more resilient rural health system
This directory compiles a broad range of vendors offering consulting, technology, operational, and service capabilities relevant to Maryland's Rural Health Transformation Program. It enables rural stakeholders to identify solution providers for program management, quality improvement, workforce development, HIT, food access, and behavioral health. Inclusion does not represent endorsement or funding; the document serves as a networking resource for RHTP efforts. Key contacts: Jonathan Dayton jdayton@mdruralhealth.org; Ainsley MacLean MD, FACR ainsley@ainsleyhealth.com; Sunex KC info.baato@gmail.com; Laurin Kelly laurin@battleplansc.com
Event schedule:
- Last update - 2026-06-10
Chris Nickerson - <cnickerson@wellcheck.us> - Primary Contact & Vendor
Bob Delaney - <bob.delaney@workday.com> - Primary Contact & Vendor
Core Initiatives
Enhance rural health capacity in Maryland
Improve access to primary care and behavioral health in rural areas
Expand health information technology and interoperability
Show all initiatives (16)
Enhance rural health capacity in Maryland
Improve access to primary care and behavioral health in rural areas
Expand health information technology and interoperability
Strengthen workforce recruitment, training, and retention
Support program management and quality improvement initiatives
Primary Care Access/ Capacity/ Expansion
Behavioral Health Access/ Capacity/ Expansion
Patient Outreach/ Navigation
Mobile Health
Health Information Technology (HIT)
Health Information Exchange (HIE) Connectivity
Telemedicine Support/ Expansion
Governance/Program Management
Workforce Pipeline/Pathway Programs
Workforce Training, Recruit, and Retain
Other
This Maryland RHTP Vendor Directory provides an extensive networking resource for rural stakeholders, listing consultants, technology vendors, and service providers relevant to rural transformation initiatives. It covers a wide range of service categories, supporting Maryland’s RHTP goals of improving access, technology adoption, and care quality. This directory is intended for informational/network development and is not an endorsement or award announcement. Key contacts: Ainsley MacLean MD, FACR ainsley@ainsleyhealth.com; Sunex KC info.baato@gmail.com; Susan Sugrue Susugrue@catalyraconsulting.com; Rob Hogan rhogan@drsconsults.com
Christian Milaster - <christian.milaster@ingeniumadvisors.net> - Ingenium Digital Health Advisors
Jennifer Barnhart - <jennifer@lumahealthconsulting.com> - LUMA Health Consulting
Jonathan Dayton - <jdayton@mdruralhealth.org> - Maryland Rural Health Association
Core Initiatives
Facilitate connections between Maryland RHTP participants and qualified vendors.
Support the implementation and success of the Maryland RHTP.
Promote improvements in rural health access, quality, technology, and workforce capacity.
MD - 2026 - Pages - Core funding
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