Managed Care Organizations · Readiness · 6 min read
Is your organization ready for RHTP? A checklist for managed care organizations (MCOs)
managed care organizations (MCOs) 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, managed care organizations (MCOs) should be able to answer yes to each:
- Do you have a fundable program (e.g., member outreach and care management for rural enrollees)?
- 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? (MCOs coordinate with state Medicaid and RHTP agencies, often co-funding or operationalizing programs for shared members.)
- Can you measure HEDIS quality measures for rural members and related outcomes?
- Do you have a sustainability plan for after FY2030?
The gap most organizations miss
Misalignment between RHTP-funded services and the plan's value-based incentives can create duplicate or stranded programs.
Frequently asked questions
- What disqualifies managed care organizations (MCOs) most often?
- A weak measurement story or no sustainability plan. Misalignment between RHTP-funded services and the plan's value-based incentives can create duplicate or stranded programs.
- 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.