
$50 Billion RHTP Program
All 50 States Awarded December 2025
Care coordination. HIE/FHIR hubs. Clinical AI. RPM. Telehealth. LPH EHR. EMS apps. Workforce platforms. Direct to state programs or sub to primes – ready for the Q3 2026 procurement window.

All 50 States Awarded December 2025

US Healthcare Technology Delivery


States have $50B in RHTP funding and approved technology plans. Most do not have the in-house engineering capacity to ship the platforms their plans named. Consulting firms scoped the plans. SaaS vendors sell single products. The build-capacity gap sits between the two. Mindbowser is the build-capacity tier. 13 production accelerators map directly to the technology categories state RHTP plans funded. Custom engineering layers on top of the accelerator stack. Three engagement pathways match how state procurement actually works: state-direct, prime-sub, or strategic partner via state eHealth orgs.

HL7 FHIR R4 + USCDI v3 + SMART on FHIR + OAuth 2.0, already in production, not a roadmap promise.

13 production tools mapped to RHTP-named capability categories shorten the build timeline before any custom engineering begins.

State-direct via on-the-ground applicant, prime subcontractor, or strategic partner via state eHealth orgs.
Across all 50 state RHTP applications, technology funding concentrates in 8 named capability categories.
Custom build
ConnectHealth
AI Medical Summary
ConnectHealth
Custom build
Custom build
Custom build

What does AI-first care delivery look like for rural hospitals, clinics, and lean care teams?
In this replay, Dr. Shah Khan, Founder & CEO of EnlightenMed, joins Ayush Jain, Founder & CEO of Mindbowser, to discuss how AI-first EHR workflows can support rural providers across access, documentation, RPM, follow-up, and care coordination.
Points Covered In this replay:
KLAS 2024 Arch Collaborative surveyed 500,000+ clinicians: only 44% agreed their EHR provides expected outside integration. State RHTP-funded HIE onboarding hubs exist to close that gap.

• USCDI v3 became the certification baseline on January 1, 2026. Health IT developers had to update by December 31, 2025, with enforcement discretion through February 28, 2026.
• Epic, Cerner, Athenahealth, MEDITECH integrations
• OAuth 2.0 + SMART on FHIR + identity federation
• HIPAA + 405d compliance layer

• ConnectHealth — central FHIR plumbing across EHR + wearable + insurance data, plus Epic, Cerner, Athenahealth integration inside the state's AWS VPC, "6 months of work in 6 days
• PHISecure — PHI de-identification + HIPAA layer for cross-system data sharing

• State HIE governance alignment
• USCDI v3 conformance review
• State-specific data sharing agreements
Care coordination + clinical AI account for the largest named technology funding share in most state RHTP plans.

• Supporting capabilities: care-plan guidance through medication schedules and recovery steps after discharge, automated post-discharge follow-up with non-responder escalation inside the readmission window, medication adherence monitoring with personalized alerts and automatic escalation, and EHR-integrated referral coordination

• AI Medical Summary → generates specialty-tailored clinical summaries from raw EHR records. Supporting clinical AI capabilities: 30-day readmission-risk flagging from clinical trends and SDOH signals with case-manager alert routing, plus structured symptom capture and triage support

• State-specific HEDIS / Stars / quality measure reporting configuration
• State-specific clinical AI governance and model audit
• Clinician adoption and training program design
30-min RHTP scope conversations available weekly. Bring your state's RHTP plan; we will map capability fit + engagement pathway in real time.
ConnectHealth — 300+ wearable and RPM device integrations, with voice-AI daily check-ins capturing vitals and symptoms and real-time high-risk detection built into the monitoring workflow.
Telehealth Built for Rural Connectivity: AI-assisted pre-visit preparation and session coordination for telehealth
Intake automation with preventive check-up outreach and scheduling, patient education matched to condition and literacy level, and FHIR conversational patient access with routine administrative follow-up contact

State direct via on-the-ground partner: A rural hospital, hospital network, RHC, FQHC, or state rural health association serves as the lead applicant for state RHTP funds. Mindbowser partners with the lead applicant as the technology build vendor. Best fit when the state routes funds through provider-level applicants.

Prime subcontractor: Prime contractors scope state RHTP technology work and subcontract specialized healthcare build capacity. The prime is the lead applicant; Mindbowser delivers the FHIR-native build layer. Best fit when the state prime-routes contracts through large consulting firms.

Strategic partner via state eHealth org: Partnership with MeHI (Massachusetts) and equivalent state innovation entities. Digital health sandbox participation. State eHealth orgs often coordinate the on-the-ground partner network and can route vendor-partner matches. Best fit for ongoing build cadence and state-level relationship depth.
See where your state stands and identify the rural health capabilities to prioritize next.
Save minimum 40% in development costs and build products in 55% less time with our advanced solution accelerators.
DischargeFollow AI is a customizable AI solution for automating Post-Discharge Follow-Up. It connects with patients after hospital discharge via voice or chat, checks recovery progress, and flags red flags for clinical teams.
Read MoreInsureVerify AI is a customizable AI solution that automates the insurance eligibility verification process. It contacts patients before appointments to collect insurance details, confirm policy validity, and flag mismatches so your front desk doesn’t have to.
Read MoreRPMCheck AI is a customizable AI solution for automating Remote Patient Monitoring Check-Ins. It connects with patients via voice or chat, collects daily health updates, and highlights any warning signs so your clinical team can act faster.
Read MoreMedAdhere AI is a customizable AI solution for automating Medication Adherence Monitoring. It sends patients SMS, email, or app reminders, tracks compliance in real time, and flags missed doses so your care team can follow up fast.
Read MoreHIPAA-ready builds with controlled PHI access, secure environments, and disciplined engineering practices. Designed to reduce vendor risk and speed up onboarding.

Independent audit of security controls operating over time.

PHI safeguards built into access, environments, and release workflows.

Data handling built for modern privacy expectations.
Role-based access with controlled PHI exposure.
Code reviews, dependency checks, and security gates.
Secure integrations designed for traceability and reliability.
We don’t just deliver solutions we build partnerships that drive transformation. With a proven track record in healthcare technology, we understand the industry’s unique challenges and offer customized solutions to help you achieve breakthroughs.

A quick look at how we help organizations transform ideas into outcomes.
From leading hospitals to digital-health companies, Mindbowser powers real-world healthcare transformation.
We go beyond core healthcare solutions by offering a comprehensive suite of technology-driven services that enhance scalability, efficiency, security, and user experience.

From concept to deployment, we design and develop high-performance digital health products tailored to industry needs. Our approach focuses on scalability, security, and compliance, ensuring seamless functionality and a strong foundation for growth.

We provide custom AI/ML development services to help healthcare organizations automate workflows, enhance clinical decision-making, and extract actionable insights from data. Our expertise includes predictive analytics, NLP for medical records, and AI-powered automation tailored to your needs.

We help businesses migrate, build, and optimize healthcare applications on cloud platforms while ensuring compliance and security. Our cloud services include architecture design, DevOps automation, and scalable infrastructure management for seamless performance.

We enable secure and efficient integrations across EHRs, medical devices, third-party APIs, and digital health platforms. Our team ensures data interoperability using FHIR, HL7, and custom API development, reducing silos and improving workflow efficiency.

We offer data engineering, analytics, and reporting services to help healthcare organizations harness their data effectively. Our team develops real-time dashboards, predictive models, and automated reporting to support better decision-making.

We help businesses meet HIPAA, GDPR, and other regulatory requirements by integrating security best practices into development. Our services include risk assessments, DevSecOps implementation, and data protection strategies for secure digital health solutions.

We help organizations design, develop, and integrate telemedicine platforms with features like video consultations, remote patient monitoring, and secure data exchange. Our services ensure seamless connectivity while maintaining compliance with healthcare regulations.

We provide end-to-end mHealth app development services, designing secure, user-friendly, and HIPAA-compliant mobile solutions for healthcare providers, patients, and caregivers. Our services include custom app design, wearable integrations, remote monitoring, and telehealth features to enhance patient engagement and care accessibility.

We develop custom Clinical Decision Support Systems (CDSS) that provide real-time insights, AI-driven recommendations, and predictive analytics to improve patient outcomes. Our solutions integrate seamlessly with EHRs and existing healthcare systems, reducing cognitive load and enhancing clinical decision-making.
Collaborating with Industry Leaders for Smarter Healthcare
An RHTP implementation partner ships the FHIR-native technology platforms a state's RHTP plan named - to the state directly or as a subcontractor to a prime. Categories include care coordination platforms, HIE/FHIR onboarding hubs, clinical AI, RPM infrastructure, telehealth hubs, EMS apps, and workforce training platforms.
Yes. Prime-sub is one of three engagement pathways. Primes scoping state RHTP technology contracts often need specialized healthcare technology build capacity their advisory teams do not have in-house. Mindbowser fits as the build-capacity subcontractor with FHIR-native production accelerators, EHR integration depth, and 12+ years US healthcare delivery.
Care coordination platforms, HIE/FHIR onboarding hubs, clinical AI (documentation, decision support, triage), RPM infrastructure, telehealth + low-bandwidth solutions, and workforce + training platforms are direct accelerator + custom-build fits. LPH EHR systems and EMS prehospital protocol apps are custom engineering scope on top of the FHIR foundation.
State HIE governance is custom engagement scope per state. The technical layer (FHIR R4, USCDI v3 conformance, OAuth 2.0, SMART on FHIR) ships from ConnectHealth. The state-specific governance, data-sharing agreements, and stakeholder alignment are scoped engagement work tied to each state's HIE structure. USCDI v3 became the certification baseline on January 1, 2026. Health IT developers had to update by December 31, 2025, with enforcement discretion through February 28, 2026. Mindbowser builds are already conformant.
Yes. Mindbowser ships in production across multiple US health systems with anonymized deployments covering FHIR/EHR integration, RPM at scale, clinical AI in production, care coordination depth, and HIPAA + 405d compliance. All accelerators referenced on this page run in production. Anonymized deployment outcome data is available in the production proof brief.
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