Grow Rural Health Initiative is sponsored by Indiana Family and Social Services Administration and Indiana Department of Health. Aims to improve healthcare access, quality, and outcomes in rural communities through system innovation and strategic partnerships.

Grow Rural Indiana: Regional Grants The GROW (Growing Rural Opportunities for Well-being) initiative brings the federal RHTP program to the state level. Indiana understands that rural communities know their own needs best and are well-positioned to create effective local solutions.

The state has a strong track record of helping communities use data to identify their biggest opportunities and leverage local resources and partnerships to address them. Request for Funding Application and Resources Template CORE DOCUMENT: Request for Funding Provide all details regarding the GROW Regional Grants, including background, funding opportunity overview, application requirements and expectations.

Letter of Intent Template for Completion Identify all Regional Coalition members who are expected to be Primary Subrecipients and provide attestation that all eligible counties within the region are represented. Due by May 1, 2026. Needs Assessment for Completion Demonstrate how proposed initiatives are responsive to documented community needs and how they will further Indiana’s Rural Health Transformation Program KPOs.

Logic Model for Completion Provide a roadmap connecting a Regional Coalition's identified needs and proposed Initiatives to region-specific outcomes. Work Plan Template for Completion Detail implementation timeline, Primary Subrecipient roles, and milestones. Subrecipient Budget Workbook for Completion Regional Grant Budget Workbook for Completion Primary Subrecipient Budget Workbook to capture each Subrecipient’s proposed costs.

Regional Grants Budget Workbook to capture all proposed costs for a region. Narrative Response for Completion Final step in the application, providing an opportunity for the Regional Coalitions to cohesively tell their story. Provides an overview of CMS’ expectations for states for overall awareness on the Rural Health Transformation Program.

Initiative Examples and Associated Activities for Reference Provides a few examples of Initiatives and their associated activities to guide Regional Coalitions in structuring their proposed projects. Outcome Measures Reference Sheet for Reference Provides a list of pre-approved outcome measures and metrics for primary use in the Logic Model Completion.

Allowable and Unallowable Uses of Funds for Reference Provides an overview of the Allowable and Unallowable Uses of Funds per CMS as a reference tool as the Regional Coalitions put their applications together. Governance Structure for Reference Outlines the RHTP Indiana and GROW Regional Grants governance frameworks, roles and oversight responsibilities.

Recommended Completion Flow and Checklist Use this checklist as a guide to ensure all application elements are completed. Regional Committee Members Region 1 General Assembly Rep.

Mike Aylesworth District 11 Physician Dan Nafziger Goshen Health Non-Physician Jen Shafer Pulaski County Recovery Café & Circuit Court Patient TBD TBD Pharmacist in the Community Bryan Mumaugh Franciscan Hospital Business Gary Neidig One Marshall County Business TBD TBD Community-based Organization Jennifer Malone CoAction Community-based Organization Katie Surma Jasper-Newton Community Support Network Local Health Department Staff Melanie Sizemore Elkhart County Health Officer Medicaid Managed Care Representative Darryl Lockett Anthem Rural Hospital Staff Steve Jarosinski Pulaski Memorial Specialty Obstetric Care Representative TBD TBD Region 2 General Assembly Rep.

Craig Snow District 22 General Assembly Sen.

Justin Busch District 16 Physician Sara Brown Parkview Health Non-Physician Jared Beasley Community Health Clinic Patient Mark Demchak Miami County YMCA Pharmacist in the Community TBD TBD Business TBD TBD Business TBD TBD Community-based Organization Ann Lundy Indiana Health Centers Community-based Organization Steve Hoffman Brightpoint Local Health Department Staff Matt Pflieger Huntington County Health Department Medicaid Managed Care Representative Dustin Ziegler Anthem, Indiana PathWays Rural Hospital Staff Angie Logan Cameron Health Specialty Obstetric Care Representative TBD TBD Region 3 General Assembly Rep.

Matt Commons District 13 Physician Eric Frantz St.

Vincent Williamsport Non-Physician Melissa Hodson-Ostler Clinton County Health Department Patient Lorra Archibald Healthy Communities of Clinton Co Pharmacist in the Community Katelyn Riddell Butler University & Cowan Drugs Business Macy Simmons Integrative Wellness Business Gina Woodward MICI AHEC Community-based Organization Holly Wood Purdue University Community-based Organization Chad Springer North Central Nursing Clinics (Purdue University) Local Health Department Staff Christine Rodziewicz White County Health Department Medicaid Managed Care Representative Christina Hage Managed Health Services (MHS) Rural Hospital Staff Carlos Vasquez Franciscan Health Rensselaer, Franciscan Health Crawfordsville Specialty Obstetric Care Representative TBD TBD Region 4 General Assembly Sen.

Jeff Raatz District 27 Physician Jennifer Bales Reid Health Non-Physician Shelley Dunham Ascension St. Vincent Anderson Patient Karen Hinshaw Indiana University School of Medicine Pharmacist in the Community Cheri Knapke IU Health Business Clark Simpson YMCA of Madison County Business Linda S.

Fitzgerald Healthy Fayette County Community-based Organization Amanda Mullins Centerstone - Community Mental Health Community-based Organization Billie Wolfe ECI-AHEC Local Health Department Staff Shae Bex Henry County Health Department Medicaid Managed Care Representative Jessica Parks Managed Health Services (MHS) Rural Hospital Staff Stephanie Hilton-Siebert Marion Health Specialty Obstetric Care Representative TBD TBD Region 5 General Assembly Rep.

Beau Baird District 14 Physician Michael Gamble Sullivan Health Department Non-Physician Jennifer Knight Greene County Ambulance Service Patient Paul Sinders Clay County Government Pharmacist in the Community Ryan Chavis Union Hospital Clinton Business Amy Mace Cummins Behavioral Health Business TBD TBD Community-based Organization Terry (TJ) Warren Valley Professionals Community Health Center Community-based Organization Amanda Perry Richard Lugar Center for Rural Health Local Health Department Staff Shari Lewis Greene County Health Department Medicaid Managed Care Representative Dana Moell Managed Health Services (MHS) Rural Hospital Staff Michelle Franklin Sullivan County Community Hospital Specialty Obstetric Care Representative TBD TBD Region 6 General Assembly Rep.

Alex Zimmerman District 67 General Assembly Rep. Garrett Bascom District 68 Physician Holly Robinson Infants in Bloom Non-Physician Rex McKinney Decatur County Memorial Hospital Patient Kathy Ertel Jennings County Economic Development Pharmacist in the Community Anna Lattos St.

Elizabeth Business TBD TBD Business TBD TBD Community-based Organization Elizabeth Boyd New Hope Community-based Organization Tara Britton Southeastern Indiana YMCA Local Health Department Staff Sean Durbin Decatur County Health Department Medicaid Managed Care Representative Brittany Burtraw Care Source Rural Hospital Staff Liz Leising Margaret Mary Health Specialty Obstetric Care Representative TBD TBD Region 7 General Assembly Sen.

Eric Koch District 44 Physician Eric Fish Schneck Hospital Non-Physician Amy Meek IU Health Community Patient Dan Robinson Jackson County Chamber Pharmacist in the Community Kellie Knight IU Health in Southern Indiana Business TBD TBD Business Andy Zirkle Indiana Health Centers, Inc. Community-based Organization Beth Keeney LifeSpring Health Community-based Organization Andrew Settle YMCA of Harrison County Local Health Department Staff Lonnie Stroud Orange County Health Department Medicaid Managed Care Representative Mark Vonderheit Managed Health Services (MHS) Rural Hospital Staff Lisa Lieber Harrison County Hospital Specialty Obstetric Care Representative TBD TBD Region 8 General Assembly Rep.

Tim O'Brien District 78 Physician Nick Dahl Daviess County Primary Care Physician Non-Physician Paul Micheletti Posey County EMS Patient Jessica Kincaid Spencer County Health Coalition Pharmacist in the Community Carrie Morton Deaconess Health Systems Business TBD TBD Business TBD TBD Community-based Organization Lloyd Winnecke Evansville Regional Economic Partnership Community-based Organization TBD TBD Local Health Department Staff Kellie Streeter Daviess County Health Department Medicaid Managed Care Representative Sarah Jo Poland UnitedHealthcare Rural Hospital Staff Adam Thacker Good Samaritan Specialty Obstetric Care Representative TBD TBD RHTP Statewide Presentation RHTP GROW Regional Presentation Indiana will offer competitive regional grants focused on improving rural health.

These grants will support: Innovative health solutions Collaboration to reduce costs across organizations New access points for preventive care Chronic disease prevention and management Workforce training and readiness Technological advancements in healthcare To qualify for funding, participating organizations must fully engage with the expectations outlined in Indiana RHT’s broader initiatives.

The Regional Committee is an advisory team within each region appointed by the State Executive Oversight group. They will represent key rural health stakeholders, utilizing subject matter expertise to assess potential beneficiaries of the GROW Regional Grants to ensure accountability and an equitable distribution of funds.

The Regional Committee must meet at least quarterly to provide strategic guidance, foster regional collaboration, drive accountability, and review regional progress and impact. The Regional Committees will review regional applications before they are submitted to the state.

Each Committee must include: 1 Member of the Indiana General Assembly 1 Provider Representative 1 Non-Provider Medical Workers Representative 1 Pharmacy Representative 2 Regional Business Community Representatives 2 Community-based Organizations Representatives 1 Local Health Department Representative 1 Medicaid Managed Care Representative 1 Specialty Obstetric Care Representative Regional Application Development and Timeline The goal is to advance rural health across Indiana in line with CMS’ strategic priorities —focusing on data-driven solutions, strong partnerships, innovation, and long-term sustainability.

To ensure a smooth and transparent process, HFS will partner with an experienced grant-making vendor to assist with: Developing the application Designing evaluation criteria (with final award decisions made by the state) Creating grant agreements Setting clear expectations for outcomes and financial reporting Indiana Regional Grant Application Timeline Date Milestone Request for Applications released to public Technical assistance available for coalition formation and application development May 15, 2026 Letters of Intent due to State Applications due to State Application review, scoring, and award determinations Grant agreement period begins, and funding distributed to individual entities Regional Grant funding timeline is different than overall state funding timeline.

Pre-Application Expectations The Regional Coalitions are encouraged to begin identifying partners, convening discussions about shared regional rural priorities, conducting joint needs assessments, and exploring data sharing agreements. Regional Coalitions demonstrating preliminary planning and established governance will be better positioned to rapidly deploy funding upon contract award.

Transforming Rural Health Through Regional Collaboration Indiana is planning to invest $600 million over five years based on CMS RHTP award each year, to transform rural healthcare through a Regional Coalition Grant Model — a strategy designed to achieve what state-led efforts cannot.

This model brings together hospitals, federally qualified health centers (FQHCs), mental health providers, community-based organizations, local health departments, schools, the business community, and other key partners to strengthen healthcare delivery across rural Indiana. Unified Regional Applications Each region will submit a single, unified application that demonstrates a shared plan for improving health outcomes.

Applications must use community needs assessments and local health data from the Indiana Department of Health (IDOH) to identify service gaps, reduce duplication, find opportunities for shared cost savings, and propose innovative ways to deliver care.

By requiring one coordinated application per region, the program ensures that these partnerships extend beyond the grant period, forming the foundation for long-term regional health planning. Funding will be distributed directly to the organizations carrying out the initiatives.

This approach recognizes that rural providers understand their communities best and that collaboration leads to lower costs, fewer service gaps, and better patient outcomes. Regional Grant Oversight and Governance The state will maintain strong oversight while giving rural communities the flexibility they need to innovate.

The Indiana Health and Family Services (HFS) will ensure that all sub-grantees comply with Notice of Funding Opportunity (NOFO) and Centers for Medicare & Medicaid Services (CMS) guidelines, state grant rules, and reporting requirements. Public dashboards and key performance tracking will make data transparent and hold each region accountable for results. Oversight will be led by two main committees.

The Executive Oversight Committee , made up of leaders from Health and Family Services and the Governor’s Office, will have final authority over application approvals, funding decisions, and performance monitoring. It will oversee the grant throughout its duration and adjust funding annually based on compliance and outcomes.

The State Steering Committee , jointly staffed by the Family and Social Services Agency (FSSA) and IDOH, oversees all activities, progress, and risks across the full Program.

The RHTP Advisory Committee serves in a strictly advisory capacity, leveraging unique knowledge and skills to offer expertise; offer recommendations and insight to inform the State Steering Committee; facilitate connections both statewide and for Regional Grants, including community partners, and other relevant entities; and propose support/solutions for specific initiatives when needed to navigate complexities of the initiatives.

Advisory Committee Members Name Role Type of Organization Organization Anne Hazlett, JD, LLM Senior Director of Governmental Relations and Public Affairs Public University Purdue University Cara Veale, DHS, FACHE Chief Executive Officer Statewide Healthcare Association Indiana Rural Health Association Andy VanZee, MHA, MIS, FACHE Vice President, Regulatory & Hospital Operations Statewide Healthcare Association Indiana Hospital Association Ben Harvey Chief Executive Officer Statewide Healthcare Association Indiana Primary Health Care Association Cameual Wright, MD, MBA President Medicaid Managed Care Entity CareSource Indiana Market Charlotte MacBeth Vice President, Provider Network Commercial Insurer UnitedHealth Group Steve Howell, MS, LMHC, LCAC Chief Executive Officer Certified Community Behavioral Health Center Northeastern Center Rex McKinney, MBA, FACHE President/CEO Rural Hospital Decatur County Memorial Hospital Eric Fish, MD, MBA President/CEO Rural Hospital Schneck Medical Center This initiative duplicates the federal RHTP at the state level.

It aims to reduce healthcare gaps and costs, foster regional partnerships, and advance rural health outcomes in alignment with CMS goals. It launches Sept. 1, 2026, with $120M awarded annually across eight regional coalitions.

Organizations cannot apply alone; they must participate as part of a regional coalition. Each of the eight regions will submit one unified application that includes all proposed projects and subrecipients. Organizations should connect with their regional partners to be included in their region’s application.

Where do regions submit their letter of intent and other application materials? Your Technical Assistance Provider will provide guidance on how to submit these materials. If a region is unable to submit the application by the deadline, does it have any recourse?

The default expectation is that applications are due July 1, 2026, and late submissions will not be accepted. If a region faces extraordinary circumstances, it must notify HFS as early as possible during the technical assistance period (March–July 2026). Any accommodation would be rare, case-by-case, and at the discretion of the State Executive Oversight Committee.

What data should regions examine to prepare for their applications?

At a minimum, regions should review: Local health outcome data (chronic disease, maternal and infant health, behavioral health, preventable ED visits) Access and capacity data (workforce, facility availability, travel times, service gaps) Non-medical needs data (transportation, food access, housing, broadband) Existing program and infrastructure maps (what already exists, where duplication or gaps occur) IDOH will provide regional data snapshots which regions are expected to use to anchor their needs assessments.

Since money will be coming to regions on Sept. 1, 2026, how long do the regions have to spend their money? The Regional Grants are designed as a five-year funding period (FY27–FY31), with funding distributed annually starting Sept.

1, 2026. Regions will receive annual allocations, and funds must be spent within each grant year in alignment with approved budgets, with limited flexibility for carryover as permitted by state and federal rules. The regional grant funding amount awarded to each region each year may be recalibrated based on the overall recalibration of Indiana awarded funds, which occurs each November, effective that federal fiscal year.

Will regions receive funding for administrative costs? Yes. Reasonable administrative and program management costs at both the regional and organizational level are allowable, as long as they: Are clearly described in the budget.

Are necessary for program implementation, oversight, and reporting. Stay within any indirect cost limits set by CMS and the state. Is grant administration/committee leader salary an allowable expense within this grant?

Committee leaders will not be permitted to draw a salary from RHTP grant budgets. However, some direct administrative costs may be allowable for funded organizations receiving RHTP funds to manage and administer the grant. When will the application for regional grants be released?

The application is available now and can be found at the top of this page. What is the criteria for applications? According to the RFF, applications must include all five required templates, be complete, and be submitted by the deadline.

The application must include the following five required components: Needs Assessment (Template B) Logic Models (Template C) Implementation Workplan (Template D) Budget Workbooks (Templates E. 1 & E. 2) Initiative Narrative Response (Template F) Additional application criteria include: Submission of a Letter of Intent (Template A) by May 1, 2026.

Use of the Needs Assessment to justify selected initiatives. Alignment with at least one of the five Funding Categories (tech innovation, sustainable access, innovative care, workforce development, and Make Rural Indiana Healthy Again).

Addressing required health outcomes unless strongly justified otherwise (prenatal/postnatal care, chronic disease prevention and management, and access-related needs such as transportation or food access). How are applications scored? Applications are scored using two major components: base funding allocation and application evaluation criteria.

Only the second component is based on the quality of the application. 1.

Base funding allocation (80% of total award) This portion is not scored by the application , but by state-calculated data indicators: Access to healthcare (10%), based on: Health professional shortage area designation (60%) Medically underserved area/population designation (40%) Health indicators (10%), including Medicaid enrollment, infant mortality, diabetes, obesity and life expectancy 2.

Application evaluation criteria (20% of total award) This score directly depends on the strength of the submitted application and is assessed based on the five categories listed in Figure 7 of the RFF: Strategy – How transformative and impactful the proposed investments are. Workplan & Collaborative Structure – Clarity, feasibility, partner coordination and oversight structure.

Outcomes – Specificity, measurability and grounding in credible evidence. Projected Impact – Expected benefit to rural residents and scale of impact. Sustainability Beyond Funding – Strength and plausibility of long-term sustainment plans.

Each category includes descriptors for Weak, Acceptable, Strong and Exceptional responses. Stronger responses lead to a larger share of the $24 million available through competitive scoring. The State will convene an application review team that will score applications and determine funding amounts according to the guidance included in the application.

Who will issue the grant awards and where will this be posted? Grant awards will be issued by the Indiana Department of Health and posted to the Indiana RHTP website. How much funding is each region receiving?

The funding amounts are still to be determined. When are the applications due? Applications will be due July 1.

Will there be informational sessions by region? In person/webinars? Yes.

Please reach out to the GROW T/A providers for information about upcoming virtual sessions. When will grant awards/projects be announced? Grant awards will be announced no later than Sept.

1. How do I know what other projects are being submitted or considered? How do I ensure I am included?

Please work with your Regional Coalition to participate in the application development project. Watch the Indiana RHTP website for updated information on the TA providers that will help facilitate this process. If my project is submitted to the regional coalition and included in application, how do I get my money?

If your organization’s project is submitted as part of the regional application and approved, you will be awarded funding from the Indiana Department of Health through a subgrant contractual agreement. If I submitted a project and I have multiple partners included in my project, will I receive all the money?

Primary subrecipients will be prohibited from awarding funds granted by the State to other subrecipients via sub-awards/sub-grants. Primary subrecipients may still award funds to contractors. Review and Oversight How will applications be assessed, and who conducts the review?

Regional grant applications will be reviewed through a competitive scoring process led by the GROW State Steering Committee, and their designees.

Proposals will be scored on factors such as: Strength and breadth of the regional coalition Data-driven needs assessment Alignment with required categories and KPOs Evidence of non-duplication and filling gaps Quality of sustainability and governance plans Commitment to participation in statewide RHTP initiatives (further clarification on regional grant participation is outlined in the RFF) All eight regions are expected to receive funding, but award size will vary by population served and quality of application.

How will the state ensure the use of AI in reviewing regional applications is fair? Will AI be used? The core scoring and funding decisions will be made by human reviewers.

The state may use technology tools (including limited AI or analytics) to assist with tasks such as consistency checks or data aggregation, but no application will be approved or denied solely by an AI system. Any use of AI will be transparent, standardized, and overseen by human reviewers to protect fairness.

Just to clarify, the regions don't self-select the regional committees, but the state executive oversight selects the individuals who will make up the regional committees? Who is going to certify the submission groups? HFS will work with state associations to identify individuals who will lead the Regional Coalitions and the Regional Committee members.

The State Executive Oversight Committee will approve the composition of each Regional Committee based on required roles (e.g., rural hospitals, provider, non-provider medical worker, CBOs, patient, LHD, Medicaid MCO, business, pharmacy, legislator). The same executive body (or its designee) will certify each Regional Coalition as eligible to submit a unified regional application.

How are committees ensuring the right people are included in decision-making? What does it mean for regional community members who volunteer? Each Regional Committee must include specific stakeholder types (e.g., rural hospitals, CBOs, patient representative, LHD, Medicaid MCO, business sector).

Community members or groups who volunteer will be considered during committee formation and can: Serve in required roles (e.g., CBO, patient representative) Participate in advisory councils, workgroups, or project design processes Final membership is approved by the State Executive Oversight Committee to ensure balanced representation and avoid dominance by any single entity. How does the overall governance structure work together?

Governor / State Executive Oversight Committee: Final authority over awards, compliance, and course correction. RHTP State Steering Committee: Reviews progress, advises on strategy, and lifts cross-regional issues.

IDOH Regional Grant Initiative Team: ongoing oversight of regions throughout grant period; state management of contracts, grant agreements, leads application review and scoring and makes funding recommendations with final approval by the State Executive Oversight Committee.

Regional Grant State Contractors: Serve as the coordinator of all activities associated with the regional activities, direct communication with IDOH Regional Grant Initiative Team for clarifications and escalations as needed. Regional Coalition Leader: Design, prioritize, and oversee projects within their region; monitor budgets and outcomes; ensure alignment with state requirements.

Regional Committees: ongoing strategic guidance to regional coalitions – must approve application before submission to state. Regional Grant Technical Assistance Provider (state-contracted): will provide application assistance, performance monitoring, and cross-regional learning support. Governance is layered so decisions are locally informed but state-accountable.

Once the committees are formed and their proposal is submitted this summer, will they direct the process for surrounding institutions/health systems/providers to potentially partner achieving their outcomes? Or as a health system, do we need to contact the state/committee to participate?

Once Regional Committees are set and proposals are submitted, they will identify partners and aligning regional activities with the outcomes outlined in their proposals. Participation is not limited to organizations already at the table. Health systems and other providers that wish to be involved should proactively reach out to the Regional Committee or to the regional grant technical assistance providers.

Can you share more information about data collection, tracking success and measuring results? Data collection and performance measurement will follow a standardized, statewide framework to ensure consistency across all regions. Each Regional Coalition will track progress toward the outcomes identified in its proposal using a mix of health indicators, system‑capacity measures, and implementation metrics.

The state will provide templates, technical assistance, and shared reporting tools to support this work, and regions will submit regular updates that highlight progress, challenges, and opportunities for improvement. The goal is to create a clear, practical approach to monitoring results that strengthens accountability while supporting continuous learning and adaptation. Does the coalition stay in place for the five year period?

Rural and Regional Representation How is rurality being assessed/defined? Counties with HRSA Rural Designation are considered fully rural and organizations within those counties may be direct recipients of the RHTP funds as part of the regional application. Organizations in these counties should be prioritized in regional coalitions and subsequent applications.

These 64 counties are noted in the regional map as solid-colored counties. There will be nine additional counties which may also be considered direct recipients eligible for RHTP funds as noted with stripes in the regional map.

The stripes indicate a county has either a HRSA rural designation with a distinction that only some parts of the county are eligible for rural health grants; or a non HRSA rural designated county, but has a HRSA designated critical access hospital. It is important to note that organizations in metropolitan areas within the striped counties will only be funded with justification as to how they are serving rural residents.

Regional applications should provide this detailed explanation within the work plan narrative. Partially rural counties are identified as counties eligible for funding directly from the RHTP grant. Will the regions mirror existing public health preparedness districts?

If not, have those lines been drawn yet? The Rural Health Regional Map is based on the HRSA designation of counties in Indiana eligible for rural health grant funding. From there, the eight regions align with natural care/referral patterns and trauma/preparedness regions.

How can we ensure rural hospitals are represented on the Regional Committees? Each Regional Committee is required to include at least one healthcare provider representative, and the program strongly expects that in rural-focused regions, this role will be filled by a rural hospital or rural health provider organization.

Regions will be encouraged to involve multiple rural hospitals as subrecipients and advisory partners, even beyond the minimum committee seat. How can we ensure community mental health centers/CCBHCs are represented?

Community mental health centers and CCBHCs are explicitly identified as key stakeholders throughout GROW and can serve as: Provider representatives on the Regional Committee Subrecipients for behavioral health projects Leads or co-leads on behavioral health and workforce initiatives The State will strongly encourage behavioral health representation in both the committee membership and project portfolio.

What should the involvement for non-rural counties be? Non‑rural counties are not the target of RHTP funding, but their involvement should be part of improving outcomes in rural counties.

Some examples include serving as a partner when service area supports rural outcomes, contribute training and workforce development, specialty care access or participate in other initiatives that span more than one county, such as behavioral health integration or maternal health readiness. Will there be a forum where the districts can learn from each other in the first few months during the application development process?

Not at this time, but this request can be made to the GROW Regional Grants technical assistance providers. Information about these providers will be shared soon. When there is not agreement on the regional committee plan, who steps in to support conflict resolution?

The GROW Regional Grant technical assistance providers will assist in convening and facilitating coalition formation and application development. Ultimately it will be the responsibility of the Regional Coalition and Committee to find consensus and submit a proposal that benefits rural residents within each region.

If not selected to be part of a regional committee, what will be the process for active participation in the application process and/or to provide input. Will someone from the region be reaching out to organizations? All regional stakeholders should be part of the application process, even if they are not part of the Regional Committee.

The GROW Regional Grant technical assistance providers will help facilitate this collaboration. Will the technical assistance team convene potential partners in our region soon, to begin the planning process? The timeline is aggressive unless relationships already exist across the region.

Yes. Please reach out to the T/A provider for your region to be included in the planning sessions. When will regional committee members be announced?

The Regional Committee members are listed at the top of this page. What is the role of the regional committees? Regional Committees are the governing and advisory group for each region, similar to a board of directors.

Comprised of 13 appointed members, their role is to ensure diverse representation for the Regional Coalition, provide guidance, and receive regular updates on progress. They do not develop or implement the regional plan but provide counsel, help maintain alignment with regional priorities, and support transparent communication between the Coalition and the community. Who are the T/A providers, what is their role, who are the contacts?

Regions 1, 2, 3: Andy VanZee, IHA, avanzee@ihaconnect. org Regions 4, 6: Ben Harvey, IPHCA, bharvey@indianapca. org Regions 5, 7, 8: Dr. Cara Veale, IRHA, cveale@indianarha.

org Whom do I reach out to with questions in my region? Contact your T/A provider for your region listed above. Eligibility and Requirements What types of costs are allowed and what are not allowed?

Clearly identify and explain the parameters for Indiana Regional Coalitions spending GROW money.

In general, eligible costs must: Directly support access, technology innovation, workforce development, MRAHA, or innovative care Be tied to approved regional projects that advance KPOs Occur in and serve rural areas Capital costs: Funding used for renovation or alterations cannot exceed 20% of the total funding awarded to the State in each budget period.

Region Maximum Capital Expenditures, Budget Period 1 1 $4,405,581 2 $7,881,614 3 $3,960,275 4 $6,186,220 5 $6,186,220 6 $5,238,700 7 $4,817,104 8 $4,760,479 EMR expenditures: No more than 5% of total funding awarded to the State in a given budget period can support funding the replacement of an EMR system if a previous HITECH certified EMR system is already in place as of Sept. 1, 2025.

Region Maximum EMR Replacement Expenditures, Budget Period 1 1 $1,101,395 2 $1,970,403 3 $990,068 4 $1,546,555 5 $1,033,900 6 $1,033,900 7 $1,204,276 8 $1,190,119 Program costs: Care delivery, workforce, technology, telehealth, transportation solutions, paraprofessional deployment, quality improvement, training, and evaluation are generally allowable when tied to approved projects Unallowable costs include: major construction, non-health-related infrastructure, food, general government uses, or activities outside the RHTP scope or service area.

Further details can be found in the RFF. What is the role of ineligible counties based on HRSA rural health funding? Can those counties still be a subgrantee?

Counties that do not meet the HRSA/FORHP rural definition cannot be the primary target of RHTP investments. However, entities in non-rural counties may participate as subrecipients if their activities clearly: Support regional infrastructure or specialty access that rural patients rely on All funded activities and services must still be rural-serving. Do