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Find similar grantsRural Health Transformation Program: Maternal Care is sponsored by Texas Health and Human Services Commission (HHSC). Focuses on deploying artificial intelligence and telehealth technology to connect patients in communities with few in-person providers, with maternal health as an early focus.
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Texas Rural Health Transformation Program: Maternal Care High-Risk Pregnancy (teleMFM) Ultrasound Interpretation Remote Patient Monitoring Clinics & Healthcare Providers FQHCs & Community Health Centers Rural & Critical Access Hospitals Rural Health Transformation connect for agency partners Texas's Rural Health Transformation Program: where maternal care fits in Rural Texas Strong By Ouma Health Checked September 30, 2026 Updated September 30, 2026 Texas received the largest year-one award in the country, $281.
3 million, and its plan has no maternal line item. Maternal care sits in the Lone Star Advanced AI and Telehealth initiative, which names maternal health as an early focus and directs its telehealth services toward maternal care among other areas. Its first round, $37.
5 million, takes applications from rural provider networks in December 2026. Year-one award $281,319,361 Lead agency Health and Human Services Commission Maternal care in the plan Names maternal care without a maternal line item Status Maternal-relevant round in December What Texas's plan says about maternal care The Texas Health and Human Services Commission runs the program as Rural Texas Strong, with six initiatives.
The plan describes the obstetric gap in plain terms: "Ninety-six rural hospitals no longer provide obstetrical services (OB) leaving vast OB deserts across the state that are larger than the combined land mass of Connecticut, Delaware and Rhode Island." It adds that "in many counties, women may travel up to 70. 5 miles to the nearest labor and delivery hospital."
Maternal care shows up in Initiative 3, Lone Star Advanced AI and Telehealth. The original plan says "Early focus areas will include maternal health, behavioral health, and preventive screening," and one of the initiative's outcome measures is access to specialty care in behavioral health, radiology and maternal care, with a target of a 15% increase over a 2027 baseline.
The year-two project narrative, revised August 31, 2026, widened the telehealth scope: "All telehealth services in this initiative will be directed toward prevention, behavioral health treatment, maternal care, or remote monitoring of chronic conditions."
The year-two budget narrative says projects "may include telehealth services focused on behavioral health, maternal health, radiology, specialty consultation, and chronic disease management." What is open, and what comes next Nothing is open today. HHSC plans $37.
5 million for Initiative 3 in year two, toward about $150 million over the grant term, awarded through a competitive request for applications. The state's estimated schedule: applications due December 2026, notices of award in March 2027, contracts routed in May 2027 and programs starting in June 2027. The state notes that every figure after year one is an estimate until CMS issues later budget awards.
The governor announced the first round of Rural Texas Strong awards on September 28, 2026: $750,000 each to 68 rural hospital districts and authorities, $51 million in all, for chronic disease programs under Initiative 1. Earlier announcements of $60 million and $99 million described funding made available, not awards. Who can apply, and where a partner fits Initiative 3 isn't open to individual hospitals or vendors.
Applicants must be a clinically integrated network, accountable care organization or similar cooperative, and "a minimum of 60 percent of each Applicant's active membership must be comprised of rural healthcare Providers operating within Texas's 202 eligible rural counties." A telehealth practice takes part as the specialty provider a network brings in.
That matches how Texas measures the initiative: it counts specialty providers, maternal care included, that have affiliation agreements to deliver telehealth. HHSC says it isn't meeting with potential vendors or applicants. How tele-MFM fits Texas's model Texas has written maternal care into a telehealth initiative whose success is measured by the number of specialty providers delivering care by telehealth to rural members.
A network applying in December needs a maternal-fetal medicine partner that can cover consults and ultrasound reads across a large, spread-out membership. Ouma provides contracted maternal-fetal medicine coverage and ultrasound interpretation to rural and critical access hospitals. Ouma is licensed to practice in all 50 states and is Medicaid-enrolled in 20 states as of August 2026.
See every state's plan side by side or what a partner letter for an application looks like . Frequently asked questions Does Texas's Rural Health Transformation plan fund maternal care? Not as a line item.
Maternal health is an early focus of the Lone Star Advanced AI and Telehealth initiative, and the initiative's year-two scope names maternal care among the services it will fund. Who can apply to the telehealth round? Clinically integrated networks, accountable care organizations and similar cooperatives whose active membership is at least 60% rural providers in Texas's 202 eligible rural counties.
Specialty providers take part through those networks. When are applications due? The state estimates December 2026, with awards in March 2027.
1 Texas HHSC, Rural Health Transformation Program. https://pfd. hhs.
texas. gov/rural-health-transformation-program 2 Texas HHSC, Budget Period 2 Revised Project Narrative, revised August 31, 2026. https://pfd.
hhs. texas. gov/sites/default/files/documents/rural-hlth-prgm/aprvd-bdgt-prd-2-narr.
pdf 3 Texas HHSC, Budget Period 2 Revised Budget Narrative, August 31, 2026. https://pfd. hhs.
texas. gov/sites/default/files/documents/rural-hlth-prgm/aprvd-bdgt-prd-2-rvsd-bdgt-narr. pdf 4 Texas HHSC, Rural Texas Strong Project Narrative, November 3, 2025.
https://pfd. hhs. texas.
gov/sites/default/files/documents/rural-hlth-prgm/rural-txstrong-prjct-narr. pdf 5 Texas HHSC, Rural Texas Strong FAQs, February 2026. https://pfd.
hhs. texas. gov/sites/default/files/documents/rural-hlth-prgm/rural-tx-strng-faqs.
pdf 6 Office of the Governor, Governor Abbott announces $51 million in funding for rural healthcare, September 28, 2026. https://gov.texas.
gov/news/post/governor-abbott-announces-51-million-in-funding-for-rural-healthcare Clinical Communications Team All 21 states side by side → Oklahoma's Rural Health Transformation Program: what it funds for maternal care Checked September 30, 2026 New Mexico's Rural Health Transformation Program: what it funds for maternal care Checked September 30, 2026 A tele-MFM budget line and partner letter for your Rural Health Transformation application Sample scope, budget line and letter Keep maternity care local .
Ouma provides contracted maternal-fetal medicine coverage and ultrasound interpretation to rural and critical access hospitals. Talk to us about your state's program → Tele-MFM for rural hospitals Expert maternity telehealth, extending the reach of subspecialty clinicians to every patient who needs it.
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According to the current listing, eligibility includes: Rural provider networks in Texas. Confirm the full requirements in the official notice before applying.
The current listing shows $37,500,000. Verify award ceilings, matching requirements, and allowable costs in the official notice.
Applications for Rural Health Transformation Program: Maternal Care are due December 1, 2026. Build your timeline backwards from this date to cover registrations, approvals, and final submission checks.
Rural Health Transformation Program: Maternal Care is funded by Texas Health and Human Services Commission (HHSC). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Texas. If your organization operates elsewhere, check the official notice for location requirements.
Start from the official opportunity page linked in this listing — it carries the sponsor's submission instructions.
Texas Rural Health Transformation Program: Maternal Care is sponsored by Texas Health and Human Services Commission (HHSC). This initiative, part of Texas's larger Rural Health Transformation Program, focuses on maternal care through the Lone Star Advanced AI and Telehealth initiative. It funds rural provider networks that bring in specialty providers to deliver telehealth, including maternal care. Small businesses offering maternal health technology solutions via telehealth to rural networks would be relevant partners.
Lonestar Advanced AI and Telehealth (Initiative 3 of Rural Health Transformation Program) is sponsored by Texas Health and Human Services Commission (HHSC). This initiative aims to use artificial intelligence (AI) and telehealth to predict and improve patient outcomes, maintain care, and more efficiently adjust medication and therapy for patients and providers in rural Texas. It focuses on bridging service gaps and addressing barriers to care, including limited access to specialty providers and high rates of chronic disease. Early focus areas include maternal health, behavioral health, and preventive screening, supporting clinicians with administrative tasks and improving data processing.
Rural Texas Strong (RTS) Initiatives: Initiative 2: Rural Texas Patients in the Driver's Seat & Initiative 3: Lonestar Advanced AI and Telehealth is sponsored by Texas Health and Human Services Commission (HHSC). Part of Texas’s federally approved Rural Health Transformation Program (funded via CMS). These specific upcoming rounds focus on empowering rural patients through enhanced local care pathways, consumer-driven access options, advanced AI tools, and expanded telehealth infrastructure across rural Texas communities.
On October 29, 2026, Texas announced $87.2 million in Rural Texas Strong grants to 129 rural health providers, its largest round yet from the $281.3 million first-year CMS Rural Health Transformation Program award. With weekly intent-to-award notices, roughly $224 million now announced across four rounds, and $1.4 billion expected over five years, here is what the awards reveal and how rural hospitals, clinics, EMS agencies and pharmacies should prepare for the next cycle.
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