Rural Health Transformation Program
Two operating health platforms for rural providers
Not roadmaps. Not pilots. Running today, and demonstrable before you commit.
TechSkill Nation is a Colorado technology company that builds and operates health coordination platforms. We work with rural hospitals, clinics, behavioral health providers, correctional facilities and EMS agencies, and directly with state health agencies.
Why this matters for your RHTP application
RHTP Year 1 funding is time-bound. A grantee has to show service activation and baseline utilization data, not a signed contract and a build schedule. That is the hardest thing about the program, and it is why we lead with the fact that both platforms already operate.
Our platforms are multi-tenant and configuration-driven. A new deployment is configuration rather than a new build, so your site can be live and generating the utilization data your reporting requires while other projects are still in requirements gathering.
What we operate
Tele-Specialist Exchange
A statewide platform connecting any care setting to specialist capacity. The originating site type is configuration rather than a separate product, so one deployment serves every setting in your network.
- Insurance-aware provider routing, matching a patient to a clinician who accepts their coverage
- Primary source credential verification against issuing boards, with expiry monitoring that removes lapsed clinicians from routing automatically
- In-state priority scheduling, keeping care and payment local where local capacity exists
- eConsult that resolves to a named clinician rather than a waiting list
- Live video consultation with resilient rejoin and in-call clinical notes
- Funding pool controls, so a grant-funded program gates access by eligibility and stays inside budget
- Patient cost estimates shown before booking
- Crisis pathway with 988 integration and escalation
Transport Coordination
A coordination platform for non-emergency medical transportation and secure transport, built to work alongside the Exchange rather than separately from it.
- Member eligibility and funding qualifiers
- Trip booking, self-booking and standing orders
- Provider network and driver management
- GPS-verified trip events and electronic visit verification
- Secure and correctional transport coordination
- Settlement controls and ghost-rider prevention
- Treatment-in-place support, so a consult can replace a transport where clinically appropriate
Built for the setting, not just the specialty
Four settings, four genuinely different problems, one routing engine.
Emergency department
Needs a specialist reached in minutes, with a crisis lane that bypasses queuing entirely.
Detention center
Needs point-of-care registration with minimal fields, because a person in custody may arrive with no device, no coverage record and no identification. Scheduling accounts for escort and custody constraints.
Rural clinic
Needs scheduled consults with the patient cost shown before booking, and routing that respects which plans a clinician accepts.
Patient at home
Needs direct access without an intermediary, on a device they already own.
Grant accountability, built in
RHTP grantees carry reporting obligations that outlast the grant. You have to evidence utilization, access expansion and outcomes against defined deliverables, and you have to show a sustainability path once the funding ends.
Both platforms record baseline and ongoing utilization from day one and produce the reporting a grantee needs for its own submissions.
On sustainability. The Exchange includes a fee engine held at zero throughout the grant period, which can be activated afterward using your actual usage history rather than an estimate. When you reach the sustainability conversation in year four or five, you will be setting rates on evidence.
Security and compliance
Both platforms run in AWS GovCloud (US) inside a FedRAMP-authorized boundary, across two regions.
- HIPAA Security Rule safeguards, with Business Associate Agreements executed at contract
- SOC 2 Type II examination
- NIST SP 800-53 control alignment
- Encryption at rest and in transit under FIPS-validated modules
- All data resident within the continental United States
- Single sign-on federation using SAML 2.0 and OpenID Connect
- HL7 FHIR R4 and X12 integration to health information exchanges and Medicaid systems
- Independent penetration testing before go-live and annually
- Continuous security monitoring and vulnerability management
- 24 by 7 by 365 Tier 1 support
Where we fit in the RHT Program
The Rural Health Transformation Program allocates $50 billion across the fifty states over five fiscal years, and each state designed its own initiative structure. Initiative numbering does not transfer across state lines, but the statutory uses of funds do. Every state program is built on the same ten.
Our platforms map to four of those uses directly and contribute to two more. We do not fit the remaining four, and the table says so.
| Statutory use of funds | Fit | What we provide |
|---|---|---|
| Technical assistance, software and hardware for significant information technology advances, improving efficiency, cybersecurity capability and patient outcomes | Direct | The platforms themselves. Secure hosting inside a FedRAMP-authorized boundary, HL7 FHIR R4 and X12 integration, single sign-on federation, continuous security monitoring, and the interoperability configuration to connect them to your records systems |
| Training and technical assistance for adoption of technology-enabled solutions that improve care delivery in rural hospitals, including remote monitoring and advanced technologies | Direct | Role-based training, micro-training for sites that cannot release staff for a half-day session, super-user development, and 24 by 7 by 365 help desk from go-live onward |
| Supporting access to opioid use disorder treatment, other substance use disorder treatment, and mental health services | Direct | Behavioral health and psychiatric consult routing, a crisis pathway with 988 integration, and workflow built for correctional and detention settings where access gaps are widest |
| Assisting rural communities to right size delivery systems by identifying needed preventative, ambulatory, pre-hospital, emergency, acute, outpatient and post-acute service lines | Direct | Utilization data showing which specialties are actually requested, from where, how often, and what happens when capacity is unavailable. Right-sizing needs evidence, and the platform produces it from day one |
| Promoting consumer-facing, technology-driven solutions for prevention and management of chronic disease | Contributing | Patient-facing booking, cost shown before booking, and direct-to-patient consults on a device the patient already owns. We enable the access channel rather than the chronic disease intervention itself |
| Developing projects that support innovative models of care, including value-based arrangements and alternative payment models | Contributing | Treatment in place, eConsult that resolves without a visit, and transport coordination that lets a consult replace a trip. We do not build payment models, and we work alongside the vendors who do |
| Evidence-based interventions for prevention and chronic disease management | Not a fit | This is clinical program design. We are not the right vendor for it |
| Recruiting and retaining clinical workforce with five-year rural service commitments | Not a fit | Workforce recruitment sits outside what we do, although our platform reduces the specialist coverage a rural site has to recruit for |
| Category B, payments to health care providers for health care items or services | Outside | Technology costs sit outside this category, which preserves your capped allocation for the clinical purposes it exists to fund |
| Category J, capital expenditures | Outside | Our platforms are hosted and require no capital build at the site |
On the capped categories. Category B provider payments and Category J capital expenditures are both subject to caps, and grantees compete internally for that headroom. Technology spend does not draw on it. Routing platform costs through the information technology and training uses leaves your capped allocation available for the clinical and capital purposes those categories were written for.
Worked example: Colorado
Colorado organized its allocation into ten initiatives. We are a technology vendor to grantees under six of them.
| Colorado initiative | How we fit |
|---|---|
| 10.1 Telehealth Participation | Platform licensing, interoperability configuration, EHR and HIE integration, workflow configuration, staff training |
| 1.5 Whole Person Health | Technology investment supporting behavioral health access and alternative care delivery models |
| 9.3 Incentive Payments | IT infrastructure and help desk support for behavioral health and community health clinics, plus workforce training on technology adoption |
| 6.1 Rural Health Workforce | Telehealth and eConsult practice onboarding, interoperability readiness |
| 4.2 EMS Transport Coordination | Regional dispatch and routing, HIE interoperability, secure transport, treatment-in-place models |
| 10.4 Chronic Disease Practices | Dashboard configuration, analytics, HIE connectivity, reporting infrastructure |
Applying in another state
The problems the RHT Program was created to address are common across rural America. Specialist access, behavioral health and correctional health capacity, transportation to care, and the requirement to evidence outcomes against a funded initiative.
Our platforms are multi-tenant and configuration-driven, so a deployment in a new state is configuration rather than a new build. Send us your state’s initiative list and we will tell you which ones we fit and which ones we do not.
Where we work
TechSkill Nation is headquartered in Centennial, Colorado. Every member of our delivery team is based in the continental United States.
We are currently responding to two Wyoming Department of Health procurements under that state’s RHTP allocation: a statewide tele-specialist platform serving behavioral health and emergency crisis stabilization, with the Department of Corrections and county detention facilities as priority users, and a statewide non-emergency medical transportation coordination platform.
We also deliver a multi-domain analytics platform for a state education department and a multi-source environmental data platform for a municipal government, both under public-sector governance.
Talk to us before you write your application
The most useful conversation happens before an application is submitted, not after. We can help you scope what is realistically deliverable inside a Year 1 spending window, what the integration dependencies actually are, and what reporting you will be committing to.
There is no cost and no obligation for that conversation.
Contact
Vik Manne
Chief Executive Officer
Phone
Location
Centennial, Colorado
Clinical services are delivered and billed by licensed provider organizations to Medicaid, Medicare or commercial payers. TechSkill Nation provides the coordination technology and is not a clinical services provider or a payment intermediary.