Rural HealthPolicy

Florida's Rural Health Transformation Program: where maternal care fits

By Ouma HealthChecked Updated

Florida's plan has no maternal line item. Obstetric and gynecologic care is a service its rural clinics initiative supports, and prenatal visits are part of mobile health. On August 11, 2026 the state awarded nearly $188 million, which it said completed the awarding of its year-one funds, including three awards totaling $2.28 million to a maternal-fetal medicine practice. National companies take part only as subrecipients or subcontractors.

Year-one award
$209,938,195
Lead agency
Agency for Health Care Administration
Maternal care in the plan
Names maternal care without a maternal line item
Status
Awarded

What Florida's plan says about maternal care

The Agency for Health Care Administration runs the program, which received $209.9 million for year one, across fifteen initiatives. None is maternal. The Rural and Satellite Clinics initiative ($25 million a year) describes clinics that "offer primary care, dental, chronic disease management, obstetric and gynecologic care, and mental health services." Mobile Health ($20 million a year) includes prenatal visits. The Tele-Specialties and Imaging initiative ($16 million a year) gives cardiologists, pulmonologists, endocrinologists, oncologists and neurologists as examples of the specialists it connects; maternal-fetal medicine isn't among them.

The state's November 2025 application made the maternal case more directly: "Nearly one in five rural mothers receives late or inadequate prenatal care, compared with 14% statewide, contributing to higher rates of low birthweight and preterm delivery." It also listed hypertensive disorders of pregnancy among the conditions its remote monitoring initiative would cover; the revised budget narrative doesn't repeat that.

What was funded

On August 11, 2026, the state announced nearly $188 million in more than 80 awards and said it had "awarded the full scope of Florida's RHTP funding." Rounds were run as bundles: preventive care and care at home, specialty and acute care, rural and satellite clinics, workforce, health and lifestyle, and value-based purchasing. Three awards went to a maternal-fetal medicine practice in the specialty and acute care bundle, one each in the southeast, southwest and northwest regions, totaling $2,277,006.99. The state's award list gives the category and amount but not what they fund.

What is open, and what comes next

Nothing is open. The state hasn't published year-two dates.

Who can apply, and where a partner fits

Eligible applicants were for-profit and not-for-profit Florida health care providers serving rural areas. The state's FAQ is direct about national companies: they "cannot apply directly to RHTP and may participate only as subrecipients or approved subcontractors performing Florida based services under the lead applicant's oversight." A telehealth practice's route is through a Florida lead applicant, in year two, for a rural clinic that offers obstetric care or a mobile health program that sees pregnant patients.

Where Ouma fits

How tele-MFM fits Florida's model

Florida's clinics and mobile units put prenatal care closer to rural patients, and its telehealth specialty line names five example specialties, none of them maternal-fetal medicine. A rural clinic seeing a high-risk pregnancy still needs a specialist to consult and to read the scan. 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

Can a national telehealth company apply in Florida?

No. National companies take part only as subrecipients or approved subcontractors performing Florida-based services under a Florida lead applicant.

Does Florida's tele-specialty program include maternal-fetal medicine?

Not by name. Its examples are cardiology, pulmonology, endocrinology, oncology and neurology.

Sources

1Florida AHCA, Rural Health Transformation Program.https://ahca.myflorida.com/rural-health-transformation-program.html
2Florida AHCA, Revised Budget Narrative, February 10, 2026.https://ahca.myflorida.com/file/rhtp/FL%20Revised%20Budget%202.10.26.pdf
6Executive Office of the Governor, Governor DeSantis announces nearly $188 million to expand rural health care access, August 11, 2026.https://www.flgov.com/eog/news/press/2026/governor-ron-desantis-announces-nearly-188-million-expand-rural-health-care-access
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