accessSample scope of work
Maternal-fetal medicine consultation by telehealth for pregnant and postpartum patients of [Facility], available 24 hours a day, seven days a week, for routine consults, high-risk pregnancy co-management with the patient's local clinician, and urgent consults from the emergency department and, where [Facility] delivers, the labor unit. Interpretation of obstetric ultrasound studies acquired by [Facility]'s sonographers, with a signed report to the ordering clinician within 24 business hours for routine studies and within two hours for STAT studies. Written protocols and worksheets for each study type, and training for sonographers, nurses and coordinators in the telehealth workflow. Coordination with [Facility]'s transfer and referral pathways so that a finding that needs a higher level of care reaches it, and one that doesn't stays local.
Sample budget line
| Line | What it covers | Funded by |
|---|---|---|
| Consult availability | 24/7 maternal-fetal medicine coverage for [Facility], [months] months | RHT grant |
| Ultrasound interpretation coverage | Reading coverage for [n] studies a month, protocols and worksheets | RHT grant |
| Platform and peripherals | Telehealth cart or workstation, ultrasound connectivity, PACS or image-sharing setup | RHT grant (capital, within the state's cap) |
| Training and protocols | Sonographer, nurse and coordinator training; protocol implementation | RHT grant |
| Credentialing | Credentialing by proxy under 42 CFR 482.22 (hospitals) or 485.616(c) (critical access hospitals) and the facility's bylaws | RHT grant or facility |
| Consult and interpretation services | Claim-reimbursable services at contracted rates | Medicaid and commercial claims, not grant funds (the program doesn't pay for billable services) |
| Sustainability | Continuation after September 30, 2027 on claim revenue plus [Facility]'s operating budget | Facility |
Keep the grant against what a claim doesn't pay for. Where your state funds services insurance doesn't cover (provider payments are capped at 15% of the state's award), say which ones and for how long, and show the transition. Year-one money has to be committed by October 30, 2026 and spent by September 30, 2027.
Sample partner support letter
[Date]
[Agency or hub name]
[Address]
Re: [Facility]'s application to the [State] Rural Health Transformation Program, [round name]
[Partner] confirms its commitment to serve as the maternal-fetal medicine telehealth partner to [Facility] under the project described in this application. Under the proposed scope, [Partner] will provide maternal-fetal medicine consultation by telehealth for [Facility]'s pregnant and postpartum patients, interpretation of obstetric ultrasound studies acquired at [Facility], written protocols and training for [Facility]'s clinical staff, and coordination with [Facility]'s referral and transfer pathways. [Partner]'s physicians are board-certified in maternal-fetal medicine, and [Partner] is licensed to practice in [State]. [Partner] will support [Facility]'s credentialing requirements and its reporting to the state on access, timeliness and outcomes measures defined in the project.
We look forward to working with [Facility] to keep maternity care local in [county or region].
[Name, title]
[Partner]
Where Ouma fits
Ouma provides contracted maternal-fetal medicine coverage and ultrasound interpretation to rural and critical access hospitals, including hospitals that don't deliver babies, and can sign this letter for a hospital that names it. Ouma is licensed to practice in all 50 states and is Medicaid-enrolled in 20 states as of August 2026. Talk to our team
A starting point, not legal or grant-writing advice. Your state's notice of funding opportunity governs eligible costs and required attachments.