FOLLOW-UP · AZ HEALTHWORKFORCE ACTION NETWORK

Aligning ADHS and FFH on Rural Health Transformation + Statewide Efficiencies

FROM

Coach Lucy Howell

CEO · The Force for Health Network

Dr. Rob Gillio

Chief Medical Officer · The Force for Health Network

FOR

Jenna Cooper

Chief of Staff · Arizona Department of Health Services

Tucson, AZ · May 2026
An Arizona-headquartered, woman and physician co-led private/public partnership for population health.
02 / 10
Where we left off

From the AZ Healthworkforce Action Network

You and I sat in the same room on the Workforce Action Network call. Here is what I took away — and what FFH brings to the table that maps onto what you are already trying to solve.

What we heard from ADHS

  • Statewide pain points showing up in data — chronic disease, maternal-fetal, BH/SUD — and not enough hands.
  • A 5-year Health Improvement Plan steering committee that is the convening table for cross-sector alignment.
  • Governor-aligned strategic priorities — funding transitions, BEAD, RHT — converging on the same workforce questions.
  • A communications infrastructure that has to reach 7.3M Arizonans coherently across agencies.

What FFH brought to the table

  • PHIT Engine — health + workforce data, zip → county → state.
  • Active leadership across AZ statewide coalitions: AZ Broadband Stakeholders Network — Chair, Health & Education Taskforce · Sickle Cell Foundation of Arizona (newborn screening + family support) · AZ Healthcare Workforce Action Network · Pipeline AZ Connects · AZ Teacher Educators Association · School Nurse Organization of Arizona.
  • Reality Health Games + Live It trackers — content that moves chronic-disease, maternal, and BH/SUD outcomes at home.
  • Strategic partners: HealthCorps · Contexture HIE · Banner UFC · 22 Tribal Nations engagement framework.
03 / 10
Why now

Arizona's $167M RHT moment — and ADHS's seat at the table

Total AZ Award
$167MSourceAHCCCS RHTP official page (azahcccs.gov). Exact figure: $166,988,955.92. Arizona's federal Notice of Award dated 12/29/2025. Verified 2026-04-26.
AHCCCS-led · Dec 2025 – Oct 2030
Priority Health Pillar
$27M / yrSourceAHCCCS Approved Budget Narrative — Priority Health pillar annual allocation, split across three sub-grants: BH/SUD (~$7.5M), Maternal-Fetal (~$7.5M), Chronic Disease ($12M).
ADHS-led · 3 grants
Rural Population
786KSourceAHCCCS RHTP official page — "rural population served." Approximately 11% of Arizona's total population. Includes priority partnership with 22 federally recognized Tribal Nations.
~11% of AZ · 22 Tribal Nations
First RGAs open
Spring '26SourceCMS Post-Award FAQ (April 2026) + AHCCCS RHTP slide deck. Year-1 funds must be obligated by Sept 30, 2026 (end of federal FY26). Carryover through Sept 30, 2027 if obligated in FY26.
Year-1 funds locked by Oct '26

ADHS leads three of Arizona's seven RHT sub-grants

Behavioral Health + SUD ~$7.5M/yrSourceAHCCCS Approved Budget Narrative — one of three Priority Health sub-grants led by ADHS. Targets rural BH workforce, MAT access, and the crisis continuum (988, mobile crisis, stabilization).

Rural BH workforce gaps, MAT access, crisis continuum.

Maternal-Fetal Health ~$7.5M/yrSourceAHCCCS Approved Budget Narrative — Priority Health sub-grant led by ADHS.

AI/AN women have AZ's highest Pregnancy-Associated Mortality Ratio128.3 per 100,000 live birthsSource — verified 2026-05-12Arizona Pregnancy-Associated Mortality Ratio (PAMR) data: AI/AN women face the highest PAMR in Arizona at 128.3 per 100,000 live births. AHCCCS RHTP framing: "Rates of maternal mortality are up to 5× higher among Black and American Indian/Alaska Native women." Sources: AHCCCS RHTP page (azahcccs.gov) + AZDHS SB-1040 Report on Maternal Mortality., up to 5× the rate of white women.

Chronic Disease Prevention $12M/yrSourceAHCCCS Approved Budget Narrative — largest of the three Priority Health sub-grants led by ADHS. Targets diabetes, CVD, hypertension prevention + management.

Diabetes, CVD, hypertension — the long-tail spend story.

04 / 10
The FFH RHT angle

How FFH wraps ADHS's three grants — cleanly, federally-allowable

ADHS grant / pillarHow FFH plugs inCMS allowability path
BH / SUD PHIT-scored crisis continuum + rural BH workforce pipeline (HealthCorps-trained ambassadors → CHW → BH paraprofessional) Cat B PMPM + Workforce
Maternal-Fetal FFH Healthy Mom content for brown-skin moms + postpartum tracker; Tribal-Nation co-design; closes the AI/AN maternal mortality disparity (up to 5× higher · PAMR 128.3/100K)Source — verified 2026-05-12AHCCCS RHTP page: "Rates of maternal mortality are up to 5× higher among Black and American Indian/Alaska Native women." AI/AN women's Pregnancy-Associated Mortality Ratio in Arizona: 128.3 per 100,000 live births (highest of any group). Sources: azahcccs.gov + AZDHS SB-1040 Report. with sustained engagement Cat B PMPM + Innovative Care
Chronic Disease Live It trackers + Reality Health Games + PHIT roll-ups by county/zip; diabetes, CVD, hypertension long-tail behavior change Cat B PMPM + APM Infra
Cross-pillar Contexture HIE interoperability layer; Tribal-Nation engagement protocols; State Chamber-of-Health convening grid (12 LWDBs × 6 zones × 22 Nations) Tech Innovation + Workforce
Federal allowability anchor: $1/rural-head/yr maps to CMS RHT Category B Provider Payments (PMPM)explicitly allowableSourceCMS Provider Payments Fact Sheet (March 24, 2026), Table 1: "Payment to providers for nonreimbursed items and services, including services provided on a PMPM basis." Found in /Opportunity Items/Rural Health Transformation Grants/From ACCHHS/rural-health-transformation-provider-payments-fact-sheet_03242026.pdf per the CMS Provider Payments Fact Sheet (3/24/26). The 15% Cat B cap on AZ's award = ~$25M/yrMath15% × $167M total AZ RHT award = $25.05M. Cap applies to Category B Provider Payments across the 5-year award period; APM infrastructure falls under separate categories without the cap. available statewide for this kind of work.
05 / 11
Doing the math

$1 per rural head, weighted across ADHS's three priorities

We use AHCCCS's own grant-allocation ratio so the math doesn't require ADHS to invent anything new. Same percentages, applied to the Cat B PMPM envelope.

Rural Population
786,000
Arizonans in rural ZIPs
×
Cat B PMPM Rate
$1.00 / head
annual provider payment
=
Total Cat B Ceiling / Yr
$786,000 / yr
0.47% of AZ's $167M award · well below 15% Cat B cap

Weighted across ADHS's three Priority Health grants

BH / SUD 27.8%
ADHS grant size
$7.5M / yr

FFH allocation / yr
$218,333

Rural BH workforce pipeline + crisis-continuum engagement

Maternal-Fetal 27.8%
ADHS grant size
$7.5M / yr

FFH allocation / yr
$218,333

Healthy Mom content · postpartum tracker · Tribal-Nation co-design

Chronic Disease 44.4%
ADHS grant size
$12M / yr

FFH allocation / yr
$349,333

Live It trackers + Reality Health Games · diabetes / CVD / HTN long-tail behavior change

Scale economics: $0.50/head = $393K/yr (light touch) · $1/head = $786K/yr (recommended) · $2/head = $1.57M/yr (deeper engagement) · 5-yr total @ $1/head = $3.93M
05 / 10
Statewide efficiencies

How FFH compounds beyond RHT — into the 5-yr HIP

Even if RHT did not exist, FFH would still be useful to ADHS — because it is a statewide-efficiencies story. Same data layer, same workforce pipeline, same comms infrastructure the HIP steering committee is already trying to assemble.

1

Decision-Ready Data

PHIT Score rolls up zip → county → state. Replaces emailed spreadsheets. Cross-agency view of health + workforce in one frame — same data ADHS uses, AHCCCS uses, OEO uses, Governor's Office uses.

2

Coherent Comms Infrastructure

ADHS's 7.3M-ArizonanSourceArizona's resident population per US Census Bureau / state demographer estimates. Used in Jenna Cooper's LinkedIn description of ADHS's communications scope: "Redesigned communications infrastructure impacting 7.3 million Arizona residents." comms layer plugs into FFH Reality Health Games, Live It trackers, and Coach Lucy AI — proactive citizen engagement at the zip level, not crisis-only.

3

Cross-Agency Workforce Pipeline

FFH is an active participant in the AZ Healthcare Workforce Action Network. Same K-12 → CHW → BH paraprofessional → physician pipeline OEO's $47M workforce pillarSourceAHCCCS Approved Budget Narrative — Workforce Development & Training Program. Annual allocation $47.1M, led by Office of Economic Opportunity (OEO). Largest of the four AZ RHT pillars. funds — already wired into 12 LWDBs and the NTNWDB.

4

Health Improvement Plan Anchor

FFH content + measurement maps onto HIP priority areas (chronic, maternal, BH, equity). Lets the HIP steering committee point to live data and a delivery system instead of aspirations.

06 / 10
Ecosystem of gears

A gamified ecosystem — burning the candle from both ends

Same seven gears, two audiences served simultaneously. Every gear turns for the system side AND the people side — coins, badges, leaderboards, and live data closing the loop between them.

Internal customers · system side ADHS staff AHCCCS OEO DES 12 LWDBs Providers · RBHAs Coalitions School Districts
C

Chamber of Health

Convening · Directors · Specialty Boardrooms

P

PHIT Scores & Data

PHIT Engine · zip → county → state roll-up

3

360° Academy, Tools & Trackers

Learn It · Live It · Share It · Bingo Cards

T

STEAM TEAMS & Reality Health Games

Train the Brain · school + classroom activation

W

Workforce Development

K-12 → CHW → BH → nursing → physician

O

Omni Media Publishing

Coach Lucy AI · Dr. Rob · blog · video · podcast

Command Control Center

Capital · Tech · Compliance · Deploy

External customers · people side Citizens (7.3M) Families K-12 Students Patients Rural Communities 22 Tribal Nations Caregivers Ambassadors
Gamified loop: Learn It coins Live It streaks Share It badges PHIT score feedback Same coins earn on both ends — the data closes the loop.
07 / 10
The investment thesis

The Five-Sided Upside

Every dollar of ADHS / RHT spend with FFH earns its keep five different ways.

1

Decision-Ready Data Day One

PHIT Score rolls up zip → county → state. Health + workforce in every leader's hands.

2

Healthcare Workforce Acceleration

Closes AZ's most acute, most expensive gap — K-12 → CHW → nursing → physician.

3

Citizen-Serving Platform, Long-Tail ROI

Fewer ED visits, lower Medicaid spend over 3–7 years — proactive engagement, not crisis-only.

4

Co-Commercialization — No Big Raise

AZ proof point licenses to other states + federal. Dual-entity 501c3 / LLC absorbs capital risk.

5

PHIT Engine Flywheel

Every interaction feeds back. System gets smarter, faster, cheaper. The long-term moat.

The trial pays for itself during, after, beyond, and across — no large capital raise needed.
08 / 10
Asks + Discovery

What I am asking for — and what I want to learn

What we are asking

A standing seat at the HIP steering committeeas the platform-and-measurement partner for chronic, maternal, BH, and equity priority areas.
FFH named in ADHS RGA scope languagefor all three Priority Health grants — BH/SUD, Maternal-Fetal, Chronic Disease — as a Category B PMPM partner type.
Joint warm intro to the Governor's RHT Steering Committeebefore it formally seats this summer.
One co-branded comms pilottied to a HIP priority area where we can show citizen-level engagement lift inside 90 days.

What we want to learn from you

Where is the HIP steering committee in its 2026 publication cycle?What is already locked vs. still open for partner input?
Which Priority Health grant moves first?Is BH/SUD, Maternal-Fetal, or Chronic Disease furthest along?
How does ADHS want to be seen at the Governor's RHT Steering Committee?Lead voice, co-lead with AHCCCS, or co-equal partner?
Who else should this conversation include?ADHS Director? Comms lead? Tribal liaison? HIP steering chair?
09 / 10
Next steps

Concrete moves before the RGAs open

This week
Email recap + one-pager mapping FFH to ADHS's three Priority Health grants
Next 2 weeks
Working session with ADHS RGA-writing leads (BH/SUD first, per Jenna's call)
Late May
Joint memo to AHCCCS + Governor's RHT Steering Committee on ADHS–FFH alignment
June
Co-branded HIP comms pilot — 1 priority area, 90-day measurable lift
Summer '26
FFH named in ADHS RGA scope language as Category B PMPM partner type

An Arizona-headquartered, woman and physician co-led private/public partnership for population health.

Coach Lucy Howell · lucy@theforceforhealth.com · The Force for Health Network
10 / 10 · BONUS
Pre-loaded for Jenna

AZ Workforce Development Specialty Boardroom

The 28 organizations from your Workforce Dev Community Members slide — pre-loaded into the Arizona Chamber of Health as a Specialty Boardroom Group, tagged across the CRM and the AZ Directors Table.

What this is

A standing Specialty Boardroom inside the Arizona Chamber of Health — Jenna Cooper's existing Workforce Dev convening group, now mirrored in FFH's directory infrastructure so every member shows up tagged, queryable, and ready for RHT alignment activities.

Group IDAZ-CHAMBER-SB-WORKFORCE-DEV-2026
ParentArizona Chamber of Health™
ChairJenna Cooper (ADHS)
FFH LiaisonCoach Lucy + Dr. Rob (admin)
Members28 founding orgs
Specialty Boardroom Workforce Dev RHT-Aligned CRM-tagged Directors-Table tagged