🏆 The Grand-Slam Play — $1 per rural life, in every state
Empower, educate, track & measure connectivity and health outcomes for every rural American — funded as an allowable Category B Provider Payment (PMPM). FFH is not the prime on any state's award — we're the data-rich, easy-lift, every-rooftop engagement layer that makes any state's RHT plan look better. Arizona is the lighthouse; Pennsylvania is next; 22 states are wired and ready.
AZ: Innovative Care Pilot ($21M) & Mobile/Crisis ($8.5M) RFGAs releasing — pre-draft the $1/head PMPM concept paper. PA: warm Dr. Rob → Sec. Arkoosh (DHS) bridge on Maternal Health Hubs + Community Wellness Hubs.
Every state where FFH is tracking the RHT award. Filter by tier. Click a card's buttons to open its RHT Tour page or push it to the CRM pipeline.
All
⭐ Lighthouse
🟣 Active
🟢 Priority
🔵 Wave 1
📋 All 50 States — Pipeline Roll-up
Every CMS-approved state award. Click a column to sort; use ➕ to push any state into the National-RHT CRM pipeline. States with a live FFH page link straight to it.
🌵 Arizona · Lighthouse · AHCCCS · $166.99M Y1
🏆
Arizona — the lighthouse. $1 per rural life, tracked & measured.
AHCCCS is deploying $166.99M in Year 1 across a 4-theme RHTP for 786,000 rural Arizonans. FFH is not the prime — we're the data-rich engagement layer, funded as a Category B Provider Payment (PMPM). The live Innovative Care Pilot (YH27-0023) is the cleanest anchor.
786,000rural AZ lives × $1/yr≈ $3.9M / 5 yrwithin 15% Cat-B cap
$166.99M
Year-1 award
786K
Rural lives (~11%)
1
Live anchor RFGA
Oct 30 '26
Y1 funds obligated
22
Tribal Nations · priority
🏛️ Official initiative structure
The exact AHCCCS taxonomy (from the RFGA Exhibit A lookups). Every FFH response must fit one named initiative.
YH27-0023 · Rural Health Innovative Care Pilot Program
Live now and the cleanest fit for the $1/head model — scope explicitly includes fee-for-service providers and value-based care / APM, exactly how a Category B PMPM is structured. Win this and Arizona is the licensable proof point for all 49 other states.
~$21MPilot pool
AIN# RHTCMS332059Assistance ID
180 daysFirm-offer period
Exhibits A · D · E · GRequired to submit
🧬 FFH framing: "empower · educate · track & measure" connectivity + outcomes for every rural life, priced as an allowable $1/head Category B Provider Payment — the pilot's APM/FFS scope is the mechanism.
💰 Arizona opportunities (8)
🧩 Response framing — how AHCCCS wants it
📄 Exhibit D — Implementation Plan
Milestone table, not an essay: Strategy → Key Task → Activities → Person Responsible → Completion Date → As measured by. Every FFH strategy needs a named owner + measurable outcome (PHIT scoring lives in the last column).
📊 Exhibit E — Budget
Categories: Personnel · Fringe · Travel · Equipment · Supplies · Contractual · Construction · Indirect · Other, Direct/Indirect split + narrative. Price $1/head as direct programming, Indirect under the 10% admin cap.
180-day firm offer. AZ certs: EO 11246, no Israel boycott (§35-393), no forced Uyghur labor (§35-394), not debarred. AOR signature required or the offer is rejected.
✅ FFH submission checklist (per RFGA)
Pick the single initiative this bid answers (Innovative Care Pilot for $1/head)
Exhibit A risk assessment — confirm SAM.gov, UEI, single-audit posture
Exhibit D — Strategy→Measure milestone table with named owners
Exhibit G — AOR signs the 180-day firm offer + certifications
Show meaningful Tribal partnership (22 Nations) for the +5% edge
📁 Source documents — the actual RFGA package
The real AHCCCS solicitation you downloaded, wired in so you can open the exhibits while drafting. Links resolve when this page is opened from your Shared Folder.
ADHS · Priority Health: Jenna Cooper · AzCRH/SORH: Daniel Derksen · SRHA: Carrie Foote
🔔 Pennsylvania · Active · DHS · $193M Y1 / $1B
🔔
Pennsylvania — VBP-native, and Dr. Rob's home state.
PA's DHS is deploying up to $193M Year 1 ($1B over 5 years) under Sec. Dr. Val Arkoosh, MD/MBA — a woman physician lead, a direct match for FFH's woman + physician co-led P3. PA's mature APM/VBP infrastructure makes co-commercialization native procurement language.
Rural Students · Clinical Training · New Models (FM-OB · IUP COM · Dental · PC-Medic)
🗺️ The RCC / PREP structure
8 PREP-anchored Regional Care Collaboratives
PA's backbone isn't one statewide buyer — it's 8 Regional Care Collaboratives (RCCs) anchored on the long-standing PREP organizations, which convene regional stakeholders, administer grants, collect local data, and catalyze public/private partnerships.
Years 1–2DHS-direct stabilization
Years 3–5RCCs lead regional priorities
StrategyWin one PREP beachhead, then expand
🎯 FFH play: land one RCC region as the engagement + measurement layer, prove it, then scale across the other 7 — the same lighthouse→license motion as Arizona, but regional.
💰 Pennsylvania opportunities (6)
🧩 Response framing — PA is procurement-fluent in VBP
Lead with the woman+physician P3
Sec. Dr. Val Arkoosh (MD/MBA) leads — mirror it: FFH is woman & physician co-led. Dr. Rob's PA HHS testimony is the warm bridge. Open on Maternal or Community Wellness Hubs (the PMPM-native anchors).
Speak their payment mechanisms
Plan names PMPM in MCO/CHIP/commercial, subscription-based financing, per-referral, CoCM, VBP/shared-savings/global budgets. "FFH built the prevention vertical your VBP infrastructure has been waiting for."
Enter through one RCC
Don't pitch statewide — pick one PREP/RCC region as the beachhead. Partner with, not against: P3N (HIE), RHRC (next-gen APM), Project ECHO, HAP, PACHC.
Sustainability is the differentiator
PA is structurally more co-commercialization-friendly than AZ — braided funding, mandatory MCO VBP since 2015, PARHM global budgets. The braid answers CMS sustainability natively.
📁 Source documents
The PA plan you downloaded, wired in so you can open it while drafting. Link resolves when opened from your Shared Folder.
Every RHT subpart we're pursuing — Arizona's 8 RFGAs, Pennsylvania's 6 initiatives, and the cross-state door-opener plays. Each has an owner, a session stage tracker, and one-click push to CRM + Opportunity Manager.
All
🟢 Live
🟠 Upcoming
🟣 Warm
⭐ $1/Head fit
🧬 The $1/Head Braided Model — one frame, every state
The reusable close FFH brings to any RHT state: the state doesn't buy a vendor, it seeds a partnership. Public seed de-risks Year 1, private co-investment sustains it, earned revenue compounds it — so the platform outlives the grant.
Three strands → one sustainable rope 🧬
Public money starts the engine and de-risks year one, private co-investment matches and extends it, and earned revenue compounds it. The same braid answers CMS's sustainability requirement in every state.
🏛️
Strand 1 · Public SeedRHT grant + Category-B PMPM ($1/head). Proves it & de-risks Year 1.
🤝
Strand 2 · Private Co-InvestmentHealth plans, Banner co-commercialization, philanthropy via the Foundation / PPF. Matches & sustains.
🔁
Strand 3 · Earned RevenueChamber Director licenses + enterprise + licensing each state's proof to the next. Compounds.
🧬 The braid: public seed proves it → private co-investment sustains it → earned revenue compounds it. "Pays for itself during, after, beyond, and across — no large capital raise needed."
$1–$3
Per rural resident / yr
6:1–38:1
Prevention ROI · CDC / TFAH / RWJF
15%
Cat-B PMPM cap (headroom)
50
States the proof licenses to
⬟ The Five-Sided Upside
1 · Decision-ready data, day one — zip → county → state PHIT rollup
3 · Citizen platform, long-tail ROI — fewer ED visits, lower Medicaid spend
4 · Co-commercialization — license each state's proof to the next, no big raise
5 · PHIT Engine flywheel — every interaction makes it smarter, cheaper, faster (the moat)
🧭 Why it's durable in every state
Sustainability is required — CMS Cat-B encourages private co-investment; the braid answers it structurally.
List price protected — public anchors $0 / $49 / $99; enterprise quote-only with a floor.
Territory model — Chamber Director license = population band × PHIT level (1–3).
Upside across states — AZ proof → PA → the next 48, plus federal.
Figures are the canonical FFH anchors (Five-Sided Upside, Pricing Architecture guidance, ACE 1-Pager) — starting points to pressure-test against real cost-to-serve, not final quotes. Prevention ROI range: CDC / Trust for America's Health / RWJF. Cat-B PMPM allowability per CMS Provider Payments Fact Sheet 3/24/26.
📚 RHT Tour Pages — the connected asset library
Every Rural Health Tour page tied to this Command Center. Each state card links straight to its FFH state page; the national hub and Directors Table anchor the top.
🔗 Live links open the deployed page anywhere. Local links resolve when you open this Command Center from the Rural Health Tour folder (they point to the files sitting next to it). This file is built to live at Deploy Ready / Rural Health Tour / FFH-RHT-Command-Center.html.
🔌 CRM & Opportunity Management Feed
This Command Center is the front end; the CRM and Opportunity Manager are the system of record. Queue states and opportunities here, then push them straight through — or export a clean JSON seed that imports into either tool.
🟢 CRM Pipeline National-RHT
Every state or opportunity you queue is stamped with the pipeline National-RHT and its state code, matching your Directors-table CRM seed format. "Open in CRM" deep-links to /FFH-CRM?pipeline=National-RHT&state=XX.
Push any subpart to the Opportunity Manager as a card with its amount, owner, stage, and next action. "Open Manager" deep-links to the RHT board; export drops a JSON that imports as task cards.
Generates a single FFH-RHT-CommandCenter-Seed.json with all 22 states + all opportunities, pre-formatted for the CRM importer (contacts, deals, pipeline stage) and the Opportunity Manager (cards, owners, next actions).
The queue is stored in your browser (localStorage) so it survives refreshes on this machine — it is not a live database write. The deep-links and JSON export are the hand-off into FFH-CRM and FFH-Project-Manager; if those pages expose an import endpoint we can wire this to POST directly instead of exporting a file.
📊 PHIT Impact Overlay REUSABLE DEMO
The same scoreboard for every state: overlay a grant's partners and providers on top of health + connectivity data, so funders watch real impact — the exact "track & measure" promise in the grand-slam.
One map. Four data layers. Provable outcomes — per state.
Take any RHT grant, plot its partners and providers, overlay the health and connectivity data they're meant to move. The Command Center becomes the live scoreboard funders can log into — reusable for every RFGA on this board.
🏛️
Grant & PartnersAwardees, sub-recipients, dollars, milestones
Health OutcomesPHIT scores, utilization, chronic & maternal metrics
💡 Demo path: start with AZ's OEO higher-ed workforce grant → drop its universities/colleges + rural clinical sites on the map → overlay PHIT + connectivity → show a before/after dashboard funders log into. Then clone it for PA's Community Wellness Hubs.
🗓️ National RHT Timeline
Dec 29, 2025CMS approves all 50 state applications — $50B over FY26–FY30
Dec 2025AZ Notice of Award — $166.99M Y1 · PA — up to $193M Y1 ($1B / 5yr)
Aug 2026AZ Innovative Care Pilot ($21M) + Mobile/Crisis ($8.5M) + Shared Services ($5M) + TA ($2.8M) drop
Oct 30, 2026AZ Year-1 funds obligated
Sep 30, 2027AZ Year-1 funds fully spent
2026–2027PA Years 1–2 — rapid-response stabilization (DHS direct), 8 PREP-anchored RCCs stand up
Wave 1 · 2026Open lines with all 22 FFH-page states — SORH Directors first
Through FY30Implementation, monitoring, scaling — license each state's proof to the next
📇 Owners & Key Contacts
FFH internal owners
Coach Lucy Howell— CEO · workforce / higher-ed, Chamber, community activation, CRM pipeline
Dr. Rob Gillio— clinical education, PA bridge (home state), Priority Health / maternal / BH, APM/VBP
Split rule:Lucy leads workforce + access + Chamber + national outreach; Dr. Rob leads clinical, PA, and maternal/BH scopes. Anchors ($1/head PMPM) are co-led.
Arizona (lighthouse)
AHCCCS · Lead: Carol "CJ" Loiselle · RHTP@azahcccs.gov · Procurement@azahcccs.gov
Priority beyond AZ/PA: TX (#1 award, $281M) · then the 22 FFH-page states
Umbrella backfill: NOSORH · NRHA / RHIhub · NARHC
⚠️ State awards are Year-1 figures: AZ $166.99M (AHCCCS Notice of Award); PA up to $193M Y1 / $1B over 5yr (PA plan, Feb 2026); all others from CMS's Dec 29, 2025 approval (avg ~$200M, range $147M–$281M; several marked estimate). Fact-check each state's exact RFGA amounts against its official page before submission.