Rhode Island (RI)

What the state has obligated, by initiative

• ›Initiative 1: Integrated Rural Population Health Infrastructure$4,505,482

  Appropriate Care Availability · $1,191,232

  • Executive Office of Health and Human Services (EOHHS) and Rhode Island Department of Health (RIDOH) direct costs to coordinate state health strategies, identify gaps, and expand availability of care under Initiative 1$8,572
  • Guidesoft and Uncommon Solutions to provide contracted support and strategy development for community clinical care hubs and networks, ensuring rural residents have access to the right type of care$1,182,660

  Fostering Collaboration · $514,780

  • EOHHS and RIDOH direct costs to implement community engagement strategies, build stakeholder partnerships, and support long term collaboration under Initiative 1 network development$168,611
  • Rhode Island League of Cities and Towns (RILCT) to support convenings of members, including rural municipalities, informing collaboration as part of an integrated health strategy$50,462
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$207,696
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system$88,011

  Prevention and Chronic Disease · $2,505,516

  • RILCT and RIDOH to support integrated care approaches that improve prevention and management of chronic disease$2,505,516

  Program Administration Expense · $293,954

  • EOHHS, RIDOH, and RILCT direct and administrative costs supporting program administration and integrated population health infrastructure under Initiative 1$166,301
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 1$111,836
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 1$14,154
  • Guidesoft contracted staff providing administrative support services for Initiative 1$1,663
• ›Initiative 2: Rural Community-Integrated and Mobile Health Services$7,358,864

  Appropriate Care Availability · $1,664,852

  • RIDOH mobile health units targeting areas of greatest need, and RIDOH and EOHHS coordination of state health strategies to expand availability of care under Initiative 2$1,664,852

  Behavioral Health · $1,115,900

  • Rhode Island Department of Education (RIDE) for improved educator awareness of and skills to address behavioral health needs in schools$428,400
  • RIDOH to provide access to mental health support for disabled students in rural areas$687,500

  Fostering Collaboration · $171,982

  • RIDOH and EOHHS to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 2$26,282
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$126,273
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 2$19,427

  Prevention and Chronic Disease · $1,766,145

  • RIDOH for activities that will help individuals prevent chronic disease$1,766,145

  Program Administration Expense · $529,985

  • RIDOH, RIDE, and EOHHS administrative costs supporting mobile, community integrated health programs and rural school health strategies under Initiative 2$452,375
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 2$67,993
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 2$8,605
  • Guidesoft contracted staff providing administrative support services for Initiative 2$1,011

  Provider Payments · $2,110,000

  • RIDE for delivery of behavioral health services in schools$750,000
  • RIDOH for delivery of clinical services through mobile health units$1,360,000
• ›Initiative 3: Expanding Access to Rural Community Resources$336,273

  Appropriate Care Availability · $4,428

  • Direct costs and RIDOH coordination to expand availability of care and align state health strategies under Initiative 3$4,428

  Fostering Collaboration · $176,690

  • EOHHS and RIDOH to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 3$29,116
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$121,250
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 3$26,324

  Program Administration Expense · $155,156

  • EOHHS and RIDOH direct costs to support program administration under Initiative 3$80,634
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 3$65,288
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 3$8,263
  • Guidesoft contracted staff providing administrative support services for Initiative 3$971
• ›Initiative 4: Rural EMS Health Access and Integration$9,483,675

  Appropriate Care Availability · $6,244,516

  • RIDOH and EOHHS to improve rural emergency medical services (EMS) expertise and physical resources, ensuring appropriate availability of emergency care for rural residents under Initiative 4$6,244,516

  Capital Expenditures and Infrastructure · $200,000

  • RIDOH for minor renovations & equipment upgrades to improve capacity of rural EMS agencies$200,000

  Fostering Collaboration · $238,199

  • RIDOH and EOHHS to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 4$37,364
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$174,058
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 4$26,778

  Prevention and Chronic Disease · $852,605

  • Funds to RIDOH to help with innovative strategies for preventing and managing chronic illness$852,605

  Program Administration Expense · $742,475

  • RIDOH and EOHHS direct and administrative costs supporting rural EMS improvements and program administration under Initiative 4$635,496
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 4$93,724
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 4$11,862
  • Guidesoft contracted staff providing administrative support services for Initiative 4$1,393

  Provider Payments · $1,205,880

  • RIDOH for delivery of emergency medical services in rural RI$1,205,880
• ›Initiative 5: Rural Hospital-at-Home Program$16,977,364

  Appropriate Care Availability · $15,788,564

  • Hospital Association of Rhode Island (HARI) to assess needs for a rural hospital at home program, providing people with acute care services where they are$15,787,413
  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 5$1,151

  Fostering Collaboration · $435,670

  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$326,417
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 5$50,218
  • EOHHS and RIDOH to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 5$59,034

  Innovative Care · $52,494

  • HARI to help rural-serving hospitals adopt innovative care strategies, including to support adoption of hospital-at-home models$52,494

  Program Administration Expense · $700,635

  • HARI, EOHHS, and RIDOH direct and administrative costs supporting the rural hospital at home program and overall program administration under Initiative 5$500,014
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 5$175,763
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 5$22,245
  • Guidesoft contracted staff providing administrative support services for Initiative 5$2,613
• ›Initiative 6: Expanding Behavioral Health Services Availability in Rural Regions$11,127,594

  Appropriate Care Availability · $1,281,515

  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 6$36,515
  • The Westerly Area Rest Meals (WARM) Center to expand availability of care for a rural subpopulation with unmet needs$1,245,000

  Behavioral Health · $2,513,314

  • Behavioral Healthcare, Developmental Disabilities & Hospitals (BHDDH) for non- clinical services and behavioral health programming$1,373,125
  • RIDOH for non-clinical services for implementation of addiction medicine programs$1,140,189

  Capital Expenditures and Infrastructure · $2,202,995

  • BHDDH for minor renovations & equipment upgrades required for crisis stabilization & clinics approved to increased rural access to behavioral health services$2,202,995

  Fostering Collaboration · $294,074

  • EOHHS and RIDOH to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 6$43,257
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$215,685
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 6$35,132

  Program Administration Expense · $507,701

  • EOHHS, BHDDH, and RIDOH direct and administrative costs supporting program administration and improved behavioral healthcare access for rural residents under Initiative 6$375,137
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 6$116,138
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 6$14,699
  • Guidesoft contracted staff providing administrative support services for Initiative 6$1,727

  Provider Payments · $4,327,995

  • BHDDH for delivery of behavioral health services in new crisis stabilization unity and recovery community centers$1,902,995
  • RIDOH for delivery of clinical services as part of rural addiction medicine integration activities$2,325,000
  • WARM Center for delivery of clinical behavioral health services as part of their medical respite work$100,000
• ›Initiative 7: Strengthening Rural Oral Health Delivery Through Innovation and Integration$2,711,136

  Appropriate Care Availability · $750,287

  • RIDOH for work to rightsize provision of dental care to given needs$750,226
  • EOHHS direct costs for overall program activities to expand availability of care, broken out for impact on Initiative 7$61

  Capital Expenditures and Infrastructure · $1,600,000

  • RIDOH for minor renovations & equipment upgrades required for launching a specialty dental center$1,600,000

  Fostering Collaboration · $68,095

  • RIDOH and EOHHS to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 7$10,681
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$49,759
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 7$7,655

  Program Administration Expense · $212,254

  • RIDOH and EOHHS direct and administrative costs supporting oral health programs and program administration under Initiative 7$181,672
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 7$26,793
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 7$3,391
  • Guidesoft contracted staff providing administrative support services for Initiative 7$398

  Provider Payments · $80,500

  § 80,500.00 for RIDOH for delivery of clinical dental services in new specialty care center. Initiative 8: Building Capacity for Block Island Health and Human Services · $2,955,200

  Appropriate Care Availability · $285,745

  • Block Island Health Services$285,545
  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 8$200

  Behavioral Health · $8,000

  • BIHS to work with behavioral health experts to support greater capacity on the island long- term$8,000

  Capital Expenditures and Infrastructure · $1,178,000

  • Block Island Health Services (BIHS) for equipment upgrades needed for program goals, as well as other approved minor renovations to support stronger health infrastructure$1,178,000

  Fostering Collaboration · $75,665

  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$56,690
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 8$8,722
  • EOHHS and RIDOH to implement community engagement strategies and expand availability of care under Initiative 8$10,253

  Prevention and Chronic Disease · $1,072,716

  • BIHS for creative strategies to help rural residents prevent illnesses and manage their health$1,072,716

  Program Administration Expense · $137,464

  • BIHS, EOHHS, and RIDOH direct and administrative costs supporting Block Island health system capacity and program administration under Initiative 8$102,621
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 8$30,526
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 8$3,863
  • Guidesoft contracted staff providing administrative support services for Initiative 8$454

  Provider Payments · $197,611

  • BIHS for clinical services required for care transformation strategies$197,611
• ›Initiative 9: Modernizing Health Care Delivery for the Narragansett Indian Tribe$1,111,986

  Appropriate Care Availability · $625,519

  • EOHHS and RIDOH direct costs to expand availability of care and support RHTP initiatives under Initiative 9$1,281
  • The Narragansett Indian Tribe (NIT)$624,239

  Capital Expenditures and Infrastructure · $105,400

  • EOHHS direct costs for overall program activities to expand availability of care, broken out for impact on Initiative 9$105,400

  Fostering Collaboration · $30,888

  • EOHHS and RIDOH to implement community engagement strategies and expand availability of care under Initiative 9$4,310
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$22,874
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 9$3,704

  Prevention and Chronic Disease · $235,016

  • Tribe for public health interventions which will help to prevent illness and injury before they occur$235,016

  Program Administration Expense · $115,163

  • EOHHS and RIDOH direct costs for program administration and overall program activities under Initiative 9$4,639
  • NIT administrative needs to support modernization of care$96,465
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 9$12,317
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 9$1,559
  • Guidesoft contracted staff providing administrative support services for Initiative 9$183
• ›Initiative 10: Rural Workforce Program$24,611,603

  Appropriate Care Availability · $17,553,649

  • Department of Labor and Training (DLT) to implement rural health workforce development programs, including upskilling and training activities$8,608,376
  • RIDE career and technical education activities, building a greater talent pipeline to right size the rural health workforce long term$4,197,879
  • RIDOH to identify care needs, build training and development infrastructure, and coordinate state health strategies to meet identified needs$3,497,567
  • Rhode Island Health Center Association (RIHCA) to build residency program infrastructure, producing a stronger pipeline of health providers for rural Rhode Islanders$1,211,967
  • Guidesoft and EOHHS to develop workforce strategies and support overall program activities, building a stronger pipeline of health providers for rural residents under Initiative 10$37,860

  Behavioral Health · $942,224

  • Child & Family Services of Newport to provide behavioral health expertise (crisis intervention training for improved skills, but not licensure)$642,225
  • RI College to provide training (upskilling) for behavioral health$299,999

  Capital Expenditures and Infrastructure · $1,288,321

  • Funds to RIDE for minor renovations & equipment upgrades needed for rural health career & technical education program$1,288,321

  Fostering Collaboration · $3,329,468

  • EOHHS to implement community engagement strategies, building meaningful partnerships focused on workforce development$68,586
  • A program connecting providers with different experiences to drive quality improvement$2,556,916
  • RIHCA and Guidesoft workforce development program management, coordinating stakeholders and hospitals to establish partnerships$22,425
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$590,669
  • RDW Group for communications strategies supporting collaboration and stakeholder engagement across the program under Initiative 10$90,872

  Innovative Care · $56,080

  • RIHCA to support workforce development, including through innovative strategies$56,080

  Program Administration Expense · $1,441,861

  • EOHHS, RIDOH, RIDE, DLT, and RIHCA direct and administrative costs supporting rural workforce development, including programs in rural schools, under Initiative 10$1,078,826
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 10$318,053
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 10$40,253
  • Guidesoft contracted staff providing administrative support services for Initiative 10$4,728
• ›Initiative 11: Supporting Hospitals and Primary Care in Value-Based Payment Transition$31,941,308

  Appropriate Care Availability · $2,346

  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 11$2,346

  Fostering Collaboration · $906,325

  • EOHHS, RIHCA, and RIDOH to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 11$135,754
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$665,317
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 11$105,032

  Innovative Care · $17,749,121

  • Care Transformation Collaborative (CTC)-RI, HARI, Office of the Health Insurance Commissioner (OHIC), and RIHCA to provide implementation support and strategic planning for value based payment structures among primary care practices, hospitals, providers statewide, and health centers, excluding actual incentives$17,749,121

  Program Administration Expense · $783,696

  • EOHHS, CTC-RI, HARI, OHIC, RIHCA, and RIDOH direct and administrative costs supporting the transition to value based payment and care models under Initiative 11$374,761
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 11$358,248
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 11$45,341
  • Guidesoft contracted staff providing administrative support services for Initiative 11$5,326

  Provider Payments · $12,499,820

  • CTC-RI to implement alternative payment models (APM) incentive structure for primary care practices$12,499,820
• ›Initiative 12: Rural Health Information Technology Modernization Program$948,351

  Appropriate Care Availability · $1,217

  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 12$1,217

  Fostering Collaboration · $503,019

  • EOHHS to implement community engagement strategies, building meaningful partnerships under Initiative 9$24,290
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond under Initiative 12$345,187
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 12$74,942
  • RIDOH to engage stakeholders and build meaningful partnerships for long term collaboration under Initiative 11$58,600

  IT Advances · $1,200

  • EOHHS direct costs to support modernization of state health IT approaches$1,200

  Program Administration Expense · $441,715

  • EOHHS and RIDOH direct and administrative costs supporting program administration and modernized HIT strategies under Initiative 12$229,557
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 12$185,870
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 8$23,524
  • Guidesoft contracted staff providing administrative support services for Initiative 12$2,763

  Training and Technical Assistance · $1,200

  • EOHHS direct costs to support health IT modernization efforts, including through training & technical assistance$1,200
• ›Initiative 13: Rural Health Data and Workforce Tracking System$90,089

  Appropriate Care Availability · $116

  • EOHHS and RIDOH direct costs to expand availability of care and coordinate state health strategies under Initiative 13$116

  Fostering Collaboration · $47,906

  • EOHHS and RIDOH to engage stakeholders and implement community engagement strategies, building meaningful partnerships for long term collaboration under Initiative 13$7,894
  • Alvarez & Marsal to support program management and infrastructure work, bringing together stakeholders and facilitating partnerships for implementation and beyond$32,874
  • Guidesoft and RDW Group to provide contracted support for community engagement, partnership, and communications strategies, building collaboration across the rural healthcare system under Initiative 13$7,137

  Program Administration Expense · $42,067

  • EOHHS and RIDOH direct and administrative costs supporting program administration and improved data and tracking systems under Initiative 13$21,862
  • Alvarez & Marsal for program wide administrative support, allocated for its proportional impact on Initiative 13$17,702
  • Chace Ruttenberg & Freedman for legal services supporting the program, allocated for its proportional impact on Initiative 13$2,240
  • Guidesoft contracted staff providing administrative support services for Initiative 13$263