Maine Rural Health Transformation Program (RHTP)Technology and Innovation Strategies

Bridging miles,Connecting care

A statewide initiative facilitated by MCD Global Health to bring digital health, augmented intelligence, and modern infrastructure to the rural communities that make Maine, Maine.

A rural road in Maine with trees and blue sky with body of water on left side.

The Program

Geography shouldn't decide how well you live.

The Maine Rural Health Transformation Program is a multiyear effort to modernize how care is delivered, accessed, and coordinated across the state's rural communities. MCD Global Health is leading the Innovation and Technology pillar—bringing tested digital health tools, augmented intelligence (AI), and electronic health record modernization to clinicians, schools, skilled nursing facilities, and the people they serve.

When a child in Aroostook can see a specialist without a four-hour drive, a nurse in Washington County has the same diagnostic tools as one in Portland, an aging parent in Hancock can stay home longer because their care team can monitor what matters — that is what rural health transformation looks like. Practical, local, and measured by outcomes, not platforms.

Technology & Innovation

Three strategies.
One goal.

Each initiative addresses a specific gap in rural Maine's healthcare ecosystem. From the technology that connects providers to patients to the data systems that keep records moving with people across settings of care.

Health clipboard over laptop

Digital Health Projects

Telehealth, remote patient monitoring, school-based health, and digital therapeutics deployed across partner sites, reducing distance as a barrier to specialty care, behavioral health, and chronic disease management.

Icon of AI in oval with wires icon

Rural Health AI Hub

A statewide center of excellence for evaluating, piloting, and scaling AI tools that improve care quality, reduce administrative burden, and support clinical decision making in rural and underserved settings.

Computer screen with icons of person, heart and medical symbol icon

EMR Modernization

Replacing aging systems and bridging the gaps between them, so records move with patients, providers spend less time on paperwork, and public health partners can act on data when it matters.

Rural Maine

A state shaped by distance.

Maine is the most rural state in the nation by population. Behind that statistic is the everyday reality our partners are working to change: long drives, thin coverage, and clinicians stretched across enormous service areas.

64%

of Mainers live in rural areas, according to U.S. Census Bureau

18

critical access hospitals serve as the backbone of rural care

21.8%

of Maine's population is 65 or older: the oldest in the nation

2+ hours

average drive for many rural residents to reach specialty care

"What if the closest specialist was always a screen away and the trust was already built locally?"

How We Help See our approach

Background

How Maine got here.

In 2025, Maine was awarded $190 million from the U.S. Centers for Medicare & Medicaid Services to implement Year 1 of the Rural Health Transformation Program. MCD Global Health was selected to lead digital health, AI, and digital infrastructure activities under the Technology and Innovation Initiative.

$190M Federal award • CMS / HHS

Awarded to Maine to transform rural health delivery over multiple program years. MCD facilitates a portion of these funds focused on technology, AI, and data infrastructure.

The Centers for Medicare & Medicaid Services (CMS) established the Rural Health Transformation Program to help states design and implement bold strategies for strengthening rural healthcare delivery. Maine's application, built in partnership across state government, providers, and community-based organizations, was selected for its emphasis on workforce, infrastructure, and innovation.

MCD Global Health, headquartered in Maine and with decades of public health experience here and around the world, brings the technical expertise, partner relationships, and implementation track record to translate funding into measurable change for rural Mainers.

Our role: convene the partners, run the procurement, support implementation at participating sites, and evaluate what works, so what gets built lasts beyond the grant period.

Relevant News & Program Highlights

What's happening now?

Updates from partner sites, RFP announcements, milestone wins, and the people making rural health transformation real across Maine.

Application

Electronic Medical Record (EMR) Modernization Funding

Seeking requests from Maine's rural Healthcare Providers to replace, upgrade or enhance existing EMRs

Apply now

Related Resources

Where to dig deeper.

Trusted partners, official program documents, and the broader ecosystem of organizations working on rural health and telehealth across the Northeast.

Get in touch

Talk to our team.

Have a question about an RFP, interested in joining as a partner site, or want to learn more about our work? We'd love to hear from you.


Acknowledgement of Funding: This program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $190,008,051 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.