RHTP Tracker
RHTP Resources

Maternal & Family Health · Measurement & Outcomes · 5 min read

What outcomes should maternal and family health programs measure for RHTP funding?

RHTP rewards measurable improvement, so maternal and family health programs should track severe maternal morbidity rates, prenatal visit adequacy and access distance, postpartum depression screening and follow-up, and low-birthweight and NICU transfer rates. Building these metrics in from the start is what separates a fundable, renewable program from a one-time pilot.

Why measurement is non-negotiable

CMS built measurability into the allowable uses, so states pass that expectation to sub-recipients. For maternal and family health programs, a credible measurement plan is part of the eligibility story, not an afterthought.

Metrics that matter

The most defensible metrics for maternal and family health programs include:

  • severe maternal morbidity rates
  • prenatal visit adequacy and access distance
  • postpartum depression screening and follow-up
  • low-birthweight and NICU transfer rates

Turning metrics into renewals

With $10 billion flowing each year through FY2030, programs that report clean outcome data are best positioned for continued state support. Stabilizing an OB unit without a regional referral and transport plan risks leaving gaps the moment funding tapers.

Frequently asked questions

Does RHTP require maternal and family health programs to report outcomes?
States are accountable to CMS for outcomes and pass reporting expectations to their sub-recipients, so yes, in practice.
How soon should measurement start?
From day one. Retrofitting measurement after launch weakens both the funding case and the results.

Figures reflect the CMS Rural Health Transformation Program NOFO and the December 2025 award announcement. RHTP Tracker is an independent resource by Moodr Health and is not affiliated with CMS.