RHTP Indiana GROW Governance Structure
Program Overview
Indiana’s Rural Health Transformation Program (RHTP) is currently active, led by the Indiana Department of Health and Family and Social Services Administration. RHTP emphasizes broad stakeholder engagement, technology innovation, and sustained improvement in rural health outcomes, with major focus areas including care coordination, workforce development, telehealth expansion, and clinical training. Updates and progress are provided via the GROW platform, and the structured plan tracks key initiatives and strategic goals. Current structured plan tracks 25 key initiatives and 18 strategic goals.
Updated
County-level estimates averaged across Indiana — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (92)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Marion County | 975,809 | 15.3% | 11.5% |
| Lake County | 500,379 | 14.3% | 11.1% |
| Allen County | 392,378 | 12.5% | 9.6% |
| Hamilton County | 365,056 | 4.4% | 2.9% |
| St. Joseph County | 273,040 | 14.2% | 9.1% |
| Elkhart County | 207,132 | 12.4% | 9.0% |
| Tippecanoe County | 189,071 | 19.2% | 9.6% |
| Hendricks County | 183,344 | 5.3% | 4.0% |
| Vanderburgh County | 180,117 | 14.3% | 8.9% |
| Porter County | 174,818 | 9.6% | 7.7% |
| Johnson County | 166,315 | 7.4% | 5.5% |
| Monroe County | 140,965 | 19.7% | 7.8% |
AI source: IN - 2026 - Solicitation Award Recommendations
AI auto-updated Sep 5, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
32 related documents
IN - 2026 - Notice of Funding Opportunity Application due November 5, 2025 RHTP Opportunity number: CMS-RHT-26-001
Merged from duplicate US federal award
1,487,563 rural residents
Indiana has awarded nearly $207 million in federal funding for the Rural Health Transformation Program, with over $120 million allocated to regional GROW grants across all regions. Public announcements confirm that regional providers and coalitions are beginning program activities targeting workforce, access to care, behavioral health, maternal health, and digital infrastructure. Eleven statewide initiatives and multiple regional projects are now moving from grant award to initial activities and local implementation. State-level procurement opportunities remain active and provider sub-awards are underway. State opportunities: 2 active (1 open, 1 closing soon, 14 past/closed), $121.5M listed funding. Key opportunities: Indiana RHTP: Growing Access to Hospital Post-Discharge Medications (Meds-to-Beds); Community Supports IT Systems – Request for Proposal; Growing Rural Opportunities for Well-being (GROW) Regional Grants Program. Strategy alignment: supports care access, telehealth, workforce priorities.
Indiana’s RHTP, branded as GROW, advances rural health by blending statewide modernization with regionally empowered grantmaking through eight multi-sector coalitions. Guided by robust care coordination, workforce expansion—including paraprofessional and behavioral health initiatives—and upgrades to digital health infrastructure, the program leverages annual competitive grants and ongoing stakeholder engagement. State and coalition teams jointly refine implementation based on regional needs, data, and outcome evaluations to address disparities and strengthen system accountability.
Model
Blended statewide modernization and capacity-building combined with coalition-driven regional grantmaking for locally responsive rural health solutions.
Key Initiatives (25)
Timeline: Five-year program launching September 2026, with annual competitive grant cycles, regular outcome evaluations, and adaptive refinement at state and regional levels.
Transportation is a key barrier to accessing affordable and healthy foods, especially in rural areas.
Improving health education and literacy is critical for positive outcomes in rural communities.
Rural residents face challenges accessing local providers, impacting who lives and works in these communities.
IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grants (Template-B-Needs-Assessment-Template)
Auto-grouped context match (38%)
IN - 2025 - RHTP Indiana Strategic Initiative Examples
Auto-grouped context match (37%)
IN - 2025 - RHTP and GROW Regional Grants
Auto-grouped context match (38%)
IN - 2026 - Appendix 4. Allowable and Unallowable Use of Funds
Auto-grouped context match (37%)
IN - 2026 - Indiana RHTP - Make Rural Indiana Healthy Again Regional Grants
Migrated from duplicate federal row
IN - 2025 - Indiana RHTP (RHTP-GROW-Statewide-Presentation-3.2.26)
Consolidated support doc
IN - 2026 - Grow Rural Health: Regional Grants
Consolidated supporting doc
IN - 2026 - Request for Funding Opportunity: Growing Rural Opportunities for Well-being (GROW) Regional Grants Program
Consolidated support doc
IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grants Program
Auto-grouped context match (46%)
IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grants Program (Template-E.2-Regional-Coalition-Grant-Budget-Workbook)
Auto-grouped context match (46%)
IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grants Letter of Intent Template
Consolidated supporting doc
IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grants
Consolidated supporting doc
IN - 2026 - Indiana RHTP (RHTP-Initiative-Update-1)
Consolidated supporting doc
IN - 2020 - RHTP Data Summary
Auto-grouped context match (37%)
IN - 2025 - Indiana RHTP
Auto-grouped context match (38%)
IN - 2026 - Federal Funding Requirements for RHTP
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IN - 2026 - View the full vendor intake spreadsheet
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Indiana 988 Contact Center Services RHTP 2026 Award Announcement
988 Contact Center Services — Final Award Amended (Aug 12 2026)
Indiana MIECHV & Statewide Nurse-Family Partnership Administrative Services RHTP 2026 Award Announcement
MIECHV & Statewide Nurse-Family Partnership Admin Services
IN - 2026 - RHTP Update
Tobacco & Nicotine Dependence Quitline Services
IN - 2026 - RHTP Update
Prevention Support Services
IN - 2026 - RHTP Update [RFP_26-84328_De-Escalation_Techniques_20260602.zip]
De-Escalation Techniques
IN - 2026 - RHTP Update [RFP_26-85172_Pharmacy_&_Nursing_assistance_Program_20260518.zip]
Pharmacy & Nursing Assistance Program — final (May 18 2026)
Indiana Pharmacy & Nursing Assistance Program RHTP 2026 Award Announcement
Pharmacy & Nursing Assistance Program — Quest 4 Electronics component
IN - 2026 - RHTP Update
Therapy Services
IN - 2026 - RHTP Update [RFP_26-86535_DMHA_Review_and_Monitoring_Plan_20260615.zip]
DMHA Review and Monitoring Plan
IN - 2026 - RHTP Update
Psychological Consultation for SSD Programs
IN - 2026 - Indiana RFP 26 84342 Hearing Aid Assistance Fund 20260710 RHTP
Hearing Aid Assistance Fund
IN - 2026 - RHTP Update [RFP_26-85149_Statewide_Fin_Planning_for_VR2_20260427.zip]
Statewide Financial Planning for VR2
IN - 2026 - Appendix 3: Sample Grant Agreement
IN - 2025 - Federal Funding Requirements for RHTP Monitoring and Program Evaluation
Indiana Department of Administration on behalf of Indiana Department of Education
Due Aug 3, 2026
4 related documents
Recommendation of Selection for RFP 26-87473
Stored extracted award recommendation PDF
Indiana I-SEAL 2027 IN Special Education Alt License RHTP Application
Official RFP 26-87473
Indiana Special Education Assisted Licensure (I-SEAL) RHTP 2027-2030 Application
Scope of Work
Indiana I-SEAL 2027 IN Special Education Alt License RHTP Guidance
RFP Addendum 1
Indiana Department of Health (IDOH)
Due Jul 31, 2026
3 related documents
IN - 2026 - Telehealth Pilot Grants under Indiana’s RHTP: Attachment 1 Statement of Work
Indiana Department of Health (IDOH)
Due Jul 20, 2026
2 related documents
IN - 2026 - RHTP Initiative 10 - Physicians Stipend RFA Questions
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Mental Health Association in Indiana Inc. D/B/A Mental Health America of Indiana Contract for administration of 988 Contact Center Services for Indiana's Division of Mental Health and Addiction, including crisis response and support functions. | $16.8M | Other | |
| 2026 | A Better Way Services, Inc. Contract for administration of 988 Contact Center Services for Indiana's Division of Mental Health and Addiction, including crisis response and support functions. | $16.6M | Other | |
| 2026 | Crisis Center, Inc. Contract for administration of 988 Contact Center Services for Indiana's Division of Mental Health and Addiction, including crisis response and support functions. | $15.5M | Other | |
| 2026 | East Central Indiana Region (Region 4) Funds expanding community-based healthcare access in rural East-Central Indiana through strengthening community health worker networks, mobile integrated health, rural mobile clinics, and coordinated transportation. | $15.2M | Population Health | |
| 2026 | Southeast Indiana Region (Region 6) Funding to improve healthcare access, quality, and outcomes in rural Southeast Indiana counties through expanding primary, preventive, dental, behavioral health, maternal-infant, and trauma care, and addressing community needs like food security, transportation, and digital literacy. | $13.0M | Population Health | |
| 2026 | Indiana University Selected to administer the Prevention Support Services program for a 27-month term with an estimated contract value of $2,221,150, including subcontracting portions to certified minority, women, and veteran-owned businesses. | $2.2M | Other | |
| 2026 | Indiana University Indiana University is recommended for contract negotiations to administer the Statewide Financial Planning program for VR (Vocational Rehabilitation) recipients over a five-year period. | $3.1M | Flex Fund | |
| 2026 | Blue & Co., LLC Contractor will administer the Centralized Billing Office and Cost Report program for Indiana's rural hospitals, improving financial operations and centralizing billing and cost reporting processes. | $4.0M | Flex Fund | |
| 2026 | Parkdale Aftercare LLC Parkdale Aftercare LLC is recommended for contract negotiations to administer both the Indiana State Nurse Asst Program (ISNAP) and Impaired Pharmacist Asst Program. | $3.0M | Other | |
| 2026 | MPHI Responsible for event planning and management services associated with the MIECHV & Statewide Nurse-Family Partnership program. | $653K | Other |
Indiana issued several RHTP-related award recommendations in 2026, covering Medical Operations Coordination, Program Evaluation, and Telehealth assessment. The announced solicitations illustrate Indiana's focus on rural health transformation activities, including infrastructure evaluation and quality improvement efforts. No explicit recipient, sub-grantee, or awarded funding amount is stated in this listing. Event schedule: - RHTP MOCC Award Recommendation - 07/28/2026 - RHTP Program Evaluator Award Recommendation - 06/26/2026 - RHTP07 Teleconsult and Telehealth Landscape Assessment Award Recommendation - 06/03/2026
Event Schedule
Core Initiatives
Eight regions in Indiana are seeking $120 million in grant funding to expand and improve rural healthcare. The announcement reflects increased activity and focus on rural health transformation in Indiana.
The announcement highlights Indiana's involvement in transforming rural health through regional collaboration, supported by grant funding. Specific details about awards, recipients, or budgets are not provided in this summary.
Indiana received a $120 million federal grant through the Rural Health Transformation Program to improve rural healthcare access. This significant funding aims to enhance healthcare delivery and infrastructure in rural areas of the state.
The University of Indianapolis was selected through an RFP process to administer a special education alternate licensure program for Indiana. Only two proposals were received and evaluated. The contract is valued at $572,693.79 over three years, with an optional one-year extension. Event schedule: - Award Recommendation Date - 08/26/2026 - Indianapolis, IN
Event Schedule
This is the official RFP for External Quality Reviews related to Indiana's Medicaid Managed Care programs including rural transformation. The contractor will conduct federally required EQR activities per CMS regulations, support technical assistance, and prepare annual quality findings. Proposal submission is required through Indiana's Supplier Portal with a detailed evaluation and scoring process outlined. Key contacts: Kristine Kruger Event schedule: - Welcome Welcome Pre-proposal Meeting th , 2026 - July 30 - --- Slide 2 ---
Event Schedule
Contacts
Core Initiatives
Indiana's 2024-2027 Quality Strategy Plan launches a new managed care authority for long-term services and supports (PathWays for Aging) and sets comprehensive improvement goals for Medicaid, CHIP, and managed care populations. The plan centers on the 'Five Pillars of Well Being' and details specific, measurable objectives, including behavioral health integration, maternal and child health, chronic disease outcomes, and oral health access. Annual review and refinement based on performance data, external quality review, and public/tribal input ensure continuous improvement and adaptation to emerging needs. Event schedule: - Draft Quality Strategy Plan posted for public comment - 04/15/2024 - https://www.in.gov/fssa/ompp/quality-and-outcomes-reporting/ - Quality Strategy Plan submitted to CMS - 06/01/2024 - Final Revision Effective - 06/01/2024 - Annual Update Effective - 06/01/2025 - PathWays for Aging MCE implementation begins - 07/01/2024
Event Schedule
Core Initiatives
Indiana is implementing Indiana Community Connect to streamline rural residents' access to essential health and social services through greater coordination, integration with EMR systems, and data-driven resource mapping. The initiative leverages Indiana 211's infrastructure, adds new analytics and AI tools, and creates more pathways for providers and residents to identify and access support. This strengthens care coordination, especially in communities where services are limited.
Indiana's Initiative 11 supports the rural behavioral health workforce via career pathways, grants, and training expansions. The initiative includes university-based career pathways, employer grants for workforce support, and statewide workshops to build paraprofessional skills in crisis response.
Core Initiatives
The initiative eliminates barriers to obtaining medications by providing them to patients before hospital discharge at outpatient prices, paired with bedside counseling. This approach aims to improve recovery outcomes and reduce hospital readmissions in rural Indiana. Event schedule: - Year 1 Grant Agreements Execution - July 2026 - Statewide Workgroup Launch - July 2026
Indiana’s Initiative 3 focuses on modernizing its state health information exchange to connect rural healthcare facilities and improve patient care coordination through EMR integration and EMS collaboration. Key activities include readiness assessments, outreach, and leveraging managed service providers to enhance interoperability.
Reference: (RHTP). 29 minutes ago. Read Full Article wbiw.com. Factuality. Funded through the federal Rural Health Transformation Program (RHTP) Link: https://ground.news/article/indiana-receives-120m-federal-grant-to-expand-rural-healthcare
Reference: 120m Granted to Indiana to Improve Healthcare Access Link: https://www.giant.fm/parke-county/news/local-news/120m-granted-to-indiana-to-improve-healthcare-access/
Reference: Eight Indiana Regions ASK 120 Million Grants Expand Improve Rural Healthcare Link: https://www.wlfi.com/2026/07/28/eight-indiana-regions-ask-120-million-grants-expand-improve-rural-healthcare/
RHTP Indiana GROW Governance Structure
Regional Grant Timeline
RHTP Indiana GROW Governance Structure
Regional Grant Timeline
This map shows the eight districts for the RHTP regional grants
July 2026
Year 1 Grant Agreements
↳ IN - 2026 - Growing Access to Hospital Post-Discharge Medications
July 2026
Statewide workgroup launch
↳ IN - 2026 - Growing Access to Hospital Post-Discharge Medications
10/01/2026
Pilot Start
↳ IN - 2027 - Frequently Asked Questions for Initiative 8 Telehealth Pilot Grants
07/31/2027
Pilot End
↳ IN - 2027 - Frequently Asked Questions for Initiative 8 Telehealth Pilot Grants
07/02/2026
Award recommendation
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
06/29/2026 to 07/01/2026
Vendor presentations
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
06/29/2026 to 07/01/2026
Final scoring
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
06/22/2026 to 06/24/2026
Initial scoring
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
06/15/2026
Bids due
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
06/01/2026
Q&A responses posted
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
05/27/2026
Q&A due from vendors
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
05/20/2026
Pre-proposal conference
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
IN RHTP site updated — 8 new, 2 existing source(s) refreshed
IN RHTP site updated — 3 new doc(s)
IN RHTP site updated — 5 new doc(s)
IN RHTP site updated — 5 new doc(s)
IN RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 602.
IN - 2026 - Att C Indiana Economic Impact Form updated
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IN - 2026 - Att D Cost Proposal
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IN - 2026 - Att E Q&A Template (003000000087904)
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IN - 2026 - Telehealth Pilots Grant Application
Initiative 8 Announcement Page
IN - 2026 - Budget Template
Budget Proposal Template
IN - 2026 - Rural Physician Incentive Grant Application Window Opens June 17, 2026; Application Due July 20, 2026
Auto-linked process guidance fallback (11%)
Core Initiatives
Indiana received nearly $207 million in federal CMS funding for the five-year RHTP program. Region 8 in southwest Indiana was awarded $11.4 million to improve rural health access and quality through the GROW initiative. The program supports establishing new fixed sites, mobile health units, and expanding services in key health areas. Key contacts: media@health.in.gov Event schedule: - Award Announcement Date - 09/03/2026 - Indianapolis, IN
Event Schedule
Contacts
Core Initiatives
Indiana has been awarded $13.1 million through the federal Rural Health Transformation Program to fund the GROW initiative in Region 7. The funding supports development of a coordinated provider ecosystem including community paramedicine and mobile health services to enhance rural healthcare quality and access. Key contacts: media@health.in.gov Event schedule: - Award Announcement - 09/03/2026 - Indianapolis, IN
Event Schedule
Contacts
Core Initiatives
Laurel Health Advisors LLC has been recommended for award of a five-year, $860,088 contract to perform the RHTP Teleconsult and Telehealth Landscape Assessment for the Indiana Department of Health. The award selection followed a multi-stage RFP process, with evaluation of business, technical, and cost criteria. Significant subcontracts are designated for certified Minority-, Women-, and Veteran-owned businesses.
Core Initiatives
This RFP solicits proposals for independent external quality reviews of Indiana's Medicaid MCO programs. Focus is on ensuring quality improvements for Medicaid services statewide, including compliance with robust technology and security standards. The solicitation strongly encourages participation by Indiana Veteran Owned Small Businesses. Key dates include a pre-proposal conference, question deadline, and official proposal submission deadline. Contract is planned for a four-year term with optional extensions. Key contacts: Kristine Kruger Krkruger@idoa.in.gov Event schedule: - Issue of solicitation - 07/15/2026 - ET - Pre-Proposal Conference - General Presentation - 07/30/2026 - 9:30 AM ET - Indiana Government Center South Conference Center, Conference Room 22, Indianapolis, IN - Pre-Proposal Conference - 07/30/2026 - 11:00 AM ET - Indiana Government Center South Conference Center, Conference Room 22, Indianapolis, IN (also virtual) - Deadline to Submit Written Questions - 08/05/2026 - 3:00 PM ET - Response to Written Questions/Amendments - 08/12/2026 - ET - Submission Due Date/Time - 08/26/2026 - 3:00 PM ET - Submission of Reference Check Forms to State - 09/17/2026 - 3:00 PM ET
Event Schedule
Contacts
Core Initiatives
Indiana's RHTP Initiative 8 sets aside $1.8 million for a 10-month pilot grant program to expand telehealth services in rural and partially rural counties. Applicants can propose a wide range of telehealth solutions targeting clinical, behavioral health, and chronic disease management, with high flexibility in outcome metrics. The state provides oversight and guidance but requires applicants to use their own HIPAA-compliant platforms. Key contacts: Emily Brown embrown@health.in.gov; growruralhealth@health.in.gov Event schedule: - Implementation Start - 10/01/2026 - ET - Pilot Completion Deadline - 07/31/2027 - ET
Event Schedule
Contacts
Core Initiatives
This Letter of Intent template documents the planned coalition structure for Indiana’s regional GROW grants, including 12 counties represented in Coalition 2. Coalition members include health systems, YMCAs, county councils on aging, universities, transportation organizations, and public health agencies. The document lists expected primary subrecipients and provides detailed contact information, but contains no awarded funds; it is preparatory for the RHTP application process. Key contacts: Rebecca Bazzoni rbazzoni@joes-kids.org; Kyle Sprunger kyle.sprunger@adamshealthnetwork.org; Patty Lengel plengel@wabashcountyymca.org; Cheri Perkins cperkins@lagrangecoa.org Event schedule: - Letter of Intent Due Date - 05/22/2026 - 11:59 PM ET
Event Schedule
Contacts
Core Initiatives
This initiative uses a structured quality improvement model to increase lead screening rates among children in Indiana, focusing particularly on children at key age milestones. The program features provider incentives, training sessions, and data-driven feedback to continuously improve lead testing and reporting. Education resources and counseling are aimed at raising awareness among patients and caregivers. Event schedule: - Project Start - Project Closeout
Event Schedule
Core Initiatives
Core Initiatives
Event Schedule
Core Initiatives
Core Initiatives
Student_Growth_and_Accountability_in_Indiana.pdf
IN - 2026 - Att C Indiana Economic Impact Form (005700000087982)
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IN - 2026 - 87807 Peer Reviewers Q&A
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IN - 2026 - Att B Q&A State Response
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IN - 2026 - Att A Q&A Template
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IN - 2026 - Att C Indiana Economic Impact Form (003000000087904)
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SBOE-Growth-Table-Materials-10_2_19.pdf
IN - 2026 - RFQ87845 Q&A
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IN - 2026 - RFI 26 87669 Att B Q&A State's Response 07.20.2026
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IN - 2026 - Att B Q&A Template (002350000087000)
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IN - 2026 - Att C Indiana Economic Impact Form (002300000087895)
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IN - 2026 - registered bidders
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IN - 2026 - Att G Q&A Template rtp
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betebenner-article-emid-2009.pdf
IN - 2026 - Att D Cost Proposal Template (003000000087904)
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guidelines-examination-entities-receiving-financial-assistance-government-sources.pdf
IN - 2026 - Att G Q&A Template revised
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IN - 2026 - 87813 Dispute Resolution Facilitated Individualized Education Program (FIEP) Q&A
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810_testing.pdf
IN - 2026 - RFI 26 87668 Att B Q&A Template
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IN - 2026 - RFI 26 87668 Att B QA State's Response Posted 06.24.2026
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IN - 2026 - 87811 Annual Federal and State Audit QA
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IN - 2026 - Att D Cost Proposal (007000000087901)
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IN - 2026 - Att D Cost Proposal rtp (004510000086417)
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IN - 2026 - Att G Q&A Template (001000000085295)
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IN - 2026 - Att D Cost Proposal (004050000087343)
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IN - 2026 - Att P – Requirements Matrix
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IN - 2026 - Att E QandA with State response
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IN - 2026 - Att D Cost Proposal (Att D - Cost Proposal v.2)
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IN - 2026 - Att C Indiana Economic Impact Form (000610000087757)
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IN - 2026 - Att G Q&A Template (005020000087334)
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IN - 2026 - Att C Indiana Economic Impact Form (000610000087805)
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IN - 2026 - Att G Q&A Template (005700000087982)
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IN - 2026 - Indiana Landing Page (updated: July 18, 2026)
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IN - 2026 - Vendor Networking Opportunities List
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IN - 2026 - po payment terms
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IN - 2026 - Att C Indiana Economic Impact Form
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