Click and download completed view of proposal sent to Missouri in the past below this heading…………….

Proposal for Integrating Clovis AI’s Remote Patient Monitoring (RPM) Program into Missouri’s Rural Health Transformation Program Application

COVER LETTER 

Proposal for Integrating Clovis AI’s Remote Patient Monitoring
(RPM) Program into Missouri’s Rural Health Transformation
Program Application
Date: October 6, 2025

To: Medical Director, State of XXXXX Department of Health and Senior Services
From: Clovis AI Team

Subject: Strategic Partnership Proposal for Enhancing Rural Health Outcomes through
Innovative RPM Solutions in XXXXX RHT Program Application

Dear Medical Director of XXXX,
Thank you for the opportunity to present our RPM program during the recent discussion and for
your continued interest in collaborating with Clovis AI. We have updated this proposal based on
the evolving details of XXXXX Rural Health Transformation (RHT) Program application, as
outlined in the attached sample PDF (“Clovis AI – RHT MO Grant Proposal 10.5.25.pdf”). This
document provides a comprehensive, ready-to-adapt Project Narrative that incorporates our
RPM capabilities, demonstrating how they align with the Centers for Medicare & Medicaid
Services (CMS) Notice of Funding Opportunity (NOFO) CMS-RHT-26-001.

As the State of XXXXX prepares its unified application due November 5, 2025, Clovis AI offers
a turnkey solution for remote patient monitoring, vital devices, medication adherence tools,
remote nursing support, logistics, and a proposed assembly plant in rural Missouri. Our vertically
integrated platform—refined over 20 years—addresses key rural challenges like chronic disease
management and opioid use disorder (OUD) recovery, particularly in underserved areas
including Native communities. While Clovis AI may or may not be named in the final submission,
this proposal equips you with plug-and-play content to strengthen Missouri’s bid, potentially
securing up to $200 million annually in cooperative agreement funding (NOFO page 6).
We recommend sharing this with the Governor for endorsement, as required (NOFO page 41).
Our team is available for further refinements to ensure seamless integration.
Sincerely,
Clovis AI Leadership Team

Executive Summary

The RHT Program allocates up to $50 billion over FY 2026-2030 to transform rural healthcare,
with Missouri well-positioned to address its rural disparities: higher chronic rates (diabetes
12.5% rural vs. 10.5% urban), OUD overdoses (25/100k rural vs. 15/100k urban), and access
barriers (25-mile hospital distances). Clovis AI’s RPM program integrates AI-powered wearables
(e.g., Vital Watch, DR Watch with PERS for falls), medication adherence (tailored for Suboxone
in recovery), 24/7 remote nursing, home setup logistics via fire departments/EMTs, and a rural
Missouri assembly plant for devices.

This partnership supports all five RHT goals and at least three use-of-funds categories (e.g.,
evidence-based interventions, workforce education, tech platforms; Appendix pages 98, 108,
112). Projected impacts: 25% OUD overdose reduction, 20% chronic improvement, 600+ jobs
created ($50M economic boost), and $12-18M annual Medicaid savings. ROI: 1.2-2.0x overall.
The attached PDF provides sample narrative content for your application, with Clovis AI
components ready for inclusion.

Background on the Rural Health Transformation Program
The RHT Program, per NOFO CMS-RHT-26-001, provides states with cooperative agreements
to enhance rural ecosystems, requiring a unified application by November 5, 2025, including a
transformation plan with measurable initiatives (pages 10-11, 32-34). XXXXX rural
needs—chronic/OUD disparities, provider shortages—are acute, with Native populations in
counties like XXXXX  facing 30% higher burdens. The attached PDF’s Project Narrative details
these, with data tables and heat maps for OUD rates.

Overview of Clovis AI’s Capabilities
Clovis AI delivers ISO-cleared, HIPAA-compliant RPM:
● Devices: Vital Watch (Bluetooth/Wi-Fi), Cellular DR Watch (auto-transmit), Doctor
Security Watch (PERS with fall detection, two-way video).
● Software: 20+ year platform with reports, graphs, custom alerts, billing for CMS codes
(CPT 99453-99458).
● Support: Remote RNs/tech troubleshooting; immediate replacements.
● Logistics: Fire dept/EMT partnerships for setups (proven in Florida); flexible for
no-internet areas.
● Assembly Plant: Local manufacturing for jobs/tax revenue.
Evidence: 36% adherence improvement, 25% hospitalization reduction (internal data, RPM
studies).

Alignment with RHT Strategic Goals
Our RPM fits seamlessly, as shown in the attached PDF’s Alignment Table (page 10).
RHT Goal Clovis
Component

Use-of-Funds Metrics (Baseline vs. Target)

Healthy
Again

RPM for
vitals/Suboxone

A: Interventions Adherence: 60% to 85%; OUD drop: 25%

(Phelps 50/100k to 37.5/100k).

Access Logistics/EMT
setups

D: Coordination Visit reductions: 30%; Households: 15,000+.

Workforce Training/plant jobs C: Education Jobs: 600+; Retention: 20%.
Innovative AI for ACOs B: Assistance Costs: 28% reduction; Home shift: 40%.
Tech Platforms/security E: Platforms Breaches: 0; Telehealth: 55%.

Detailed Implementation Plan
Rollout: Pilot in 6 counties (FY26), scale to all 89 (FY28). Assembly plant in Sikeston/Poplar
Bluff for 500+ jobs. Logistics: EMTs for setups, revenue/goodwill. Support: MO call centers
trained by Clovis.

Benefits to XXXXX and Residents
● Health: 25% OUD/20% chronic reductions.
● Economic: 600 jobs, $50M impact.
● Savings: $12-18M Medicaid.
● Equity: 30% Native/underserved participation.

Addressing Areas of Concern
1. Logistics: EMT/fire partnerships for scalable setups; flexible devices (Wi-Fi/cellular).
2. Local Employment: Train MO staff; plant assembly via exclusive contracts.
3. Software Edge: 20-year platform excels in analysis/PERS; vertical integration.

Budget Considerations
$200M/year sample: RPM $60M (devices $25M, plant $20M, support $15M). ROI: 1.5x. See attached
PDF’s Budget Narrative.

Conclusion and Next Steps
Integrate Clovis AI to strengthen your application. Schedule a call; contact [redacted].
Thank you for partnering to transform Missouri’s rural health.

Contact XXXXXXXXXX

Email XXXXXXXXX

266 MKT 50B Grant