RHTP Indiana GROW Governance Structure
Program Overview
Indiana’s Rural Health Transformation Program (RHTP) is currently active, pursuing a five-year plan with statewide and regional initiatives under the GROW program. Led by the Indiana Department of Health and Family and Social Services Administration, the program’s focus areas include rural care coordination, specialty and telehealth access, digital infrastructure modernization, workforce development, and improvements in maternal, pediatric, and emergency care. Ongoing program implementation is demonstrated by interconnected initiatives, structured tracking, regional grants, and strategic evaluation activities. Current plans define a dozen key initiatives and strategic goals addressing care coordination, infrastructure improvement, workforce strengthening, and expanded access to rural health services. Current structured plan tracks 19 key initiatives and 14 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 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
AI auto-updated Aug 12, 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
20 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 secured nearly $207 million in federal funding for the Rural Health Transformation Program. State-led program evaluation and telehealth landscape assessments are underway, with procurements for key program components having reached the award recommendation and negotiation stage. State opportunities remain active, with multiple RFPs recently awarded for RHTP evaluator and telehealth initiatives. The Medical Operations Coordination Center RFP has identified awardees, pending contract finalization. State opportunities: 3 active (2 open, 1 closing soon, 11 past/closed), $122.2M listed funding. Key opportunities: Indiana RHTP Initiative 8 — Telehealth Pilot Grants; Community Supports IT Systems – Request for Proposal; Indiana RHTP: Growing Access to Hospital Post-Discharge Medications (Meds-to-Beds). Strategy alignment: supports telehealth, care access priorities.
Indiana’s RHTP, branded as GROW, continues its blended model of statewide modernization and competitive regional grants led by eight multi-sector coalitions. The strategy emphasizes coordinated regional applications, targeted improvement initiatives, robust quality assurance, digital health infrastructure improvements, and workforce development—including behavioral health and telehealth expansion. Key initiatives reflect ongoing community and stakeholder input, with annual cycles enabling data-driven program adaptation. Both state and regional teams collaborate to upgrade technology, strengthen clinical readiness, and address rural health disparities.
Model
Blended statewide modernization and capacity-building coupled with coalition-driven regional grantmaking for locally responsive rural health solutions.
Key Initiatives (19)
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
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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 - Indiana GROW Rural Health Regional Grant Program Guidance
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
Auto-grouped context match (37%)
IN - 2026 - View the full vendor intake spreadsheet
Auto-grouped context match (37%)
IN - 2026 - Appendix 3: Sample Grant Agreement
IN - 2025 - Federal Funding Requirements for RHTP Monitoring and Program Evaluation
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
IN - 2026 - Growing Telehealth Access and Infrastructure
Initiative 8 Announcement Page
IN - 2026 - Budget Template
Budget Proposal Template
Indiana Department of Health (IDOH)
Due Jul 20, 2026
2 related documents
IN - 2026 - RHTP Initiative 10 - Physicians Stipend RFA Questions
Primary source
Indiana Rural Health Transformation Program (RHTP)
Due Jul 6, 2026
4 related documents
IN - 2025 - RHTP Initiative 10 - OB Fellowship for Family Medicine Physicians RFA Questions
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Liberty of Indiana Corporation Component C: Additional quality improvement and assurance services including project management, internal QA, billing, and data analyses. | $119K | Quality Improvement | |
| 2026 | Liberty of Indiana Corporation Component B: Quality improvement services focusing on national core indicators survey, case management organization, consumer assessment, project management, internal QA, billing, and data analyses. | $4.2M | Quality Improvement | |
| 2026 | Liberty of Indiana Corporation Component A: Statewide quality assurance and improvement services, including project management, internal QA processes, billing, data analyses, incident reporting, technical assistance, education, special projects, assignments, and consulting. | $15.9M | Quality Improvement | |
| 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 | 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 | The Distribution Group, Inc. (Van Eerden) Contract to administer warehousing and distribution of USDA Foods for Indiana Department of Education, Region 5, over a five-year period. | $4.0M | Other | |
| 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 |
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 was awarded $206.9 million for Year 1 of the Rural Health Transformation Program, with a comprehensive plan to improve rural health outcomes through statewide and regional initiatives. Immediate priorities include care coordination, health information technology modernization, workforce expansion, maternal/infant health, and prevention of chronic disease. Over five years, the program will target sustainability, system integration, and measurable quality improvements, with major investments in regional grant programs engaging local stakeholders.
Event Schedule
Core Initiatives
Blue & Co., LLC was recommended for contract negotiations to administer Indiana's Centralized Billing Office and Cost Report program under the Rural Health Transformation Program. The initial 4-year award is valued at $3,984,000, with up to 2 additional optional years. GenTech Associates will be subcontracted for 3% of the award value. Event schedule: - Award Recommendation Letter Date - 07/31/2026
Event Schedule
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 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
Indiana RHTP's Initiative 11 aims to build a pipeline for behavioral health professionals by exposing high school students to these fields early, supporting current workforce through employer grants, and providing expanded training for paraprofessionals. Collaboration with related health academies and workshops equips both students and workers for rural behavioral health careers. Ongoing efforts include grant agreements and collaboration with other workforce initiatives.
Indiana's RHTP Initiative 3 targets improved patient outcomes through enhanced interoperability and technology. The program seeks to modernize the state's health information exchange, connect rural healthcare facilities, close data gaps, and support care coordination via EMR integration and EMS collaboration. Ongoing activities include provider readiness assessments and leveraging the state’s managed service provider process.
Indiana's Rural Health Transformation Program is organizing regional Letters of Intent to demonstrate collaboration among partners across eight regions. This process is a precursor to GROW grant applications, ensuring all counties are represented and stakeholders are committed to improving rural health. Inclusion in the letter signals support, not final funding or award status. Event schedule: - GROW Grant Application Deadline - 07/01/2026
Event Schedule
Core Initiatives
Initiative 4 of Indiana's RHTP focuses on strengthening pediatric and obstetric emergency readiness in rural hospitals and EMS agencies. It includes statewide needs assessments, training, equipment, and technical assistance to address gaps in readiness and promote safer, coordinated emergency care for mothers and children. Major partners include the Indiana Department of Health, Department of Homeland Security, IEMSC, and IU School of Medicine.
Indiana was awarded nearly $207 million for the first year of RHTP, a program focusing on healthcare system innovation, strategic partnerships, infrastructure, and workforce investment. The Indiana Family and Social Services Administration and the Indiana Department of Health jointly lead the effort. Key strategic goals include supporting rural health innovations, improving provider sustainability, strengthening workforce recruitment and retention, implementing new care models, and leveraging technology. Event schedule: - Initial RHTP Grant Award - 12/29/2025
Indiana is launching a multi-year Rural Healthcare Academy initiative targeting rural high school students to address persistent workforce shortages. Academies will deliver summer programming in all RHTP regions, engage multiple partners, and track metrics such as enrollment, completion rate, and pipeline outcomes. The strategy supports the RHTP's workforce development goals and includes ongoing evaluation through FY31.
Core Initiatives
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/
Reference: Transforming Rural Health Through Regional Collaboration Grant Dollars Link: https://www.giant.fm/fulton-county/news/local-news/transforming-rural-health-through-regional-collaboration-grant-dollars/
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
September 1, 2026
Grant agreement period begins, funding distributed
↳ IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grant Initiative Announcement
May 22, 2026
Letters of Intent due to State
↳ IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grant Initiative Announcement
March 2026
Regional Grant Application public release
↳ IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grant Initiative Announcement
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
July 1, 2026
Applications due to State
↳ IN - 2026 - Growing Rural Opportunities for Well-being (GROW) Regional Grant Initiative Announcement
7/2/2026
Award recommendation
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
6/29/2026 - 7/1/2026
Vendor presentations
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
6/29/2026 - 7/1/2026
Final scoring
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
6/22/2026 - 6/24/2026
Initial scoring
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
6/15/2026
Bids due
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
6/1/2026
Q&A responses posted
↳ IN - 2026 - Growing Care Coordination: Medical Operations Coordination Center (MOCC) and Alternate Payment Model Feasibility Study
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)
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 573.
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 - Rural Physician Incentive Grant Application Window Opens June 17, 2026; Application Due July 20, 2026
Auto-linked process guidance fallback (11%)
IN - 2026 - Growing Clinical Training and Readiness
Initiative 10 landing page
IN - 2026 - Grow Rural Health: Resources
Program resources
IN - 2026 - Frequently Asked Questions about Indiana RHTP
Program FAQ
Core Initiatives
Indiana has recommended three companies for contract negotiations for the RHTP Medical Operations Coordination Center procurement. Contract finalization is pending, and final award amounts will be determined upon execution. This process aims to improve medical operations coordination in rural healthcare statewide. Key contacts: Mike Huth jonhuth@idoa.in.gov Event schedule: - Preliminary Award Recommendation Date - 07/27/2026 - ET - Indianapolis, IN
Event Schedule
Contacts
Core Initiatives
This template guides applicants for Indiana’s R&R RHTP grant to describe their eligibility, organizational history, workforce needs, implementation and sustainability plans, funding requests, and outcome measures. Applicants must demonstrate how their programming will strengthen recruitment, retention, and capacity for rural behavioral health workforce in Indiana counties. The template aligns with the Indiana RHTP objectives and requires detailed metrics and plans for sustainability and CMS reporting. Event schedule: - Completion of Budget Period #1 activities deadline - 07/31/2027
Event Schedule
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 slide deck outlines key requirements and submission processes for respondents to the Indiana RHTP ACO Feasibility Study RFP. It covers proposal components, evaluation criteria, deadlines, and compliance steps, including specific guidance for Indiana Veteran Owned Small Businesses. The scope includes external quality review of Medicaid managed care programs. Key contacts: Kristine Kruger Event schedule: - Pre-Proposal Meeting - 07/30/2026
Event Schedule
Contacts
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
Event Schedule
Core Initiatives
The R&R Grant focuses on recruitment support, retention development, and capacity building for rural behavioral health providers in Indiana. It aims to promote sustainable and flexible strategies through coordinated outreach, institutional improvements, and organizational system enhancements. The program includes an optional applicant guidance webinar scheduled for May 15, 2026. Event schedule: - Application Start Date - 05/07/2026 - Application End Date - 06/05/2026 - Applicant Webinar - 05/15/2026 - 11:00 AM ET - Join Meeting
Event Schedule
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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guidelines-examination-entities-receiving-financial-assistance-government-sources.pdf
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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IN - 2026 - po payment terms
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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 - Att C Indiana Economic Impact Form (003000000087904)
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IN - 2026 - Att C Indiana Economic Impact Form
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