a safe delivery environment with the support and access to specialty care for perinatal patients and infants; and (iv) develop sustainable financing models for the provision of maternal and obstetrics care in rural hospitals and communities. Applicants are encouraged to propose innovative ways to achieve these goals through an established or formal regional network structure. The RMOMS program includes a robust independent evaluation and analysis effort that will rely on validated clinical data from each RMOMS award recipient and their appropriate network member in order to quantify the impact of this program investment. All network members, regardless of ownership status, will be required to collect and share clinical data. This program intends to demonstrate the impact on access to and continuity of maternal and obstetrics care in rural communities through testing models that address the following RMOMS Focus Areas: 1) Rural Hospital Obstetric Service Aggregation and Approaches to Risk Appropriate Care 2) Network Approach to Coordinating a Continuum of Care 3) Leveraging Telehealth and Specialty Care 4) Financial Sustainability