Delivering Health Solutions and Services at Scale - Nationwide
For over 25 years, 22nd Century Technologies Inc. (TSCTI) has been a trusted partner to government programs across the United States. With operations in all 50 states and a team of 6,000+ professionals, we bring proven experience supporting healthcare initiatives at the federal, state, and local levels.
Modern Solutions for Complex Public Health Needs
We combine deep workforce expertise with advanced HealthTech platforms and managed program operations to help agencies deliver better outcomes, faster. Our capabilities include:
- Clinical program support
- Health IT modernization
- AI-powered healthcare solutions
Built for Government. Focused on Impact.
From large-scale program delivery to innovative technology solutions, TSCTI helps government and government-sponsored healthcare organizations improve efficiency, expand access, and enhance the quality of care nationwide.

Nationwide across all 50 states
States with deployed workforce
Serving public and private sectors since 1997
Healthcare staff deployed during pandemic
Supporting 16 institutes across the NIH
Who We Serve
Government agencies at every level — federal, state, local, and community.
Healthcare Expertise You Can Trust
Where We Focus
Program areas where TSCTI delivers proven results.
Public Health Emergency Response
Surge staffing and operational support that keeps federal agencies mission-ready when public health crises demand immediate action.
Medicaid Enterprise Operations
End-to-end support for the administrative, clinical, and workforce functions that keep state and federal Medicaid programs running effectively.
Behavioral Health
Qualified clinicians and program support embedded across federal, state, and local settings to meet growing demand for mental health and substance use services.
Correctional Health
Comprehensive medical and behavioral health staffing and comprehensive health services for incarcerated populations, with deep experience across federal and state correctional facilities.
Rural Health Transformation
Bridging the gap between underserved communities and quality care through targeted workforce solutions and program delivery in rural settings.
Federal Health IT
Technology and implementation support that helps health agencies modernize systems, manage data, and deliver better outcomes at scale.
Occupational Health
Keeping federal, state, and local workforces healthy and compliant through medical screening, fitness-for-duty programs, and onsite health services.
Scientific Research Support
Clinical, administrative, and technical personnel supporting the research missions of NIH, CDC, and other federal science agencies.
Social Support Programs
Executing and managing child support programs, SNAP/TANF Programs
Why Government Health Agencies Choose TSCTI
Our unique combination of workforce scale, HealthTech platforms, and government experience.
Workforce + Technology + Program Management
One partner for clinical staff, AI platforms, and comprehensive program operations — no separate vendors managing disconnected pieces.
Proven Multi-State Scale
Medicaid ops, public health surge, social services, and correctional health across multiple states simultaneously.
Security & Compliance
HIPAA/HITECH, URAC, Joint Commission, FedRAMP, SOC 2, CMMI Level 3 — the compliance stack federal and state agencies require.
Built for Government Realities
Complex procurement, funding cycles, multi-agency governance, and cooperative contracts — we navigate it all.
Trusted By
Federal and state agencies that rely on TSCTI for health workforce, programs, and technology.



















