While the basic tenets of the RtI model are well-established in the literature, few studies have been conducted to describe its implementation in rural schools. We conducted a qualitative study in three rural schools that had been designated as pilot sites by our state department of education. A cross-case analysis of the data collected through interviews, observations, and document reviews indicated positive changes, including (a) increased use of databased decision-making, (b) increased collaboration among general and special educators, (c) development of a common knowledge base around RtI, (d) re-definition of principals' roles, and (e) promising trends on statewide tests of reading achievement.