RHTP Application timeline (the text of the page describes each point on the timeline
HHS Region 7 · Missouri Department of Social Services Rural Health Transformation Office
Program Overview
Missouri's Rural Health Transformation Program (RHTP), led by MO HealthNet Division and Department of Social Services, remains in the implementation phase, advancing the ToRCH Care model through 27 regional Community Hubs to coordinate clinical and non-clinical services. Current focus areas include home visiting, expanding maternal and behavioral health services, EMS and mobile integrated healthcare collaboration, diagnostics, outpatient and chronic disease management, and rural health infrastructure modernization. Facility upgrades, workforce development—including EMS, MIH-CP, and maternal health—and investments in digital and virtual care infrastructure are actively supported through ongoing grants and structured initiatives. Current structured plan tracks 17 key initiatives and 11 strategic goals.
Updated
County-level estimates averaged across Missouri — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (115)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| St. Louis County | 995,569 | 9.8% | 6.8% |
| Jackson County | 719,976 | 14.1% | 9.7% |
| St. Charles County | 414,535 | 5.2% | 3.5% |
| Greene County | 303,375 | 13.6% | 8.6% |
| St. Louis city | 288,512 | 20.6% | 14.7% |
| Clay County | 258,122 | 8.5% | 5.7% |
| Jefferson County | 229,458 | 9.0% | 6.2% |
| Boone County | 188,043 | 16.6% | 7.7% |
| Jasper County | 124,357 | 17.0% | 11.3% |
| Cass County | 110,773 | 6.2% | 4.5% |
| Platte County | 110,371 | 7.0% | 5.4% |
| Franklin County | 105,950 | 8.2% | 5.6% |
AI source: MO - 2026 - Trump Administration Announces More Than $45 Million to Upgrade Rural Missouri Hospitals and Connect Families
AI auto-updated Sep 24, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Due Nov 30, 2025
4 related documents
MO - 2026 - Missouri RHTP Year 1 Implementation
Primary source
1,505,909 rural residents
Facility modernization and service line grant applications remain open, with the state actively soliciting bids for Horizon 2 rural health transformation projects. Missouri continues to accept and review applications for MIH-CP system expansion, with notices of award pending, and has issued sub-awards in maternal health workforce and MIH-CP. Nurse home visiting and mobile care expansion activities are underway, supported by roadshows and ongoing stakeholder engagement. EMS agency consolidation applications are actively reviewed in rolling cycles, confirming broad program implementation across all pillars. State opportunities: 3 active (3 open, 5 past/closed), $6.8M listed funding. Key opportunities: Missouri RHTP: Mobile Integrated Healthcare & Community Paramedicine (MIH-CP) System Expansion — MEMSA Partnership; Missouri RHTP: Support EMS - Pillar 3: EMS Agency Consolidation; Missouri RHTP: Support EMS - Pillar 1: Workforce Development & Sustainability. Strategy alignment: supports ems, workforce priorities.
Missouri’s RHTP advances the Transformation of Rural Community Health (ToRCH Care) model using a network of 27 regional Hub Anchors to drive coordinated delivery transformation, locally governed investments, and modernization in rural infrastructure, digital systems, and workforce. It places an emphasis on phased Smart Growth and Service Line Modification, MIH-CP system expansion, EMS regionalization, maternal health workforce development, and integration of EMS/MIH-CP with ToRCH Hubs. The strategy is implemented through evidence-based workforce initiatives, phased EMS collaboration and consolidation, and facility modernization grants to ensure operational and financial sustainability.
Model
Transformation of Rural Community Health (ToRCH Care)
Key Initiatives (17)
Timeline: Five-year program (FY2026–2030): Hub Anchor applications due June 18, 2026; digital infrastructure investments deployed by September 30, 2026; facility renovation and modernization investments by October 30, 2027 and annually thereafter; Smart Growth and Service Line Modification obligations through September 30, 2028. Home visiting grants and medical clerkship grants deadlines August 23, 2026 and July 17, 2026, respectively. Service-line modernization bids due August 28, 2026. MIH-CP and EMS investments awarded across five annual contract periods through July 31, 2031.
Focus on improving access to obstetric and perinatal care, including expanding telehealth psychiatric consultations and maternal-fetal medicine support to reduce maternal mortality.
Expanding access to child and adolescent psychiatry and integrated behavioral health to reduce avoidable ED visits and improve timely care.
Increase and modernize access to imaging, lab, outpatient, specialty consult, and diagnostic capacities to lower emergency visits, decrease cost, and support chronic disease management.
MO - 2024 - Missouri's RHTP: Year 1 Fund Distribution
Supporting source
MO - 2026 - Invitation to Comment: RHTP
Auto-grouped context match (38%)
MO - 2026 - rural health
Missouri Department of Social Services (DSS) Rural Health Transformation Office (RHTO)
Due Sep 9, 2026
2 related documents
MO - 2024 - RFI 0000000012SL: Expanding Virtual Care in Rural Missouri
DSS RHTP page -- Opportunities section (scoped excerpt, RFI 0000000012SL only)
MO - 2026 - Official DSS RFI announcement
Official DSS RFI announcement
Missouri Department of Social Services
Due Sep 1, 2026
21 related documents
MO - 2026 - ToRCH Care Smart Growth and Service Line Modification (Horizon 2) Invitation For Bid (IFB #DSS26015)
Primary source
Missouri Children's Trust Fund (CTF)
Due Aug 23, 2026
10 related documents
MO - 2026 - Request For Application RHT Funding
Primary source
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Missouri Doula Association (MDA) Supports expansion of rural maternal health workforce by strengthening doula training, certification infrastructure, and recruiting perinatal community health workers across Missouri. | $733K | Workforce | |
| 2026 | Missouri Doula Association Funding to strengthen rural doula training and certification infrastructure statewide, expanding the rural maternal health workforce through partnerships and integration of community-based doulas and perinatal community health workers. | $732K | Workforce | |
| 2026 | Missouri Children's Trust Fund (Nurse Home Visiting Program) Supports evidence-based nurse home visiting programs to improve maternal and child health in rural Missouri, including training for new nurse home visitors and expansion of existing services. | $588K | Population Health | |
| 2026 | A.T. Still University of Health Sciences - Kirksville Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Arthur Center Community Health Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Bothwell Regional Health Center Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Cameron Regional Medical Center Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Citizens Memorial Hospital Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Community Counseling Center Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION | |
| 2026 | Family Counseling Center, Inc. (dba FCC Behavioral Health) Designated as Hub Anchor for a ToRCH (Transforming Rural Care through Hubs) Care Community Hub Area under Missouri's Rural Health Transformation Program. | Not disclosed | HUB_ANCHOR_DESIGNATION |
Missouri is deploying RHTP funds to improve rural maternal and child health through nurse home visiting programs and to build a statewide Digital Backbone for health systems. $588,000 annually is available for nurse-led home visiting services, and a major federal RHTP award funds the broader Transformation of Rural Community Health (ToRCH) Care model. Virtual info sessions and regional roadshows are being offered to engage rural providers and community partners. Key contacts: Farrah Fite ffite@mohospitals.org; Dave Dillon ddillon@mohospitals.org Event schedule: - Virtual Informational Meeting - 07/08/2026 - 9:00 AM - 10:00 AM CT - Virtual - Application Due Date - 08/23/2026 - Digital Backbone Roadshow - Osage Beach - 07/13/2026 - 3:30 PM - 5:30 PM CT - Osage Beach, MO - Digital Backbone Roadshow - Union - 07/14/2026 - 2:00 PM - 4:00 PM CT - Union, MO
Event Schedule
Contacts
Core Initiatives
The Trump Administration announced a $45 million investment for Missouri rural health care under the Rural Health Transformation Program. This funding includes $35 million earmarked specifically for facility improvements, equipment upgrades, and renovation of care spaces to enhance rural health service delivery.
Core Initiatives
The document announces a federal award of over $45 million under the Rural Health Transformation Program for Missouri. The funding aims at upgrading hospitals and improving connectivity for rural families.
Missouri's RHTP awarded $732,660 to the Missouri Doula Association to expand the rural maternal health workforce by building training, credentialing, and healthcare integration infrastructure. The initiative focuses on improving maternity care access and addressing workforce shortages across rural communities.
This document outlines a two-phase grant application supporting EMS agencies in Missouri pursuing collaboration or consolidation efforts. Phase I provides funding for planning activities such as feasibility studies and stakeholder engagement, whereas Phase II supports implementation of consolidation plans with focus on governance, staffing, and operational integration.
Core Initiatives
Missouri DSS issued an RFI seeking vendor input for solutions to expand virtual care in rural areas focusing on maternal remote patient monitoring and telehealth specialist access. This effort will inform the state's strategy for scalable virtual care solutions tailored to rural healthcare realities. Key contacts: Steven Hoffman Steven.Hoffman@dss.mo.gov Event schedule: - RFI Responses Due - 09/09/2024 - Email submission to Steven.Hoffman@dss.mo.gov
Missouri awarded $35 million in RHTP Strategic Minor Renovations grants to 20 rural hospitals to improve infrastructure, patient safety, and long-term sustainability. This competitive award advances rural healthcare access across Missouri.
Core Initiatives
Missouri will use its share of the $50B RHTP grant to activate seven Regional Coordinating Networks and approximately thirty community Hubs, supporting over one hundred counties. Strategic initiatives include shared technology infrastructure (Digital Backbone), alternative payment model piloting, workforce pipeline and retention programs, and modernization of rural provider operations. The ToRCH Care model emphasizes coordinated care through local Hubs, EHR upgrades, social-care referral platforms, and targeted expansions such as EMS development and maternal health in rural areas. Key contacts: Rural Health Transformation Office DSS.RHTP@dss.mo.gov Event schedule: - Official Hub boundary release - 2026-05-15 - Hub Anchor application release - 2026-05-15 - Hub Anchor applicant webinar - 2026-05-15 - ToRCH Care introductory roadshows - 2026-05-15 - Missouri (regional, in-person) - Horizon 1 implementation - 2026-04-01 - Horizon 2 implementation - 2026-07-01 - Horizon 3 implementation - 2027-01-01
Event Schedule
Contacts
Core Initiatives
Missouri's RHTP project invests $1 billion over five years to establish a new rural healthcare delivery structure called ToRCH Care. The project launches 30 local community hubs and 7 regional coordinating networks to expand access, improve rural hospital stability, and modernize digital and workforce infrastructure. Initiatives cover alternative payment models, health IT modernization, workforce pipelines, maternal health, and facility upgrades.
Core Initiatives
CMS awarded Missouri $216M for RHTP, with $56M specifically for the Digital Backbone initiative, the state's core health IT investment. Over 929 rural facilities participated in the Digital Readiness Survey, establishing a robust baseline for tracking progress and guiding future investments. Major goals include statewide EHR adoption, improved interoperability, expanded telehealth, provider transformation, and embedding advanced technologies like ambient AI and remote monitoring. The program operates on a five-year timeline, refining priorities year by year through annual surveys and milestone tracking. Event schedule: - Digital Readiness Survey Administration - 2026 - Statewide, Missouri
Event Schedule
Core Initiatives
The report compiles population, Medicaid enrollment, and health statistics for each of Missouri's 27 rural health transformation hubs. Diabetes and hypertension rates remain elevated compared to national averages, with notable variation between hubs. Maternal health indicators and ED utilization are also tracked at the local level, facilitating targeted interventions.
Core Initiatives
Reference: Trump Administration Awards Missouri 216 Million for Rural Health Care Link: https://heartlandernews.com/trump-administration-awards-missouri-216-million-for-rural-health-care/
This document presents links to three separate press releases announcing multiple investments in Missouri rural health care totaling over $261 million. Specific award amounts and program details are not included here.
RHTP Application timeline (the text of the page describes each point on the timeline
Alternative Payment Models (APMs) Year 1 RHTP Fund Distribution: $8,791,933.32; APMsdesign and pilots $5M; Technical assistance and enablement for APM adoption: $4M
Missouri’s Rural Health Transformation Program Distribution for Year 1: Hubs & Regional Community Networks (RCNs): $52,040,578.20; Husb & RCNs Staffing: $4M; Hubs Access: $15M; Hub Menu: $9M; RCNs/HubsMenu: $24M
Missouri’s Rural Health Transformation Program Distribution for Year 1: Hubs & Regional Community Networks (RCNs): $52,040,578.20; Digital Backbone: $56,159,145.29; Provider Transformation $57,225,308.79; Workforce: $17,769,473.99; Alternative Payment Models (APMs): $8,791,933.32; RHTP Program Enablement: $24,215,707.02
Transformative Framework for Missouri’s Rural Health Network
Diagram showing EMS Collaboration/Consolidation: regional integration leads to financial support, which enables service expansion.
Infographic explaining how EMS agency consolidation moves rural communities from siloed services to a unified EMS system and stronger health outcomes. Full transcript follows.
Green oval graphic showing MIH-CP System Expansion and Care Transformation with icons for Mobile Health Teams, Care Coordination, and Telehealth and Specialty Care.
Oval graphic titled “Workforce Development & Sustainability” with icons for EMS Education Pipeline, Recruitment & Retention, and Rural Service Commitment.
Funding awarded for Pillar One workforce programs and Pillar Two MIH-CP expansion
Contract Period Timeline covering Contract Periods 1 through 5
Chart showing total funding awarded for Contract Period 1
Missouri EMS and MIH-CP ecosystem showing workforce development, MIH-CP system expansion, EMS agency consolidation, and statewide EMS data
RHTP Timeline - Programmatic Activities Announcements
RHTP Application timeline (the text of the page describes each point on the timeline
MO RHTP Distribution for Year 1: Digital-Backbone: $56M =Tech Modernixation: $46M; Goverance: $10M
Alternative Payment Models (APMs) Year 1 RHTP Fund Distribution: $8,791,933.32; APMsdesign and pilots $5M; Technical assistance and enablement for APM adoption: $4M
Missouri’s Rural Health Transformation Program Distribution for Year 1: Hubs & Regional Community Networks (RCNs): $52,040,578.20; Husb & RCNs Staffing: $4M; Hubs Access: $15M; Hub Menu: $9M; RCNs/HubsMenu: $24M
Missouri’s Rural Health Transformation Program Distribution for Year 1: Hubs & Regional Community Networks (RCNs): $52,040,578.20; Digital Backbone: $56,159,145.29; Provider Transformation $57,225,308.79; Workforce: $17,769,473.99; Alternative Payment Models (APMs): $8,791,933.32; RHTP Program Enablement: $24,215,707.02
Transformative Framework for Missouri’s Rural Health Network
RHTP Timeline Programmatic Activities 2026
Rural Health Transformation Program (RHTP) Hub County Groupings and RCNs Map
MO - 2026 - Trump Administration Announces 45M Investment Missouri Rural Health Care
MO - 2026 - Trump Administration Announces More Than $45 Million to Upgrade Rural Missouri Hospitals and Connect Families
MO RHTP site updated — 1 new, 1 existing source(s) refreshed
MO RHTP site updated — 1 new, 3 existing source(s) refreshed
MO RHTP site updated — 2 new, 3 existing source(s) refreshed
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 46.
MO - 2026 - News | Governor Mike Kehoe
HTML
MO - 2026 - Trump Administration Awards Missouri 216 Million for Rural Health Care
MO - 2026 - RHTP Hub Anchor Application
HTML
MO - 2026 - RHTP Roadshow Handout 2026
HTML
Missouri RHTP Trend Report (Draft)
HTML
MO - 2026 - RHTP Application
HTML
MO - 2026 - Freeman Health System Officials Talk About Torch
MO - 2026 - Attendance Record for Pre-Proposal Teleconference for: IFB-DSS26015-Smart Growth and Service Line Modification (Horizon 2)PDF Document
2026 · PDF
MO - 2026 - View the Scoring Rubric
DOCX
MO - 2026 - View the Scoring Rubric
DOCX
MO - 2026 - Mih-Cp New Site Application - Work Plan
DOCX
MO - 2026 - Work Plan (Appendix B)
DOCX
MO - 2026 - Sample Budget Narrative with Staff Justification Table
XLSX
MO - 2026 - Readiness Assessment
XLSX
MO - 2026 - Readiness Assessment
XLSX
MO - 2026 - EMS-Consolidation-Budget-Template_7-20-26.xlsx
XLSX
MO - 2026 - EMS-Consolidation-Budget-Template_7-12-26-1.xlsx
XLSX
Missouri Children's Trust Fund (CTF) REDCap Home Visiting Data Collection RHTP 2025 Guidance
Missouri Children’s Trust Fund REDCap Data Management RHTP 2025 Guidance
2025 · PDF
Missouri CTF Health Information Privacy Policy RHTP 1996 Document
MO - 2026 - RHTP Roadshow Handout 2026
HTML
MO - 2026 - Home Visiting Budget Form (Children's Trust Fund)
2026 · XLSX
MO - 2026 - Missouri RHTP – APMs Provider Survey
FY2026 · HTML
MO - 2026 - SAMPLE RHTP Hub Program Coordinator Job Description 2026
2026 · HTML
MO - 2026 - RHTP Hub County Groupings and RCNs Map
HTML
MO - 2026 - SAMPLE RHTP Navigator Job Description 2026
HTML
Missouri Alternative Payment Models THE APM FRAMEWORK This Framework Represents Payments From Public And Private Payers To Provider Organizations (including Payments Between The Pa
Missouri Nationwide TANF Medicaid VBP Requirements Map Guidehouse Categorized States Based On Publicly Available Medicaid Managed Care TANF Contracts And RFPs. Analyzing States Wit
MO - 2026 - Support materials(link is external)
MO - 2026 - RHTP | mydss.mo.gov
HTML
MO - 2026 - Attachment A CTS Catalog of ServicesPDF Document
MO - 2026 - IFB # SDA39925002 Children's Treatment ServicesPDF Document
2025-2026 · PDF
MO - 2026 - IFB # SDA544250001-002 Foster Care and Adoption Resource Services, Training, and Consultation ServicesPDF Document
2025-2026 · PDF
MO - 2026 - Attachment E - Reimbursements Related to Training AttendancePDF Document
MO - 2026 - Attachment C - Recruitment Licensure Approval and RetentionPDF Document
MO - 2026 - Attachment D - Liaison Protocol for Approving FC and ARSPDF Document
MO - 2026 - Attachment B - CD Administrative Regions and Judicial CircuitsPDF Document
MO - 2026 - Attachment A - DSS-Children's Dvisions Regional OfficesPDF Document
MO - 2026 - Fee Schedules & Rate Lists | mydss.mo.gov
HTML
MO - 2026 - United Healthcare(link is external)
2026 · PDF
MO - 2026 - rural health
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MO - 2026 - RHT Pillar 2: MIH-CP System Expansion & Care Delivery Transformation
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MO - 2026 - Missouri ToRCH Care Hub Anchor Application
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MO - 2026 - Missouri RHTP Hub Anchor Application
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OR - 2025 - View Newsletter Issue #2(link is external)
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MO - 2026 - Missouri RHTP Year 1 Implementation
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MO - 2024 - Missouri's RHTP: Year 1 Fund Distribution
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MO - 2026 - ToRCH Care Smart Growth and Service Line Modification (Horizon 2) Invitation For Bid
Primary source
MO - 2026 - DSS Issues Amendment To Horizon 2 Funding Opportunity, Extends Bid Deadline
MHA news: Amendment #01 extends bid deadline to Sept 1
MO - 2026 - ToRCH Care Smart Growth and Service Line Modification (Horizon 2) Invitation For Bid (IFB #DSS26015) (ifb-dss26015-02-torch-care-smart-growth-and-service-line-modifications-horizon-2)
Primary source
MO - 2026 - Articles tagged with 'rural-health-transformation-program'
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MO - 2026 - Understanding the RHTP
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MO - 2026 - RHTP Funds Will Help Expand Rural Maternal Health Care
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MO - 2025 - Missouri's RHTP: Year 1 Fund Distribution
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MO - 2026 - Invitation For Bid (IFB) #DSS26009001: ToRCH Care Strategic Minor Renovations (Horizon 1)
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MO - 2024 - RHTP awards $732,660 to Missouri Doula Association to expand rural maternal healthcare workforce
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MO - 2023 - Missouri RHTP Announces $6.5M Partnership to Expand Mobile Integrated Healthcare & Community Paramedicine
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OR - 2026 - View Newsletter Issue #1(link is external)
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MO - 2026 - MIH-CP Expansion Application
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MO - 2026 - MIH-CP New Site Application
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MO - 2026 - ctf funding opportunities
Primary source
MO - 2026 - RHTP Announces Home Visiting Funding, Launches Digital Backbone Roadshows
MHA newsroom announcement of home visiting funding
MO - 2026 - RHT Funding – Missouri Children's Trust Fund RFP
Request for Proposals (RFP)
MO - 2026 - RHT Home Visiting Application and Narrative
Application / Narrative
MO - 2026 - Home Visiting Budget Form (Children's Trust Fund)
Budget Form
MO - 2026 - Understanding the RHTP
Auto-grouped context match (44%)
MO - 2023 - Missouri RHTP Announces $6.5M Partnership to Expand Mobile Integrated Healthcare & Community Paramedicine
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MO - 2024 - RFI 0000000012SL: Expanding Virtual Care in Rural Missouri
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MO - 2026 - RHT Home Visiting Informational Meeting
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Missouri DHSS extended the application deadline for the Rural Medical Clerkship Development grant to July 17, 2026. The program supports establishing or expanding medical school clerkship programs serving rural areas, focusing on Missouri’s ToRCH Care counties. Key contacts: Jill Williams; Farrah Fite ffite@mohospitals.org; Dave Dillon ddillon@mohospitals.org Event schedule: - Proposal Deadline - 07/17/2026 - 2:00 PM CT - Missouri Department of Health and Senior Services
Event Schedule
Contacts
Core Initiatives
Core Initiatives
Core Initiatives
Event Schedule
Contacts
Core Initiatives
This is a competitive contract opportunity (IFB) issued under the Missouri Rural Health Transformation Program (RHTP) ToRCH Care initiative for Horizon 2. The solicitation funds one-time investments to modernize, reconfigure, and equip existing rural healthcare facilities in Missouri (hospitals, health centers, and other access sites). Priority is given to projects that expand capacity in maternal health, behavioral health, diagnostics, outpatient care, and chronic disease management, addressing longstanding service gaps and supporting the sustainability of rural health infrastructure. Key contacts: Dirk Elrod dirk.elrod@dss.mo.gov Event schedule: - Pre-proposal Teleconference - 08/11/2026 - 2:30 PM CT - Contact Buyer for dial-in instructions - Bid Due Date - 09/01/2026 - 2:00 PM CT - dirk.elrod@dss.mo.gov - Year 1 obligation deadline - 2026-10-30 - Year 1 spending period end - 2027-09-30 - Year 2 obligation deadline - 2027-10-30 - Year 2 spending period end - 2028-09-30 - Year 2 spending period start - 2026-10-31
Event Schedule
Contacts
Core Initiatives
Missouri DSS announced the boundaries of 27 regional Hubs that will organize care delivery for rural populations as part of its ToRCH Care RHTP strategy. The state received a $216 million CMS award for the initiative, which seeks to improve access, coordination, and outcomes for rural hospitals and provider networks. Applications for organizations to serve as Hub Anchors are now open. Key contacts: Nate Blackford; Farrah Fite ffite@mohospitals.org; Dave Dillon ddillon@mohospitals.org Event schedule: - Hub Anchor Applications Due - 06/18/2026 - 11:59 PM CT - DSS.RHTP@dss.mo.gov - Hub Anchor Webinar - 05/19/2026 - 11:00 AM - 12:30 PM CT - webinar
Event Schedule
Contacts
Core Initiatives
Missouri is launching the RHTP Pillar 1 Workforce Development & Sustainability initiative to expand EMS and MIH-CP workforce capacity, with up to $1.25 million in scholarships expected to be distributed to training programs. All eligible accredited training entities may participate, with priority for rural-focused programs serving RHT Hub Regions. Program goals include increasing EMT, AEMT, paramedic, CP, and CHW certifications with minimum cohort requirements and a 5-year funding cycle. Key contacts: Shelby Cox rhtp@memsa.org
Contacts
Core Initiatives
Missouri was awarded over $216 million for the first year of the Rural Health Transformation Program led by the Department of Social Services MO HealthNet Division. The program focuses on increasing access to care, improving quality, enhancing care coordination, and incentivizing long-term sustainability for rural healthcare. It involves collaboration among hospitals, clinics, community organizations, and local leaders to develop sustainable solutions tailored to Missouri's rural areas. Event schedule: - , 2025 - December 29 - JEFFERSON CITY
Event Schedule
Core Initiatives
The RHTP Hub Program Coordinator is a full-time operational lead embedded within Missouri’s ToRCH Care model, responsible for implementing, organizing, and managing local Hub operations. The role convenes rural healthcare and community partners, oversees care coordination and referral pathways, and supports data-driven performance monitoring. The position is central to rural transformation efforts, facilitating collaboration across providers and community organizations throughout Missouri’s rural Hub service areas.
Core Initiatives
This position will lead the operational implementation of the local RHTP Hub in rural Missouri, convening providers and community organizations, managing day-to-day workflow, and supporting the delivery of coordinated whole-person care. The Coordinator facilitates integration of health, behavioral, and social services using referral and information exchange systems. This role is central to aligning and sustaining collaboration among, and effective performance within, the Hub Anchor and its partners.
Core Initiatives
Missouri’s RHTP supports sweeping improvements to rural healthcare, including workforce development, EMS expansion, home visiting for maternal and child health, and infrastructure modernization. Competitive awards to MEMSA and MDA expand mobile care and maternal workforce capacity, while Children's Trust Fund advances nurse-based home visiting. The state is implementing a multi-hub model to coordinate local care, launching strategic partnerships, roadshows, and telehealth initiatives. Key contacts: Steven Hoffman Steven.Hoffman@dss.mo.gov; Justin Duncan RHTP@memsa.org Event schedule: - Missouri Announces Upcoming Grant Opportunity to Modernize Rural Healthcare Facilities - 07/29/2026 - CT - Rural Health Transformation Funding for Home Visiting – Application Period Through August 23, 2026 - 08/23/2026 - CT - APM Survey closed - 06/26/2026 - CT - Hub Anchor Application Due - 06/18/2026 - CT
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CMS released guidance for states including Missouri to apply for funding from the $50 billion Rural Health Transformation Program. Missouri is expected to receive $200 to $250 million annually over five years beginning in 2026 to support rural health sustainability and innovation through a community hub model. Key contacts: Farrah Fite ffite@mohospitals.org; Dave Dillon ddillon@mohospitals.org Event schedule: - Document Release Date - 09/15/2025 - 21:02 Europe/Amsterdam - Jefferson City, MO
Event Schedule
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Core Initiatives