The Rural Health Transformation Program represents the largest federal investment in rural healthcare in U.S. history — $50 billion over five years. For Mobile Integrated Healthcare and Community Paramedicine programs, this is a once-in-a-generation opportunity to secure sustainable funding, build infrastructure, and demonstrate the measurable outcomes that make MIH-CP programs so compelling.
Multiple state RHTP plans explicitly include MIH-CP as a funded initiative — Arkansas THRIVE, Tennessee MaRTHA, and Florida's mobile health unit expansion among them. But opportunity without a strong proposal doesn't go anywhere. Here's how to position your program to win.
5 Steps to a Strong RHTP Proposal
Why MIH-CP Is a Natural Fit for RHTP
RHTP is structured around five strategic goals — and MIH-CP programs address nearly all of them by design. This isn't a stretch. It's the strongest alignment of any healthcare delivery model with what CMS is actually trying to fund.
The Strategic Alignment
- MIH-CP directly addresses Strategic Goal 1 (Access to Care) by bringing healthcare to patients' homes
- Community paramedicine reduces ED utilization, 911 calls, and hospital readmissions — exactly the outcomes CMS measures
- MIH-CP programs inherently require cross-agency coordination — a core RHTP priority
- Programs need interoperability infrastructure to share data across partners — aligning with Strategic Goal 5
- Multiple states explicitly name MIH-CP in their RHTP proposals
Who's Fighting for the Money?
Understanding who else is applying for RHTP subrecipient funding in your state helps you differentiate your proposal:
- Rural hospitals & CAHs — seeking infrastructure and EHR funding
- FQHCs & RHCs — expanding service capacity
- Behavioral health orgs — crisis services and integration
- State Medicaid agencies — VBC transition and population health
Your edge: MIH-CP connects all of these together. Position your program as the coordination layer that makes everyone else's RHTP investment work better.
What CMS Is Looking For
RHTP proposals are evaluated on measurable outcomes — not intent. CMS wants to see that your program can track what it's doing, report on it accurately, and demonstrate impact across the five strategic goals. That means your proposal needs to be grounded in real data, and your program needs the infrastructure to generate that data on an ongoing basis.
Key compliance requirements every RHTP subrecipient must address:
- SAM.gov registration — required before you can receive federal funds
- 2 CFR 200 compliance — uniform administrative requirements for federal awards
- Quarterly and annual performance reporting — milestones, metrics, and financial data
- Interoperability standards — FHIR R4 APIs and USCDI v3 compliance for technology investments
🚑 Your MIH-CP Program Needs Data Infrastructure to Compete. To submit a competitive application, your program needs a platform that tracks patient encounters across agencies, measures outcomes automatically, and generates the reports CMS requires. Julota is the platform of choice for MIH-CP programs nationwide — with real-time field documentation, consent management, longitudinal patient records, and automated CMS-compliant reporting.
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Talk to Julota About Your RHTP Proposal
Our team works with MIH-CP programs across the country. We can help you understand what CMS is looking for — and show you how Julota's platform positions your program to deliver it.
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