Curated for MIH-CP & Community Paramedicine Programs

RHTP Latest Updates

State activity, CMS guidance, and funding milestones filtered for what matters to Mobile Integrated Healthcare and Community Paramedicine programs. Updated weekly.

Last updated: May 26, 2026  ·  Sources: CMS, state RHTP portals, and public cooperative agreement documents

Showing 12 updates — newest first

May
23
2026
Iowa Funding Milestone

Iowa Becomes First State to Distribute RHTP Funds — $78.6M Already Awarded Under "Healthy Hometowns"

Iowa's "Healthy Hometowns" RHTP program has moved faster than any other state, with $78.6 million in subrecipient awards already distributed. The state leads the nation in implementation speed and has publicly committed to EMS and community health organizations as eligible subrecipients under its cooperative agreement.

MIH-CP relevance: Iowa's early movement sets a template for how community paramedicine programs can position for subrecipient funding. If your state hasn't published its subrecipient eligibility list yet, Iowa's framework is worth studying for proposal language.
Iowa state guide →
May
21
2026
North Carolina State Activity

NC ROOTS Hub Leads Selected — 6 Regional Networks Now Operational

North Carolina has designated hub leads for all 6 of its regional ROOTS Hubs under the NCRHTP program. Hub leads were selected in May 2026 and are now beginning subrecipient outreach across their assigned regions. The hub model creates a clear entry point for MIH-CP organizations seeking to join the state's RHTP network.

MIH-CP relevance: Each ROOTS Hub is the gatekeeper for subrecipient access in its region. If you operate in North Carolina, identifying and contacting your regional hub lead is the immediate next step — do not wait for a state-level RFP.
North Carolina state guide →
May
19
2026
Florida State Activity

Florida RHTP Plan Explicitly Includes Mobile Health Units and Behavioral Health Telehubs

Florida's approved RHTP plan names mobile health units as an eligible service delivery model alongside behavioral health telehubs. This is one of the clearest state-level endorsements of MIH-style programming among all 50 state plans, making Florida a high-opportunity market for community paramedicine organizations seeking subrecipient status.

MIH-CP relevance: Florida's explicit inclusion of mobile health units as an eligible model is a direct on-ramp for MIH-CP programs. Programs in Florida should be actively engaging with their state's RHTP lead agency now, ahead of subrecipient solicitations.
Florida state guide →
May
16
2026
Federal CMS Guidance

CMS Releases Category B Funding Clarifications — Interoperability Platforms Confirmed Eligible

CMS has issued clarifications on the Technology Innovation Catalyst Fund (Category B, 10% of all RHTP funding) confirming that health information exchange platforms and interoperability infrastructure are eligible expenditures. Post-award guidance FAQs were also published, addressing reporting cadence, the non-supplanting rule, and cooperative agreement compliance for EMS-adjacent organizations.

MIH-CP relevance: The confirmation that HIE and interoperability platforms qualify under Category B is directly relevant to MIH-CP programs making the case for technology funding. Julota's platform falls squarely within this eligible category — use this guidance in your proposal.
CMS RHTP resources →
May
14
2026
Pennsylvania State Activity

Pennsylvania Designates 8 Rural Care Collaboratives with $35.1M in Additional State Funding

Pennsylvania has designated 8 regional Rural Care Collaboratives (RCCs) as its RHTP distribution infrastructure. Notably, the state is layering $35.1 million in additional state appropriations on top of its federal RHTP allocation, making Pennsylvania one of the best-funded rural health programs in the country. RCCs are actively seeking subrecipient partners across all service categories.

MIH-CP relevance: Pennsylvania's RCC structure creates 8 distinct entry points for MIH-CP organizations. The added state funding increases total available dollars and reduces competition for federal allocation. EMS agencies and community paramedicine programs should contact their regional RCC directly.
Pennsylvania state guide →
May
12
2026
Michigan State Activity

Michigan Names Interoperability as Explicit RHTP Priority Under Tech Innovation Pillar

Michigan's RHTP plan, organized around a Technology Innovation Pillar, explicitly names health information exchange interoperability and cybersecurity as priority investment areas. Michigan is one of a small number of states to name interoperability by name in its approved plan, signaling strong state appetite for cross-agency data infrastructure funding.

MIH-CP relevance: Michigan's explicit interoperability priority is a direct fit for MIH-CP programs that rely on real-time data sharing between EMS, hospitals, and community health organizations. Proposals in Michigan should lean heavily on interoperability outcomes data.
Michigan state guide →
May
9
2026
Tennessee State Activity

Tennessee's MaRTHA Program Launches with Health-Tech and Interoperability as Core Pillars

Tennessee's branded RHTP program — Mobile and Rural Tennessee Health Access (MaRTHA) — has officially launched with health technology and interoperability named as two of its four core investment pillars. The program name itself signals alignment with mobile health delivery models, making Tennessee an active market for community paramedicine programs.

MIH-CP relevance: MaRTHA's emphasis on mobile health delivery is a natural match for MIH-CP program models. Tennessee programs should emphasize the "mobile" component of their care model and cross-agency data coordination in any proposal language.
Tennessee state guide →
May
7
2026
Federal Funding Milestone

36 States Now in Active RHTP Implementation — $1.7B in Verified Subrecipient Funding Open

As of May 2026, 36 states have moved into active RHTP implementation with subrecipient funding activity underway. According to public RHTP tracking data, more than $1.7 billion in verified funding is currently active across 91 open opportunities, with additional solicitations expected as remaining states finalize their cooperative agreement plans.

MIH-CP relevance: With 36 states now active, MIH-CP programs in states that haven't yet moved shouldn't wait — engaging with your state's lead agency now positions you ahead of formal solicitations. The window to influence subrecipient eligibility language is closing in early-mover states.
Find your state →
May
5
2026
Arkansas State Activity

Arkansas Launches 4 Branded RHTP Initiatives with AI-Powered Coordinated Records Emphasis

Arkansas has launched four distinct branded RHTP programs — HEART, PACT, RISE AR, and THRIVE — each targeting different aspects of rural health transformation. A common thread across all four is an emphasis on AI-assisted coordinated record systems, positioning Arkansas as a technology-forward state where cross-agency data infrastructure is a funding priority.

MIH-CP relevance: Arkansas's coordinated records emphasis is a direct opportunity for MIH-CP programs that use shared care plans and cross-agency data. The four-program structure means multiple entry points — identify which initiative aligns with your service model and engage accordingly.
Arkansas state guide →
May
2
2026
Montana State Activity

Montana Receives 4th-Highest RHTP Allocation Nationally — Up to $1.2B Over 5 Years

Montana's RHTP allocation of $233.5 million annually — up to $1.2 billion over the 5-year program window — ranks 4th highest nationally, despite being one of the least populated states. This reflects RHTP's variable funding formula that heavily weights rural population density and healthcare access gaps. Montana is developing a Center of Excellence model under its cooperative agreement.

MIH-CP relevance: Montana's outsized allocation relative to population size means a higher per-capita funding opportunity for MIH-CP programs. The Center of Excellence structure may offer a higher-tier pathway for established community paramedicine programs seeking leadership roles.
Montana state guide →
Apr
28
2026
Federal CMS Guidance

CMS Publishes Post-Award FAQ Clarifying Non-Supplanting Rule for EMS-Adjacent Organizations

CMS's post-award guidance FAQ addresses one of the most common questions from EMS and community health organizations: whether RHTP funding can supplement existing Medicaid or Medicare reimbursement. The guidance confirms that RHTP funds cannot replace existing federal funding streams but can expand services beyond what current reimbursement covers — a distinction that directly affects how MIH-CP programs frame their proposals.

MIH-CP relevance: Many MIH-CP programs already receive some Medicaid reimbursement for mobile integrated health services. This guidance means your RHTP proposal should focus on expanding scope or reach — new populations, new service areas, or new care coordination capabilities — rather than replacing existing revenue.
CMS guidance resources →
Apr
24
2026
Georgia Funding Milestone

Georgia's GREAT Health Program Launches 29 Projects Across 86 Hospitals

Georgia's RHTP program — GREAT Health — has moved into active project implementation with 29 approved initiatives operating across 86 hospitals under the AHEAD Model. The program includes community health worker programs among its funded service categories, establishing a precedent for non-clinical community health organizations as eligible RHTP subrecipients in the state.

MIH-CP relevance: Georgia's inclusion of community health worker programs signals that the state views community-based care delivery — including mobile care models — as fundable under RHTP. Georgia MIH-CP programs should reference the GREAT Health CHW precedent in any subrecipient application.
Georgia state guide →

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