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: October 5, 2026  ·  Sources: CMS, state RHTP portals, and public cooperative agreement documents

Showing 12 updates — newest first

Oct
2
2026
Kansas Funding Milestone

Kansas Opens $55M in Year 2 RHTP Grants: $44M Regional Partnerships, $11M Capital, Due Nov. 13

The Kansas Department of Health and Environment opened two Year 2 RHTP grant programs on October 2: the $44 million Regional Partnership Grant Program, which funds collaborative arrangements around prevention, provider sustainability, workforce, value-based care and technology, and the $11 million Transformative Capital Investment Grant Program, whose final amount is pending CMS approval of the Year 2 budget. Eligible applicants include Kansas hospitals, physician practices, rural health clinics, FQHCs, local health departments, tribal health facilities, CCBHCs, substance-use disorder facilities and long-term care facilities. Applications for both are due November 13, 2026, and KDHE hosts an informational webinar October 9 at 10 a.m.

MIH-CP relevance: EMS agencies aren’t on the eligible list, so Kansas community paramedicine programs should look at joining a hospital, clinic or health department applicant on a Regional Partnership grant, which is built around collaborative arrangements.
Oct
2
2026
South Dakota Funding Milestone

CMS Announces $7.2M for Ambulance-Based Telemedicine and Emergency Communications Across 25 South Dakota EMS Projects

CMS announced $7.2 million in South Dakota RHTP funding for 25 projects that expand ambulance-based telemedicine, train the EMS workforce, set up patient data sharing between EMS crews and hospitals, modernize dispatch and communications systems, and support data-driven quality improvement. South Dakota is positioned to receive more than $189 million from RHTP over five years.

MIH-CP relevance: This is one of the most EMS-specific RHTP announcements to date. Telemedicine in the ambulance and EMS-to-hospital data sharing are the same building blocks community paramedicine programs use for treat-in-place and post-discharge visits, so South Dakota agencies should find out which of the 25 projects cover their region.
Oct
2
2026
Michigan Funding Milestone

Michigan Has Allocated $124.6M in RHTP Direct Grants to 236 Subrecipients, $48.4M Still to Award

Bridge Michigan reported that the state has allocated $124.6 million in RHTP direct grants, approved by CMS, to 236 subrecipients, with $48.4 million of Michigan’s roughly $173 million award left for later grant-funded opportunities. Larger recipients include the Department of Labor and Economic Opportunity (about $26 million), the Michigan Health and Hospital Association ($8.6 million), tribal entities (about $8.7 million), and the Michigan Center for Rural Health ($7.2 million). The state must obligate funds by October 30.

MIH-CP relevance: With $48.4 million still unallocated and one of Michigan’s initiatives aimed at increasing access to home-based services, Michigan community paramedicine programs should watch MDHHS for the next round of grant-funded opportunities.
Oct
1
2026
Alabama Funding Milestone

Alabama Awards Second RHTP Round: 34 Grants, Nearly $55M, Including EMS Treat-in-Place and Trauma/Stroke Coordination

Gov. Kay Ivey and CMS announced 34 grants totaling nearly $55 million in Alabama’s second round of 2026 RHTP funding. The awards span five initiatives: Cancer Digital Regionalization, Statewide EMS Trauma and Stroke, EMS Treat in Place, Maternal and Fetal Health, and Simulation Training. Projects will equip at least 20 rural hospitals with emergency labor and delivery resources and build workforce pipelines for physicians, nurses, EMS professionals, midwives, and dental professionals. This follows the first round of more than $144 million across 138 grants in August.

MIH-CP relevance: EMS Treat in Place is a named, funded initiative here, which makes Alabama one of the clearest examples of a state paying for the treat-in-place model that community paramedicine programs run. Alabama EMS agencies should check whether they are among the 34 recipients and how the initiative will be structured going forward.
Sep
30
2026
Alaska Funding Milestone

Alaska Opens Year 2 Fall 2026 RHTP Funding Cycle: About $75M, EMS Implementation Pathway, Due Oct. 28

The Alaska Department of Health opened its Year 2 Fall 2026 RHTP funding cycle on September 30, with about $75 million in anticipated awards. Applications are due October 28, 2026, at 11:59 p.m. Alaska time. The cycle has three priority pathways (EMS Implementation, Care Coordination Implementation, and Pay for Value Readiness Implementation) plus an open call for projects aligned with any of Alaska’s six RHTP initiatives. Each organization may submit up to five applications; award notifications are expected to begin in December 2026, with projects starting as early as January 1, 2027.

MIH-CP relevance: EMS Implementation and Care Coordination (hospital discharge and post-hospitalization follow-up) are two of the three priority pathways. That is the core community paramedicine use case, and Alaska EMS entities are explicitly eligible.
Sep
30
2026
North Carolina Funding Milestone

North Carolina Opens $20M/Year Rural Health Innovation Fund Applications, Due Nov. 16

Gov. Josh Stein, NCDHHS, and NCDIT launched the Rural Health Innovation Fund, which will distribute about $20 million per year for up to five years to help rural providers adopt technology. The first round is open to primary care providers, FQHCs, community health centers, and other eligible safety-net providers serving rural residents, for projects such as telehealth expansion, EHR upgrades, cybersecurity, and AI clinical decision support. Applications are due November 16, 2026, at 11:59 p.m.; funding is reimbursement-based, awards are expected in January 2027, and projects must be completed by July 30, 2027.

MIH-CP relevance: EMS agencies aren’t named as first-round applicants, but NC community paramedicine programs that partner with an FQHC or rural primary care practice can help shape telehealth and care-coordination projects that extend into the home.
Sep
30
2026
West Virginia Funding Milestone

West Virginia Announces More Than $8M in RHTP Grants, Including $4M for a Mobile Unit and Drone Delivery

Gov. Patrick Morrisey announced more than $8 million in new RHTP grants: $1.1 million to Community Care of West Virginia, a federally qualified health center; $3.2 million for other rural hospital investments; and $4 million to Minnie Hamilton Health Center in Grantsville to support a new mobile healthcare unit, autonomous drone delivery of supplies, and AI-supported clinical documentation.

MIH-CP relevance: Minnie Hamilton’s mobile unit is the kind of deployed-care model West Virginia’s Connected Care Grid is meant to fund. WV community paramedicine programs can point to it when proposing mobile and treat-in-place work in future rounds.
Sep
30
2026
Virginia Funding Milestone

Virginia Opens $9.9M RHTP Tech Innovation Fund for Early-Stage Health-Tech Companies, Due Oct. 29

The Virginia Innovation Partnership Corporation (VIPC), a key implementation partner for Virginia’s RHTP, launched the Tech Innovation Fund on September 30 with about $9.9 million in non-dilutive grants of $250,000 to $999,999. Eligible applicants are U.S.-based companies under 10 years old with less than $50 million in prior funding, developing chronic disease prevention or management products (Technical Readiness Level 4–7) that serve rural Virginia. Applications are due October 29, 2026, at 5:00 p.m.; awards are anticipated December 21, 2026.

MIH-CP relevance: This round funds technology companies, not providers. Virginia community paramedicine programs can still partner as pilot sites for remote monitoring or chronic disease tools that vendors propose, which gives them a hand in shaping what gets built.
Sep
29
2026
Montana Funding Milestone

CMS Announces $8.7M for New Ambulances and Equipment Across 79 Rural Montana EMS Agencies

CMS announced $8.7 million in Montana RHTP funding for 79 rural emergency medical service agencies. Four agencies will replace ambulances more than 20 years old or non-functional leased vehicles, and 75 agencies, including 3 tribal governments, will buy equipment such as IV pump systems, ventilators, cardiac monitors, power-load cot systems, and stair chairs.

MIH-CP relevance: This funding goes straight to rural EMS agencies with no intermediary. Montana MIH-CP programs run by those agencies get more reliable vehicles and monitoring equipment, and the award shows the state is willing to fund EMS capital directly.
Sep
29
2026
Oklahoma

Oklahoma Touts First-Year RHTP Progress as Year 2 Begins Oct. 31

Gov. Kevin Stitt held a September 29 briefing on Oklahoma’s first year under its $223.5 million RHTP award. Highlights included Southwestern Oklahoma State University’s mobile resource unit for health screenings, chronic disease prevention and telehealth in underserved rural areas, a microgrant of nearly $200,000 for Washita and Roger Mills counties, and a roughly $4 million regional program with Weatherford Regional Hospital. Budget Year 1 ends October 30, Year 2 begins October 31, and more CMS funding announcements are expected in October.

MIH-CP relevance: Mobile screening and telehealth units like SWOSU’s fill the same gap as community paramedicine. With Year 2 starting Oct. 31, Oklahoma MIH-CP programs should watch oklahoma.gov/rhtp for new solicitations.
Sep
28
2026
Colorado Funding Milestone

CMS Announces $169.6M for 91 Colorado Grantees, Including Community Paramedicine and Prehospital Whole-Blood Transfusions

CMS announced $169.6 million in Colorado RHTP funding for 91 grantees and about 250 projects. Funded work includes ICU and inpatient telemedicine, remote patient monitoring, mobile clinics and community paramedicine, behavioral and maternal health, workforce recruitment and retention, and EHR modernization. One project will train rural EMS providers across a network reaching 39 counties to give whole-blood transfusions before patients reach the hospital.

MIH-CP relevance: Community paramedicine is named directly in the CMS release, and the whole-blood project expands what rural EMS crews can do in the field. Colorado MIH-CP programs should confirm whether their agency or hospital partner is among the 91 grantees.
Sep
28
2026
Texas Funding Milestone

Texas Awards First Rural Texas Strong Round: $51M to 68 Rural Hospital Districts and Authorities

Gov. Greg Abbott announced $51 million in the first round of Rural Texas Strong funding, with 68 rural hospital districts and authorities each receiving $750,000 through the Texas Health and Human Services Commission. The money supports community-based prevention, wellness, and nutrition programs that address diabetes, cardiovascular disease, chronic respiratory disease, and obesity. Texas expects about $1.4 billion in RHTP funding over five years.

MIH-CP relevance: Many rural Texas hospital districts also operate or contract EMS. Chronic-disease prevention dollars that flow through them are a practical way to fund community paramedicine home visits for diabetes and heart failure patients.
Sep
26
2026
Alaska Funding Milestone

Alaska Opens Second RHTP Funding Round Sept. 30 as $242.6M of $272M Year 1 Award Distributed

Alaska has distributed $242.6 million of its $272 million Year 1 RHTP award across 250 projects (median award $421,000). The state will open applications for a second/Year 2 funding round on September 30, with a public-comment period on funding criteria closing October 9 and the remaining Year 1 balance due out by the federal October 30 deadline. The announcement followed a September 23 RHTP Advisory Council meeting and “Celebrating Year 1, Looking Ahead to Year 2” applicant convening in Anchorage.

MIH-CP relevance: A second funding round opening within days is a live opportunity for Alaska’s mobile integrated health and community paramedicine programs to get in early on Year 2 criteria before the comment period closes October 9.
Sep
25
2026
Iowa Funding Milestone

Iowa RHTP Directs $15.9M to Cancer Screening, Radon Mitigation, and Telehealth

Rep. Mariannette Miller-Meeks (IA-01) announced $15.9 million through Iowa’s Healthy Hometowns RHTP plan for cancer prevention, detection, and treatment — covering radon mitigation, telehealth expansion, and increased screening access. Iowa has the second-highest cancer rate in the nation. The funding is part of Iowa’s broader $209M Year 1 RHTP award; Iowa was the first state in the nation to disburse RHTP funds.

MIH-CP relevance: Telehealth expansion tied to cancer screening is a natural extension point for community paramedicine programs already doing in-home follow-up care.
Sep
25
2026
Georgia

Georgia’s GREAT Health Lead Talks Rural Hospital Tech Strategy at Health Connect South

Georgia Medicaid director and GREAT Health lead Stuart Portman joined panelists from Sharecare, HomeTown Health, and AWS at the 13th annual Health Connect South conference to discuss how Georgia is using RHTP funds to stabilize rural hospitals financially, emphasizing technology adoption and consumer engagement. No new dollar figures or program changes were announced.

MIH-CP relevance: Georgia’s public framing of RHTP success around technology adoption is worth watching — it signals which technology categories may get priority in future funding rounds.
Sep
24
2026
Arkansas Funding Milestone

Arkansas Awards $54.6M in Second RHTP Funding Round; UAMS Gets $5M+ for Six Initiatives

Arkansas officials announced $54.6 million distributed to dozens of recipients in a second RHTP funding round. The University of Arkansas for Medical Sciences (UAMS) separately confirmed more than $5 million awarded under the HEART and RISE ARKANSAS initiatives to fund six programs. Arkansas has now distributed over $200 million this year toward its roughly $1 billion five-year allocation.

MIH-CP relevance: A named academic medical center receiving a multi-program award is a useful model for Arkansas MIH-CP programs looking for an institutional partner already navigating RHTP’s application process.
Sep
24
2026
Delaware Funding Milestone

Delaware Awards Nearly $23M to Three FQHCs for EMR, Remote Monitoring, and Cybersecurity

Governor Matt Meyer and DHSS announced nearly $23 million to three Delaware FQHCs — Westside Family Healthcare ($11.3M), La Red Health Center ($10.1M), and Henrietta Johnson Medical Center ($1.29M) — for EMR upgrades, remote patient monitoring, cybersecurity, expanded care teams, and care coordination in rural Kent and Sussex counties.

MIH-CP relevance: Remote patient monitoring and care-coordination funding at these three FQHCs is directly relevant to any MIH-CP program building referral partnerships with Delaware’s rural health centers.
Sep
24
2026
South Dakota Funding Milestone CMS Guidance

CMS Announces $13M for South Dakota Behavioral Health and 24/7 Mobile Crisis Response

CMS announced a $13 million investment in South Dakota to expand behavioral healthcare and establish a 24/7 mobile crisis response system, funding 12 modernization/infrastructure grants through the state’s Certified Community Behavioral Health Clinic (CCBHC) initiative.

MIH-CP relevance: A 24/7 mobile crisis response system is about as directly on-mission for MIH-CP and co-responder programs as RHTP funding gets — worth flagging to South Dakota programs immediately.
Sep
24
2026
South Carolina

South Carolina Public Radio Spotlights RHTP-Funded Telehealth Push

South Carolina Public Radio’s “My Telehealth” program covered the state’s RHTP-funded telehealth expansion, noting 21 of the 228 previously announced grant recipients (from September’s $167.3M award) are using funds for remote patient monitoring and assistive technology.

MIH-CP relevance: Remote patient monitoring and assistive technology are core MIH-CP tools — worth checking whether any of the 21 named recipients overlap with existing South Carolina community paramedicine partners.
Sep
23
2026
Florida

Florida Holds Invitation-Only RHTP Convening in Jacksonville

Florida held a statewide RHTP convening in Jacksonville for its $209.9M program (AHCA-led, serving 31 counties and roughly 1.2 million Floridians). No new dollar figures or policy changes were reported from the event.

MIH-CP relevance: Statewide convenings like this are where county-level MIH-CP partnerships often get made informally — worth watching for any resulting announcements in the coming weeks.
Sep
23
2026
Idaho Funding Milestone

Idaho Forms RHTP Implementation Task Force Ahead of Oct. 30 Deadline to Award All $186M

The newly formed Idaho RHTP Implementation Task Force — rural hospital leaders, state officials, and tribal representatives — met for the first time in Boise to oversee award of nearly $190 million in federal RHTP grants. Idaho must award all $186 million in Year 1 funds by October 30, 2026 or forfeit them. Nearly 20 funding opportunities have closed, including a health-provider infrastructure opportunity that drew more than 250 applications for roughly $97 million.

MIH-CP relevance: A $97M infrastructure opportunity with 250+ applicants shows fierce competition for Idaho RHTP dollars — MIH-CP programs that haven’t yet applied should treat the Oct. 30 award deadline as a hard cutoff, not a soft target.
Sep
23
2026
Rhode Island Funding Milestone

Rhode Island Details $5.6M for Rural Community-Based and Mobile Health Services Ahead of Oct. 1 Deadline

Rhode Island must obligate its full $156.17M first-year RHTP award by the federal October 1, 2026 deadline. New reporting confirms roughly $5.6 million allocated specifically to rural community-based and mobile health services, one of 13 funded initiatives, alongside workforce development, behavioral health, health IT, hospital-at-home, and expanded EMS services. The state’s Rural Stakeholder Advisory Council next meets October 28 to discuss data infrastructure.

MIH-CP relevance: The $5.6M mobile and community-based health line item is the most direct RHTP funding category for Rhode Island MIH-CP programs on this tracker to date — worth reaching out to RI DOH about eligibility before the Oct. 28 advisory council meeting.
Sep
23
2026
North Carolina

NCDHHS Holds Informational Webinar for New $20M/Year Rural Health Innovation Fund

As part of the $20 million/year Rural Health Innovation Fund announced earlier in September, NCDHHS and NCDIT held an informational webinar for prospective applicants ahead of the fund’s September 30 opening.

MIH-CP relevance: With the fund opening September 30, this is the last informational touchpoint before NC MIH-CP programs need to have their applications ready.
Sep
22
2026
Missouri Funding Milestone CMS Guidance

Missouri Awarded $45M+ Across Hospital Renovation, Telehealth, and EMS Workforce Training

CMS announced Missouri will receive over $45 million in new RHTP funding: ~$35 million for 20 rural hospital renovation projects under the “Horizon 1 Strategic Minor Renovations Program,” $6.4 million connecting rural providers to rapid psychiatric consultations via the Missouri Child Psychiatry Access Project (MO-CPAP) and Missouri Maternal Health Access Project (MO-MHAP), and up to $4.2 million for EMT/paramedic training for 437 selected individuals via the Missouri Emergency Medical Services Association (MEMSA).

MIH-CP relevance: The $4.2M EMS workforce training tranche, funding 437 EMT/paramedic trainees through MEMSA, is a direct pipeline investment for Missouri’s community paramedicine workforce.
Sep
22
2026
West Virginia Funding Milestone

West Virginia Awards First $500K Provider Productivity Support Fund Grant to CHANGE, Inc.

Governor Morrisey announced a $500,000 award to CHANGE, Inc. (an FQHC/Community Action Agency), the first award under WV’s RHTP Provider Productivity Support Fund. Funds support a 24/7 AI patient contact center, AI clinical documentation tools, expansion of Chronic Care Management from 41 to 90+ patients, and remote patient monitoring for diabetes/hypertension patients in Brooke and Hancock counties.

MIH-CP relevance: Remote patient monitoring for chronic disease management is a template WV MIH-CP programs can point to when making their own Provider Productivity Support Fund case.
Sep
21
2026
Oregon Funding Milestone

Wallowa Memorial Hospital Awarded $5.46M for New MRI, Rural Clinic Equipment, and Maternal Health Initiative

Wallowa Memorial Hospital and Medical Clinics (Wallowa County) received a competitive RHTP award distributed through the Oregon Health Authority, funding a new onsite MRI unit ($964,000), equipment upgrades at four Rural Health Clinics ($100,000 each), a Rural Maternal and Newborn Health Sustainability Initiative ($1,965,251), and a service-expansion project covering stereotactic breast biopsy, a new CT scanner, and a Mohs dermatology program.

MIH-CP relevance: Facility upgrades like an onsite MRI and expanded rural clinic equipment reduce the need for long-distance patient transport — exactly the kind of avoided-transfer outcome MIH-CP programs are built to demonstrate to funders.
Sep
21
2026
Virginia Funding Milestone

Virginia Launches “Earn to Learn” RFA for Allied Health Apprenticeships, TA Webinar Held Sept. 21

Virginia Works released a new RFA under RHTP’s Homegrown Health Heroes initiative funding apprenticeship and training pathways for allied health occupations — dental hygienists, sonographers, RNs, radiologic techs, and PT/OT assistants among them. A technical-assistance webinar ran September 21; applications are due October 16, 2026, with awards expected around October 30. This is a separate initiative from the VHCF Provider Productivity RFA that closed September 14.

MIH-CP relevance: Apprenticeship funding for allied health occupations is a workforce pipeline MIH-CP programs can tap directly, especially for EMT/paramedic-adjacent roles feeding into community paramedicine staffing.
Sep
18
2026
New Mexico Funding Milestone

New Mexico Names Six Regional Hub Organizations to Lead $74M+ “Healthy Horizons” Initiative

The NM Health Care Authority announced the Regional Hub Organizations chosen to lead Healthy Horizons, a specialty, maternal, and behavioral-health access initiative under the state's RHTP. Allocations include Cibola General Hospital/Gallup Community Health ($12.05M, Region 1), Regents of UNM ($9.03M + $10.17M, Regions 2 & 3), Eastern Plains Council of Governments ($7.9M, Region 4), Gila Regional Medical Center ($15.23M, Region 5), and Nor-Lea Hospital District ($19.68M, Region 6). Non-selected applicants may still join the regional planning phase.

MIH-CP relevance: Regional hub-led specialty and behavioral-health access initiatives create natural referral partners for MIH-CP programs doing in-home follow-up after ED or specialist visits.
Sep
18
2026
Vermont Funding Milestone

Rutland Regional Medical Center Awarded $3.15M — Vermont’s First Named RHTP Recipient

Vermont’s Agency of Human Services awarded Rutland Regional Medical Center $3.15 million, with over $2 million going toward relocating and expanding the Rutland Women’s Healthcare clinic. Remaining funds cover pharmacy expansion, ambient AI clinical documentation, a TelePharmacy partnership with Dartmouth Health, ED palliative-care expansion, and ventilator-capacity expansion at The Pines at Rutland Center. State officials say other RHTP projects have already received funding, but this is the first publicly detailed, named award.

MIH-CP relevance: Ambient AI documentation and ED palliative-care expansion both point to workflow and care-coordination gaps MIH-CP and community paramedicine teams are positioned to help close.
Sep
17
2026
West Virginia Funding Milestone CMS Guidance

West Virginia Awards $855,400 to WV Health Information Network for Statewide HIE Expansion

Governor Morrisey announced an $855,400 RHTP award to the West Virginia Health Information Network (WVHIN) to strengthen statewide health data infrastructure and expand health information exchange participation among providers. CMS Administrator Dr. Mehmet Oz was quoted alongside Morrisey and Health Secretary Dr. Arvin Singh in the announcement.

MIH-CP relevance: Statewide health information exchange expansion is foundational for MIH-CP programs coordinating care across EMS, hospitals, and community providers — worth watching for HIE onboarding opportunities.
Sep
17
2026
West Virginia

Lawmaker Questions $1.17M RHTP Grant to Spotted Owl Health Organization

Del. Gary Howell (R-Mineral) publicly questioned the WV Department of Health’s $1.17 million RHTP award to Spotted Owl Health Organization (Kanawha County) for employer-based worksite health clinics, saying the group’s track record is in wellness programs rather than the multi-employer worksite healthcare the funding criteria required. He raised the concern directly with Health Secretary Dr. Arvin Singh.

MIH-CP relevance: Legislative scrutiny over award criteria is a reminder for MIH-CP grant applicants to document eligibility and scope precisely — a mismatch between a grantee’s stated history and the funding criteria invites exactly this kind of oversight.
Sep
17
2026
Indiana Funding Milestone

Indiana’s GROW Regional Grants Name New Sub-Recipients: $9.7M to Region 3, Ball State $358K for Region 4

Indiana’s GROW Regional Grants program (part of its $120M RHTP workforce initiative) confirmed $9.7 million awarded across Region 3 (west-central Indiana). Within that pool, Valley Oaks Health received $828,375 to expand primary care access points in Attica and Monticello, while Ball State University was separately awarded $358,170 for Region 4 (East Central Indiana), funding a regional coordinator for a 24-organization coalition and rural clinical rotations.

MIH-CP relevance: Regional coalition grants for primary-care access points and rural clinical rotations are the kind of workforce and access infrastructure MIH-CP programs can plug into for warm-handoff partnerships.
Sep
17
2026
Nevada Funding Milestone

Lyon County Accepts $4.29M RHTP Grant for EMS and Mobile Integrated Health Capacity

The Lyon County Board of Commissioners formally accepted a $4,289,351 grant from the Nevada Health Authority, running through August 30, 2027. Funds cover six new EMT/paramedic positions across three fire districts, an ambulance per district with mobile-integrated-health capability, cardiac monitors, dispatch software upgrades, and an EMS billing-optimization assessment. Part of Nevada’s broader ~$150M awarded so far across 158 projects in 17 counties.

MIH-CP relevance: New EMT/paramedic positions and an ambulance with mobile-integrated-health capability is about as direct an MIH-CP funding hit as RHTP produces — worth flagging to Nevada programs directly.
Sep
16
2026
Connecticut Funding Milestone

Connecticut Awards $46M to Four Rural Hospitals; Lead Agency Confirmed as DSS, Not DPH

The Connecticut Department of Social Services (DSS) — the state’s actual RHTP lead agency — announced $46 million distributed among four rural hospitals: Day Kimball Hospital ($20.2M for a fixed MRI facility), Charlotte Hungerford Hospital (the state’s first mobile stroke unit, shared with Windham Hospital, $12.6M combined), and Sharon Hospital. An additional $4 million went to Mathematica for technical assistance; the remaining $104M of Connecticut’s $154.2M award is allocated to statewide projects across 10 state agencies.

MIH-CP relevance: A mobile stroke unit and remote monitoring upgrades both extend care beyond the hospital walls — exactly the model MIH-CP programs are built around.
Sep
15
2026
South Carolina Funding Milestone

South Carolina Awards 228 Grants Totaling $167.3M; Lead Agency Corrected to SCDHHS

Governor McMaster and SCDHHS announced 228 grant awards totaling $167,299,900.69, selected from 712 applications, spanning all four Year 1 initiatives: Connections to Care, Wellness Within Reach, Leveling Up, and Shoring Up to Sustainability. SCDHHS — not DHEC, as this tracker previously listed — is confirmed as the lead state agency.

MIH-CP relevance: With four initiatives spanning primary care, maternal/infant care, pediatrics, and behavioral health, this is the largest single funding event on the tracker this week — SC MIH-CP programs should check whether their partner organizations were among the 228 recipients.
Sep
15
2026
North Carolina Funding Milestone

North Carolina Launches New $20M/Year Rural Health Innovation Fund, Adds $1.25M for School-Based Health Centers

NCDHHS announced $1.25 million in RHTP funding across five organizations — including Appalachian District Health Department and Blue Ridge Community Health Services — to expand school-based health centers. The same announcement introduced a new Rural Health Innovation Fund, a competitive digital-infrastructure fund worth $20 million annually for up to five years; NCDHHS held an informational webinar September 23, with competitive applications expected to open this fall.

MIH-CP relevance: A recurring $20M/year digital-infrastructure fund is a multi-year opportunity for MIH-CP programs to fund remote monitoring and care-coordination technology beyond RHTP’s initial five-year window; school-based health centers are also a natural referral partner for community paramedicine programs serving the same rural families outside school hours.
Sep
15
2026
Louisiana Funding Milestone

UL Lafayette Awarded ~$2.1M from Louisiana Dept. of Health for Rural Nursing Workforce and Data Platform

UL Lafayette received roughly $2.1 million from the Louisiana Department of Health, split between the College of Nursing & Health Sciences (~$1.6M, to grow the rural RN workforce) and the Center for Applied Artificial Intelligence (~$498,723, to build a data platform helping rural clinics identify community health needs). Both are funded through Louisiana’s RHTP.

MIH-CP relevance: A data platform to help rural clinics identify community health needs is directly useful for MIH-CP programs building the case for where mobile response should be deployed.
Sep
14
2026
Mississippi Funding Milestone CMS Guidance

Mississippi Announces First Tranche: 167 Awards Totaling $104.1M

Governor Tate Reeves announced 167 awards totaling $104,115,146 out of Mississippi’s $205.9M first-year RHTP budget, covering facility upgrades, telehealth, cybersecurity, and diagnostic equipment for rural hospitals and clinics. Workforce and psychiatric emergency-services grants are expected in 30–45 days, with EHR-modernization opportunities to launch in October. CMS confirmed the award nationally the same day.

MIH-CP relevance: EMS Capacity Assessment funding was part of the application window behind this tranche — worth monitoring which of the 167 awards touch EMS/MIH infrastructure directly as award details become public.
Sep
14
2026
Kansas Funding Milestone

KDHE Awards $16M in Emerging Technology Grants to 14 Rural Providers

The Kansas Department of Health and Environment announced 14 awardees, chosen from 72 applications, at an event hosted by Prairie View, Inc. in Newton. Named recipients include Genesis Family Health ($1,059,190) and Meade Hospital District ($141,098), funded through Kansas’s $221.9M RHTP allocation.

MIH-CP relevance: Emerging-technology grants to rural providers are a funding lane MIH-CP programs should watch for the next application cycle, especially for remote monitoring and telehealth equipment.
Sep
14
2026
Virginia Funding Milestone

Virginia Health Care Foundation’s Provider Productivity RFA Closes Today, $7–9M for AI Documentation Tools

VHCF’s Provider Productivity RFA, funded through Virginia’s $189.5M RHTP award, closes today at 5:00 p.m. ET. The foundation anticipates awarding $7 million to $9 million to help rural providers adopt AI-enabled decision-support, documentation, and workflow-automation tools.

MIH-CP relevance: Documentation and workflow automation funding is directly relevant to MIH-CP programs drowning in duplicate charting across agencies — worth flagging to Virginia programs even after today’s deadline, since VHCF may open a second round.
Sep
14
2026
Minnesota Funding Milestone

Minnesota Rural Telehealth Services RFP Closes Today at Noon

The Minnesota Department of Health’s Rural Health Transformation Program RFP for Rural Telehealth Services closes today at 12:00 p.m. Central. The program is funded through Minnesota’s $193,090,618.14 CMS/HHS cooperative agreement award.

MIH-CP relevance: Telehealth-access funding is a natural adjacent opportunity for MIH-CP programs already doing remote monitoring — worth watching for Minnesota’s next RHTP RFP cycle.
Sep
14
2026
Virginia

Federal Rural-Designation Maps May Exclude Several Virginia Counties From RHTP Funds

Reporting from WVTF found that federal rural-designation maps could exclude a handful of Virginia counties — including Rockingham, Augusta, Bedford, Campbell, Amherst, and Goochland — from the state’s roughly $190M RHTP fund. Gov. Spanberger’s administration has requested revised maps; all RHT funds must be allocated by the end of October 2026.

MIH-CP relevance: MIH-CP programs in the flagged counties should confirm their service area’s designation status directly with the state before assuming eligibility for any RHTP-funded opportunity.
Sep
11
2026
Maryland Funding Milestone

Maryland’s NourishMD Grant Program (RHTP-Funded) Opens Sept. 22, ~$3.67M Available

Gov. Moore announced the FY2027 application round for the NourishMD Grant Program, partly funded through RHTP, opening Sept. 22, 2026 with roughly $3.67 million available.

MIH-CP relevance: Food-as-medicine and nutrition-access grants like NourishMD often pair well with MIH-CP referral networks — worth a proposal partnership conversation before the round opens.
Sep
11
2026
Oklahoma Funding Milestone

Oklahoma’s PRIMS Project 695 School-Health Grant Window Closes

OSDE’s PRIMS Project 695 competitive grant — which funds school nurses, counselors, and therapists to bill Medicaid for up to 90% of salary and benefits — closed applications Sept. 11, per Oklahoma’s official RHTP funding page.

MIH-CP relevance: School-based billing infrastructure like PRIMS is a template Oklahoma MIH-CP programs can point to when making the case for similar Medicaid-billing support for community paramedicine visits.
Sep
11
2026
New Mexico Funding Milestone

New Mexico Holds Preproposal Conference for Rural Health Innovation Fund

The NM Health Care Authority held a virtual preproposal conference for the Rural Health Innovation Fund (RHIF), the innovation-focused component of the state’s $211.5M RHTP award.

MIH-CP relevance: Innovation-fund preproposal conferences are exactly where MIH-CP programs should be asking directly whether community paramedicine models qualify before a formal RFP locks in eligibility language.
Sep
10
2026
New Mexico

New Mexico Closes Applications for RHT Program Stakeholder Advisory Committee

The NM Health Care Authority closed applications for its RHT Program Stakeholder Advisory Committee, which seats patients, providers, Tribal partners, and community leaders to guide the state’s $211.5M program.

MIH-CP relevance: A seat on this committee is a direct line to shaping New Mexico’s RHTP priorities — MIH-CP leaders who missed this round should watch for the next advisory-body opening.
Sep
10
2026
Georgia

Georgia’s GREAT Health Holds Second Quarterly Public Webinar

Georgia DCH held its second GREAT Health (Georgia’s RHTP) quarterly public webinar, covering a Year 1 funding overview and updates from two subgrantees — the Dept. of Behavioral Health & Developmental Disabilities and Side by Side — on their rural-access projects.

MIH-CP relevance: Georgia’s quarterly public webinars are the most reliable way for MIH-CP programs outside the two named subgrantees to hear directly from DCH about upcoming GREAT Health opportunities.
Sep
10
2026
Vermont Funding Milestone

Vermont Distributes First $11.7M of Its $195M RHTP Award

Vermont released the first $11.7 million of its RHTP award: $9 million to the Vermont Student Assistance Corporation for healthcare-field tuition assistance (with a five-year rural work commitment), and $2.7 million split among three nursing homes and training institutions.

MIH-CP relevance: The tuition-assistance structure — funding tied to a rural work commitment — is a workforce-pipeline model MIH-CP programs could propose adapting for community paramedic training.
Sep
9
2026
Alaska Funding Milestone

Alaska Awards Fifth Round of RHTP Funding, $25.8M to 32 Projects

Alaska’s Dept. of Health announced a fifth round of RHTP awards — $25.8 million across 32 projects spanning health access, nutrition, telehealth, infrastructure, and workforce — bringing the state’s total awarded to more than $207 million of its $272M FY26 allocation. Roughly $65 million remains ahead of the federal Oct. 30, 2026 obligation deadline.

MIH-CP relevance: With ~$65M still unawarded and a hard October deadline, Alaska MIH-CP programs have a narrow but real window to get a proposal in before the money is committed elsewhere.
Sep
9
2026
West Virginia CMS Guidance

CMS Announces Additional $4.8M for West Virginia Rural Workforce

CMS and HHS announced an additional $4.8 million for West Virginia: $2.4 million for statewide healthcare workforce recruitment and relocation (targeting 125+ professionals in year one), plus another $2.4 million through the Health to Prosperity worksite-clinic initiative.

MIH-CP relevance: Workforce recruitment/relocation dollars are relevant to any MIH-CP program struggling to staff community paramedic roles in rural West Virginia counties.
Sep
7
2026
Tennessee Funding Milestone

Tennessee Announces First RHTP Grant Recipients: $206.9M to 53 Projects

The Tennessee Dept. of Health announced its first RHTP grant recipients under the Healthy Active Rural Tennessee (HART) initiative — $206,888,882.11 to 53 projects across 44 counties, split roughly 58% public/municipal and 42% nonprofit.

MIH-CP relevance: With 44 counties now named recipients, this is Tennessee’s clearest signal yet of where MIH-CP programs should be reaching out for local RHTP partnership conversations.
Sep
4
2026
Kentucky

Rep. Guthrie and CMS Administrator Oz Tour Kentucky RHTP Site

Rep. Brett Guthrie and CMS Administrator Dr. Mehmet Oz visited T.J. Health Pavilion in Glasgow to review Team Kentucky RHTP implementation. Coverage noted most current-round RFAs have closed, with the Mobile Dental opportunity staying open until funds are exhausted.

MIH-CP relevance: Federal site visits like this typically precede announcements — Kentucky MIH-CP programs should watch for the next RFA round rather than assume the current closures are final.
Sep
4
2026
Louisiana CMS Guidance

Louisiana Named to CMS Rural Tech Catalyst Fund Cohort, ~$20M for Health Tech

Louisiana was confirmed as one of eight states in the CMS Rural Tech Catalyst Fund (RTCF) cohort, directing roughly 10% of its RHTP allotment — about $20 million in Year 1 — toward rural healthtech companies. Louisiana Innovation and LDH are vetting applicants, with milestone awards up to $3 million per company and grantee announcements expected mid-September.

MIH-CP relevance: If your MIH-CP program works with a health-tech vendor on interoperability or care coordination tools, this is a direct funding path for that vendor to pursue in Louisiana.
Sep
4
2026
New York CMS Guidance

New York Receives $76.2M Through Rural Community Health Integration Initiative

Rep. Nick Langworthy and CMS announced $76.2 million in RHTP funding through New York’s Rural Community Health Integration (RCHI) initiative for Western New York and the Southern Tier: roughly $22.7 million in planning awards, $53.5 million in implementation awards, and $1 million for School-Based Health Centers. Budget Period 1 funds must be obligated by Oct. 30, 2026 and spent by Sept. 30, 2027.

MIH-CP relevance: RCHI’s explicit focus on care integration is squarely in MIH-CP territory — Western NY and Southern Tier programs should be in direct contact with implementation-award recipients now.
Sep
4
2026
Rhode Island CMS Guidance

CMS Announces $5.48M for Rhode Island Rural Workforce Pipeline

CMS announced $5.48 million to strengthen Rhode Island’s rural healthcare workforce pipeline, funding 14 local education agencies to expand healthcare-focused Career and Technical Education — including $928,574 for a K-12 biomedical/EMS learning-center pathway and $1,360,343 for a PT/OT clinic and middle-school wellness initiative.

MIH-CP relevance: A K-12 EMS learning-center pathway is a rare, early-stage pipeline opportunity — Rhode Island MIH-CP programs should reach out to the funded LEAs about co-designing a community-paramedicine unit.
Sep
4
2026
West Virginia Funding Milestone

Gov. Morrisey Announces First West Virginia RHTP Implementation Awards, $2.4M

Gov. Morrisey announced West Virginia’s first RHTP implementation awards: roughly $2.4 million for worksite clinics and employer-based healthcare under the Health to Prosperity initiative — Spotted Owl Healthcare Org ($1,174,000), CAMC/Vandalia Health ($612,000), and Cabell Huntington Foundation ($612,000).

MIH-CP relevance: Employer-based worksite clinics are a natural referral partner for MIH-CP programs looking to catch patients before an ED visit — worth reaching out to the three named recipients directly.
Sep
3
2026
Montana Funding Milestone

Montana Has Two RHTP RFPs Open: Emergency Dispatch and Tribal Technical Assistance

Montana DPHHS has two RHTP RFPs currently open: a statewide Emergency Medical Dispatch System solution (deadline Sept. 23, 2026, 2:00 p.m. MDT) and a Community Health Aide Program Technical Assistance opportunity supporting tribal community implementation (deadline Oct. 1, 2026, 2:00 p.m. MDT).

MIH-CP relevance: A statewide EMDS solution directly touches dispatch-to-treatment workflows that MIH-CP and co-responder programs depend on — worth a direct look at the RFP requirements before Sept. 23.
Sep
2
2026
Nevada Funding Milestone

Nevada Reports Nearly $150M in RHTP Awards Distributed to Date

The Nevada Health Authority reported nearly $150 million in RHTP awards distributed so far, covering 158 projects across 17 counties — including roughly $5 million for rural medical residency expansion, $32 million-plus for provider recruitment and retention, and $14 million-plus for workforce pipelines, against the state’s $180M Year 1 allocation.

MIH-CP relevance: With workforce and recruitment dollars this large already moving, Nevada MIH-CP programs should confirm whether any of the 158 funded projects already touch their service area before proposing something duplicative.
Sep
2
2026
North Carolina

NC Health News Flags RHTP Transparency Gaps, Using North Carolina as a Case Study

North Carolina Health News reported that CMS won’t proactively publish state-level RHTP progress reports, using NC’s $213M award (~$61 per rural resident, second-lowest per-capita nationally) as a case study; national groups including AHA, the Federation of American Hospitals, the Bipartisan Policy Center, and Cato are pushing for subrecipient-level tracking. The piece also notes NC’s 40-member advisory committee holds quarterly public, livestreamed meetings, and that the state directed $10 million to 39 EMS agencies for substance-use-disorder support this summer.

MIH-CP relevance: The $10M EMS/SUD allocation to 39 agencies is worth checking directly — if your program partners with one of them, there may already be RHTP dollars flowing into your co-responder or diversion work.
Sep
1
2026
Hawaii Funding Milestone

Gov. Green Announces $58M RHTP Investment for Ambulances, EMS Comms, and Workforce

Gov. Josh Green announced a $58 million RHTP investment covering ambulances, EMS communications upgrades, and workforce training and retention across all Hawaii counties.

MIH-CP relevance: EMS communications and ambulance investment is upstream infrastructure MIH-CP and community paramedicine programs rely on directly — worth confirming how the county-level rollout affects your service area.
Sep
1
2026
Indiana Funding Milestone

Indiana Awards $120M in GROW Regional Grants Across All 8 Regional Coalitions

Gov. Braun and IDOH announced GROW Regional Grant awards totaling $120 million to all eight of Indiana’s regional coalitions. Local reporting confirmed region-by-region totals including $16.7M for Region 5 (Clay/Greene/Owen), $13.1M for Region 7 (south-central), $13M for Region 6 (southeast), and $9.7M for Region 3 (west-central).

MIH-CP relevance: With every regional coalition now funded, Indiana MIH-CP programs should identify which coalition covers their county and reach out about how the award is being deployed locally.
Sep
1
2026
Missouri Funding Milestone

Missouri’s ToRCH Horizon 2 Infrastructure Grant Window Closes

DSS’s ToRCH Horizon 2 Smart Growth and Service Line Modification infrastructure grants — up to $5 million per award, nearly $40 million available across program years 1–2 — closed applications Sept. 1 at 2:00 p.m., after an earlier extension from Aug. 28. No award announcements have surfaced yet.

MIH-CP relevance: Watch for Missouri’s Horizon 2 award announcements — infrastructure dollars this size often include facility upgrades MIH-CP programs can request access to for co-located services.
Sep
1
2026
Iowa Funding Milestone

Iowa’s Healthy Hometowns RFPs, Including Communities of Care Co-Location, Close

Multiple Iowa Healthy Hometowns RFPs — including the Communities of Care Co-Location technical-assistance opportunity — closed via IowaGrants.gov at 4:00 p.m. local time.

MIH-CP relevance: The Co-Location TA opportunity is directly relevant to MIH-CP programs pursuing shared-space models with behavioral health or social services — worth tracking for Iowa’s next Healthy Hometowns round.
Aug
28
2026
Virginia Funding Milestone

Virginia Receives $122M CMS Disbursement That Explicitly Names Community Paramedics

CMS announced Aug. 28 that Virginia will receive $122 million — part of the state’s $189.5 million FY26 RHTP award — to expand healthcare access, workforce pipelines, and technology innovation. The disbursement funds remote patient monitoring, virtual care, mobile clinics, maternal care, and increased community paramedics.

MIH-CP relevance: This is one of the first RHTP announcements nationally to name community paramedics explicitly — Virginia MIH-CP programs should treat it as a direct signal to engage state officials on scope and eligibility before disbursement details are finalized.
Aug
28
2026
Oklahoma Funding Milestone

Oklahoma Reports Progress on All 29 RHTP Programs, $3M+ in Microgrants Awarded

Oklahoma officials told KGOU (Oklahoma NPR) that work has begun on all 29 of the state’s RHTP programs, with over $3 million in Microgrants awarded across 68 of Oklahoma’s 75 rural counties. Sixty rural pre-K–12 schools received $10,000 grants for presidential fitness testing, and 20 organizations were notified of "Regional Reorientation" awards with five regional facilitators now in place. The state must obligate all Year 1 funds by Oct. 30, 2026.

MIH-CP relevance: The new Regional Reorientation facilitator network is a natural on-ramp for MIH-CP programs to connect with state RHTP staff before Oklahoma’s second-year funding amount is set in October.
Aug
28
2026
Wyoming Funding Milestone

Johnson County Healthcare Center Reveals $4.7M in Wyoming RHTP Sub-Awards

Johnson County Healthcare Center CEO Luke Senden told the hospital board that JCHC received 2 of the 3 RHTP grant applications it submitted, totaling $4.7 million. It’s the first local sub-award reveal from Wyoming’s roughly $205 million statewide allocation, which the state’s advisory panel divided among applicants in mid-August.

MIH-CP relevance: Local sub-award reveals like this one are worth tracking individually — they show which specific facilities are actually receiving funds and can surface MIH-CP partnership opportunities before a state issues its full recipient list.
Aug
27
2026
Arkansas Funding Milestone

Arkansas Awards $149.3M in First-Round RHTP Grants, Including $2.98M for Maternal Mobile Clinics

Gov. Sanders announced $149.3 million in first-round RHTP grants to 50 recipients — $55.7 million via THRIVE and $93.6 million via PACT — with two more branded initiatives still to be announced. UAMS separately received $11.99 million across four sub-projects, including $2.98 million for Arkansas Pregnancy Care Connect maternal mobile clinics and $5.4 million for SPARK, a rural stroke pathway spanning 63 hospitals and EMS agencies.

MIH-CP relevance: SPARK’s 63-hospital/EMS-agency stroke pathway and the maternal mobile clinic funding are both squarely MIH-CP territory — Arkansas programs should look for a role in either network now that awards are public.
Aug
27
2026
Georgia Funding Milestone

Georgia Receives $93.3M More for Telehealth, Surgical Robotics at 87 Rural Hospitals

CMS announced a further $93.3 million for Georgia’s GREAT Health program on Aug. 27, funding telehealth, surgical robotics, and AHEAD-aligned value-based care readiness at 87 rural hospitals. The tranche also covers paramedic/EMT training, maternal health integration, newborn screening, and dementia care capacity, and is reported to complete the state’s full Year 1 GREAT Health award.

MIH-CP relevance: The explicit paramedic/EMT training line item makes this the clearest MIH-CP funding signal in Georgia’s program to date — worth flagging directly to Georgia stakeholders already in the GREAT Health pipeline.
Aug
27
2026
Michigan Funding Milestone

Michigan Gets $25M for Tech Innovation Pillar — Interoperability, Telehealth Expansion

CMS announced $25 million for Michigan’s RHTP Tech Innovation Pillar on Aug. 27 — more than $16 million to the Office of Rural Prosperity’s Rural Tech Innovation Fund and over $9 million to the Michigan High-Speed Internet Office’s Access and Connectivity Fund. The funding targets digital systems upgrades, data exchange/interoperability, and expanded telehealth and remote patient monitoring.

MIH-CP relevance: Interoperability funding at this scale is a direct opening for MIH-CP programs in Michigan to push for data-sharing connections into the state’s broader RHTP technology backbone.
Aug
26
2026
Ohio Funding Milestone

Ohio Gets $3.15M to Expand Pharmacy Connectivity Across 73 Rural Counties

CMS announced $3.15 million for Ohio on Aug. 26 — $2 million to the Ohio Pharmacists Association for health information exchange integration and $1.15 million to the State of Ohio Board of Pharmacy to integrate the state’s OARRS controlled-substance database — covering all 73 of Ohio’s rural counties.

MIH-CP relevance: OARRS integration gives MIH-CP crews real-time visibility into controlled-substance history at the point of care — a meaningful safety upgrade for community paramedics responding to overdose and behavioral health calls in rural Ohio.
Aug
25
2026
Alaska Funding Milestone

Alaska’s First RHTP Tranche Brings $160M for Drones, AI Stroke Imaging, Robotic Surgery

CMS announced Alaska’s first RHTP funding tranche on Aug. 25 — $160 million across 142 projects statewide. Highlights include $6.5 million for the state’s first robotic-assisted surgery capability in Southern Southeast Alaska, $5 million for a tribally-led behavioral health/addiction treatment campus, $3.1 million for AI-powered stroke imaging at 21 hospitals, and $250,000 to design a drone-based prescription delivery framework across roughly 94,000 square miles.

MIH-CP relevance: Alaska’s extreme geography makes it a bellwether for what mobile/remote care technology RHTP will fund elsewhere — MIH-CP programs in similarly frontier regions should watch how the drone delivery framework develops.
Aug
25
2026
Alabama Funding Milestone

Alabama Awards First RHTP Grant Tranche: $144M+ to 138 Grants Across 80 Institutions

Alabama announced its first ARHTP grant tranche this week — more than $144 million across 138 grants to 80 institutions, covering 5 of the program’s 11 initiatives (Rural Health, Rural Workforce, Mental Health, Rural Health Practice, and Collaborative EHR/IT/Cybersecurity). Awards for the remaining initiatives are still in process.

MIH-CP relevance: With behavioral health and EMS-adjacent initiatives among the first funded, Alabama MIH-CP stakeholders should confirm whether their organizations are among the 80 recipients before the next award round is announced.
Aug
25
2026
West Virginia Funding Milestone

West Virginia Releases Final Rural Health Link Funding Opportunity — Up to $7.1M

Gov. Morrisey announced up to $7.1 million in shared-pool funding on Aug. 25 — described as the final funding opportunity released under West Virginia’s Rural Health Link initiative, intended to build a statewide network of regional hubs and mobility coordinators.

MIH-CP relevance: "Mobility coordinators" is close-cousin language to community paramedicine — West Virginia MIH-CP programs should get in front of this opportunity before it closes, since it’s billed as the last one under this initiative.
Aug
19
2026
Missouri Funding Milestone

Missouri Extends $40M ToRCH Rural Hospital Infrastructure Grant Deadline to September 1

The Missouri Department of Social Services issued Amendment #01 to IFB #DSS26015, pushing back the bid deadline for its ToRCH Care Smart Growth and Service Line Modification (Horizon 2) program from August 28 to 2 p.m. September 1. The opportunity offers individual grants of up to $5 million for one-time infrastructure investments in maternal health, behavioral health, or diagnostics/outpatient care, with nearly $40 million available across program years 1 and 2. Applicants must register through the MissouriBuys portal.

MIH-CP relevance: Behavioral health and diagnostics/outpatient infrastructure are squarely in MIH-CP territory — the extra week is worth using to align a joint proposal with a rural hospital partner before the new deadline.
Aug
17
2026
Pennsylvania Funding Milestone

Pennsylvania Opens $35M Rapid Response Stabilization Round 2 — Applications Due August 24

Pennsylvania's Department of Human Services opened a second Rapid Response Stabilization window, offering $1 million per eligible rural location (supplies and equipment only) from a $35 million pool, running August 17 through August 24 at 11:59 p.m. or until the funding cap is met. It follows two earlier PA RHTP rounds that have already closed: an EHR & HIO Modernization opportunity ($25M, closed Aug. 14) and an FQHC & FQHC Look-Alikes program ($1.8M, closed Aug. 7).

MIH-CP relevance: Equipment-only funding can cover mobile response supplies for eligible rural locations — but the window is short, so Pennsylvania MIH-CP partners should confirm eligibility with DHS immediately rather than waiting for a future round.
Aug
14
2026
Texas State Activity

Texas RHTP Rollout Draws "Excitement and Confusion" as Hospitals Face 30-Day Turnarounds

Governing reported that Texas's Rural Health Transformation Program rollout has moved quickly but unevenly, with some hospitals given as little as 30 days between a funding opportunity's release and a final project submission. Separately, HHSC's second round of the "Next Generation of the Small Town Doctor and Team" initiative, released July 15, has applications due August 26, 2026.

MIH-CP relevance: The compressed timelines mean Texas MIH-CP programs should treat every NOFO release as time-sensitive from day one rather than waiting for a formal announcement cycle.
Aug
11
2026
Florida Funding Milestone

Florida Distributes $188M in RHTP Awards; Calhoun Liberty Hospital Leads 7-Hospital Partnership

Governor DeSantis announced $188 million in Rural Health Transformation Program awards to organizations across Florida's 31 rural counties, part of the state's $209 million Year 1 allocation. Calhoun Liberty Hospital Association received nearly $16 million across three bundles — Specialty and Acute Care ($11.2M), Preventive Care and Care-at-Home ($4.1M), and Rural and Satellite Clinics ($650K) — and will lead a regional partnership connecting seven independent rural hospitals.

MIH-CP relevance: The Preventive Care and Care-at-Home bundle is a direct funding line for MIH-CP-style services — Florida programs in the Calhoun Liberty partnership area should reach out about subcontracting opportunities.
Aug
10
2026
Maryland Funding Milestone

Maryland Awards $80M in First Round of RHTP Grants to 41 Recipients

The Maryland Department of Health announced its first round of Rural Health Transformation Program awards August 10, 2026: $80 million distributed to 41 recipients to expand primary care, behavioral health, and dental services across the state's 18 designated rural jurisdictions, while working to curb overall healthcare costs. The awards draw from Maryland's $168 million Year 1 RHTP allocation.

MIH-CP relevance: Maryland MIH-CP programs should check whether their local health department or regional partner is among the 41 recipients — behavioral health and primary care access dollars often fund the referral partners community paramedicine programs depend on.
Aug
10
2026
Arizona Funding Milestone

Arizona Releases New RHTP Grant for Health Insurance Navigation — Applications Due August 20

AHCCCS and ADHS released an additional Rural Health Transformation Program grant opportunity focused on helping rural Arizonans navigate health insurance enrollment and connect with healthcare, substance-use treatment, and other community services. It's open to nonprofits, community health centers, rural health clinics, hospitals, academic institutions, local governments, and Tribal entities, with applications due August 20, 2026 — following the state's first three solicitations, which closed August 7.

MIH-CP relevance: Enrollment-navigation funding often flows through the same community organizations MIH-CP programs already partner with for social-needs screening — worth applying jointly if your Arizona program does both.
Aug
10
2026
West Virginia State Activity

West Virginia Finalizing ~$39M in RHTP Agreements as Lawmakers Question Program Pace

West Virginia's Department of Health is finalizing agreements for roughly $39 million in Rural Health Transformation Program funding, though officials say recipient names won't be released until contracts are fully executed. State lawmakers have publicly questioned the program's progress as the state works toward an October 31 obligation deadline for its full $199.5 million Year 1 award.

MIH-CP relevance: With recipients not yet public, WV MIH-CP organizations that applied should follow up directly with DOH on contract status rather than waiting for a public announcement.
Aug
5
2026
Mississippi Funding Milestone

Mississippi Opens Second RHTP Round After First Drew $676M in Requests Against $82M Available

Governor Reeves announced Mississippi's second round of Rural Health Transformation Program funding August 5, 2026. The first round drew more than 700 applications from over 230 organizations, requesting more than $676 million against roughly $82 million available. First-round awards are expected by the end of August, with the state working toward an October deadline to obligate all Year 1 funds.

MIH-CP relevance: The 8-to-1 oversubscription in round one signals fierce competition — Mississippi MIH-CP applicants should have round-two materials ready well before any announced deadline.
Aug
3
2026
Massachusetts State Activity

Massachusetts Forms 35-Member Rural Health Transformation Advisory Council

The Massachusetts Executive Office of Health and Human Services formed a 35-member Rural Health Transformation Program Community Advisory Council to guide distribution of the state's $162 million in RHTP funds. The council draws representatives from local health departments, hospitals, and community organizations across the state's rural communities, following spring/summer 2026 recruitment and initiative-workgroup formation.

MIH-CP relevance: MIH-CP organizations in Massachusetts should identify their advisory council representative early — councils like this typically shape which initiative categories get prioritized in the first procurement round.
Aug
3
2026
Colorado State Activity

Colorado's $160M RHTP RFA Window Closes; Awards Pending

Applications for Colorado's $160 million Rural Health Transformation Program RFA closed August 3, 2026, following a June 23 applicant workshop. HCPF administers the fund as part of the state's $200.1 million FY2026 award, with a performance period running through September 30, 2027. Award announcements have not yet been scheduled.

MIH-CP relevance: Colorado applicants should watch for HCPF's award timeline directly — states in this window (Wyoming, Colorado) are typically announcing selections within four to eight weeks of an RFA closing.
Aug
3
2026
Wyoming Funding Milestone

Wyoming's First RHTP Application Window Closes; Awards Expected August–September

Wyoming's inaugural Rural Health Transformation Program application window, open since July 1, closed August 3, 2026. Hospitals, EMS agencies, and education programs submitted proposals for a share of the state's $205 million award. The Department of Health expects to announce selections between August and September 2026, with participants required to obligate funding by the end of October.

MIH-CP relevance: Wyoming applicants working in EMS and community paramedicine should watch for award notices directly from WDH — the compressed award-to-obligation runway means selected organizations will need to move immediately.
Jul
31
2026
New Jersey Funding Milestone

New Jersey Awards First Round of RHTP Grants — $83M Across 103 Projects

Governor Sherrill announced New Jersey's first round of Rural Health Transformation Program grants July 31, 2026: $83 million funding 103 projects across six grant categories, selected from more than 200 applications. The awards represent the first investments from New Jersey's five-year, $147.3 million Year 1 RHTP allocation.

MIH-CP relevance: This is the first concrete signal of what NJ's RHTP will actually fund — MIH-CP and community paramedicine organizations that didn't apply this round should review the funded project list to gauge fit for future rounds.
Jul
31
2026
Nebraska Funding Milestone

Nebraska Has Awarded Roughly Half of Its $218.5M Year 1 RHTP Funds

The Nebraska Department of Health and Human Services reported it has awarded close to $100 million of its $218.5 million first-year RHTP allotment as of July 31, 2026. DHHS also released a public dashboard tool tracking award activity and implementation progress across the state's rural health initiatives.

MIH-CP relevance: The new dashboard gives Nebraska MIH-CP programs a direct way to track which categories still have unallocated funds — worth checking before assuming a category is closed out.
Jul
31
2026
Maine Funding Milestone

Maine Announces $12M RHTP Partnership with University of New England

Maine DHHS announced a $12 million partnership with the University of New England's Shaw Institute for Public and Planetary Health, funded under Initiative One (Population Health) of the state's $190 million Year 1 RHTP plan. The partnership follows Maine's earlier ~$30 million EMR modernization investment announced in July.

MIH-CP relevance: Population-health partnerships like this often generate downstream subcontracting opportunities for community-based providers — Maine MIH-CP programs should ask the Shaw Institute directly about partner-organization involvement.
Jul
31
2026
Pennsylvania Funding Milestone

Pennsylvania Opens Second-Round Rapid Response Stabilization Funding

The Shapiro Administration released Pennsylvania's second-round RHTP funding opportunity for Rapid Response Stabilization payments, ranging from $10,000 to $1 million, as of July 31, 2026. It follows the state's initial ~$42 million award round in late July that funded 66 projects, layered on top of Pennsylvania's 8 Rural Care Collaborative regional structure.

MIH-CP relevance: Rapid Response Stabilization payments are designed for fast-turnaround needs — PA community paramedicine programs facing an urgent equipment or staffing gap should check eligibility with their regional RCC before the window closes.
Jul
30
2026
Nevada Funding Milestone

Nevada Awards $50M+ in New RHTP Workforce Funding

The Nevada Health Authority announced more than $50 million in new Rural Health Transformation Program awards July 29–30, 2026: $32.3 million for provider recruitment and retention, $14.3 million for healthcare apprenticeships and training, and $4.8 million for rural medical residencies. It follows a $36 million Rural Health Flex Fund round announced in June for one-time infrastructure and technology needs.

MIH-CP relevance: The apprenticeship and residency dollars are a direct pipeline opportunity for Nevada MIH-CP programs building out community paramedic training tracks.
Jul
30
2026
North Dakota Funding Milestone

North Dakota Launches $50.5M Round of New RHTP Grant Opportunities

North Dakota Health and Human Services announced $50.5 million in new Rural Health Transformation Program grants July 30, 2026, spanning childcare support for rural healthcare workers, technology support and equipment, and technology upgrades for rural ambulance services. It follows earlier 2026 rounds covering workforce education, mental health services, and a $1.5 million mobile mammography RFA.

MIH-CP relevance: The ambulance technology upgrade category is a direct fit for ND community paramedicine and EMS-adjacent MIH-CP programs — apply before the window closes.
Jul
29
2026
New Mexico State Activity

New Mexico Extends Deadline for $47M Rural Health Innovation Fund

New Mexico's Health Care Authority extended the application deadline for its $47 million Rural Health Innovation Fund to 5 p.m. MDT on August 3, 2026, giving organizations more time to secure required references. The fund supports practical projects addressing local access, quality, and long-term sustainability needs, drawn from the state's $211.5 million Year 1 RHTP award.

MIH-CP relevance: The window is now closed as of August 3 — New Mexico MIH-CP applicants who missed the original deadline should confirm with HCA whether their submission landed inside the extended window.
Jul
29
2026
Delaware Funding Milestone

Delaware Funds Four New School-Based Health Centers in Sussex County

Governor Meyer announced RHTP-funded awards July 29, 2026 to establish four new school-based health centers in Sussex County. Delaware currently operates 40 school-based health centers statewide, but nearly three-quarters are concentrated in New Castle County — prior to this award, only one middle school and one elementary school in Sussex County had one.

MIH-CP relevance: School-based health centers are a natural referral partner for MIH-CP programs doing pediatric and family follow-up in rural Delaware — worth reaching out to the newly funded sites once operational.
Jul
29
2026
Indiana State Activity

Eight Indiana Regions Submit $120M in GROW Regional Grant Proposals

Eight regions across Indiana submitted proposals July 1, 2026 for a combined $120 million in GROW (Growing Rural Opportunities for Well-being) Regional Grants, part of the state's Rural Health Transformation Program. The Daily Journal reported July 29 that the proposals reflect months of grassroots collaboration among regional stakeholders on local health priorities.

MIH-CP relevance: Regional GROW proposals typically name specific subcontracting partners — Indiana MIH-CP programs should check with their region's lead applicant to see whether they're already included in the submitted plan.
Jul
22
2026
Indiana State Activity

New Closure-Risk Data Shows 10 Indiana Rural Hospitals at Risk as $1B RHTP Grant Review Continues

NPR affiliates WVXU/WBOI/LPM reported RHTP grant applications remain under review, with funding potentially available starting September 2026. A closure-risk report found 10 Indiana rural hospitals at risk of closure, five at immediate risk. The reporting follows a July 17 Indiana Public Media piece in which rural hospital CEOs — including Brenda Reetz of Greene County General and Justin Harris of Daviess Community Hospital — called the state's roughly $206.9M Year 1 RHTP award a "Band-Aid" against a projected $12.7 billion loss to Indiana hospitals from Medicaid cuts over 10 years.

MIH-CP relevance: Nine Indiana hospitals have already closed or dropped inpatient services since 2015 — MIH-CP programs positioning RHTP proposals should frame community paramedicine as a hedge against exactly this kind of closure risk.
Jul
21
2026
Georgia Funding Milestone

Georgia's GREAT Health Issues $30.6M in Phase 2 Awards to 26 Organizations

Georgia's GREAT Health program awarded $30.6 million in Phase 2 grants to 26 organizations, bringing cumulative Phase 1–2 commitments to $43.3 million. The breakdown: $4.6M to continuum-of-care initiatives (Georgia Health Information Network, Morehouse School of Medicine, Georgia State University, DBHDD); $6.5M across 17 Rural Stabilization Grants to hospitals including Appling Healthcare and Clinch County Hospital Authority, plus a DBHDD mobile dental clinic; $12.5M to workforce initiatives via the Georgia Board of Health Care Workforce and University System of Georgia; and $7M to technology projects including a Georgia Association of EMS treat-vs-transport telehealth model.

MIH-CP relevance: The $7M technology tranche funding a GA EMS treat-vs-transport telehealth model is a direct MIH-CP precedent — Georgia programs building similar diversion models should reference this award in their own proposals.
Jul
21
2026
Colorado State Activity

Colorado Health Equity Report Finds Rural Counties Trail on 75% of Indicators

CDPHE released a Rural Health Equity Report finding rural Colorado counties trail urban counties on 75% of tracked health indicators, with the widest gaps concentrated in southern and eastern Colorado and among rural Indigenous residents. The report lands as HCPF's $160 million RHTP RFA remains open, with applications due August 3, 2026.

MIH-CP relevance: The report's county-level gap data gives Colorado MIH-CP applicants concrete, state-sourced evidence to cite when justifying service areas in HCPF proposals ahead of the August 3 deadline.
Jul
20
2026
Arizona Funding Milestone

Arizona Finally Posts First RHTP Grant Solicitations — Applications Due August 7

After months of delay flagged in earlier coverage, AHCCCS posted Arizona's first three competitive RHTP grant solicitations: an Opioid Antagonist Distribution Initiative, a Medical Diagnostic Equipment/EHR upgrade grant, and a Telehealth Digital Transformation grant. Applications are due August 7, 2026, with additional and larger solicitations expected in the coming weeks. The program is jointly administered by AHCCCS, the Arizona Department of Health Services, and the Governor's Office of Economic Opportunity.

MIH-CP relevance: This ends the NOFO delay this feed flagged in June — Arizona MIH-CP programs should move now on the August 7 deadline, especially the telehealth and diagnostic equipment tracks.
Jul
20
2026
Michigan Funding Milestone

Michigan Opens $12M "Care Closer to Home" Transportation Grant

MDHHS opened a new RHTP grant, "Care Closer to Home Blueprint: Improving Care Delivery and Access through Transportation," offering $12 million across roughly 15 anticipated awards for the October 2026–September 2027 award period. Eligible applicants include nonprofits, transit agencies, local health departments, health systems, and community coalitions. Project Director access requests are due August 7 at 5 p.m.; applications are due via EGrAMS by August 12 at 3 p.m.

MIH-CP relevance: A transportation-access grant open to community coalitions and health systems is a strong fit for MIH-CP transport and diversion models — Michigan programs should request EGrAMS access well before the August 7 cutoff.
Jul
17
2026
Missouri Funding Milestone

Missouri Names 27 Hub Anchor Organizations to Lead ToRCH Care Implementation

Missouri's Rural Health Transformation Office selected 27 Hub Anchor organizations — 19 of them hospitals — to lead local implementation of the state's ToRCH Care model, one anchor per Hub area covering all 27 regions. The selections were drawn from 41 applications.

MIH-CP relevance: With Hub Anchors now named statewide, Missouri MIH-CP programs should identify and reach out to their region's anchor directly — these organizations will shape which local projects move forward under ToRCH Care.
Jul
16
2026
Montana Funding Milestone

Montana Opens $4M Rural EMS Grants — Applications Due August 15

Montana DPHHS opened $4 million in first-year RHTP grants for rural EMS agencies to fund ambulances and equipment upgrades. Applications are due August 15, 2026 via Submittable, prioritized by need — equipment age/condition and service gaps — as scored through the state's Rural Health Grants Eligibility Analyzer.

MIH-CP relevance: This is a direct-to-EMS funding line with no intermediary — Montana community paramedicine and EMS-based MIH programs should apply well ahead of the August 15 deadline given the need-based prioritization.
Jul
16
2026
West Virginia Funding Milestone

West Virginia Opens $10.5M in New "Health to Prosperity" Funding Opportunities

Gov. Morrisey's office announced $10.5 million in new RHTP funding opportunities: roughly $8.5 million for "Health-to-Work Programs for Chronic Conditions" and about $2 million for a substance-use-disorder counterpart, both closing July 20, 2026. The announcement notes $145 million in RHTP funding has been released to West Virginia to date.

MIH-CP relevance: The chronic-condition and SUD tracks both target populations MIH-CP programs already serve — West Virginia programs should watch for the next funding round given this one's compressed four-day application window.
Jul
15
2026
Mississippi State Activity

Mississippi's First RHTP Application Window Closes — Awards Expected in August

Mississippi's first RHTP application window — covering the Workforce Expansion Initiative, Psychiatric Emergency Services/EmPATH Units, and an EMS Capacity Assessment RFP — closed July 15, 2026 after opening June 15. State review is underway, with award announcements expected in August 2026.

MIH-CP relevance: The EMS Capacity Assessment RFP is directly relevant to Mississippi MIH-CP programs — watch for August award announcements to see which EMS agencies were funded and where gaps remain for a follow-on proposal.
Jul
15
2026
Idaho State Activity

Idaho Legislature's RHTP Committee Holds Third Interim Meeting

Idaho's legislative Rural Health Transformation Committee held its third interim meeting, with IDHW Director Juliet Charron giving a program status update. The Military Division outlined plans to relocate a backup communications center to Gowen Field and convert it to Next Generation 911, alongside a "rural health extenders" initiative with its first cohort deploying in 2027. The State Board of Education described a work-based learning model spanning 16 underserved counties. Rep. Josh Tanner, JFAC co-chair, raised concerns about committing to long-term funding ahead of the next legislative session. Idaho's first federal progress report is due August 30, 2026.

MIH-CP relevance: The "rural health extenders" workforce initiative and 16-county work-based learning model are worth tracking for Idaho MIH-CP programs building out community health worker pipelines.
Jul
14
2026
Oklahoma Funding Milestone

Oklahoma Opens Community Paramedicine Vehicle Grants — Up to $350K Per Award

The Oklahoma State Department of Health opened a public grant program funding community paramedicine and EMS vehicles, offering up to $350,000 per award across roughly 20 anticipated grants. The application deadline was July 20, 2026. Eligible applicants must already provide EMS, mobile integrated healthcare, or community paramedicine services in rural Oklahoma.

MIH-CP relevance: This is one of the most directly on-topic RHTP grants tracked in this feed — a vehicle fund restricted to organizations already delivering MIH-CP or EMS services in rural Oklahoma.
Jul
10
2026
Wyoming Funding Milestone

Wyoming Opens $205M RHTP Applications — Deadline August 3, Watchdog Flags Accelerated Timeline

Wyoming's Department of Health opened RHTP applications July 1, 2026 for hospitals, EMS agencies, and education programs to access the state's $205 million Year 1 award. The application deadline is August 3, 2026, with a funding-obligation deadline at the end of October 2026. Sen. John Barrasso praised the rollout, while Healthy Wyoming's Jenn Lowe raised concerns about waste, fraud, and abuse risk given the compressed timeline.

MIH-CP relevance: EMS agencies are explicitly named as eligible applicants — Wyoming EMS and community paramedicine programs should move now given the August 3 deadline.
Jul
10
2026
Maine Funding Milestone

Maine Announces ~$30M Year 1 Investment to Modernize Rural EMR Systems

Maine DHHS announced a roughly $30 million Year 1 RHTP investment to help eligible providers modernize Electronic Medical Record systems — about $9M for hospitals, $20.4M for comprehensive care providers (including CCBHCs), and $600,000 for Opioid Treatment Programs. The program runs through contracted partner MCD Global Health, with applications anticipated to open mid-July 2026.

MIH-CP relevance: EHR modernization funding at CCBHCs and rural sites directly affects the data-sharing infrastructure MIH-CP programs depend on for closed-loop referrals — worth tracking as the application window opens.
Jul
9
2026
Oregon Funding Milestone

Oregon Awards $97.1M Across 136 Rural Health Projects — Largest RHTP Round to Date

The Oregon Health Authority announced $97.1 million across 136 rural healthcare projects, its largest RHTP grant round so far, including $80.1 million in Catalyst Awards distributed to 85 organizations. The announcement builds on Oregon's broader $197.3M FY2026 award.

MIH-CP relevance: With 136 projects funded, Oregon MIH-CP and community paramedicine programs should check whether their region's award included care-coordination or mobile health components before the next cycle opens.
Jul
8
2026
Michigan Funding Milestone

Michigan Opens $34.2M Workforce for Wellness Initiative — Deadline July 30

MDHHS opened applications for the RHTP-funded "Workforce for Wellness Initiative," spanning five funding opportunities totaling roughly $34.2 million: maternal health provider training, university-led MSW award programs, rural provider recruitment/retention, and licensure supervision stipends. The award period runs October 2026 through September 2027; project-director application access requests are due 5 p.m. July 30, 2026.

MIH-CP relevance: Workforce recruitment/retention dollars can support community paramedic staffing pipelines — Michigan MIH-CP programs have until July 30 to request application access.
Jul
7
2026
Mississippi State Activity

Mississippi Today Investigation: Consultant Selection and Limited Public Input Shaped $206M Plan

Mississippi Today reported that consulting firm HORNE (now part of BDO) was selected via emergency procurement, with a closed-door stakeholder forum held in August 2025 at HORNE's Ridgeland office attended by 13 invited stakeholders. A public survey drew only 145 total responses concentrated in five counties, prompting criticism from Senate Public Health Chairman Hob Bryan about the lack of rural input compared to states like Louisiana and Arizona.

MIH-CP relevance: This reinforces the existing Princeton transparency findings on Mississippi's RHTP rollout — organizations applying for the July 15 grant window should document their community engagement thoroughly given the scrutiny.
Jul
6
2026
Missouri Funding Milestone

Missouri Opens $588K Nurse Home-Visiting Grant, Launches Digital Backbone Roadshow

The Missouri RHTP Office announced $588,000 in annual funding for evidence-based nurse home-visiting programs — up to $100,000 for training/model fees for new home visitors, up to $488,000 to expand existing services — administered via the Missouri Children's Trust Fund. Applications are due August 23, 2026. The announcement also launched "Digital Backbone Roadshow" events on EHR modernization and interoperability in Osage Beach (July 13) and Union, MO (July 14).

MIH-CP relevance: Nurse home-visiting and MIH-CP models both target high-risk populations at home — Missouri programs with a maternal/child health component should review eligibility before the August 23 deadline.
Jul
6
2026
Ohio Funding Milestone

Ohio Announces First RHTP Award — $10M to Ohio University for Workforce Pipeline

Gov. DeWine announced Ohio's first RHTP award: $10 million to Ohio University for workforce pipeline programs, including summer camps and apprenticeships aimed at rural healthcare recruitment. The award is administered by the Ohio Department of Health — not Medicaid — as part of the state's $202 million annual RHTP award.

MIH-CP relevance: Workforce pipeline investment signals where Ohio's remaining RHTP dollars may flow next — community paramedicine programs recruiting from university partnerships should watch for follow-on opportunities.
Jul
6
2026
Maryland Funding Milestone

Maryland Moving to Obligate Full $168M in First-Year RHTP Funding by October

Maryland is moving to obligate all $168 million in first-year RHTP funding by the end of October 2026 — a guaranteed $100 million base allocation plus $68 million won through the competitive process — with spending required by September 2027. A related public session, "Building the Future of Rural Health in Maryland," is scheduled for the MACo Summer Conference, August 12–15, 2026, in Ocean City.

MIH-CP relevance: The October obligation deadline means Maryland's remaining competitive dollars will move fast — MIH-CP programs should attend the MACo session in August to stay ahead of the next solicitation.
Jul
6
2026
Delaware State Activity

Delaware Launches DHIN + Smart Health Network Initiative for Real-Time Insurance Verification

Delaware launched a new RHTP-funded health IT initiative pairing the Delaware Health Information Network (DHIN) with the Smart Health Network platform to enable real-time insurance verification and prior authorization statewide. The initiative is funded from Delaware's $157,394,963.86 CMS award.

MIH-CP relevance: Real-time eligibility and prior-auth checks reduce administrative friction for MIH-CP encounters billed through Medicaid — Delaware programs should confirm their EHR/interoperability vendor is integrated with the new platform.
Jul
1
2026
New York Funding Milestone

New York Opens First RHTP Funding Opportunity — $76.2M for Rural Community Health Integration

NYSDOH announced its first RHTP funding opportunity: $76.2 million for the Rural Community Health Integration (RCHI) initiative, covering 47 of New York's 62 counties. The application deadline has been extended to July 14, 2026.

MIH-CP relevance: RCHI's broad county coverage makes this a rare statewide-scale opportunity for New York MIH-CP programs — the extended deadline of July 14 is imminent, so act now.
Jul
1
2026
North Carolina State Activity

North Carolina Launches 211 Digital Health Navigator Under RHTP

NCDHHS and NCDIT announced three new programs under North Carolina's RHTP, including a 211-line Digital Health Navigator service that went live July 1, 2026, pairing the state's existing 211 information line with RHTP-funded digital health navigation. A related Minority Diabetes Prevention Program RFA carried a July 7, 2026 application deadline.

MIH-CP relevance: A statewide navigator line is a natural referral partner for community paramedicine programs — NC MIH-CP teams should establish a warm handoff pathway with 211 now that the service is live.
Jun
29
2026
Arizona State Activity

Arizona's RHTP NOFOs Still Pending as of Late June Despite $167M Award

As of June 25, 2026, AHCCCS had not yet posted the Notices of Funding Opportunity/RFPs that had been expected by spring/summer 2026 for Arizona's $167 million year-one award (roughly $43M workforce, $31M health initiatives, $38M accessibility, $38M systems modernization). Funds face an October 30, 2026 obligation deadline and a September 30, 2027 spend deadline.

MIH-CP relevance: Arizona MIH-CP programs should watch AHCCCS closely — with NOFOs delayed and a hard October obligation deadline looming, the application window may open and close quickly once published.
Jun
27
2026
Vermont State Activity

Vermont Releases Solicitation for Statewide Digital Closed-Loop Referral Platform

The Vermont Agency of Human Services released a solicitation on June 27, 2026 for a statewide digital closed-loop referral platform funded under RHTP, aimed at connecting rural providers and reducing patients falling through the cracks between services.

MIH-CP relevance: A statewide closed-loop referral platform is directly in Julota's and MIH-CP programs' core workflow — Vermont organizations with existing referral-management infrastructure should review the solicitation closely.
Jun
24
2026
Florida Funding Milestone

Florida Selects CRISP Shared Services as RHTP Technology Backbone

The Florida Health Information Exchange selected CRISP Shared Services as its new platform, explicitly framed as the technology backbone for Florida's $209.9 million RHTP award spanning 31 rural counties and roughly 1.2 million residents. The new HIE went live July 1, 2026, adding about 3,500 hospital beds and more than double the skilled nursing facilities to the statewide network.

MIH-CP relevance: A modernized statewide HIE improves the data-sharing foundation MIH-CP programs rely on for care coordination — Florida programs should confirm connectivity with the new CRISP-powered network.
Jun
24
2026
Colorado Funding Milestone

Colorado Launches $160M RHTP RFA — EMS Included, How-to Webinar Held June 23

Colorado's Department of Health Care Policy and Financing has launched its FY2026 RHTP Request for Applications, with $160 million available across population health, EMS, telehealth, advisory, and workforce initiatives. A "How to Fill Out the RFA" applicant webinar was held June 23, 2026. Colorado's cooperative agreement required CMS finalization before the RFA could open, making this a late-starting but high-value opportunity in a state with significant rural infrastructure gaps.

MIH-CP relevance: EMS is explicitly named as an eligible service category in Colorado's RFA — one of the clearest federal-to-state funding pathways for community paramedicine programs in the Mountain West. Review the RFA on hcpf.colorado.gov and move quickly; Colorado's application window is newly open.
Jun
22
2026
Kansas Funding Milestone

Kansas Opens $9.5M Emerging Technology RFA — AI, Predictive Analytics Eligible, Deadline July 10

The Kansas Department of Health and Environment opened a $9.5 million Emerging Technology grant under the Kansas RHTP on June 10, 2026, with applications due July 10, 2026. The RFA targets patient-facing technologies already deployed in real-world settings, including AI solutions for clinical documentation, predictive analytics, and operational automation. KDHE hosted an informational webinar on June 22 and has already published the full RFA scope on kdhe.ks.gov. Eligible applicants include rural health clinics, FQHCs, local health departments, and licensed substance use disorder facilities.

MIH-CP relevance: Predictive analytics and clinical documentation AI are core technology needs for MIH-CP programs managing complex, high-utilizer populations. If your program uses or is planning to deploy any data-driven dispatch or care coordination tools, this RFA is worth a close look before the July 10 deadline.
Jun
17
2026
North Dakota Funding Milestone

North Dakota Launches $1.5M Mobile Mammography RFA — Application Deadline June 30

North Dakota Health and Human Services published a $1.5 million RHTP-funded RFA to deploy a mobile mammography unit with 3D imaging technology serving rural and underserved communities in western North Dakota. Applications are due June 30, 2026 at 5 p.m. CT. Eligible applicants include integrated health systems, rural hospital systems, FQHCs, and tribal health organizations. This marks North Dakota's first publicly announced subrecipient-level RHTP grant opportunity.

MIH-CP relevance: A mobile mammography unit is operationally close to a community paramedicine model — it deploys care to the patient rather than the reverse. North Dakota MIH-CP programs or EMS-adjacent organizations capable of operating mobile health units should review eligibility criteria immediately; the June 30 deadline is one week away.
Jun
12
2026
North Carolina State Activity

NC ROOTS Hub Lead Contracts Finalized June 1 — All 5 Regions Now Assigned

NCDHHS finalized contracts with all five NC ROOTS Hub leads on June 1, 2026, completing the regional assignment process. The MIH/EMS grant application window closed May 20, 2026, and the subrecipient pathway now runs exclusively through the five Hub Leads. Organizations that missed the direct application window should engage their regional Hub Lead for the next solicitation cycle.

MIH-CP relevance: The direct application window has closed — your path to NC ROOTS funding now runs through your regional Hub Lead. Identify yours and make contact now to be positioned for the next round.
Jun
12
2026
Mississippi State Activity

Mississippi Opens Active Grant Window June 15 — Awards Expected August 2026

Mississippi has opened a subrecipient grant application window running June 15 through July 15, 2026, with awards expected in August. Governor Reeves vetoed SB 2477, a transparency and competitive bidding bill, raising concerns about process accountability. A Princeton University analysis flagged Mississippi as the least transparent of all 50 states in RHTP implementation.

MIH-CP relevance: The application window is open now — Mississippi organizations have until July 15 to apply. The transparency concerns don't affect eligibility, but proposals should be especially detailed and well-documented given the scrutiny this state is receiving.
Jun
12
2026
Maryland Funding Milestone

Maryland RHTP Allocation Confirmed at $168.2M — Pillar Two RFA Awards Expected August 2026

Maryland's FY2026 RHTP award is confirmed at $168,180,838. The state's Pillar Two Transformation Fund RFA closed May 15, 2026, with awards expected in August. Maryland's three-pillar structure (Access, Transformation, Technology) gives organizations clear framing for proposals — technology-aligned projects fall under Pillar Three.

MIH-CP relevance: The current RFA has closed, but the August award cycle sets the timeline for the next solicitation. Maryland MIH-CP programs should monitor the Rural Maryland Council for Pillar Three RFA announcements, which will focus on technology and interoperability.
Jun
12
2026
Minnesota Funding Milestone

Minnesota Publishes Two Active RFPs Due June 30 — Healthcare Workforce and Tele-bupe Access

Minnesota has two active RFPs with a June 30, 2026 deadline: a Healthcare Workforce Retention grant and a Tele-bupe Access Line program. Questions on both RFPs are due June 16. Minnesota's total RHTP allocation is $193,090,618. The Tele-bupe initiative is one of the most direct MIH-CP crossover opportunities published nationally to date.

MIH-CP relevance: The Tele-bupe Access Line RFP is a direct fit for MIH-CP programs that handle behavioral health or substance use calls. Deadline is June 30 — questions due June 16. This is an immediate action item for Minnesota programs.
Jun
12
2026
Kansas Funding Milestone

Kansas Launches CHW + Accountable Food is Medicine RFA — Deadline June 19

Kansas has published an active RFA combining Community Health Worker and Accountable Food is Medicine (CHW+AFIM) programming, with a June 19, 2026 deadline. This is one of the more unusual RHTP-funded program combinations nationally, reflecting Kansas's emphasis on social determinants of health as a rural care strategy.

MIH-CP relevance: Kansas MIH-CP programs that integrate community health workers or address food insecurity as part of their care model should review this RFA immediately — the June 19 deadline is this week.
Jun
10
2026
Florida State Activity

All 6 Florida RHTP RFAs Have Closed — Awards Pending Across Every Service Category

Florida's AHCA released all six RHTP Request for Applications earlier in 2026. The final application deadline of June 10, 2026 has now passed. Awards are pending across all six categories. Florida organizations that applied are now in the review period; those that missed the deadline should monitor AHCA for a second solicitation round.

MIH-CP relevance: If you applied, the ball is in AHCA's court. If you missed the window, now is the time to engage AHCA directly and position for the next round — Florida's scale and explicit MIH inclusion make it worth staying active.
Jun
1
2026
Alaska Funding Milestone

Alaska Confirms $272.2M Award — Highest Per-Capita Allocation Nationally, Portal Closed June 22

Alaska's RHTP award is confirmed at $272,174,856 — the highest allocation nationally in total dollars. The state's application portal launched June 1, 2026, with 403 Letters of Intent advanced to the implementation pathway and 28 to the planning pathway. The portal closed June 22, 2026.

MIH-CP relevance: Alaska's outsized allocation and active LOI process make it a high-opportunity state for MIH-CP programs with existing Alaska operations. The current portal has closed — monitor the Alaska DHSS RHTP page for the next open window.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.

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