RHTP Latest Updates

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.

Missouri Hospital Association coverage →

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.

PA DHS funding opportunities page →

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.

Governing coverage →

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.

Florida Phoenix coverage →

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.

Office of Governor Wes Moore announcement →

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.

AZ Public Health Association coverage →

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.

West Virginia Watch coverage →

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.

Magnolia Tribune coverage →

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.

Daily Hampshire Gazette coverage →

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.

Colorado HCPF RHTP page →

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.

WyoFile coverage →

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.

NJ Department of Health announcement →

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.

Nebraska Examiner coverage →

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.

Maine DHHS announcement →

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.

Safety-Net Association of PA update →

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.

Fox5 Vegas coverage →

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.

Valley News Live coverage →

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.

NM Health Care Authority announcement →

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.

Delaware.gov announcement →

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.

Daily Journal coverage →

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.

WVXU / NPR coverage →

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.

Metro Atlanta CEO coverage →

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.

CDPHE press release →

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.

Arizona Public Health Association →

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.

WBKB coverage →

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.

Missouri Hospital Association →

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.

Montana DPHHS announcement →

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.

WV Public Broadcasting →

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.

Mississippi Rural Health Association →

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.

IdahoNews coverage →

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.

KTUL coverage →

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.

Wyoming RHTP applications →

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.

Maine DHHS announcement →

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.

Oregon Health Authority award →

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.

Michigan Workforce for Wellness Initiative →

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.

Mississippi Today investigation →

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.

Missouri Hospital Association →

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.

Ohio Governor's announcement →

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.

Conduit Street / MACo →

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.

Delaware.gov announcement →

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.

NYSDOH RCHI announcement →

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.

NC Governor's office announcement →

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.

Arizona Public Health Association →

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.

Vermont referral platform solicitation →

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.

Florida HIE / CRISP announcement →

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.

Colorado RHTP RFA →

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.

Kansas Emerging Tech RFA →

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.

North Dakota mobile mammography RFA →

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.

North Carolina state guide →

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.

Mississippi state guide →

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.

Maryland state guide →

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.

Minnesota state guide →

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.

Kansas state guide →

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.

Florida state guide →

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.

Alaska state guide →

May

23

2026

Iowa Funding Milestone

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

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

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

Iowa state guide →

May

21

2026

North Carolina State Activity

NC ROOTS Hub Leads Selected — 6 Regional Networks Now Operational

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

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

North Carolina state guide →

May

19

2026

Florida State Activity

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

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

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

Florida state guide →

May

16

2026

Federal CMS Guidance

CMS Releases Category B Funding Clarifications — Interoperability Platforms Confirmed Eligible

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

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

CMS RHTP resources →

May

14

2026

Pennsylvania State Activity

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

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

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

Pennsylvania state guide →

May

12

2026

Michigan State Activity

Michigan Names Interoperability as Explicit RHTP Priority Under Tech Innovation Pillar

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

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

Michigan state guide →

May

9

2026

Tennessee State Activity

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

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

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

Tennessee state guide →

May

7

2026

Federal Funding Milestone

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

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

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

Find your state →

May

5

2026

Arkansas State Activity

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

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

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

Arkansas state guide →

May

2

2026

Montana State Activity

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

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

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

Montana state guide →

Apr

28

2026

Federal CMS Guidance

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

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

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

CMS guidance resources →

Apr

24

2026

Georgia Funding Milestone

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

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

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

Georgia state guide →