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Rural Health Transformation funding in Missouri

First-year award
$216M
Reported put to work, as of Jul 31, 2026
$106M
49% of the award
This figure stops at Jul 31, 2026. CMS has announced more for Missouri since. See below.
Application rounds open today
2
Build a plan for Missouri →Official state program ↗

Rounds to look at

  • Nov 22, 2026
    Open
    Workforce Retention and Enablers funding through ToRCH Care Hubs
    Missouri RHTP / ToRCH

    Providers complete their hub's template by November 22. Each hub sends one combined proposal by December 7.

    $11M. About $11 million statewide; each of the 27 ToRCH Care Hubs gets about $412,000 over two program years.

    Missouri routes this money through its regional hubs, not direct applications to the state. Funds depend on CMS approving Missouri's Year 2 budget.

    Read the official notice ↗Checked Nov 7, 2026.

  • No date posted
    Open
    EMS agency collaboration and consolidation grants (MEMSA)
    Missouri RHTP / MEMSA

    $250K. Requests are not expected to exceed $250,000 per 12-month period.

    Run by the Missouri EMS Association with the state program. The first cycle closed September 30, 2026; applications sent since then are held for the second cycle and reviewed on a rolling basis. The page also says a new grant portal is being built, so confirm how to submit.

    Read the official notice ↗Checked Nov 7, 2026.

  • No date posted
    Upcoming
    Digital Backbone provider application
    Missouri RHTP

    Missouri lists a webinar on November 17 at 10 a.m. Central and no application dates yet. Its status table shows the webinar on November 4, so confirm the date.

    Read the official notice ↗Checked Nov 7, 2026.

  • No date posted
    Upcoming
    Mobile Integrated Health and Community Paramedicine grants, Budget Period 2 (MEMSA)
    Missouri RHTP / MEMSA

    The first application cycle is closed. The Missouri EMS Association says a new grant portal for Budget Period 2 is under development.

    Read the official notice ↗Checked Nov 7, 2026.

What the state review found, as of Nov 7, 2026

Missouri's ToRCH Care Hubs are collecting provider proposals for about $11 million in workforce retention funding through November 22. The Missouri EMS Association takes EMS consolidation applications on a rolling basis for its second cycle. A Digital Backbone provider application is coming, and Smart Growth awards were announced October 30.

Closed rounds (3)

Where Missouri's money has gone so far

As Missouri reported it to CMS through Jul 31, 2026. These are commitments to agencies, contractors and partners, not a measure of what has reached patients.

  • Appropriate care availability$34.3M
  • Training and technical assistance$24.8M
  • IT advances$24.4M
  • Fostering collaboration$22.9M
  • Workforce$5.6M
  • Program administration$2.6M
  • Innovative care$977K
Read the detail with care. CMS's category lines for Missouri differ from its headline by $9,219,642. The line items below differ from the headline by $21,246,496. No information provided on Initiative 2. The figures are shown as CMS printed them.

Initiative detail

Regional Coordinating Networks and Hub Activation$36.2M
  • $3.5MStaffing costs, including training and onboarding. (Appropriate care availability)
  • $2MExpanding pharmacy-based services such as test-and-treat, chronic disease management, behavioral health screening, and care coordination. Contractual support enables training, workflow development, and interoperability integration, allowing pharmacists to function as accessible points of care within Hub networks. (Appropriate care availability)
  • $15.2MImplementation of discretionary hubs, local partner service delivery costs, partner coordination and convening, performance monitoring and reporting to support community-led programs addressing local care gaps, including nutrition services, non-emergency medical transportation, perinatal home visits, and school-based health clinics. (Appropriate care availability)
  • $1MRural critical trauma certifications. (Appropriate care availability)
  • $4.7MFunding mobile health units. (Appropriate care availability)
  • $8MImproving provider digital innovation. (Appropriate care availability)
  • $1.8MA grant management vendor to distribute funds to Regional Coordinating Networks (RCNs), Hubs, and approved initiatives. (Program administration)
Digital Backbone$35.2M
  • $977KTelehealth adoption and workflow optimization, platform licenses and access, electronic health record (EHR)/application programming interface (API) integration, and equipment. (Innovative care)
  • $24.4MEHR replacement, enhancements, and implementation. (IT advances)
  • $9.8MProgram-wide data analytics, reporting, and dashboards. (Training and technical assistance)
Rural Health Workforce Programs$5.6M
  • $1.7MAwards for rural clinicians who commit to serving as preceptors to students and trainees growing rural teaching capacity and improve workforce retention. (Workforce)
  • $3.9MHubs or local partners to implement community-tailored retention strategies, including childcare planning and capacity expansion, temporary housing support, transportation assistance, and other enablers that reduce barriers to rural practice. Funds support program design, partner coordination, and local delivery. (Workforce)
Provider Transformation$6.7M
  • $2.5MRemote patient monitoring licensing, implementation, technical assistance, and change management. (Training and technical assistance)
  • $4.2MAmbient artificial intelligence (AI) technology licenses, deployment, implementation support, and change management. (Training and technical assistance)
Program operations$22.7M
  • $22MStrategy and launch planning and program implementation. (Fostering collaboration)
  • $22MStaffing. (Program administration)

Source: RHTP Obligated Funds Report ↗

What CMS has announced for Missouri

Missouri's Digital Readiness Survey

Missouri's Department of Social Services (DSS) asked organizations taking part in the state's Rural Health Transformation Program to report on their EHR, interoperability, cybersecurity, data governance and reporting, workforce, financial sustainability and infrastructure. The first round closed April 17, 2026, and a separate pharmacy survey closed April 30.

DSS published the results on June 24, 2026. 929 rural facilities across 12 facility types responded. 92.4 percent had an EHR or clinical documentation system, 33.8 percent were connected to a health information exchange, and 38 percent had piloted or deployed AI.

The report introduces a Digital Maturity Framework, which DSS says outlines how survey responses will guide the state's distribution of funds to participating facilities. DSS plans to run the survey every year, so facilities can update earlier answers and those that missed the first round can take part.

How the planner lines up

The planner's questions on technology change and on who pays once the funding ends cover some of the same ground as Missouri's infrastructure and financial sustainability sections. Missouri's survey goes much further on data exchange, security, governance and workforce, which the planner does not score.

Checked Nov 7, 2026.

Funding is one part of the job

A round in Missouri can pay for the work. It cannot give you an owner, a plan your board trusts, or a go-live your staff believe in. That is the work I do with community and rural hospitals.

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Who built this

Jeff Paul

Jeff Paul

Founder & Principal, JP Healthcare Advisors

During eight years at Cerner, I worked across 170+ healthcare technology deployments. My deepest specialization was CommunityWorks: more than 90 community, rural, district, and critical-access hospitals in 34 states, including 62 critical-access hospitals.

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