# Alabama RHTP Emergency Medical Services (EMS) Treat-in-Place Initiative

Supports the implementation of EMS treat-in-place pilot programs, including protocol development, telehealth consulting equipment, software, training, and related needs to reduce unnecessary transport and emergency department burden in rural Alabama. Projects must align with the ARHTP EMS Treat-in-Place strategy and directly benefit rural communities.

## Key facts

- Status: Closed
- Type: NOFO
- Issued by: Alabama Department of Economic and Community Affairs (ADECA) (Alabama)
- Posted: 2026-07-01
- Application due: 2026-08-07
- Eligible applicants: EMS agency, Rural hospital, Critical access hospital, Rural emergency hospital
- How to apply: Applications must be submitted through the ARHTP portal accessed via the program website.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_EMS-Treat-in-Place-Initiative_FinalADA.pdf

## Eligibility

Eligible applicants include EMS agencies, rural hospitals, critical access hospitals, and rural emergency hospitals capable of carrying out an EMS Treat-in-Place Initiative project and complying with all award requirements. Applicants must have a valid UEI and maintain active SAM.gov registration. Projects must serve rural Alabama.

## Requirements

Applicants must submit all required information, attachments, and supporting documentation including Certificate of Existence, SAM.gov registration, IRS Form W-9, Alabama Vendor Disclosure Statement, conflict of interest/financial management/internal controls/procurement/standards of conduct policies per federal requirements, last three years' financial statements and audits, project plan (ADECA template), budget workbook and narrative, documentation of matching funds or in-kind contributions if applicable, and any initiative- or project-specific materials required by ADECA. Subrecipients must meet reporting, reimbursement, and compliance requirements outlined in the NOFO.

## Required attachments

- Certificate of Existence (AL Secretary of State, dated within 30 days)
- SAM.gov registration
- IRS Form W-9
- Alabama Vendor Disclosure Statement
- Written policies: conflicts of interest, financial management, internal controls, procurement, standards of conduct
- Financial statements (last 3 years)
- Single Audit/program-specific audit reports (last 3 years)
- Project plan (ADECA template)
- Grant budget workbook and narrative
- Documentation of matching funds/in-kind contributions (if applicable)
- Other project-specific documentation as required

## Application package and source documents

- [AL - 2025 - Alabama RHTP Emergency Medical Services (EMS) Treat-In-Place Initiative Notice Of Funding Opportunity (Official NOFO PDF)](https://www.ruralcarejourney.com/api/documents/accf7c82-1b3a-48c1-a4b2-02cee4a54f75/file) (primary) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_EMS-Treat-in-Place-Initiative_FinalADA.pdf
- [AL - 2026 - Alabama RHTP (ARHTP) Application Workshops (ARHTP-Application-Workshops-Round-2-Announcement)](https://www.ruralcarejourney.com/api/documents/5c1c10eb-4471-40c1-99c7-b0d4aff7a058/file) — official: https://adeca.alabama.gov/wp-content/uploads/ARHTP-Application-Workshops-Round-2-Announcement.docx
- [MI - 2026 - RHTP State Application Summary State-level Initiatives & Proposed Activities December 2025 (RHTP State Application Summary (award evidence))](https://www.ruralcarejourney.com/api/documents/3fd73193-5a2a-43fc-86a5-fa7648b02b6c/file) — official: https://nrha-prod-eastus-be.azure.silvertech.net/NationalRuralHealth/media/Documents/Advocacy/2025/RHTP%20Application%20Materials%202025/RHTP-State-Tracking-Guide_Final.pdf
- [AL - 2026 - SUPPORTING file — see associated NOFO for primary program details (Official ARHTP Round 2 award announcement)](https://www.ruralcarejourney.com/api/documents/e61fbcaf-616f-49e7-8e91-a73d2c93cb4e/file) — official: https://governor.alabama.gov/newsroom/2026/10/governor-ivey-announces-additional-alabama-rural-health-transformation-program-grants-totaling-nearly-55-million/

More Alabama RHTP activity: https://www.ruralcarejourney.com/states/al (markdown: https://www.ruralcarejourney.com/states/al.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/alabama-rhtp-emergency-medical-services-ems-treat-in-place-initiative--c4a407d7b8 — data as of 2026-08-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.