# Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative Funds practical, scalable strategies to expand and improve statewide EMS trauma and stroke response systems in Alabama. This initiative supports the initiation or expansion of hospital-referral services, protocol implementation, EMS/hospital care coordination, training, system development, and operational support with a mandatory focus on direct benefit to rural Alabama communities. Projects must align with the designated strategy: Initiation/Expansion and Operation—enhancing EMS system capacity, expanding trauma and stroke response capabilities, broadening statewide hospital-referral service reach, and improving care coordination and patient outcomes. Awardees must serve rural Alabama, propose projects feasible within the eligible implementation period, and clearly show advancement of ARHTP initiative goals. ## Key facts - Status: Closed - Type: NOFO - Issued by: Alabama Department of Economic and Community Affairs (ADECA) (Alabama) - Posted: 2026-07-10 - Application due: 2026-08-07 - Funding: $4.0M - Eligible applicants: EMS agencies, Qualified entities coordinating EMS/hospital networks - How to apply: Applications must be submitted through the ARHTP portal accessible via the ARHTP website. Portal available from July 17, 2026. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://alabamarhtp.com/wp-content/uploads/2026/07/NOFO_EMS-Trauma-and-Stroke-Initiative_Final_UpdatedADA.pdf ## Eligibility Eligible applicants include EMS agencies or other qualified entities with experience coordinating multi-partner EMS and hospital networks capable of carrying out an eligible Statewide EMS Trauma and Stroke Initiative project and complying with all award requirements. Applicants must have a Unique Entity Identifier (UEI), active SAM.gov registration, and demonstrate capacity for system development, protocol implementation, training, care coordination, and operational support to initiate and expand hospital-referral services. Applicants do not need to be physically located in a rural area but must provide direct benefit to rural Alabama communities. Multiple applications per entity are permitted if each is for a separate, distinct project. ## Requirements Applicants must submit: Current Certificate of Existence from Alabama Secretary of State (dated within 30 days of application); current SAM.gov registration documentation; completed and signed IRS Form W-9; Alabama Vendor Disclosure Statement; written policies and procedures regarding conflicts of interest, financial management, internal controls, procurement, and standards of conduct; financial statements for the last three completed fiscal years (if audited statements unavailable, provide the most recent internal/compiled/reviewed with explanation); Single Audit or program-specific audit reports (last three years); any related management letters, questioned costs, or corrective action plans; completed ADECA template project plan; completed grant budget workbook and narrative; documentation supporting any matching funds or in-kind contributions (if proposed); and any additional project-specific materials required by ADECA (e.g., participation agreements, partner commitments). Further documents or clarifications may be required by ADECA. ## Required attachments - Current Certificate of Existence (Alabama Secretary of State, dated within 30 days of application) - SAM.gov registration documentation - Completed and signed IRS Form W-9 - Alabama Vendor Disclosure Statement - Written policies and procedures (conflicts of interest, financial management, internal controls, procurement, standards of conduct) - Financial statements for last three completed fiscal years (audited, or most recent internal/compiled/reviewed with explanation if audit unavailable) - Single Audit or program-specific audit reports for last three completed fiscal years - Any audit findings, questioned costs, management letters, corrective action plans (if applicable) - Project plan (ADECA template) - Completed grant budget workbook and narrative (including any required supplemental schedules) - Documentation for matching funds/in-kind contributions (if proposed) - Project-specific documentation (e.g., participation agreements, partner commitments) if required by ADECA ## Application package and source documents - [AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma And Stroke Initiative (Official NOFO PDF)](https://www.ruralcarejourney.com/api/documents/a9f7c56b-5def-4199-97db-69b5984b036a/file) (primary) — official: https://alabamarhtp.com/wp-content/uploads/2026/07/NOFO_EMS-Trauma-and-Stroke-Initiative_FinalADA.pdf - [AL - 2026 - Alabama RHTP (ARHTP) Application Workshops](https://www.ruralcarejourney.com/api/documents/038dd760-01c8-49ba-bcbc-0b0f09a8b896/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/07/RHTP-Application-Workshop-Memo.pdf - [AL - 2026 - Notice of Funding Opportunity: Alabama RHTP – Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative](https://www.ruralcarejourney.com/api/documents/27525914-0753-4637-aa75-357c89a8e1e9/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/07/NOFO_EMS-Trauma-and-Stroke-Initiative_Final_UpdatedADA.pdf - [AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops June 2026](https://www.ruralcarejourney.com/api/documents/4fb2dd64-2c24-44a2-af22-aa277413780d/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/ARHTP_FAQ_June2026_ADECA_v2.pdf - [AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops](https://www.ruralcarejourney.com/api/documents/307cd700-9aa9-4f91-b328-cf2932829b98/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/ada_ARHTP_FAQ_June2026_DRAFT-06.18.2026-ADECA-FINAL.pdf - [AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops (ada_ARHTP_FAQ_June2026_DRAFT-06.18.2026-ADECA-FINAL)](https://www.ruralcarejourney.com/api/documents/dbd6ec67-ad86-41d9-bf5a-820b70ca0635/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/07/ada_ARHTP_FAQ_June2026_DRAFT-06.18.2026-ADECA-FINAL.pdf - [AL - 2025 - Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative Notice of Funding Opportunity](https://www.ruralcarejourney.com/api/documents/77ab8fb3-e009-47b8-a7fa-1c3b7c3c707f/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/06/NOFO_EMS-Trauma-and-Stroke-Initiative_FinalADA.pdf - [AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ)](https://www.ruralcarejourney.com/api/documents/df7d8be4-a509-4c17-a088-9ba32125b2d4/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/08/AL-RHTP-FAQ-FINALPF.pdf - [AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops (FAQ_2nd-Round-8.04.26-ADECA-Final)](https://www.ruralcarejourney.com/api/documents/e6cdee3c-9daa-430d-a34a-bee9551770aa/file) — official: https://alabamarhtp.com/wp-content/uploads/2026/08/FAQ_2nd-Round-8.04.26-ADECA-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) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/alabama-rhtp-statewide-emergency-medical-services-ems-trauma-and-stroke-initiati--4d5691d2e2 — data as of 2026-09-20. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.