# Crisis to Care: Establish or Expand Community Paramedicine Program

The Rural Health Transformation Program (RHTP) Community Paramedicine RFA provides up to $20 million in competitive awards for Kentucky EMS agencies to establish or expand community paramedicine services in rural areas. This program funds workforce expansion, technology implementation, and the development of partnerships (highlighting integration with behavioral health and community mental health centers). Supported activities include mobile crisis response, preventative and chronic care outreach, care continuity, and the strengthening of EMS as a connector to the broader healthcare system. All funding is federally supplied via CMS/HHS, with a focus on agencies that demonstrate readiness, high rural impact, and sustainable, credentialed models of care coordinated under Kentucky Board of EMS (KBEMS) standards. Grants are intended for KBEMS-licensed, public or nonprofit agencies launching or scaling evidence-based, community-driven EMS care that addresses local needs and sustained system capacity.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Kentucky Cabinet for Health and Family Services (CHFS) (Kentucky)
- Posted: 2026-05-01
- Application due: 2026-06-12
- Funding: $500,000 – $650,000
- Eligible applicants: Public EMS Agency, Non-profit EMS Agency
- How to apply: Submit the application and all required attachments via email to jimmie.hampton@ky.gov with subject: 'RHT CP RFA'. Applications are reviewed on a rolling basis through the published deadline, with priority for those received by June 12, 2026.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine%20-%20RFA.pdf

## Eligibility

Eligible applicants are public or nonprofit EMS agencies licensed in good standing by the Kentucky Board of EMS (KBEMS) as Class Ia or Class Ib providers. Eligible agencies must provide 911 advanced life support (ALS) services within Kentucky. Priority is given to those serving rural areas as defined by HRSA, and agencies with demonstrated partnerships or readiness to engage with behavioral health organizations (including CMHCs).

## Requirements

Applicants must submit a completed application packet (Attachment A, up to 25 pages), including organizational, service, staffing, and partnership details; a program narrative covering community needs, service plans, partnerships (including behavioral health coordination), milestones, evaluation, and sustainability strategies; an itemized FY27 budget using Attachment B; current agency KBEMS licensure; and letters of support (e.g., from a medical director or partners demonstrating readiness and intent). Required attestations must confirm intent to comply with RFA, regulatory, and program requirements. Applications are submitted via email and assessed on completeness, program readiness, rural reach, sustainability, timeline, and budget justification. Late or incomplete submissions will not be considered.

## Required attachments

- Attachment A - Application Form (max 25 pages)
- Attachment B - Detailed FY27 Budget
- Current EMS Agency License (KBEMS)
- Implementation Timeline with milestones and deliverables
- Letters of Support (Medical Director or community partner)
- Attestation of Compliance

## Application package and source documents

- [KY - 2026 - Request for Application (RFA): RHTP Funding Opportunity to Establish or Expand Community Paramedicine Programming (RHT_Community_Paramedicine_-_RFA)](https://www.ruralcarejourney.com/api/documents/6e9cbd9d-a668-49cc-8b37-633d11903340/file) (primary) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine%20-%20RFA.pdf
- [KY - 2026 - Community Paramedicine RFA EMS Agency Funding Application Form (RHT_Community_Paramedicine_-_Attachment_A_-_Application_Form)](https://www.ruralcarejourney.com/api/documents/1e3e4837-2898-43bb-aa6a-d84d7a3bf82a/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine%20-%20Attachment%20A%20-%20Application%20Form.pdf
- [KY - 2026 - Community Paramedicine Funding Guidance for EMS Agencies](https://www.ruralcarejourney.com/api/documents/acf1955b-6d39-49db-bb7c-2d2cce3ab64a/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine%20-%20Narrative.pdf
- [KY - 2026 - RHT Community Paramedicine - Attachment B - Budget Template](https://www.ruralcarejourney.com/api/documents/f130008c-cda5-47b1-affb-00b5246f843c/file) — official: https://www.chfs.ky.gov/_layouts/download.aspx?SourceUrl=https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine%20-%20Attachment%20B%20-%20Budget%20Template.xlsx
- [KY - 2026 - Attachment B - CMS Notice of Award](https://www.ruralcarejourney.com/api/documents/5ac0bb97-657e-4e9d-b4ed-dba33f2ea8e8/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/Attachment%20B%20-%20CMS%20Notice%20of%20Award.pdf
- [KY - 2026 - Request for Application (RFA): RHTP Funding Opportunity For Definitive Mobile Dental Services (Consolidated support doc)](https://www.ruralcarejourney.com/api/documents/c4529e6b-2cb9-4128-b73a-de17cd25ba3b/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20%20Definitive%20Mobile%20Dental%20Services%20RFA.pdf
- [KY - 2026 - KY Definitive Mobile Dental Services – Attachment A: Budget Template (Consolidated support doc)](https://www.ruralcarejourney.com/api/documents/0a54e5e5-c648-4c3e-800c-8b4f3dd90cab/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Definitive%20Mobile%20Dental%20Services%20-%20Attachment%20A%20-%20Budget%20Template.xlsx
- [KY - 2026 - Request for Application (RFA): RHTP Funding Opportunity to Increase EMS Training Equipment Quality and Offer Mobile Training Units to Underserved Areas](https://www.ruralcarejourney.com/api/documents/6a346fa5-cc62-43ad-84b2-957329b6f36c/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20E%26T%20Modernization%20-%20RFA.pdf
- [KY - 2026 - RHTP – Rooted in Health: Rural Dental Access (PHDH_Team_Request_for_Application)](https://www.ruralcarejourney.com/api/documents/ebeb0099-582c-4c04-9820-bed8babe09db/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/PHDH%20Team%20Request%20for%20Application.pdf
- [KY - 2026 - KY Rural Dental Access – Attachment A: Budget Template](https://www.ruralcarejourney.com/api/documents/da7a94ad-77ff-4014-88ec-c613b4ed9789/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Rural%20Dental%20Access%20-%20Attachment%20A%20-%20Budget%20Template.xlsx
- [KY - 2026 - Equipment and Mobile Training Units RFA EMS Agency Funding Application Form (Consolidated support doc)](https://www.ruralcarejourney.com/api/documents/d425a926-25c6-4289-8761-6e2e391e5eeb/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20E%26T%20Modernization%20-%20Attachment%20A%20-%20Application%20Form.pdf
- [KY - 2026 - KY E&T Modernization – Attachment B: Budget Template (Consolidated support doc)](https://www.ruralcarejourney.com/api/documents/dd78940c-3970-468c-922e-7d7aa3f22f09/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20E%26T%20Modernization%20-%20Attachment%20B%20-%20Budget%20Template.xlsx
- [KY - 2026 - Request for Application (RFA): RHTP Funding Opportunity to Crisis to Care – EMS Transformation](https://www.ruralcarejourney.com/api/documents/1bdde6d8-3250-4a38-9c2e-1d89c46bc9ef/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20EMS%20Transformation_RFA.pdf
- [KY - 2026 - Crisis to Care – EMS Transformation RFA EMS Agency Funding Application Form](https://www.ruralcarejourney.com/api/documents/da2d1013-377a-410a-9316-8e552bef044a/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20EMS%20Transformation_Attachment%20A_Application%20Form.pdf
- [KY - 2026 - Crisis to Care – EMS Transformation EMS Agency Funding Guidance Narrative May 2026](https://www.ruralcarejourney.com/api/documents/3915b343-659c-4d3b-9936-7f8374138e3f/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20EMS%20Transformation_Narrative.pdf
- [KY - 2026 - KY EMS Transformation – Attachment B: Budget Template](https://www.ruralcarejourney.com/api/documents/7529da3b-263b-44e8-bb63-37b48a6e1bb8/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20EMS%20Transformation_Attachment%20B_Budget%20Template.xlsx
- [KY - 2026 - Community Paramedicine RFA EMS Agency Funding Application Form](https://www.ruralcarejourney.com/api/documents/73a19cd8-e3ec-453e-978a-23a024a19e37/file) — official: https://www.chfs.ky.gov/agencies/os/oas/Documents/RHT%20Community%20Paramedicine_Attachment%20A_Application%20Form_CO.pdf

More Kentucky RHTP activity: https://www.ruralcarejourney.com/states/ky (markdown: https://www.ruralcarejourney.com/states/ky.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/crisis-to-care-establish-or-expand-community-paramedicine-program--a53ecb1709 — data as of 2026-07-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.