# Emergency Medical Service and Community Paramedicine Vehicles Funding Opportunity

Competitive, reimbursement-based grants up to $350,000 for eligible Oklahoma rural EMS and Community Paramedicine entities to purchase ambulances, community paramedicine SUVs, or other EMS vehicles. Awards are federally funded via CMS/HHS RHTP, aiming to improve rural emergency health access and response capacity. Up to 20 grants will be distributed; all vehicles must primarily serve (≥90%) rural Oklahoma communities per Attachment A list. Award recipients must provide a signed vendor contract by 12/31/2026 and expend funds with all reimbursement documentation submitted by 07/31/2027. Applicants must comply with state and federal procurement, demonstrate financial/organizational capability, and report utilization and impact for up to five years post-award.

## Key facts

- Status: Closed
- Type: NOFO
- Issued by: Oklahoma State Department of Health (OSDH) (Oklahoma)
- Posted: 2026-06-03
- Questions due: 2026-06-19
- Application due: 2026-07-27
- Funding: $350,000
- Eligible applicants: Fire Department, Public Health Department, Non-profit EMS organization, For-profit EMS organization, County / Municipal EMS organization, Hospital / Health System, Community Paramedicine organization, Other organization providing emergency medical or community paramedicine services
- How to apply: Online submission through the Smartsheet application form linked from the OSDH RHTP funding page. The form does not allow applicants to save progress; uploads are limited to 250 MB per file.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/EMS%20and%20Community%20Paramedicine%20Vehicles%20NOFO_v01.pdf

## Eligibility

Eligible applicants must be organizations currently providing emergency medicine, mobile integrated healthcare, community paramedicine, or related services in a rural Oklahoma community. Applicants must serve communities with populations of 55,000 or fewer residents outside Oklahoma and Tulsa counties, as listed in Attachment A. Applicants must have a physical location, either headquarters or a branch, in Oklahoma and demonstrate a history of serving rural Oklahoma communities, either directly or through formal partnership with locally rooted organizations or providers. Applicants must have an active Unique Entity Identifier (UEI), maintain active SAM.gov registration throughout the application, review, and award period, and have an active Certificate of Insurance. Fiscal sponsorship is permitted, but the fiscal sponsor must be the applying entity and all Organization Overview and Capacity information must be completed for the fiscal sponsor. Applicants suspended, debarred, otherwise excluded from federally funded programs, out-of-state applicants without an Oklahoma physical location, ineligible applicants, incomplete applications, and disqualified applications will not be funded.

## Requirements

Submit the complete application through the Smartsheet application form by the amended deadline. Required uploads include Attachment C: Budget Template, Attachment D: Grants Management Packet, Subrecipient Questionnaire, Certificate of Insurance, Federally Approved Indirect Cost Rate letter as applicable, OSDH Subrecipient Terms and Conditions acknowledgement, and Requested Exceptions to OSDH Subrecipient Terms and Conditions form if requesting exceptions. Applicants must also acknowledge Amendment No. 1 by signing and returning the acknowledgement with the application, or, if already submitted, by sending the signed acknowledgement and any necessary amendments to OklahomaRHTP@health.ok.gov before the NOFO deadline. Funding is solely for vehicle purchases: ambulance, community paramedicine-specific SUV, or other EMS vehicle. Personnel and fringe are not allowable. Successful applicants must follow applicable procurement requirements, including obtaining price or rate quotations from at least three qualified sources for applicable purchases under $350,000 and using a formal procurement process for purchases over $350,000 that are partially funded by non-RHTP sources. Vehicle vendor contracts must be shared with OSDH by 12/31/2026. All funds must be fully spent and invoiced with appropriate documentation by 07/31/2027. Awardees must provide vehicle utilization and other required reports to OSDH for five years.

## Required attachments

- Completed Application Form (Smartsheet)
- Attachment C: Budget Template / Budget and Expenditures Form
- Attachment D: Grants Management Packet
- Subrecipient Questionnaire (SRQ)
- Certificate of Insurance
- Federally Approved Indirect Cost Rate letter (if applicable)
- OSDH Subrecipient Terms and Conditions acknowledgement
- Requested Exceptions to OSDH Subrecipient Terms and Conditions form (if applicable)
- Signed Amendment No. 1 acknowledgement

## Application package and source documents

- [OK - 2026 - RHTP Funding (af29e0)](https://www.ruralcarejourney.com/api/documents/b46dcfd1-cb85-4c0f-a14f-30f44c9dd5c1/file) — official: https://oklahoma.gov/health/rhtp/rhtp-funding.html
- [OK - 2026 - Attachment C Budget and Expenditures](https://www.ruralcarejourney.com/api/documents/5631bd17-eb5e-4f5e-a430-e59fb68451f7/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20C__Budget%20and%20Expenditures.xlsx
- [OK - 2026 - Attachment A Eligible Rural Communities and Counties](https://www.ruralcarejourney.com/api/documents/8caf8b84-6b31-4bf6-84c2-631bccb940f7/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20A_Eligible%20Rural%20Communities%20and%20Counties.xlsx
- [OK - 2026 - Requested Exceptions to OSDH Subrecipient](https://www.ruralcarejourney.com/api/documents/c5b1fd02-6a8e-45d2-b05d-21371b494350/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/REQUESTED%20EXCEPTIONS%20TO%20OSDH%20TERMS.docx
- [OK - 2026 - Attachment D](https://www.ruralcarejourney.com/api/documents/786a2bc0-ffb7-4629-b56c-150f4ba84495/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20D_Grants%20Management%20Materials.docx
- [OK - 2025 - Attachment B: EMS / Community Paramedicine Vehicles Subrecipient Responsibilities](https://www.ruralcarejourney.com/api/documents/cec82da2-884a-4949-8a58-bfff9e766f26/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20B_Subrecipient%20Responsibilities.pdf
- [OK - 2026 - Subrecipient questionnaire (SRQ)](https://www.ruralcarejourney.com/api/documents/04b5970c-60a8-4995-92ff-ccac3aee535a/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Sub-Recipient%20Questionnaire.pdf
- [OK - 2026 - EMS / Community Paramedicine Vehicles Notice of Funding Opportunity](https://www.ruralcarejourney.com/api/documents/2ebd35e5-5a8e-422a-be6e-4d8aebe94b0e/file) (primary) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/EMS%20and%20Community%20Paramedicine%20Vehicles%20NOFO_v01.pdf
- [OK - 2026 - RHTP Allowable and Unallowable Cost Summary](https://www.ruralcarejourney.com/api/documents/7fbbf3ca-435a-43c7-b306-3ddad60fdf0e/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20E_Allowable%20and%20Unallowable%20Cost%20Summary.pdf
- [OK - 2009 - OSDH RHTP Subrecipient General Terms (Attachment_B_Negotiable_General_Terms)](https://www.ruralcarejourney.com/api/documents/bceae5cc-4699-4ae1-a98e-4cbe7d5842a3/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Attachment%20B%20Negotiable%20General%20Terms.docx
- [OK - 2027 - EMS / Community Paramedicine Vehicle FAQs](https://www.ruralcarejourney.com/api/documents/8a0d1bc3-bcfc-4a24-b46a-565554be1c62/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/Vehicles%20FAQs.pdf
- [OK - 2026 - Amendment to Notice of Funding Opportunity: RHT; Emergency Medical Service and Community Paramedicine Vehicles Funding Opportunity](https://www.ruralcarejourney.com/api/documents/4527c4b6-0180-43ea-8328-3d28b8ec5493/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/ems-and-community-paramedicine-vehicles/NOFO%20Amendment_EMS%20and%20Community%20Paramedicine%20Vehicles.pdf
- [OK - 2026 - RHTP Funding Opportunity Application Deadline Extended](https://www.ruralcarejourney.com/api/documents/9ff4820a-ec43-4b99-8226-59a1f36c4601/file)
- [OK - 2026 - Oklahoma RHTP Funding Opportunities Closing Soon](https://www.ruralcarejourney.com/api/documents/8f9685e3-8b4e-497d-9465-ce0d36e35caa/file)
- [OK - 2026 - Emergency Medical Service & Community Paramedicine Vehicles NOFO Budget Summary (Supporting)](https://www.ruralcarejourney.com/api/documents/448469b9-c9e7-4eec-b87c-af1ae9fde018/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/RHTP_QuickSummary.pdf
- [OK - 2025 - Budget Period 1 Initiative Funding Summary Oklahoma RHTP](https://www.ruralcarejourney.com/api/documents/0a1c765a-6e44-4476-aa27-ae65f3aa8c57/file) — official: https://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/health-promotion/rhtp/RHTP_InitiativeFundingSummary.pdf
- [OK - 2024 - RHTP Funding Recipients (OK - 2024 - RHTP Funding Recipients)](https://www.ruralcarejourney.com/api/documents/aa5cd577-652b-4f73-b4b1-ce2162e3caea/file) — official: https://oklahoma.gov/health/rhtp/rhtp-funding-recipients.html

More Oklahoma RHTP activity: https://www.ruralcarejourney.com/states/ok (markdown: https://www.ruralcarejourney.com/states/ok.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/emergency-medical-service-and-community-paramedicine-vehicles-funding-opportunit--69e94017ac — data as of 2026-11-08.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.