# Missouri Federal RHTP Award: Year 1 (FY 2026)

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to Missouri: $216,276,817.66, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; Missouri's Year 2 award is $218,547,090.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (Missouri)
- Posted: 2025-09-01
- Questions due: 2025-10-15
- Letter of intent due: 2025-10-01
- Application due: 2025-11-30
- Funding: $216.3M
- Eligible applicants: State agency, State department, Statewide rural health organization
- How to apply: Online through CMS Application Portal; instructions and application forms will be released in the NOFO.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## Eligibility

Eligible applicants include Missouri's state agencies, departments, or designated statewide rural health organizations authorized by the state government to implement rural healthcare transformation. All applicants must demonstrate capacity for statewide impact and compliance with CMS cooperative agreement requirements.

## Requirements

Applicants must submit: (1) a comprehensive rural health transformation plan aligned with CMS strategic goals; (2) evidence of statewide stakeholder engagement; (3) detailed implementation timeline and budget; (4) outcome metrics for workforce, technology, chronic disease, maternal health, and behavioral health; (5) assurances of compliance with federal cooperative agreement terms. Additional attachments may be specified in the NOFO.

## Application package and source documents

- [US - 2026 - CMS RHTP](https://www.ruralcarejourney.com/api/documents/e04c82f9-6d26-4d92-8db9-7715c2a38d4a/file) (primary) — official: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf
- [US - 2026 - RHT Program Overview](https://www.ruralcarejourney.com/api/documents/e6dd59cf-4228-45ce-8888-31634918e482/file) — official: https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
- [MO - 2026 - Missouri RHTP Year 1 Implementation](https://www.ruralcarejourney.com/api/documents/68cafb25-6e63-4f3f-bf35-b560a76ea500/file) — official: https://mydss.mo.gov/mo-rhtp-year-1-fund-distribution
- [MO - 2024 - Missouri's RHTP: Year 1 Fund Distribution](https://www.ruralcarejourney.com/api/documents/05b5c312-1def-458e-a4bb-789d33dcd46f/file) — official: https://mydss.mo.gov/node/33166
- [MO - 2025 - Invitation to Comment: RHTP](https://www.ruralcarejourney.com/api/documents/253cbfbe-5c21-4033-a067-25fe563c4a73/file) — official: https://mydss.mo.gov/mhd/hot-tips/invitation-comment-rural-health-transformation-program
- [MO - 2026 - rural health (008fe0)](https://www.ruralcarejourney.com/api/documents/f6a2a40b-843d-4225-8e96-4175dc1920f2/file) — official: https://mydss.mo.gov/mhd/rural-health
- [MO - 2026 - Trump Administration Announces New Funding to Support Rural Healthcare Workers and Expand Maternal Care Across Missouri (Award source)](https://www.ruralcarejourney.com/api/documents/4fef1d9a-f222-4483-aa6c-6c853df30be1/file) — official: https://www.cms.gov/newsroom/press-releases/trump-administration-announces-new-funding-support-rural-healthcare-workers-expand-maternal-care
- [MO - 2026 - RHTP Funds Will Help Expand Rural Maternal Health Care (Award source)](https://www.ruralcarejourney.com/api/documents/67e6f7fc-f3cf-475e-85c3-fca3f02ab20b/file) — official: https://www.mohospitals.org/newsroom/rhtp-funds-will-help-expand-rural-maternal-health-care/
- [MO - 2026 - OZH, TCMH awarded federal rural health improvement funds (MO - 2026 - OZH, TCMH awarded federal rural health improvement funds)](https://www.ruralcarejourney.com/api/documents/452273d3-0776-4780-b9ee-590dbe09c002/file) — official: https://westplainsdailyquill.net/2026/11/03/ozh-tcmh-awarded-federal-rural-health-improvement-funds/

More Missouri RHTP activity: https://www.ruralcarejourney.com/states/mo (markdown: https://www.ruralcarejourney.com/states/mo.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/missouri-federal-rhtp-award-year-1-fy-2026--c2a69009a1 — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.