# Missouri RHTP: Mobile Integrated Healthcare & Community Paramedicine (MIH-CP) System Expansion — MEMSA Partnership

The Missouri Department of Social Services, through the Rural Health Transformation Program (RHTP), partnered with the Dept. of Health and Senior Services' Office of Rural Health and Primary Care and the Missouri Emergency Medical Services Association (MEMSA) to expand Mobile Integrated Healthcare and Community Paramedicine (MIH-CP) services across rural Missouri. MEMSA administers the funding directly: rural EMS agencies apply to start up or expand an MIH-CP program or Regional MIH Network, integrating with ToRCH Care Hubs and Regional Coordinating Networks (RCNs).

## Key facts

- Status: Open
- Type: GRANT
- Issued by: Missouri Emergency Medical Services Association (MEMSA), in partnership with Missouri Dept. of Social Services (RHTP) and Dept. of Health & Senior Services' Office of Rural Health and Primary Care (Missouri)
- Posted: 2026-07-24
- Funding: $250,000 – $500,000
- Eligible applicants: Rural EMS Agencies, Healthcare Partners (in collaborative applications)
- How to apply: Email the consolidated application packet (Readiness Assessment, Application, Work Plan/Appendix B, Budget Narrative, Attestation) to rhtp@memsa.org. Rolling basis, reviewed monthly.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://memsa.org/rht-funding/rht-pillar-2-mih-cp-system-expansion-care-delivery-transformation/

## Eligibility

Rural EMS agency in Missouri collaborating with one or more healthcare partners to start up or expand an MIH-CP program or Regional MIH Network; must integrate within ToRCH Care Hubs and Regional Coordinating Networks (RCNs). Funding limited to entities in Missouri-designated RHT counties.

## Requirements

Applicants must submit a complete application packet, consisting of: (1) Readiness Assessment, (2) Application Form, (3) Work Plan/Appendix B, (4) Budget Narrative, and (5) Attestation. The application materials must be submitted via email to rhtp@memsa.org. Budget must cover a three-year project period and demonstrate anticipated costs; initial awards are for Year 1 only, with continuation funding for Years 2–5 contingent on federal/state appropriations, satisfactory performance, and continued programmatic need. Applicants may be contacted during review to clarify information.

## Required attachments

- Readiness Assessment
- Application Form
- Work Plan/Appendix B
- Budget Narrative
- Attestation

## Application package and source documents

- [MO - 2026 - RHT Pillar 2: MIH-CP System Expansion & Care Delivery Transformation (Source listing page)](https://www.ruralcarejourney.com/api/documents/85ac71d9-fe40-47fe-af15-bc427f76f83b/file) (primary) — official: https://memsa.org/rht-funding/rht-pillar-2-mih-cp-system-expansion-care-delivery-transformation
- [MO - 2026 - View the Scoring Rubric (Application package - New Site: Scoring Rubric)](https://www.ruralcarejourney.com/api/documents/20f92071-e6fa-442d-aca4-ac36d77b4f2c/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-NEW-SITE-Scoring-Rubric-FINAL.docx
- [MO - 2026 - MIH-CP New Site Application (Application package - New Site: MIH-CP New Site Application)](https://www.ruralcarejourney.com/api/documents/1213091d-2a2e-481f-a483-73fd6758997b/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-New-Site-Application_FINAL-1.docx
- [MO - 2026 - MIH-CP New Site Program Application Checklist (Application package - New Site: Application Checklist and Scoring Rubric)](https://www.ruralcarejourney.com/api/documents/d5b4606f-fa5b-4efa-8362-443a520e64b2/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-NEW-SITE-Checklist_Scoring-Rubric_073126.docx
- [MO - 2026 - MIH-CP Expansion Application (Application package - Expansion: MIH-CP Expansion Application)](https://www.ruralcarejourney.com/api/documents/b01a5db8-fa2c-473a-859c-aab3cc1f34e5/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-Expansion-Application_FINAL-1.docx
- [MO - 2026 - MIH-CP Expansion Site Attestation (Application package - Expansion: MIH-CP Expansion Site Attestation)](https://www.ruralcarejourney.com/api/documents/d24b2c9c-2213-4cc9-a709-124cbc00770b/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-Expansion-Attestation.docx
- [MO - 2026 - Mobile Integrated Healthcare Budget Proposal (Application package - Sample New Start Budget (Oct 14, 2026))](https://www.ruralcarejourney.com/api/documents/729f9155-7dc6-4117-ac36-1798641f7691/file) — official: https://memsa.org/wp-content/uploads/2026/10/SAMPLE-MIH-New-Start-Budget_10-14-2026.pdf
- [MO - 2026 - View the Scoring Rubric (Application package - Expansion: Scoring Rubric)](https://www.ruralcarejourney.com/api/documents/6b75e483-5b95-4de0-8336-66552acfb0d4/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-EXPANSION-Scoring-Rubric_FINAL.docx
- [MO - 2026 - Work Plan (Appendix B) (Application package - Expansion: Work Plan (Appendix B))](https://www.ruralcarejourney.com/api/documents/3f162c4d-3380-48a7-a4f0-74b169b08299/file) — official: https://memsa.org/wp-content/uploads/2026/07/Appendix-B_Work-Plan_MIH-CP_Expansion_FINAL.docx
- [MO - 2026 - Mih-Cp New Site Application - Work Plan (Application package - New Site: Work Plan (Appendix B))](https://www.ruralcarejourney.com/api/documents/0cd601da-821c-4bdd-986f-74739a2dcc04/file) — official: https://memsa.org/wp-content/uploads/2026/07/Appendix-B_Work-Plan_MIH-CP_New-Sites_070926_nu-1.docx
- [MO - 2026 - MIH Blank Budget Template (Application package - MIH Blank Budget Template (Oct 14, 2026))](https://www.ruralcarejourney.com/api/documents/da5af7bf-60f7-4f61-bb9f-3fea2f71e22e/file) — official: https://memsa.org/wp-content/uploads/2026/10/MIH-Budget_Blank-Template_10-14-26.xlsx
- [MO - 2026 - Readiness Assessment (Application package - New Site: Readiness Assessment)](https://www.ruralcarejourney.com/api/documents/2d84896f-51fb-4662-b191-b7ebd17f44a8/file) — official: https://memsa.org/wp-content/uploads/2026/07/Readiness-Assessment-New-Sites_FINAL.xlsx
- [MO - 2026 - MIH-CP Expansion Program Application Checklist (Application package - Expansion: Application Checklist and Scoring Rubric)](https://www.ruralcarejourney.com/api/documents/8372c75b-3718-43c5-af9f-0dc193c2264c/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-EXPANSION-Checklist_Scoring-Rubric_073126.docx
- [MO - 2026 - MIH-CP New Site Attestation (Application package - New Site: MIH-CP New Site Attestation)](https://www.ruralcarejourney.com/api/documents/2e718b59-d8f2-494b-85f5-1832f437b6fc/file) — official: https://memsa.org/wp-content/uploads/2026/07/MIH-CP-New-Site-Attestation.docx
- [MO - 2026 - Readiness Assessment (Application package - Expansion: Readiness Assessment)](https://www.ruralcarejourney.com/api/documents/b44d3d79-7a12-47d5-854e-c171e7ef161f/file) — official: https://memsa.org/wp-content/uploads/2026/07/Readiness-Assessment-Expansion_FINAL.xlsx

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-rhtp-mobile-integrated-healthcare-community-paramedicine-mih-cp-system--2d5826e324 — data as of 2026-10-29.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.