# Missouri RHTP: Support EMS - Pillar 3: EMS Agency Consolidation

Missouri RHTP Support EMS Pillar 3: funding to support EMS agency consolidation and regional coordination, as part of Missouri's three-pillar Support EMS RHTP initiative (Pillar 1: Workforce, Pillar 2: MIH-CP System Expansion, Pillar 3: Agency Collaboration/Consolidation). Funding supports both planning (Phase 1) and implementation (Phase 2) of EMS collaboration and consolidation projects to enhance sustainability, governance, operational efficiency, and service delivery for rural and at-risk regions. Agencies may apply for Phase 1 only (assessment/readiness and planning/design), or for both Phase 1 and Phase 2 together (implementation/optimization). Priority is given to applications demonstrating urgent regional need, risk due to hospital closures, willingness to consolidate or regionally align, and alignment with ToRCH Hubs and MIH-CP expansion efforts. Selection is based on need, project design, readiness, sustainability, and cross-sector partnerships. Applications are reviewed monthly on a rolling basis, and initial awards fund up to 12 months; continuation funding is subject to availability, performance, and need.

## Key facts

- Status: Open
- Type: RFA
- Issued by: Missouri Emergency Medical Services Association (MEMSA) (Missouri)
- Posted: 2026-06-16
- Funding: $250,000
- Eligible applicants: Local Government, Nonprofit, Special District, EMS Agency, Regional EMS Network
- How to apply: Email one consolidated application package and supporting documents to rhtp@memsa.org.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://memsa.org/rht-funding/rht-pillar-3-ems-agency-consolidation/

## Eligibility

Open to EMS agencies in Missouri, with priority for rural EMS agencies in high-risk or unstable regions, agencies impacted by hospital closures, and those willing to consolidate, share services, or align regionally. Eligible applications must outline proposed consolidation/collaboration, project scope, governance, financial plan, workforce integration, and alignment with relevant transformation initiatives. Regional proposals are favored. Applicants must be able to comply with all grant, legal, and regulatory requirements.

## Requirements

Applicants must propose projects that support EMS collaboration and/or consolidation, including combining two or more districts/agencies into one regional entity where appropriate. Phase 1 supports planning/assessment activities (needs assessment, feasibility study, governance design, stakeholder engagement), while Phase 2 supports implementation (integration, operations, performance measurement, sustainability). Proposal evaluation criteria include: demonstrated need, planning/implementation approach, management capacity, budget justification, regional/system impact, alignment with program priorities, and sustainability strategy. Applications must use required templates and attest to eligibility. A 3-year budget projection is required. Applications accepted via email; review is monthly.

## Required attachments

- Application Form (using required template)
- Budget Template (3-year projection, Year 1 request)
- Applicant Attestation Form
- Letters of Commitment (if applicable)

## Application package and source documents

- [MO - 2026 - Missouri RHTP: Support EMS - Pillar 3: EMS Agency Consolidation Application (EMS-Consolidation-Application-Template.docx)](https://www.ruralcarejourney.com/api/documents/98c7499f-a99f-492c-96bb-6300b3419288/file) (primary) — official: https://memsa.org/wp-content/uploads/2026/07/EMS-Consolidation-Application-Template.docx
- [MO - 2026 - Applicant Attestation for Missouri RHTP EMS Agency Consolidation Application (EMS-Consolidation-Attestation.docx)](https://www.ruralcarejourney.com/api/documents/26c6d1f8-16a1-4f6c-8dc8-6791f0a4f05a/file) — official: https://memsa.org/wp-content/uploads/2026/07/EMS-Consolidation-Attestation.docx
- [MO - 2026 - EMS-Consolidation-Budget-Template_7-12-26-1.xlsx (EMS-Consolidation-Budget-Template_7-12-26-1.xlsx)](https://www.ruralcarejourney.com/api/documents/b4a12c52-b0f6-45e4-856e-65bd6f2ab51e/file) — official: https://memsa.org/wp-content/uploads/2026/07/EMS-Consolidation-Budget-Template_7-12-26-1.xlsx
- [MO - 2026 - EMS-Consolidation-Budget-Template_7-20-26.xlsx (EMS-Consolidation-Budget-Template_7-20-26.xlsx)](https://www.ruralcarejourney.com/api/documents/86e32244-54df-4287-a8ea-fba677cde011/file) — official: https://memsa.org/wp-content/uploads/2026/07/EMS-Consolidation-Budget-Template_7-20-26.xlsx
- [MO - 2026 - Memsa RHTP EMS Coordination/Consolidation Application Scoring Rubric (EMS-Consolidation-Scoring-Rubric.pdf)](https://www.ruralcarejourney.com/api/documents/ce51f6ea-e35f-4ffd-8899-7e7b102f69e9/file) — official: https://memsa.org/wp-content/uploads/2026/07/EMS-Consolidation-Scoring-Rubric.pdf
- [MO - 2026 - EMS Agency Collaboration / Consolidation Guidance and Infographic Transcript (MEMSA issuer source page)](https://www.ruralcarejourney.com/api/documents/252d17e1-a0cf-4db0-ac49-258a2bf15ddc/file) — official: https://memsa.org/rht-funding/rht-pillar-3-ems-agency-consolidation
- [MO - 2027 - RHT Funding – MEMSA (MO - 2027 - RHT Funding – MEMSA)](https://www.ruralcarejourney.com/api/documents/724ebd75-1b7c-46c0-8b9d-4dd68a5a2007/file) — official: https://memsa.org/rht-funding

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

---
Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/missouri-rhtp-support-ems-pillar-3-ems-agency-consolidation--b40a1a1961 — data as of 2026-11-13.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.