# Mobile Integrated Healthcare Implementation Services The Vermont Agency of Human Services, Department of Health, is soliciting Letters of Interest from qualified Vermont EMS agencies and hospital-based EMS programs for Mobile Integrated Healthcare (MIH) implementation at up to five rural sites, as part of the Rural Health Transformation Program (RHTP). Year 1 grant funding ($3,750,000 total) will support operationally ready EMS organizations delivering post-discharge in-home care for Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, or Joint Replacement Care. Funding is intended for personnel, training, vehicles, technology, clinical equipment, and implementation expenses. Project goals are to improve care quality, reduce costs, and strengthen the rural health workforce. Initial grant performance period is August 1, 2026 – September 30, 2027. Grants may be extended for up to four additional one-year periods, pending CMS and state approval. ## Key facts - Status: Closed - Type: NOFO - Issued by: Vermont Agency of Human Services, Department of Health (Vermont) - Posted: 2026-06-11 - Letter of intent due: 2026-07-10 - Application due: 2026-07-10 - Eligible applicants: EMS agencies, hospitals - How to apply: Submit Letters of Interest electronically via email to Danielle.Tucker@vermont.gov by July 10, 2026 at 4:30 PM Eastern Time. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73854 ## Eligibility Eligible applicants are Vermont state licensed EMS agencies with a formal clinical partnership with a sponsoring hospital or health care facility, or hospitals deploying MIH services through internally employed EMS personnel. Applicants must be operationally ready or nearly operationally ready to provide MIH services as defined in the NOFO. Preference is given to applicants serving rural Vermont (all counties except Chittenden County, unless service to rural areas is demonstrated). ## Requirements Letters of Interest must address core MIH program elements (A-M) including: key stakeholders, partnerships, catchment area, operational readiness, proposed MIH service bundles (CHF, COPD, Joint Replacement Care), and high-level budget. Required: Completed MIH Provider Cost Questionnaire; proof of VT business registration; valid EIN; certificate of insurance (Attachment C); signed, wet-ink W-9 form. Operational readiness must be established within 120 days of grant agreement signature. Applicants must comply with all Vermont Department of Health grant agreement requirements and submit error-free invoices per Attachment B provisions. ## Required attachments - Letter of Interest (addressing NOFO Sections A-M) - MIH Provider Cost Questionnaire - Proof of Vermont business registration (or sole proprietorship statement) - Valid EIN - Certificate of insurance (Attachment C requirements) - Signed W-9 form (wet signature) ## Application package and source documents - [VT - 2026 - Mobile Integrated Healthcare Implementation Services (Source listing page)](https://www.ruralcarejourney.com/api/documents/34ab1e9c-a50c-43a9-8072-c9e79f0a9913/file) — official: https://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=73854 - [VT - 2026 - Notice of Funding Opportunity (NOFO) Mobile Integrated Healthcare Implementation Services (MIH Services NOFO.pdf)](https://www.ruralcarejourney.com/api/documents/eff58d1d-36a3-400f-964b-3e6eb068e55a/file) (primary) — official: https://www.vermontbusinessregistry.com/bidAttachments/73854/MIH%20Services%20NOFO.pdf - [VT - 2026 - Addendum #1 June 17, 2026 Informational Meeting (Addendum.pdf)](https://www.ruralcarejourney.com/api/documents/218226b9-2531-412a-983b-3cf1fee2121c/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73854/Addendum.pdf - [VT - 2026 - Addendum 2 & 3: Eligibility Guidance and Timeline Updates for Mobile Integrated Healthcare Implementation Services NOFO (Addendum 2 & 3.pdf)](https://www.ruralcarejourney.com/api/documents/8bc0df78-dfe3-43aa-b3a8-e0cc24a1d61c/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73854/Addendum%202%20&%203.pdf - [VT - 2024 - Addendum 4 – Meeting Recording (Addendum 4 Meeting Recording.pdf)](https://www.ruralcarejourney.com/api/documents/16b10aa5-4ef4-4d6c-86c6-5ba6dac592c1/file) — official: https://www.vermontbusinessregistry.com/bidAttachments/73854/Addendum%204%20Meeting%20Recording.pdf More Vermont RHTP activity: https://www.ruralcarejourney.com/states/vt (markdown: https://www.ruralcarejourney.com/states/vt.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/mobile-integrated-healthcare-implementation-services--cg1lm2896p — data as of 2026-08-11. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.