# Rural Health Transformation Funding for Home Visiting The Missouri Children’s Trust Fund (CTF) awards $588,000 annually under the Rural Health Transformation Program (RHTP) to support the initiation and expansion of nurse-led, evidence-based home visiting in rural Missouri. The program’s purpose is to improve maternal and child health outcomes for families residing in eligible rural areas using HomVEE-approved home visiting models—including Family Connects per Amendment 1—with model fidelity required. Eligible agencies may request up to $100,000 (total, across all grantees) for model fees and training and up to $488,000 for program expansion, with indirect costs capped at 8%. Expansions must not supplant existing funding. Successful applicants must participate in regional healthcare 'HUB' networks (with Hub Anchors), regional Collective Impact sites, serve as CRIS Referral Partners, engage fully in a three-tiered continuous quality improvement (CQI) process, and report outcomes through the CTF-approved REDCap platform. All direct client contact staff and volunteers are required to complete annual Family Care Safety Registry (FCSR) checks and state/national MOVECHS fingerprint checks. Agencies must register as MissouriBUYS vendors, participate in E-Verify, be current on state taxes, in good federal standing, and comply with CTF data, privacy, audit and reporting requirements. Awardees invoice monthly, and must maintain fiscal/programmatic documentation. Contracts are one year, renewable up to four times, subject to performance and funding availability. Award amounts may vary annually based on need. ## Key facts - Status: Closed - Type: RFP - Issued by: Missouri Children's Trust Fund (CTF) (Missouri) - Posted: 2026-06-26 - Application due: 2026-08-23 - Funding: $588,000 - Eligible applicants: Home Visiting Program, Non-profit, Healthcare Agency, Governmental Entity, Nurse-based Program - How to apply: Email completed application and all required attachments to melinda.kirsch@oa.mo.gov by the deadline. Late applications will not be considered. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://ctf4kids.org/ctf-funding-opportunities ## Eligibility Eligible applicants are Missouri-based home visiting agencies currently implementing, or seeking to implement, a nurse-delivered, evidence-based, HomVEE-approved home visiting model—including Family Connects per Amendment 1—with demonstrated model fidelity. Services must be provided exclusively by licensed nurses, represent program expansion (not supplanting current funds), and serve rural populations as defined by the RHTP eligibility map (https://mydss.mo.gov/media/pdf/rhtp-hub-county-groupings-map). Both nonprofit organizations (with IRS determination) and governmental entities (with documentation) are eligible. Participation in required regional HUB networks, Collective Impact sites, CRIS Referral Partner network, CQI processes, annual FCSR registration/screening, MOVECHS fingerprint checks, and REDCap system reporting is mandatory. ## Requirements • Completed CTF application (CTF Template) • Documentation verifying fidelity to a HomVEE-approved, nurse-delivered model (accreditation, registration letter, approved application, training certificates) • Detailed Program Budget for Year 1 (itemize model fees/training and program funds using the CTF Template) • Agency Operating Budget (current year, income and expenses) • Application Certification Letter (CTF Template Attachment) • Proof of nonprofit status (IRS determination letter) or governmental entity documentation • IRS Form 990 (if applicable) • Most recent financial audit summary report • Organizational chart of leadership and project staff • Current Board of Directors list with affiliations • Annual Family Care Safety Registry (FCSR) registration/screening and MOVECHS fingerprint checks for all staff/volunteers with client contact • Registration with MissouriBUYS and participation in E-Verify • Compliance with REDCap data reporting, CTF Privacy Policy, audits, CQI/network obligations ## Required attachments - CTF Application Template - Detailed Year 1 Program Budget (itemize model fees/training and program funds) - Agency Operating Budget (current year, income and expenses) - Application Certification Letter - Documentation for model fidelity/accreditation (e.g., accreditation, registration letter, training certificates) - Proof of nonprofit or governmental status - IRS Form 990 (if applicable) - Most recent financial audit summary report - Organizational chart - Board of Directors list ## Application package and source documents - [MO - 2026 - CTF Funding Opportunities](https://www.ruralcarejourney.com/api/documents/70946add-f7f0-4b70-b0e1-f3677c11d0a8/file) (primary) — official: https://ctf4kids.org/ctf-funding-opportunities - [MO - 2026 - Request For Application RHT Funding](https://www.ruralcarejourney.com/api/documents/ac922dad-583b-429a-a110-69e26bf65730/file) — official: https://ctf4kids.org/wp-content/uploads/2026/08/RFP-RHT-Final-FC-amendment-1.pdf - [MO - 2026 - Understanding the RHTP](https://www.ruralcarejourney.com/api/documents/0305736a-24b5-4360-aaf2-d2d7d0f0f39c/file) — official: https://dss.mo.gov/mhd/rural-health - [MO - 2026 - RHTP Announces Home Visiting Funding, Launches Digital Backbone Roadshows (MHA newsroom announcement of home visiting funding)](https://www.ruralcarejourney.com/api/documents/25708f62-ab17-43f6-8193-cb70ee424f52/file) — official: https://www.mohospitals.org/newsroom/rhtp-announces-home-visiting-funding-launches-digital-backbone-roadshows/ - [MO - 2026 - RHT Funding – Missouri Children's Trust Fund RFP (Request for Proposals (RFP))](https://www.ruralcarejourney.com/api/documents/ca41ef28-40d9-49ca-acde-ec57b04205c5/file) — official: https://ctf4kids.org/wp-content/uploads/2026/06/RFP-RHT-final.docx - [MO - 2026 - RHT Home Visiting Application and Narrative (Application / Narrative)](https://www.ruralcarejourney.com/api/documents/69652dcd-7f25-41e8-8002-c72b87aa3856/file) — official: https://ctf4kids.org/wp-content/uploads/2026/06/RHT-Application-final.docx - [MO - 2026 - Home Visiting Budget Form (Children's Trust Fund) (Budget Form)](https://www.ruralcarejourney.com/api/documents/363a27e8-5350-4fa5-9c6c-e6d11cdd286a/file) — official: https://ctf4kids.org/wp-content/uploads/2026/06/CTF-Budget-Form-for-RHT.xlsx 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/rural-health-transformation-funding-for-home-visiting--b2b8149c6c — data as of 2026-09-21. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.