# SHIFT 3.3 Rural EMS Request for Grant Applications

The Rural Health Transformation Program (RHTP) - SHIFT Initiative (Sustaining Health Infrastructure for Transformation), administered by the Utah Department of Public Safety, Bureau of Emergency Medical Services (BEMS) with support from Utah Department of Health and Human Services (DHHS) under a CMS-funded award, will provide $12,500,000 in Year 1 with an estimated $10,000,000 annually for Years 2-5 to sustain and strengthen rural and Tribal EMS infrastructure in Utah. The competitive, multi-year program funds projects that expand EMS access, modernize health communications, and build sustainable EMS capacity by supporting education and workforce development, community paramedicine and telehealth, innovation and technology, and operational/administrative support. Eligible projects must align with at least one of four program areas: Education (including workforce development and training), Community Paramedicine and Telehealth, Innovation and Technology, or Administrative Support. The SHIFT Initiative prioritizes solutions that improve rural EMS service, enhance communication, and foster long-term, sustainable improvements in rural and Tribal communities. Applications are evaluated primarily for Years 1–2. Subgrants are annual, with project periods defined per funding year, and strict budget and use restrictions apply.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Utah Department of Public Safety, Bureau of Emergency Medical Services (BEMS) (Utah)
- Posted: 2026-08-12
- Application due: 2026-09-21
- Funding: $12.5M
- Eligible applicants: Hospitals or Health Systems, FQHCs or Rural Health Clinics, Emergency Medical Services (EMS) agencies, Tribal health organizations, Educational institutions
- How to apply: Applications and required attachments must be submitted through the EUNA Grants AmpliFund portal (https://www.gotomygrants.com/Public/Opportunities/Details/629bba90-f80c-4342-b05d-bf1cd08b7d2e) by September 13, 2026, at 11:59 PM MDT.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.gotomygrants.com/Public/Opportunities/Details/629bba90-f80c-4342-b05d-bf1cd08b7d2e

## Eligibility

Eligible applicants are hospitals or health systems, Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs), Emergency Medical Services (EMS) agencies, Tribal health organizations, and educational institutions serving rural Utah counties or Tribal Nations (including, but not limited to, the Navajo Nation, Ute Indian Tribe, Paiute Indian Tribe, Goshute Tribes, and Shoshone Nation). Applicants must serve rural Utah counties or federally recognized Tribal Nations within Utah.

## Requirements

Required submissions include a detailed project narrative (with sections on statement of need, project description and program alignment, partnerships, baseline data, sustainability plan), a work plan and timeline (template required), a budget and justification (template required), a performance metrics and evaluation plan (template required), an organizational chart (template required), and combined resumes/CVs of key project personnel. Conditional required documents include audited financial statements, IRS determination letters, Board of Directors lists, and letters of support or MOUs from key partners, as applicable. All files must be uploaded electronically, with a file size maximum of 50MB per item.

## Required attachments

- Work Plan and Timeline (template required)
- Budget and Justification (template required)
- Performance Metrics and Evaluation Plan (template required)
- Organizational Chart (template required)
- Resumes/CVs of key personnel (single combined file)
- Conditional: Audited financial statements (if applicable)
- Conditional: IRS Determination letter (if applicable)
- Conditional: Board of Directors list (if applicable)
- Conditional: Letters of support or MOUs from key partners (if applicable)

## Application package and source documents

- [UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative (Official Euna Grants application package)](https://www.ruralcarejourney.com/api/documents/ddebac20-a65c-494b-9b24-5131508099da/file) (primary) — official: https://www.gotomygrants.com/RequestForProposals/OpportunityApplications/ApplicationPrint?applicationPrintType=Empty&isPublic=True&opportunityGuid=629bba90-f80c-4342-b05d-bf1cd08b7d2e#zip-entry=Application.pdf&sha256=65e01469dcb3
- [UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative (629bba90-f80c-4342-b05d-bf1cd08b7d2e)](https://www.ruralcarejourney.com/api/documents/037713ff-a252-427f-aad4-03615850116e/file) — official: https://www.gotomygrants.com/Public/Opportunities/Details/629bba90-f80c-4342-b05d-bf1cd08b7d2e

More Utah RHTP activity: https://www.ruralcarejourney.com/states/ut (markdown: https://www.ruralcarejourney.com/states/ut.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/shift-3-3-rural-ems-request-for-grant-applications--710dc94cc9 — data as of 2026-09-14.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.