Missouri

Missouri was awarded $216M for Year 1 of the Rural Health Transformation Program (RHTP), the 9th-highest in the country, to stabilize and transform rural healthcare. Funding is distributed across five strategic pillars plus statewide program enablement, focusing on network-building, workforce expansion, payment reform, digital modernization, and provider strengthening. Efforts emphasize sustainable system changes with measurable performance goals and deep stakeholder engagement.

Missouri received $216.3 million in Year 1 RHTP funding, distributing over 90% to five major pillars supporting rural health transformation. Key investments strengthen rural provider networks, modernize technology infrastructure, increase workforce capacity, and pilot innovative payment and care delivery models. The program enables coordinated, data-driven transformation for rural Missouri healthcare.

Missouri's Department of Social Services has launched the application for the Rural Health Transformation Program targeting hospital sustainability and rural Medicaid improvement. The program seeks to develop rural health networks, workforce pathways, and provider transformation initiatives. Funding details and timelines are presented alongside strategic objectives for rural health reform.

The Missouri Department of Social Services is soliciting public input to shape Missouri's application for the new Rural Health Transformation Program, a federal initiative distributing $50 billion nationwide between 2026 and 2030. Missouri has not yet received a funding award amount, as the application process is pending CMS guidance.

The program is led by the Missouri Department of Social Services' MO HealthNet Division in coordination with multiple state agencies and healthcare stakeholders. The focus is on increasing access to care, improving quality, enhancing care coordination, and incentivizing long-term sustainability with a collaborative approach involving hospitals, clinics, community organizations, and local leaders. Event schedule: - Announcement of first year RHTP funding - December 29, 2025 - Jefferson City

The RHTP Hub Program Coordinator is a full-time operational lead embedded within Missouri’s ToRCH Care model, responsible for implementing, organizing, and managing local Hub operations. The role convenes rural healthcare and community partners, oversees care coordination and referral pathways, and supports data-driven performance monitoring. The position is central to rural transformation efforts, facilitating collaboration across providers and community organizations throughout Missouri’s rural Hub service areas.

This position will lead the operational implementation of the local RHTP Hub in rural Missouri, convening providers and community organizations, managing day-to-day workflow, and supporting the delivery of coordinated whole-person care. The Coordinator facilitates integration of health, behavioral, and social services using referral and information exchange systems. This role is central to aligning and sustaining collaboration among, and effective performance within, the Hub Anchor and its partners.

This job description outlines the role of the RHTP Navigator within Missouri's rural Transformation Hubs, focusing on community-based care coordination, screening, and referral management for rural Medicaid members and high-need populations. The Navigator works across multiple local health and social service partners to resolve barriers and connect residents to needed care. The role supports improvement in Hub operations through frontline data collection and feedback.

This document presents answers to operational and strategic questions raised during the 2026 Missouri ToRCH Care roadshows, providing guidance on Hub governance, workforce, funding flows, and program implementation. It clarifies requirements for becoming Hub Anchors and outlines how funding, data infrastructure, and program evaluation will proceed. The FAQ expands on public information sessions and is intended to support local providers and partners considering participation. Key contacts: DSS.RHTP@dss.mo.gov

This is a sample job description for the RHTP Hub Program Coordinator role in Missouri for 2026. It provides reference material for local implementation hires. The document does not announce funding or awards.

Missouri RHTP APMs Provider Survey: collecting provider input on Alternative Payment Models (APMs) as part of RHTP implementation. Hosted on Qualtrics (moexperience.qualtrics.com). All Missouri rural healthcare providers are encouraged to respond.