# Missouri — Rural Health Transformation Program (RHTP) Missouri's Rural Health Transformation Program (RHTP), administered by the MO HealthNet Division and Department of Social Services, is in active statewide implementation with significant ongoing federal investment. The program’s initiatives emphasize rural workforce retention, expansion of maternal and behavioral health services, modernization of healthcare facilities, EMS and Mobile Integrated Healthcare growth, and digital infrastructure upgrades, with 27 regional Community Hubs statewide. Current structured plan tracks 5 key initiatives and 12 strategic goals. ## At a glance - Federal awards to date: $434,823,907.98 (Year 1 $216.3M + Year 2 $218.5M) - Implementation phase (RCJ): IMPLEMENTING - Funding opportunities tracked: 18 (9 open or announced, 9 closed) - Awards recorded: $78.9M to 43 recipients - Critical Access Hospitals: 36 - Rural population share: 30% ## Current progress Missouri continues full implementation of the Rural Health Transformation Program, with awards now exceeding $39.7M to support infrastructure modernization and workforce initiatives. Competitive procurements, Hub-coordinated proposals, and facility modernization grants remain underway, guided by published eligibility and application windows across workforce, EMS, and service delivery pillars. Multiple award cycles are active, including applications and subawards coordinated in 27 regional Hubs, with ongoing guidance and proposal reviews reflecting sustained operational momentum and regional engagement. Recent federal awards have been distributed to 26 healthcare providers statewide for facility upgrades and service expansions. State opportunities: 9 active (4 open, 5 upcoming, 6 past/closed), $65.3M listed funding. Key opportunities: Missouri RHTP Digital Backbone Provider Application (official RFA pending); Missouri RHTP Workforce Retention and Enablers Funding Opportunity; Missouri RHTP Mobile Health Units capital awards (official RFA pending). Strategy alignment: supports telehealth, workforce, maternal health priorities. ## CMS published status (State Data Maps) - State Policy Action commitments: 5 of 19 - Initiatives (5), current CMS stage of each: - Alternative Payment Models — Stage 1 - Digital Backbone — Stage 2 - Provider Transformation — Stage 1 - Regional Coordinating Networks and Hub Activation — Stage 1 - Rural Health Workforce Programs — Stage 1 - CMS data captured 2026-11-11, last confirmed 2026-11-11 ## Open and announced opportunities - [Missouri RHTP Workforce Retention and Enablers Funding Opportunity](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-workforce-retention-and-enablers-funding-opportunity--ec74f28c16) — RFA; Open; due 2026-12-07; $11.0M - [Missouri RHTP Digital Backbone Provider Application (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-digital-backbone-provider-application-official-rfa-pending--c24f8f0c2e) — GRANT; Announced, not yet open; $37.5M - [Missouri RHTP Essential Care Certifications for rural hospitals (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-essential-care-certifications-for-rural-hospitals-official-rfa-pen--8a95c7661d) — GRANT; Announced, not yet open; $1.0M - [Missouri RHTP High-Risk Pregnancy Remote Monitoring, Southeast and Southcentral Missouri (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-high-risk-pregnancy-remote-monitoring-southeast-and-southcentral-m--3cf86729dc) — GRANT; Announced, not yet open; $2.5M - [Missouri RHTP Mobile Health Units capital awards (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-mobile-health-units-capital-awards-official-rfa-pending--bdb6b7245c) — GRANT; Announced, not yet open; $5.0M - [Missouri RHTP Telehealth Specialist Access for rural hospitals (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-telehealth-specialist-access-for-rural-hospitals-official-rfa-pend--a033c28481) — GRANT; Announced, not yet open; $1.0M - [Missouri RHTP: Mobile Integrated Healthcare & Community Paramedicine (MIH-CP) System Expansion — MEMSA Partnership](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-mobile-integrated-healthcare-community-paramedicine-mih-cp-system--2d5826e324) — GRANT; Open; $250,000 – $500,000 - [Missouri RHTP: Support EMS - Pillar 1: Workforce Development & Sustainability](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-support-ems-pillar-1-workforce-development-sustainability--93331c8bd3) — RFA; Open; $50,000 - [Missouri RHTP: Support EMS - Pillar 3: EMS Agency Consolidation](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-support-ems-pillar-3-ems-agency-consolidation--b40a1a1961) — RFA; Open; $250,000 ## Closed opportunities (9, most recent first) - [Missouri ToRCH Hub 2 Discretionary Funding (Andrew and Buchanan Counties)](https://www.ruralcarejourney.com/opportunities/missouri-torch-hub-2-discretionary-funding-andrew-and-buchanan-counties--ce5a0da64d) — GRANT; Closed; due 2026-10-14; $531,763 - [Expanding Virtual Care in Rural Missouri (RFI - 0000000012SL)](https://www.ruralcarejourney.com/opportunities/expanding-virtual-care-in-rural-missouri-rfi-0000000012sl--ecd3424f54) — RFI; Closed; due 2026-09-09 - [ToRCH Care Smart Growth and Service Line Modification (Horizon 2) Invitation For Bid](https://www.ruralcarejourney.com/opportunities/torch-care-smart-growth-and-service-line-modification-horizon-2-invitation-for-b--3803d03580) — IFB; Closed; due 2026-09-01; $5.0M – $5.3M - [Rural Health Transformation Funding for Home Visiting](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-funding-for-home-visiting--b2b8149c6c) — RFP; Closed; due 2026-08-23; $588,000 - [Missouri DHSS Rural Medical Student Clerkships Funding Opportunity](https://www.ruralcarejourney.com/opportunities/missouri-dhss-rural-medical-student-clerkships-funding-opportunity--191eb7ef58) — RFP; Closed; due 2026-07-07; $115,000 - [Missouri ToRCH Care Hub Anchor Application](https://www.ruralcarejourney.com/opportunities/missouri-torch-care-hub-anchor-application--b2920e4e1b) — GRANT; Closed; due 2026-06-18 - [ToRCH Care Strategic Minor Renovations (Horizon 1)](https://www.ruralcarejourney.com/opportunities/torch-care-strategic-minor-renovations-horizon-1--a5e9d443f8) — IFB; Closed; due 2026-06-11 - [Missouri Federal RHTP Award: Year 1 (FY 2026)](https://www.ruralcarejourney.com/opportunities/missouri-federal-rhtp-award-year-1-fy-2026--c2a69009a1) — AWARD; Closed; due 2025-11-30; $216.3M - [Missouri Federal RHTP Award: Year 2 (FY 2027)](https://www.ruralcarejourney.com/opportunities/missouri-federal-rhtp-award-year-2-fy-2027--a0caddcdaf) — AWARD; Closed; $218.5M ## Largest recorded awards - Missouri Delta Medical Center — $5.6M (FY2026) - Hermann Area District Hospital — $5.5M (FY2026) - Heartland Regional Medical Center — $5.0M (FY2026) - Ozarks Healthcare — $3.6M (FY2026) - Ozarks Medical Center — $3.6M (FY2026) - Washington County Memorial Hospital — $3.4M (FY2026) - Western Missouri Medical Center — $3.2M (FY2026) - Phelps County Regional Medical Center — $3.1M (FY2026) - Scotland County Hospital — $2.8M (FY2026) - Lake Regional Health Center — $2.5M (FY2026) - Citizens Memorial Hospital — $2.5M (FY2026) - Saint Francis Medical Center — $2.5M (FY2026) - Lake Regional Health System — $2.5M (FY2026) - John Fitzgibbon Memorial Hospital — $2.5M (FY2026) - Nevada Regional Medical Center — $2.4M (FY2026) ## Official sources RCJ monitors - [MO RHTP Primary](https://mydss.mo.gov/mhd/rural-health) - [MO Release / Application](https://governor.mo.gov/press-releases/archive/governor-kehoe-secures-more-216-million-strengthen-rural-healthcare-missouri) - [MO Governor Press Releases](https://governor.mo.gov/press-releases) - [MO Home Visiting RFP (Children's Trust Fund)](https://ctf4kids.org/ctf-funding-opportunities/) - [MO DSS Bids Listing (IFB amendments/new postings)](https://dss.mo.gov/bids/) - [MO MEMSA Support EMS RHT Funding hub (Pillars 1-3)](https://memsa.org/rht-funding/) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/mo — data as of 2026-11-11. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.