MO Missouri
Plan Transformation of Rural Community Health Care (ToRCH Care)
1 distribution gate. 16 sub-initiatives. $216.3M in motion.
The Missouri Atlas names every gate that controls the money, every program officer, every dollar tracked. Source-cited PDF, refreshed quarterly. It shows you what it takes to be fundable here.
FY26 award
$216,276,818 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-06-13
- 99 rural counties
- 2.49M rural pop. · 1.51M Census ACS
- 192 rural hospitals
- 1 distribution gates
- 16 sub-initiatives
Missouri's award and rural demographics are verified against primary sources. The initiative budget is still under CMS review, so allocations are not yet final and are not shown. This page upgrades to the full money-flow breakdown the moment Missouri publishes its approved budget.
Key dates
When the money moves.
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FY26 award announced CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-06-13
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Program period (FY26 to FY30) CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-06-13
The plan
6 initiatives. 16 sub-initiatives.
Regional Coordinating Networks and Hub Activation
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Hubs and RCNs Staffing Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Applications open | LEAD | under review Y1 $4.00M | |
| Hubs Access Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $15.00M | |
| Hub Menu (Localized Programs) Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $9.00M | |
| RCNs/Hubs Programs Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $24.00M |
Alternative Payment Models
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| APMs Design and Pilots Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $5.00M | |
| Technical Assistance and Enablement for APM Adoption Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $4.00M |
Digital Backbone
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Tech Modernization and Interoperability Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $46.00M | |
| Governance and Readiness Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $10.00M |
Rural Health Workforce Programs
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Workforce Expansion Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $12.50M | |
| Retention Support Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $5.50M |
Provider Transformation
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Horizon 1: Saving At-Risk Facilities Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $30.00M | |
| Horizon 2: Re-establishing Local Services Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $12.00M | |
| Technical Assistance for Modernization Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $8.00M | |
| Remote Patient Monitoring Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review Y1 $3.00M | |
| Ambient AI Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | under review Y1 $4.00M |
RHTP Program Enablement
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Statewide Governance, Coordination, and Analytics Missouri's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Gate not yet stood up | LEAD | under review Y1 $24.22M |
Primary documents
1 state-published documents tracked.
People to know
Who decides where the money goes.
-
Program administration Missouri Department of Social Services, MO HealthNet Division
-
Governor of Missouri State of Missouri
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Director Missouri Department of Social Services
Procurement portals
Where to bid.
Frequently asked
Missouri RHTP, answered.
How much did Missouri receive from the federal Rural Health Transformation Program?
Missouri received $216,276,818 for FY26 under the $50 billion Rural Health Transformation Program (P.L. 119-21 sec 71401), administered by Missouri Department of Social Services, MO HealthNet Division. The program runs FY26 through FY30.
Who administers Missouri's RHTP funding?
Missouri Department of Social Services, MO HealthNet Division is the lead agency. Missouri's plan organizes the funding across 6 initiatives. The named administering agency for each sub-initiative, the lead implementers, and the routing path are detailed in the Atlas.
How can a vendor or provider pursue Missouri RHTP funding?
Register as a state vendor, hold an active UEI and SAM.gov registration, and apply to the relevant funding opportunity as it posts. The live opportunity calendar, exact deadlines, and per-initiative routing are in the Atlas.