MO Missouri Rural Health Transformation Program
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 2026-09-23
- 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 2026-09-23
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Period of performance ends CMS Notice of Award, Rural Health Transformation Program standard terms (Utah RHTCMS332051-01-00, page 6) View source Accessed 2026-09-23
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Obligate funding to CMS (DSS timeline). Submit RHTP Annual Report (DSS timeline). View source Accessed 2026-09-23
What's new
What Missouri has announced lately.
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DSS awarded approximately $35 million in Strategic Minor Renovations Program grants to 20 rural hospital projects, including Citizens Memorial Hospital, Lake Regional Health System, and Phelps County Regional Medical Center. content.govdelivery.com
Following a competitive review process, Missouri is awarding grants to 20 projects.
Quote on file, page pending View source Accessed 2026-09-23 -
DHSS with DSS invests up to $4.2 million in year one to grow rural EMS workforce via MEMSA; 437 individuals selected for funded EMT and paramedic training for 2026-2027; 11 named training partners. content.govdelivery.com
is investing up to $4.2 million in its first year to grow Missouri's rural emergency medical services workforce
Quote on file, page pending View source Accessed 2026-09-23 -
CMS announces more than $45 million for Missouri, including about $35 million for 20 rural hospital projects. Overlaps the DSS $35M and $4.2M items. www.cms.gov
The announcement includes approximately $35 million to support 20 rural hospital projects
Quote on file, page pending View source Accessed 2026-09-23 -
DSS announced up to $6.4 million combined to expand the MO-CPAP and MO-MHAP behavioral health consultation programs (DMH, DHSS Office on Women's Health, MU Center for Child Well-Being). content.govdelivery.com
Missouri is expanding access to behavioral health consultations
Quote on file, page pending View source Accessed 2026-09-23 -
DSS Rural Health Transformation Office issued an RFI on virtual care with two tracks: Remote Patient Monitoring for Maternal Care, and Telehealth Specialist Access for Rural Hospitals and Providers (MissouriBUYS 0000000012SL); responses were due September 9. content.govdelivery.com
The Missouri Department of Social Services' (DSS) Rural Health Transformation Office has issued a Request for Information (RFI)
Quote on file, page pending View source Accessed 2026-09-23 -
IFB #DSS26015 Smart Growth and Service Line Modification, nearly $40 million across Program Years 1 and 2, awards up to $5 million, final amount pending CMS budget approval. content.govdelivery.com
the total anticipated funding for this phase is nearly $40 million, with the final funding amount pending budget approval from the Centers for Medicare & Medicaid Services (CMS)
Quote on file, page pending View source Accessed 2026-09-23 -
DSS selected one Hub Anchor organization for each of the 27 ToRCH Care Community Hub Areas, from 41 applications. content.govdelivery.com
Announces Selection of Hub Anchor Organizations
Quote on file, page pending View source Accessed 2026-09-23 -
DSS appointed Joseph (Joe) Miller Director of the new Rural Health Transformation Office in the MO HealthNet Division, starting March 30, 2026. content.govdelivery.com
Miller will begin his role on March 30, 2026.
Quote on file, page pending View source Accessed 2026-09-23
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. Closed, awards pending | 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.
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Program administration Missouri Department of Social Services, MO HealthNet Division
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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.