From Crisis to Care: ​EMS Transformation

Summary

This Request for Applications (RFA) is issued under the Rural Health Transformation Program (RHTP) – Crisis to Care (CTC) – EMS Transformation initiative, funded by the CMS Rural Health Transformation Fund. It supports EMS agencies in Kentucky to implement treat-no-transport protocols, expand alternative destination transport options, deploy technology-enabled models of care, and participate in statewide care coordination technology. The program's goals are to improve care coordination, decrease unnecessary emergency department utilization, build rural EMS capacity, and strengthen Kentucky's rural health system infrastructure.

Eligibility

Eligible applicants are licensed emergency medical services (EMS) agencies serving the Commonwealth of Kentucky. Public, private, nonprofit, government, and hospital-based EMS providers are all eligible. Applicants must demonstrate capacity for service transformation and a commitment to rural health improvement. Agencies must also be willing to participate in the statewide care coordination technology platform.

Requirements Checklist

• Applicants must submit a complete proposal, not to exceed 25 pages (excluding required attachments), addressing their approach to EMS transformation, implementation of treat-no-transport protocols, alternative destination transport, technology-enabled care, leadership commitment, and engagement with rural communities. Required documentation includes: proof of EMS licensure, completed EMS Agency Funding Application Form (Attachment A), detailed project plan and budget (using provided template), budget justification, signed application forms, and demonstration of leadership commitment. Proposals must address sustainability, workforce development, care coordination, and required participation in the technology platform.