Mobile Integrated Healthcare Implementation Services

Summary

the Rural Health Transformation Program (RHTP). Year 1 grant funding ($3,750,000 total) will support operationally ready EMS organizations delivering post-discharge in-home care for Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, or Joint Replacement Care. Funding is intended for personnel, training, vehicles, technology, clinical equipment, and implementation expenses. Project goals are to improve care quality, reduce costs, and strengthen the rural health workforce. Initial grant performance period is August 1, 2026 – September 30, 2027. Grants may be extended for up to four additional one-year periods, pending CMS and state approval.

Eligibility

Eligible applicants are Vermont state licensed EMS agencies with a formal clinical partnership with a sponsoring hospital or health care facility, or hospitals deploying MIH services through internally employed EMS personnel. Applicants must be operationally ready or nearly operationally ready to provide MIH services as defined in the NOFO. Preference is given to applicants serving rural Vermont (all counties except Chittenden County, unless service to rural areas is demonstrated).

Requirements Checklist

• Letters of Interest must address core MIH program elements (A-M) including: key stakeholders, partnerships, catchment area, operational readiness, proposed MIH service bundles (CHF, COPD, Joint Replacement Care), and high-level budget. Required: Completed MIH Provider Cost Questionnaire; proof of VT business registration; valid EIN; certificate of insurance (Attachment C); signed, wet-ink W-9 form. Operational readiness must be established within 120 days of grant agreement signature. Applicants must comply with all Vermont Department of Health grant agreement requirements and submit error-free invoices per Attachment B provisions.

Required attachments