RHTP Grantee Contact Information Form (2)

Key Dates:

• Solicitation Issued: 06/12/2026
• Applicant Q&A Deadline: 06/18/2026
• Solicitation Closes: 06/29/2026 11:59 PM
• Section One - Executive Summary The State of West Virginia (the State) has been awarded approximately $200 million through the Rural Health Transformation Program (RHTP), established under Section 71401 of Public Law 119-21, the One Big Beautiful Bill Act, signed into law by President Trump on , 2025. These funds, which flow down from the Centers for Medicare and Medicaid Services (CMS), will be used to reduce chronic disease burden, increase workforce participation, and improve measurable outcomes in our rural communities by increasing healthcare technology to ultimately improve both quality and access to healthcare. Furthermore, this initiative supports Health and Human Services Secretary Robert F. Kennedy Jr.'s, “Making America Healthy Again” and Governor Morrisey’s “Four Pillars of a Healthy West Virginia,” goals by strengthening access to immediate care, reducing avoidable emergency department utilization, and integrating community-based services to improve chronic disease management. The West Virginia RHTP consists of seven initiatives: Connected Care Grid, Rural Health Link, Mountain State Care Force, Smart Care Catalyst, Health to Prosperity Pipeline, Personal Health Accelerator, and HealthTech Appalachia. This RHTP Announcement of Funding Availability (AFA) for Year 1 will be awarded to a grantee who will support the implementation and expansion of Emergency Medical Services (EMS) ‑ led community paramedicine, mobile-integrated health, and treat ‑ in ‑ place models throughout West Virginia Office of Emergency Management Services (WVOEMS) Region 1. Funded activities will include workforce enablement, protocol ‑ authorized on ‑ scene assessment and treatment, care navigation and referral, coordination with primary care and behavioral health providers, and participation in the statewide data exchange and reporting system. Services funded under this AFA are intended to reduce avoidable emergency department utilization, improve access to timely care in rural communities, and strengthen the role of EMS as an integrated component of the Connected Care Grid. The grantee will have substantial and ongoing involvement with the Connected Care Grid Program Manager, the OEMS Community Paramedicine Program Manager, other State employees, and State consultants. Final decision making on any changes to the approved award remain with the State. Frequent quantitative and qualitative reporting to the State will be required. All data generated, transmitted, or stored as part of this program shall be accessible to the State in real-time and shall be considered a State asset for purposes of oversight and analytics. The State reserves the right to terminate, suspend, claw back, or reallocate funding from any subrecipient that fails to meet defined performance, compliance, or milestone requirements, as determined by RHTP Leadership. Please note that the WV RHTP is supported by CMS, a Center of the U.S. Department of Health and Human Services (HHS) as part of an initial financial assistance award totaling $199,476,098.72 with 100% of the award funded by CMS/HHS. The contents in this AFA are those of the State and do not necessarily represent the official views of, or an endorsement by, CMS/HHS or any other agency of the United States Government. 2: July 4 11:59pm
• Section Two - Key Dates and Other Information Date of Release , 2026 Technical Submit written requests to mike.sheets@wv.gov Assistance Application June 29, 2026, 11:59pm Deadline Applicant(s) may apply for the ceiling amount of the awards listed below. Funding is for one year. This funding must be spent no later than July 31, 2027. Continued funding for future years is not guaranteed and is contingent upon the State’s receipt of subsequent awards from CMS as well as the grantee’s satisfactory performance and compliance with requirements described in this AFA and determination by the State. Funding will be released according to State-approved milestone deliverables. Pillar: Build New Pathways to Care OEMS Approved Equipment $309,720 Ongoing Funding Available Paramedic Training $619,320 OEMS Approved $104,800 Technology Total $1,033,840 A detailed line-item budget and budget narrative must accompany the application. All CMS requirements imposed upon the State will likewise be imposed upon the grantee. Cost-sharing Monies awarded by the State through this awardable Grant may not be 3: June 12
• Requirement used to meet cost sharing requirements of any federal or state financed program without the prior written approval of the RHTP. This funding is not to be used to supplant current activities and staffing. All counties in WVOEMS Region 1 ● McDowell ● Mercer Geographic Areas ● Monroe ● Raleigh ● Summers ● Wyoming Eligible applicants include:
• State ‑ licensed EMS agencies Applicant(s) must demonstrate the ability to operate in compliance with OEMS ‑ authorized protocols and statewide quality, data, and reporting Eligible Applicants requirements. Applicant(s) must demonstrate the ability to provide community paramedicine services to all counties within WVOEMS Region 1. If an applicant does not provide service to all counties in WVOEMS Region 1, they are encouraged to partner with additional agencies to meet the county coverage requirement. Through , 2027 Funding Period This is the date by which the grantee must spend and submit invoices for funds under this award. 4: July 31
• Section Four: Introduction to the Rural Health Transformation Program The State of West Virginia (the State) has been awarded approximately $200 million through the Rural Health Transformation Program (RHTP), established under Section 71401 of Public Law 119-21, the One Big Beautiful Bill Act, signed into law by President Trump on , 2025. These funds will be used to reduce chronic disease burden, increase workforce participation, and improve measurable outcomes in our rural communities by increasing healthcare technology and improving both quality and access to healthcare Furthermore, this initiative supports Secretary Robert F. Kennedy Jr’s “Making America Healthy Again” and Governor Morrisey’s “Four Pillars of a Healthy West Virginia” goals by focusing on improving access to care, reducing unnecessary emergency department utilization, and demonstrating measurable improvements in cost, quality, and outcomes in alignment with CMS and State RHTP requirements. The West Virginia RHTP has seven pillars and this money flows down from CMS to the State. The grantee will: 1) Implement or expand community paramedicine and treat ‑ in ‑ place services consistent with OEMS ‑ authorized protocols within WVOEMS Region 1. 2) Coordinate with RHTP partners, such as primary care, behavioral health, hospitals, and social service providers. 3) Participate in statewide governance, quality improvement, and evaluation activities required by the RHTP and WVOEMS. 4) Utilize award funds to procure State-approved community paramedicine equipment, and telehealth technology. 5) Utilize State-approved Emergency Medical Services Software for community paramedicine. The objectives of this award are: 1. Reduce avoidable emergency department utilization and unnecessary EMS transport. 2. Improve timely access to care in rural and underserved communities. 3. Support EMS workforce sustainability and expanded scope of practice through community paramedicine models. 4. Demonstrate measurable improvements in access, cost, and quality consistent with CMS RHTP evaluation criteria. An initial advance payment will be provided for start-up costs, and all subsequent disbursements will be based upon satisfactory achievement of milestones in accordance with the table below. Funding must be drawn down according to State and CMS requirements. 6: July 4
• Section Five: Expected Performance Measures and Outcomes Financial Reporting: ● Revised milestone-based grantee line-item budget and narrative: due 2nd Monday after grantee award. This budget must clearly distinguish between the one-time start-up costs eligible for advance payment and the subsequent costs to be claimed for reimbursement upon achievement of milestones. ● Quarterly financial reporting: Use of grant funds in the previous 90 days. ● Annual audit Programmatic Reporting: ● Actively participate in all CMS and State-led governance activities to include those performed by CMS, the State, or their consultants. This includes, but is not limited to, financial, operational, and programmatic reviews. These reviews may be conducted onsite or virtually. Furthermore, all activities must align with CMS and State priorities. ● Monthly program reports: due starting the 15th of the full month following the grantee award date, and the 15th of the month thereafter in the state-designated system, using CMS’ approved template. ● Quarterly program reports: due 15th day of the second month after grantee award date and every three months thereafter, using CMS approved template. ● Expenditure Deadline: As subrecipients of the State’s award, all successful applicants must fully expend their awarded funds, and submit invoices to the State, by , 2027. Report templates to be provided when approved by CMS. Required Baseline Application and Monthly Reporting Metrics: ● Number of community paramedicine encounters, by county. ● Number of patients enrolled, and percentage of patients contacted within 48 hours of discharge, by county. ● Number of ambulance transports to the emergency department, by county. ● Number of avoidable emergency department transports attributable to EMS intervention, by county. 8: July 31

Review Criteria:

• evaluation criteria.
• An initial advance payment will be provided for start-up costs, and all subsequent disbursements will be based upon satisfactory achievement of milestones in accordance with the table below.
• Funding must be drawn down according to State and CMS requirements.
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