Rooted in Health: Definitive Mobile Dental Services

Requirements Checklist

• Applicants must submit a completed application, project narrative, Attachment A (budget template), required organizational documentation, and evidence of partnerships. Applications must describe service delivery capacity, performance metrics, and financial and operational sustainability for the funding period.
• Submit application (≤25 pages) including agency information, applicant contact, TEI & trainer status, funding pathway selection, program overview, timeline, deliverables, methodology, evaluation plan, sustainability plan, attestation of compliance, identification of local CMHCs, and authorized signature. Attach current KBEMS licensure and provider roster. Include budget using FY27 template ('Attachment A'). Include letters of support from agency/medical director. Applications must be submitted via email to jimmie.hampton@ky.gov.
• Submit application packet (Attachment A, max 25 pages) including agency/applicant info, service status, proposal & implementation plan, narrative (methodology, partnerships, barriers, evaluation, sustainability), attestation, partner identification, representative signature, current licensure, budget using provided template, and letters of support; Adhere to Kentucky Board of EMS and DMS requirements; Programs must be able to operationalize TNT/TAD services and report implementation progress.
• Applicants must complete the official RFA application, provide requested organizational and key stakeholder information, and submit all required documents to the specified contact email. Proposals should detail plans for expanding dental hygiene services, leveraging technology, and serving school-age and underserved populations.
• 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.

Required attachments

• Application Form
• Project Narrative
• Attachment A: Budget Template
• Organizational Documentation
• Letters of Partnership/Collaboration
• Agency KBEMS TEI licensure and provider roster
• Budget for FY27 using 'Attachment A'
• Letters of support from agency/medical director
• Agency and applicant information
• TNT/TAD service status/scope
• Program proposal and implementation plan
• Application narrative

Submission Instructions

Submit completed applications and required documents by email to john.landis@ky.gov by the stated deadline. Email submission to jimmie.hampton@ky.gov Email full application packet to RHT.CTC@ky.gov with subject 'RHT EMS Transformation RFA' Email applications to marsha.deaton@ky.gov. Email submission. Applications must be sent to RHT.CTC@ky.gov with 'RHT EMS Transformation RFA' in the subject line. All required attachments must be included. Late or incomplete applications will not be considered.

Source Documents