Missouri

Missouri was awarded $216M for Year 1 of the Rural Health Transformation Program (RHTP), the 9th-highest in the country, to stabilize and transform rural healthcare. Funding is distributed across five strategic pillars plus statewide program enablement, focusing on network-building, workforce expansion, payment reform, digital modernization, and provider strengthening. Efforts emphasize sustainable system changes with measurable performance goals and deep stakeholder engagement.

Missouri received $216.3 million in Year 1 RHTP funding, distributing over 90% to five major pillars supporting rural health transformation. Key investments strengthen rural provider networks, modernize technology infrastructure, increase workforce capacity, and pilot innovative payment and care delivery models. The program enables coordinated, data-driven transformation for rural Missouri healthcare.

This resource provides guidance to applicants preparing for the Missouri Rural Health Transformation Program (RHTP) opportunity. It outlines core strategic goals, program focus areas, and available documentation to support successful participation in the state’s transformation plan.

This document is part of Missouri's Rural Health Transformation Program application package and provides resources for preparing RHTP Hub Anchor applications. It supports applicants by clarifying requirements and processes for participation in the state transformation initiative targeting rural hospitals and Medicaid. No specific award or budget amounts are described in this supporting file.

The Missouri Department of Social Services is soliciting public input to shape Missouri's application for the new Rural Health Transformation Program, a federal initiative distributing $50 billion nationwide between 2026 and 2030. Missouri has not yet received a funding award amount, as the application process is pending CMS guidance.

Missouri has secured over $216 million through the CMS Rural Health Transformation Program to increase access, improve quality, and boost care coordination in rural communities. The initiative prioritizes collaboration among hospitals, clinics, community organizations, and leaders for sustainable, locally tailored healthcare solutions. State agencies and key healthcare associations played a central role in designing Missouri's competitive, innovative plan. Event schedule: - First year RHTP funding award - December 29, 2025 - Jefferson City

The RHTP Hub Program Coordinator is a full-time operational lead embedded within Missouri’s ToRCH Care model, responsible for implementing, organizing, and managing local Hub operations. The role convenes rural healthcare and community partners, oversees care coordination and referral pathways, and supports data-driven performance monitoring. The position is central to rural transformation efforts, facilitating collaboration across providers and community organizations throughout Missouri’s rural Hub service areas.

This position will lead the operational implementation of the local RHTP Hub in rural Missouri, convening providers and community organizations, managing day-to-day workflow, and supporting the delivery of coordinated whole-person care. The Coordinator facilitates integration of health, behavioral, and social services using referral and information exchange systems. This role is central to aligning and sustaining collaboration among, and effective performance within, the Hub Anchor and its partners.

This job description outlines the role of the RHTP Navigator within Missouri's rural Transformation Hubs, focusing on community-based care coordination, screening, and referral management for rural Medicaid members and high-need populations. The Navigator works across multiple local health and social service partners to resolve barriers and connect residents to needed care. The role supports improvement in Hub operations through frontline data collection and feedback.

This document provides expanded Frequently Asked Questions based on May and June 2026 ToRCH Care program roadshows. It covers topics such as hub governance, Regional Coordinating Networks, staffing, cross-hub operations, funding policies, and the digital backbone. The FAQ aims to clarify participation, operational details, and strategic direction for Missouri's statewide rural health transformation efforts. Key contacts: DSS.RHTP@dss.mo.gov

This is a sample job description for the RHTP Hub Program Coordinator role in Missouri for 2026. It provides reference material for local implementation hires. The document does not announce funding or awards.

Missouri RHTP APMs Provider Survey: collecting provider input on Alternative Payment Models (APMs) as part of RHTP implementation. Hosted on Qualtrics (moexperience.qualtrics.com). All Missouri rural healthcare providers are encouraged to respond.