Open EMS and community paramedicine grants, Rural Health Transformation Program (RHTP) funding and recent awards for mobile integrated health programs, updated weekly. Deadlines are checked against the original funding notice whenever one is available.
Last updated November 9, 2026
Sorted by deadline, soonest first.
One-time grants to help California agencies get new or existing community paramedicine and triage to alternate destination programs off the ground. Contact [email protected] to ask about an invitation.
Who can apply: California LEMSAs with an EMSA-approved community paramedicine or triage to alternate destination program (by invitation) · Amount: $50,000 per program, with more available for LEMSAs with two or more participating providers
Rolling, first come first served until funds run out
Grant awards, contracts and applications from recent council and board meetings.
Lexington, KY: The city's Community Paramedicine program received a $462,523 Kentucky Rural Health Transformation grant through the Crisis to Care program, with a focus on people experiencing homelessness. It adds two civilian positions and one firefighter, plus training, equipment, technology and transportation help. The city reports 911 calls down more than 60% and ED visits down nearly 58% this year among enrolled patients. Source
Lyon County, NV: Lyon County received a $4,289,351 Rural Health Transformation EMS grant, with no local match, running through August 30, 2027. Central Lyon County Fire's share covers three EMT/paramedic positions, a mobile integrated health ambulance, a quick response vehicle and equipment. The district board took up acceptance October 8 and plans to build its MIH and community paramedicine program before hiring. Source
Laconia, NH: The fire chief told the Public Safety Subcommittee the department won two Go North grant components worth about $500,000 a year to expand its mobile integrated health program into nearby towns and fund training, telehealth and staffing. Funding can run up to five years but requires reapplying each year. The award now goes to the full council for a public hearing. Source
Brunswick County, NC: Brunswick County EMS holds a $210,988 Rural Health Transformation subaward from NCDHHS for its MIH community paramedic program, running through October 30, 2030. On October 1 the county opened bids for a program vehicle paid entirely from the grant. Source
Esmeralda County, NV: Commissioners scheduled votes on an RHTP-funded rural EMS buildout: three full-time emergency medical positions ($58,000 to $63,165), three 4x4 ambulances ($414,336 down payment) for Goldfield, Silver Peak and Fish Lake Valley, and per diem coverage for 24/7 response. Source
Columbus, GA: Council approved a memorandum of agreement for mobile integrated healthcare mental health services, provided jointly by Columbus Fire and EMS, Columbus Police and Mercy Med of Columbus. Source
Columbus County, NC: Commissioners took up the contract for a $419,625 state Rural Health Transformation grant that funds the county's first Mobile Integrated Health and Community Paramedic Response Unit. Four paramedics will run it 24/7, answering behavioral health calls and overdoses and following up with patients afterward. Source
Scott County, IA: MEDIC EMS applied for up to $720,000 in Iowa HHS Rural Health Transformation money to send paramedics and EMTs into rural homes for non-emergency care across parts of Muscatine, Clinton, Jackson, Louisa and Cedar counties. A decision was expected in October 2026; no award had been announced as of November 9. Source
Alaska: The fifth round of Alaska's Rural Health Transformation awards included $435,000 for the City of Kenai Fire Department to modernize emergency services and two awards totaling nearly $750,000 to the Matanuska-Susitna Borough for emergency services and mobile medical care. Source
Carlisle County, KY: A $544,000 Rural Health Transformation grant will let Carlisle County EMS launch a community paramedicine program offering free health screenings, hospital discharge follow-up visits and help connecting residents with providers, at no cost to patients. The grant also upgrades training and simulation equipment. Source
Hawaii: CMS announced $13 million in Rural Health Transformation money for the Hawaii Department of Health to buy new ambulances for each county and upgrade emergency communications. Source
Most RHTP money reaches EMS agencies through state-run rounds, and several states ran their community paramedicine rounds between May and September. If your state hasn't opened one, ask your state Office of Rural Health or EMS office when year-two funding will be announced.
Virginia Department of Health: RHTP Community Paramedicine and Mobile Integrated Healthcare (eVA 127841): About $3.7 million total, up to $400,000 per project, for rural Virginia EMS agencies, providers and nonprofits. Closed October 6, 2026. Watch VDH for year-two Rural Health Transformation rounds. Source
Maine EMS: Rural Health Transformation Funding for Community Paramedicine (RFA 202606106): Up to $500,000 per agency or $750,000 per regional group, about $4.96 million total, with priority for Washington, Aroostook and Lincoln counties. Closed August 24, 2026. Source
SAMHSA Rural Emergency Medical Services Training (TI-26-004): Up to $300,000 a year for 2 years, about 45 awards, $13.5 million total, no match. Open to local and tribal government EMS agencies and nonprofit EMS agencies. Closed July 16, 2026. Source
The listings above show what's open this week. Below are the funding sources programs keep coming back to, with the issues where we covered each one.
The biggest new source for rural programs in 2026. States are passing federal RHTP dollars down to EMS agencies. North Carolina's DHHS is sending $10 million to 39 local EMS agencies, West Virginia opened a $1 million+ community paramedicine funding opportunity, and St. Mary's County, Maryland turned $3.5 million in RHTP money into a mobile integrated health team.
Read: RHTP Money for Community Paramedicine: What Winners Did · How Mississippi Is Deploying $100M in RHTP Funding · Millions in Rural Health Funding Are Available for MIH-CP
Billing is the path to long-term funding, and also the hardest part. Missouri programs unlocked Medicaid reimbursement through managed care agreements. The MIGHTy-Heart study found patients and clinicians liked in-home paramedic visits after a heart failure stay, but murky reimbursement pathways and scope-of-practice limits stood in the way of scaling it.
Read: Community Paramedicine in Missouri: MIH-CP Deep Dive · What the MIGHTy-Heart Trial Reveals About MIH-CP's Reimbursement Problem
Settlement dollars are paying for MIH teams that respond to overdoses and mental health calls. Oklahoma City expanded its program with a $572,697 grant from the state's Opioid Abatement Board. In Minnesota, Crow Wing County tabled a settlement-funded community paramedic pilot until it had a firmer cost estimate, a reminder that boards want precise numbers before they vote.
Read: Opioid Settlement Funding for MIH and Crisis Response Teams · The Funding Rollercoaster in Mobile Healthcare
Partners with a stake in fewer ER visits often fund the work directly. The Patterson Family Foundation is funding a $3 million MIH pilot across rural Missouri and Kansas. New Braunfels, Texas pays for its field telehealth service through a foundation backed by faith-based groups and insurance companies, and Virtua Health in New Jersey deploys its own paramedics for at-home care.
Read: The Biggest MIH-CP News in February 2025 · What To Do During a Community Paramedicine Funding Freeze
Every funder asks what the program saves. New Braunfels cut 911 calls from its highest users by up to 70% and avoided the roughly $1 million yearly cost of adding another ambulance. Numbers like these, in dollars, are what turn a pilot into a line item.
Read: How Much Does Community Paramedicine Save? New Braunfels Data
Some programs have shut down when a grant ended even though the program worked. Lexington, Kentucky's $1.1 million program relied on grants for 40% of its budget, which put its future in the city budget process. Programs that last bring hospitals and local governments in from the start, document outcomes in dollar terms, push for permanent base funding and spread their funding across several sources.
Read: What to Do If Your MIH-CP Program Runs Out of Funding? · What To Do During a Community Paramedicine Funding Freeze
Know about a funding opportunity we missed? Reply to any issue of MIH Success Stories and tell us.