Millions in Rural Health Funding Are Available For MIH-CP

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Simcoe County’s community paramedicine program is seeing rising demand as expanded clinics, home visits and mental health partnerships help vulnerable residents receive care earlier and reduce unnecessary 911 use. The program has continued expanding its clinical initiatives while also rolling out an interim electronic medical record system after its previous software vendor shut down. County officials are now pursuing a long-term EMR platform designed to strengthen clinical documentation, data integration, operational efficiency and reporting.

Meanwhile, Ontario’s Ministry of Health has signaled plans to move community paramedicine toward permanent base funding, which county leaders called “encouraging news.” Officials are advocating for funding that can keep pace with operating costs, capital needs and continued program growth. The county is also looking at how to improve outreach in areas where community paramedicine capacity is available but wait lists remain relatively short.

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States are using Rural Health Transformation funding to expand community paramedicine and Mobile Integrated Health programs that bring more care directly into rural homes. Kentucky awarded more than $310,000 to strengthen a community paramedic program focused on preventing readmissions and unnecessary ED visits, while Arkansas is investing in EMS telehealth, patient monitoring and care navigation. Alabama plans to invest $25 million over five years in a treat-in-place pilot that could keep low-acuity patients out of the ED while creating a new reimbursement pathway for EMS.

North Carolina is directing $10 million to 39 EMS agencies to expand MIH-CP services for substance use disorder, behavioral health crises and opioid overdoses. West Virginia is also investing $1 million to help EMS agencies provide chronic disease support, post-discharge follow-up and connections to community resources. Together, the investments show how states are positioning MIH-CP as a key piece of rural healthcare infrastructure, reaching patients earlier while reducing pressure on ambulances and hospitals.

Carlisle County, Kentucky, has received a $544,000 grant through the Rural Health Transformation Program, with a significant portion dedicated to launching a new community paramedicine program through Carlisle County EMS. The funding is part of Kentucky’s broader effort to expand the role of EMS in rural healthcare and connect residents with care before and after emergencies.

Through the new program, community paramedics will be able to provide more proactive care outside traditional emergency response, helping address gaps faced by rural patients. Kentucky’s Rural Health Transformation initiative specifically supports nonprofit and publicly funded EMS agencies establishing or expanding community paramedicine services. For Carlisle County, the investment represents an opportunity to move EMS beyond a primarily reactive model and build a stronger connection between emergency response and ongoing community care. The launch is another example of Rural Health Transformation funding translating into new MIH-CP capacity at the local level.