HarperRHTP Tracker
All States/Missouri

Missouri

Planning

Access to Care

FY26 Award
$/Rural Resident
$104
Rank
9th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $116.3M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Regional Coordinating Networks and Hub Activation

Establish local community hubs as coordinating networks to improve care access across rural Missouri.

Workforce Development
Rural Health Workforce Programs

Build a talent pipeline and support recruitment, training, and retention for rural healthcare professionals.

Financial Sustainability
Alternative Payment Models

Design and launch alternative payment models to sustain ToRCH Care through rewarding collaboration that leads to high quality and high value outcomes.

Quality & Health Outcomes
Provider Transformation

Invest in operational innovations that modernize and increase the sustainability of rural providers while preserving access with strategic renovations.

Infrastructure & Technology
Digital Backbone

Build a platform for interoperability and data modernization to connect rural providers across the state.

Source: CMS state abstracts

How to Participate in Missouri

Steps for healthcare organizations to access RHTP funding through Missouri's programs.

Lead State Agency
Missouri Department of Social Services (MO HealthNet Division)
Visit agency website
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in Missouri's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Missouri's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

ToRCH
Care program
Missouri's ToRCH Care (Transformation of Rural Community Health Care) program coordinates five initiatives: hub activation, payment models, digital backbone, workforce, and provider transformation.
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$184.6M
$188.6M
$198.2M
$212.5M
$259.8M
$385.6M
$413.6M
$248.8M
$227.0M
$237.5M
RHTP $216.3MHRSA $237.5M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$453.7M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

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