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Missouri launches $6.5 million push to expand mobile health care in rural areas

Published 5:34 pm Monday, July 27, 2026

Missouri Department of Social Services

JEFFERSON CITY — The Missouri Department of Social Services is investing about $6.5 million to expand mobile medical services in rural parts of the state, the agency announced, through a partnership aimed at bringing paramedic-based health care closer to underserved communities.

The initiative, funded through the federal Rural Health Transformation Program, connects the Missouri Department of Health and Senior Services’ Office of Rural Health and Primary Care with the Missouri Emergency Medical Services Association. The Department of Social Services is administering the funding on behalf of the Centers for Medicare & Medicaid Services, and the program will run through July 31, 2027.

The effort centers on what’s known as Mobile Integrated Healthcare and Community Paramedicine, or MIH-CP, an approach that expands the role of emergency medical responders beyond traditional 911 calls. Under the model, paramedics work alongside primary care providers, behavioral health specialists, hospitals, and local organizations to deliver both emergency and preventive care directly to patients, rather than solely responding to crises.

State officials said the approach is designed to catch health problems before they become emergencies, a particular concern in rural areas where long travel distances and limited access to providers can allow manageable conditions to worsen into life-threatening situations. Roughly 30% of rural Missouri communities currently have access to MIH-CP services, according to the department, and officials said the new funding is intended to significantly expand that reach.

“The future of health care depends on integration, collaboration, and innovation,” said Justin Duncan, president of the Missouri Emergency Medical Services Association. “Through this investment, Missouri is building a statewide system that connects EMS with local providers. Together, we are creating mobile health care systems that deliver the right care, in the right place, at the right time.”

The association is aiming to establish new MIH-CP programs and expand existing ones, with a goal of supporting 14 operational sites across rural Missouri. Individual EMS agencies can receive up to $250,000 in startup funding, while larger regional systems can qualify for as much as $500,000. The money is intended to help agencies launch new programs, expand current services, and implement charting systems that keep local health care partners connected.

The Missouri Emergency Medical Services Association will oversee the initiative, including recruiting participating EMS organizations, managing site expansions, providing technical assistance, and reporting outcomes to the state.

Rural EMS agencies interested in applying for funding can do so through the association’s Rural Health Transformation Funding portal. Questions can be directed to RHTP@memsa.org or by phone at 573-370-1702.

The broader Rural Health Transformation Program is funded entirely by the Centers for Medicare & Medicaid Services as part of a federal financial assistance award to Missouri totaling more than $216 million.