The Kentucky Department for Public Health previously accepted applications for Rural Health Transformation Program Funding Opportunity to Crisis to Care – EMS Transformation. The program supports Kentucky EMS agencies establishing Treat No Transport and Transport to Alternative Destination models so appropriate patients can be assessed and treated on scene or directed to clinically appropriate alternatives to an emergency department. The current official Team Kentucky Rural Health Transformation funding page now marks this opportunity Applications currently closed.
Funding and application timing
The RFA establishes $20 million in aggregate Year 1 funding across all awardees. It does not publish a per applicant maximum; award amounts vary with the applicant’s proposed budget. The current official Team Kentucky Rural Health Transformation funding page now states Applications currently closed. June 15, 2026 was the original consideration date for funding available August 1, 2026. Although the RFA used rolling application language, the current administering agency page now controls and does not authorize new applications while the opportunity is marked closed.
Year 1 implementation is funded at 100 percent. The narrative states that qualifying agencies may opt into a second year at 100 percent if program requirements are met; Year 3 and later are expected to transition to phased cost sharing subject to funding availability and program performance.
Eligible applicants
Eligible applicants are nonprofit Kentucky Board of EMS licensed Class Ia or Class Ib EMS agencies that provide 911 emergency response in Kentucky and remain in good standing. The RFA also requires good standing with Kentucky Medicaid. Agencies must maintain applicable operational, equipment, staffing, medical direction, data and reporting compliance.
What the program funds
Allowable Year 1 readiness and implementation costs include program leadership, medical director or physician time, training and protocol materials, medical supplies, equipment and PPE related to on scene care, tablets for telehealth encounters and care coordination, connectivity for field based telehealth and documentation, and other reasonable and necessary TNT or TAD readiness costs with prior approval. The narrative specifically states that technology funds may support telehealth programming for TNT or TAD workflows and physician consultation.
Awardees must also register and onboard to the statewide care coordination technology platform selected by Kentucky, anticipated to be Pulsara or a similar platform. That required platform is provided to participating EMS agencies at no cost and is intended to support real time HIPAA compliant communication and coordination. It is separate from any applicant proposed clinical examination technology.
Application package and submission
Kentucky provides an official RFA, EMS Agency Funding Guidance Narrative, Attachment A Application Form and Attachment B Budget Template. The controlling RFA directed applicants to submit responses by email to RHT.CTC@ky.gov with RHT EMS Transformation RFA in the subject line. The current official Team Kentucky Rural Health Transformation funding page now marks applications closed, so these historical submission instructions should not be treated as authorization to submit a new application.
Atlas strategy
Atlas Opportunity Score: 99/100. This was a high value Kentucky rural health opportunity with explicit telehealth, technology, equipment, physician consultation and field based care pathways; the current administering agency page now marks applications closed. N9+ Fit Score: 97/100, applicant led and conditional. The Nonagon N9+ device and platform can have a legitimate role where an eligible EMS applicant documents a need for guided remote physical examinations, vitals and telehealth enabled clinical encounters to support physician consultation and safe TNT or TAD decisions. The device should be positioned only as a justified component of the EMS agency’s approved clinical workflow and budget, and it does not replace Kentucky’s required statewide care coordination platform.
Dr. Miltie, LLC is not an eligible direct applicant under the published rules. The strongest pathway is an eligible nonprofit Kentucky EMS agency as applicant with Dr. Miltie or QC Healthcare considered only as a technology or implementation partner where the applicant’s scope, procurement rules and final award terms permit that role.
Recommended next action
Monitor for reopening or a future Kentucky RHT round. Preserve verified applicant research and any historical outreach records, but do not create new cold outreach, queue records, or submissions for this opportunity while the administering agency marks applications closed.