Missouri ToRCH Care Horizon 2 — DSS26015-02

FundingNearly $40 million anticipated across Program Years 1 and 2, subject to final CMS budget approval; individual Department awards up to $5 million. Amendment #02 states required match is separate from the $5 million Department-award cap.

DeadlineClosed September 1, 2026 at 2:00 PM. The opportunity is no longer accepting bids.

Last verifiedSeptember 7, 2026

Required next actionDo not submit a new Horizon 2 bid. Monitor Missouri DSS and DHSS for award notices, implementation guidance and successor ToRCH/Rural Health Transformation opportunities; preserve validated project scopes, match plans and service-line modernization budgets for future rounds.

Broad Eligibility

Hospitals and other organizations whose programs, facilities, workforce, or services expand rural residents' access within Missouri-designated rural communities may be eligible. Projects must deliver care in state-designated rural areas, align with a Horizon 2 priority service line, address a documented local infrastructure gap, and include a sustainability plan. DSS's public summary excludes new construction, demolition, major facility expansion, cosmetic upgrades, and routine operating expenses.

Atlas Analysis

Atlas Opportunity Score: 97/100. N9+ Direct Vendor Fit: 90/100 (HIGH FIT) as historical opportunity intelligence. The strongest defensible structure was applicant-named vendor/subcontractor participation rather than Dr. Miltie serving as the eligible grantee, based on explicit tele-behavioral health, specialty consultation, diagnostic/outpatient, primary-care and chronic-disease expansion priorities. This IFB is closed and must not be treated as an active solicitation. Retain the analysis for award monitoring and successor-round planning only; re-verify all eligibility, allowability, procurement, match and technical requirements against any future Missouri RHTP notice before outreach or submission.

Missouri Department of Social Services has closed ToRCH Care Smart Growth and Service Line Modifications, Horizon 2, IFB DSS26015-02. The opportunity closed September 1, 2026 at 2:00 PM and is no longer accepting bids. DSS described Horizon 2 as a rural service-line modernization initiative spanning maternal health, behavioral health including tele-behavioral health, and diagnostics/outpatient care, with individual Department awards up to $5 million and broader anticipated funding across Program Years 1 and 2. Atlas is retaining this record for historical intelligence, award monitoring and successor-round planning only. Do not initiate new applicant-facing outreach or submit a new Horizon 2 bid; preserve validated project scopes, match assumptions and service-line modernization work for future Missouri RHTP opportunities.

Source verificationOfficial government source · dss.mo.govAtlas last verified this record September 7, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗