Dr. MiltieAtlas by Dr. Miltie™Healthcare Grant Intelligence

Atlas Grant Intelligence Center

Emergency Medical Services

Verified healthcare funding opportunities organized by grant category: Emergency Medical Services. Review the public Atlas Opportunity Score, then request an organization-specific analysis when an opportunity looks promising.

Atlas IndexGrant Category Intelligence
Latest verification: October 7, 2026
Verified records44
Active opportunities22
Top opportunity score99/100
States represented24

GeographyVirginia · Texas · Wisconsin · Utah · Ohio · Maryland · Pennsylvania · Michigan · Massachusetts · National · Missouri · Vermont · Hawaii · Alaska · New Hampshire · Kentucky · Alabama · Iowa · Montana · Georgia · Indiana · Colorado · Maine · New York

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Closed - Period 1 Atlas Opportunity Score 99/100
Verified September 14, 2026

Missouri Emergency Medical Services Association (MEMSA)

Missouri MEMSA RHTP MIH-CP System Expansion & Care Delivery Transformation

Period 1 is closed. The Missouri Emergency Medical Services Association (MEMSA) states that no newly submitted applications will be accepted for the current MIH-CP funding cycle because enough eligible, fundable applications have been received to fully obligate Budget Period 1 funds. MEMSA says applications received after an applicable budget period has been fully allocated may […]

FundingIndividual MIH-CP start-up programs up to $250,000; regional MIH systems up to $500,000. MEMSA estimates $4.15 million for at least 10 MIH Regional Networks in the current round, plus $1.1 million for the HealthCall charting/data platform across rural programs.
DeadlinePeriod 1 application cycle closed. MEMSA states no newly submitted applications will be accepted for this funding cycle; future Budget Period 2 consideration is subject to continued eligibility, available funds, and then-applicable requirements.
Required next actionPeriod 1 is closed. Recheck the official MEMSA page for any Budget Period 2 opening or revised application instructions before future applicant activity.
Closed - Monitor for Future RHT Round Atlas Opportunity Score 99/100
Verified September 12, 2026

Kentucky Cabinet for Health and Family Services

Rural Health Transformation Program Funding Opportunity to Crisis to Care – EMS Transformation

Rolling Kentucky Rural Health Transformation funding for eligible nonprofit Class Ia or Class Ib EMS agencies to establish treat no transport and transport to alternative destination programs with field based telehealth, physician consultation, care coordination technology, equipment and readiness support.

Funding$20,000,000 aggregate Year 1 funding across all awardees; no per applicant maximum is published. Awards vary by applicant budget.
DeadlineClosed. The current official Team Kentucky Rural Health Transformation funding page states Applications currently closed. June 15, 2026 was the original first consideration date; the RFA's earlier rolling language no longer authorizes new submissions while the administering agency marks the opportunity closed.
Required next actionMonitor the official Team Kentucky Rural Health Transformation funding page for reopening or a new round. Preserve historical outreach and applicant research; do not create new outreach, queue records, or submissions while applications are closed.
Upcoming Atlas Opportunity Score 99/100
Verified September 23, 2026

Alaska Department of Health

Alaska Rural Health Transformation Program — $272.2M Year 1 + Year 2 Funding Watch

Alaska received $272,174,855.72 for Year 1 of the Rural Health Transformation Program. Year 1 awards are still being announced weekly, and Alaska DOH anticipates a new Year 2 LOI and/or application period as early as fall 2026. The program expressly supports telehealth, remote patient monitoring, diagnostics, interoperability, rural technology, EMS, workforce, behavioral health, maternal health, and innovative care.

Funding$272,174,855.72 Year 1 state award. Year 1 project awards continue on a rolling weekly basis. Year 2 state and applicant-level amounts are not yet published.
DeadlineFunding Watch — Year 1 LOI closed March 11, 2026. Alaska DOH has not yet published a Year 2 LOI or application opening date, closing deadline, or deadline time zone. The Alaska RHTP Applicant Convening is September 23, 2026, 10:00 AM-3:00 PM at the Dena'ina Center in Anchorage with in-person and virtual participation.
Required next actionKeep this as an upcoming funding watch, not an open applicant opportunity. Review the September 23, 2026 Applicant Convening materials and subsequent Alaska DOH updates for controlling Year 2 application dates, eligibility, award amounts, allowable costs and submission requirements. Pre-position high-fit Alaska rural-health, telehealth, remote-exam, RPM, diagnostics, interoperability, EMS, behavioral-health, maternal-health, workforce and innovative-care concepts, but do not begin applicant outreach or direct-vendor activity until DOH publishes a specific eligible funding or procurement path with a verified application window and deadline details.
Active Atlas Opportunity Score 99/100
36 days leftVerified September 30, 2026

New York State Office of Mental Health (OMH)

New York Health-led Community Behavioral Health Crisis Response Pilots — Round 2 (MH263037)

New York OMH is offering $8 million for health-led community behavioral health crisis response pilots. The RFP is internally inconsistent on award count: Sections 1.1 and 4 state at least four pilot programs, while Section 5.3 says up to four awards; funding is capped at $2 million per applicant and at least one pilot must be rural. Eligible 501(c)(3) nonprofits and county or municipal entities with community behavioral-health experience may apply by November 19, 2026 at 2:00 PM ET.

Funding$8,000,000 total; up to four awards of $2,000,000 per applicant for three-year pilot operations, contingent on continued State appropriations.
DeadlineNovember 19, 2026 at 2:00 PM ET; bidder conference September 28, 2026 at 3:00 PM (time zone not stated in the RFP); questions due October 8, 2026.
Required next actionConfirm 501(c)(3) nonprofit or county/municipal eligibility and community behavioral-health crisis experience; choose Tier 1 or Tier 2 for each pilot area; notify the LGU unless the LGU is the applicant; secure the required county or New York City chief elected official commitment letter; build the 24/7 peer-centered crisis model and telehealth/clinical-support plan; complete SFS prequalification if a nonprofit; attend the September 28 bidder conference, submit questions by October 8, monitor the October 29 Q&A and any addenda, and submit by November 19, 2026 at 2:00 PM ET.
Active Atlas Opportunity Score 99/100
Verified September 10, 2026

Hawaiʻi Rural Health Transformation Program

Hawaiʻi Rural Health Transformation Program — $188.9M Telehealth, Digital Health & Rural Care Funding Watch

Hawaiʻi has received $188,892,440 for FY2026 through the Rural Health Transformation Program. The state plan includes a statewide telehealth network with school and community access points, remote patient monitoring, rural digital infrastructure, EMS and mobile care, workforce development, medical respite, and value-based transformation; downstream provider and vendor application details are still pending.

Funding$188,892,440 awarded to Hawaiʻi for Federal Fiscal Year 2026; first year of a five-year program with additional annual awards expected through 2030, subject to federal approval and performance. Downstream award sizes are not yet published.
DeadlineActive implementation: the 2026 HOME RUN Education Award application is open. The controlling application does not state a closing date. Organizational provider, school, hospital, health-center, partner, and vendor opportunities remain subject to separate downstream solicitations or procurements.
Required next actionTrack the live HOME RUN Education Award as a separate individual healthcare-workforce opportunity; continue monitoring Hawaiʻi RHTP for provider, hospital, school, health-center, telehealth, technology-vendor, and clinical-service solicitations; do not assume organizational applicant or vendor eligibility until controlling terms are published.
Upcoming Atlas Opportunity Score 99/100
Verified September 1, 2026

Massachusetts Executive Office of Health and Human Services (EOHHS)

Massachusetts Rural Health Transformation Program — Future Funding & Procurement Watch

Massachusetts received $162,005,238.13 for the first year of the federal Rural Health Transformation Program. EOHHS says procurements began in summer 2026 and year-one funds subject to procurement are expected to be contracted in fall 2026, so Atlas is tracking the next verified solicitation rather than treating the state award itself as an open grant.

FundingMassachusetts received $162,005,238.13 for Budget Period 1. No per-applicant or per-procurement ceiling has been published for the next opportunity; future solicitations must be evaluated individually when released.
DeadlineFunding / Procurement Watch — procurements began in summer 2026 and year-one RHTP funds subject to procurement are expected to be contracted in fall 2026; no single universal applicant deadline published
Required next actionJoin the Massachusetts RHTP contact list and monitor EOHHS and COMMBUYS for the next procurement or subaward notice. Pre-position a concise rural project concept tied to one or more state priorities: essential healthcare access, workforce, healthy rural communities, EMS service integration, technology interoperability/connectivity, or facility modernization. Do not assume eligibility or allowable costs until the controlling solicitation is released.
Upcoming Atlas Opportunity Score 99/100
Verified September 23, 2026

Pennsylvania Department of Human Services (DHS)

Pennsylvania Rural Health Transformation Plan — Future Funding Watch

Pennsylvania DHS has closed its earlier 2026 Rural Health Transformation rounds but has published a specific pipeline of future opportunities spanning community paramedicine, EMS, maternal remote monitoring, AI and digital infrastructure, mobile health, workforce, EHR/HIO onboarding and rural training. Atlas tracks the next verified notice here.

FundingFunding Watch — Pennsylvania DHS has announced future RHTP pathways for community paramedicine, rural EMS, nonemergency transportation, maternal remote monitoring, digital infrastructure/AI, mobile and digital health, mobile health units, EHR/HIO onboarding and rural workforce. Future round pools and applicant ceilings are not yet published and will be governed by each new notice.
DeadlineFunding Watch — no deadline is yet published for the next Pennsylvania RHTP mobile, digital, EMS, maternal-health or related opportunity.
Required next actionMonitor the Pennsylvania DHS Rural Health Transformation Plan funding-opportunities page for the next controlling notice covering Hospital-to-Home Community Paramedicine, Rural EMS Improvement and Sustainability, Rural Paramedicine and Mobile Health Programs, Reliable Nonemergency Transportation, Maternal Health Remote Monitoring, Digital Infrastructure and Next-Generation AI, Mobile and Digital Health, mobile health unit funding, EHR/HIO onboarding, or rural healthcare workforce awards. Keep this record in Draft until a current opportunity publishes authoritative applicant eligibility, allowable costs, funding terms, deadline, and submission mechanics.
Funding Watch — broader Maryland Rural Health Transformation Program pipeline; first-round RHTP awards are in implementation and no new statewide RHTP application deadline is currently published. Atlas Opportunity Score 99/100
Verified September 23, 2026

Maryland Department of Health (MDH)

Maryland Rural Health Transformation Program — Future Funding Watch

Maryland's Rural Health Transformation Program remains a high-priority Funding Watch. MDH reports a $168.18 million Budget Period 1 award, $163.7 million in planned subawards and $134.8 million expected through competitive procurement processes. Current verified future pathways include school-based health-center expansion and mobile units, HIE connectivity and AI-enabled workflows, telehealth infrastructure, technology-enabled chronic-disease management, mobile integrated health/community paramedicine, behavioral health and workforce.

FundingMaryland's Budget Period 1 Rural Health Transformation Program award totals $168,180,837.61. MDH states that $163.7 million in BP1 subawards are planned and $134.8 million will be available through competitive procurement processes. These statewide figures are not individual applicant ceilings; downstream award sizes will be controlled by each solicitation.
DeadlineFunding Watch — no additional statewide Maryland Rural Health Transformation Program application deadline is currently published as of September 23, 2026. Maryland's first RHTP awards are already in implementation. The separate State Recovery Housing Program remains open through November 1, 2026 at 5:00 PM; the official public notice does not state a time zone and Atlas tracks that opportunity separately under record #3513.
Required next actionPre-position rural Maryland projects around the state's verified pipeline: school-based health-center expansion and mobile units, HIE connectivity and AI-enabled workflows, centralized telehealth infrastructure, technology-enabled chronic-disease management, mobile integrated health/community paramedicine, behavioral-health expansion, rural workforce and value-based care. Track MDH and partner procurement channels for the next controlling notice, then verify applicant eligibility, award size, allowable costs, match, deadline and submission mechanics before outreach or budgeting.
Needs Review - deadline conflict; new outreach paused Atlas Opportunity Score 99/100
Verified September 16, 2026

Utah Department of Public Safety, Bureau of Emergency Medical Services

Utah RHTP SHIFT 3.3 — Rural EMS

Utah DHHS still lists SHIFT 3.3 Rural EMS applications due September 20, 2026 at 11:59 PM MDT, but the current Utah DPS/BEMS FAQ and linked EUNA NOFO narrative list September 13, 2026 at 11:59 PM MDT. Atlas cannot verify that the application window is currently open, so new applicant outreach remains paused pending explicit authoritative confirmation.

FundingUp to $12,500,000 in Year 1 funding. Utah's public funding table does not state a fixed per-award ceiling or anticipated number of awards.
DeadlineDeadline conflict unresolved. Utah DHHS lists September 20, 2026 at 11:59 PM MDT, while the current Utah DPS/BEMS SHIFT Initiative FAQ and linked EUNA NOFO narrative list September 13, 2026 at 11:59 PM MDT; EUNA's public Submission Close Date field remains blank.
Required next actionKeep new applicant outreach paused. Do not treat the September 20 date as controlling unless Utah BEMS or EUNA expressly confirms an extension, reopening, or current submission window. Preserve prior successful sends and reverify the live deadline before any submission.
Active Atlas Opportunity Score 98/100
Verified September 25, 2026

Ohio Department of Health

Ohio RHTP Rural EMS & Dispatch Modernization Grant Program (DOH62030)

Ohio Department of Health is seeking rural EMS, fire/EMS and emergency-dispatch modernization proposals across Ohio's rural counties. Up to $12 million is available for the current year. The application date is October 6, 2026; Atlas is re-verifying the exact submission time because current indexed materials conflict and the recorded ODH source URL is unavailable.

FundingUp to $12,000,000 available for the current project year; individual award ceilings are not specified in the public opportunity summary.
DeadlineOctober 6, 2026 at 3:00 PM ET
Required next actionConfirm rural service area and applicant eligibility, finalize project scope, and submit all required application components by October 6, 2026 at 3:00 PM ET. Clarification questions are due September 29, 2026 at 3:00 PM ET.
Closed - Monitor for Future RHT Round Atlas Opportunity Score 98/100
Verified September 12, 2026

Kentucky Cabinet for Health and Family Services

Rural Health Transformation Program Funding Opportunity to Increase EMS Training Equipment Quality and Offer Mobile Training Units to Underserved Areas

Kentucky currently marks this EMS education and training modernization opportunity as closed. Atlas is monitoring for a future Rural Health Transformation reopening or new round; no new outreach or submissions are authorized while applications remain closed.

FundingNo fixed per applicant maximum is published. Awards vary based on the applicant's proposed budget.
DeadlineClosed. The current official Team Kentucky Rural Health Transformation funding page states Applications currently closed. June 12, 2026 was the original Budget Period 1 consideration date; the RFA's earlier rolling language no longer authorizes new submissions while the administering agency marks the opportunity closed.
Required next actionMonitor the official Team Kentucky Rural Health Transformation funding page for reopening or a new round. Preserve historical outreach and applicant research; do not create new outreach, queue records, or submissions while applications are closed.
Closed — submission deadline passed September 28, 2026 at 10:30 AM CDT. Atlas Opportunity Score 97/100
Verified September 29, 2026

Texas Health and Human Services Commission (HHSC)

Texas Comprehensive Rehabilitation Services Mobile Stroke Unit (MSU) FY2027

Texas HHSC is offering $1.75 million for FY2027 Mobile Stroke Unit projects that improve time-critical stroke care through specialized ambulances, on-board CT capability, neurologic expertise, telemedicine and EMS integration. Applications are due September 28, 2026 at 10:30 AM CT.

Funding$1,750,000 total available for State Fiscal Year 2027; multiple awards anticipated; estimated maximum award $1,750,000; no match required.
DeadlineSeptember 28, 2026 at 10:30 AM CDT, as stated on the controlling Texas HHSC HHS0017579 resource page.
Required next actionThe September 28, 2026 at 10:30 AM CDT submission deadline has passed. Monitor the HHSC HHS0017579 resource page for award notices, amendments, cancellation, or a formal reopening; do not submit unless HHSC officially extends or reopens the opportunity.
Draft — Duplicate of canonical Atlas record #85 Atlas Opportunity Score 96/100
Verified September 12, 2026

Texas Health and Human Services Commission (HHSC)

Texas HHSC Comprehensive Rehabilitation Services Mobile Stroke Unit (MSU) FY2027 — HHS0017579

Newly released statewide stroke-care grant. The Texas Health and Human Services Commission (HHSC) is accepting applications under HHS0017579 for the FY2027 Comprehensive Rehabilitation Services Mobile Stroke Unit (MSU) Program. Funding: HHSC has $1,750,000 in total state funding available and intends to make multiple awards. The estimated maximum award is $1,750,000. No match is required. The […]

Funding$1,750,000 total FY2027 funding; multiple awards anticipated; estimated maximum award $1,750,000; no match required.
DeadlineSeptember 28, 2026 at 10:30 AM Central Time
Required next actionKeep in Draft as a redundant duplicate. Canonical published record #85 is the more complete September 12, 2026 verification of HHS0017579, including current Addendum 2 controls, direct mobile-stroke/telemedicine scope, and the September 28, 2026 at 10:30 AM CDT deadline.
Active — Rapid Grants accepted February 1 through November 30, 2026 Atlas Opportunity Score 94/100
Verified September 24, 2026

Indiana — Ball Brothers Foundation 2026 Rapid Grants

Ball Brothers Foundation is accepting 2026 Rapid Grant requests through November 30, 2026 for immediate needs of Indiana nonprofits, government organizations, and schools. Awards are up to $5,000, with strongest geographic priority in Muncie, Delaware County, and East Central Indiana. Health & Public Safety is an explicit focus area, and recent Foundation awards include point-of-care ultrasound and emergency-response equipment.

FundingUp to $5,000 per Rapid Grant.
DeadlineNovember 30, 2026 at 4:00 p.m.; the current official application page does not expressly state a time zone.
Required next actionQualify a nonprofit, government organization, or school operating in Indiana, prioritizing Muncie/Delaware County and East Central Indiana. Verify the immediate need, live GoApply requirements, strategic-plan linkage, allowable costs, any procurement constraints, and a verified business Contact. Clear Email_Opt_Out, permanent-bounce, Account/Contact/Deal/Atlas_Email_Queue and authoritative send-history deduplication before ORIGINAL outreach.
Closed — application deadline passed September 18, 2026 at 11:59 PM Eastern Time Atlas Opportunity Score 94/100
Verified September 19, 2026

Administration for Strategic Preparedness and Response (ASPR)

HHS ASPR Trauma Care Readiness and Coordination Cooperative Agreement — EP-U3R-26-002

The U.S. Department of Health and Human Services Administration for Strategic Preparedness and Response (ASPR) Trauma Care Readiness and Coordination Program is a new federal cooperative agreement supporting scalable trauma-system models that strengthen coordination among EMS, prehospital providers, trauma centers, hospitals, and public health agencies. The program provides $2 million for up to four awards […]

Funding$300,000-$500,000 per award; $2,000,000 total program funding; up to four awards.
DeadlineSeptember 18, 2026 at 11:59 PM Eastern Time.
Required next actionApplication deadline passed. Keep this canonical record unpublished and monitor ASPR/Grants.gov for an authoritative reopening, amendment, award activity, or successor trauma-readiness funding. Do not initiate late applicant outreach or submission activity.
Open — applications due October 13, 2026 at 5:00 PM MDT Atlas Opportunity Score 93/100
Verified October 6, 2026

Boulder County

Colorado Boulder County Emergency Services Grant Program — Fall 2026 Fire Protection District Round

Boulder County's Fall 2026 Emergency Services Grant round offers an anticipated $2 million pool for eligible mountain and rural fire districts and departments. Applications are due October 13, 2026 at 5:00 p.m. MDT. No individual request cap or mandatory match is stated, but each agency may submit only one application.

Funding$2,000,000 anticipated total Fall 2026 pool. No stated individual request cap; more than 20 eligible agencies may apply and awards may be full or partial. Matching funds are not required.
Deadline2026-10-13 17:00 MDT
Required next actionConfirm that the applicant is a fire district or fire department providing emergency services in Boulder County's mountain or rural areas. If the agency also serves outside Boulder County, keep the proposed grant use specific to Boulder County. Review the county's eligibility criteria, application guidelines, and portal instructions; combine all requested items into one application because only one submission is allowed per agency. Eligible one-time projects may include equipment or capital purchases, specialized training, operational enhancements, or infrastructure improvements. Submit through the Emergency Services Grant portal by October 13, 2026 at 5:00 PM MDT.
Closed Atlas Opportunity Score 92/100
Verified September 14, 2026

Wisconsin Department of Health Services (DHS)

Wisconsin SFY 2027 EMS Funding Assistance Program (FAP)

Wisconsin's SFY 2027 EMS Funding Assistance Program closed September 14, 2026 at 4:00 PM CST. This record is retained for historical funding intelligence and next-cycle monitoring.

FundingSupplemental state EMS funding; award amounts vary by qualified service and the program's allocation methodology. Wisconsin DHS does not publish a single per-applicant maximum on the current application page.
DeadlineSeptember 14, 2026 at 4:00 PM CST, as stated by Wisconsin DHS
Required next actionApplication window closed September 14, 2026 at 4:00 PM CST. Retain this record for historical intelligence; do not initiate new applicant outreach or package work for SFY 2027 FAP. Monitor Wisconsin DHS for the next FAP cycle.
Open — applications accepted September 14 through October 19, 2026 Atlas Opportunity Score 91/100
Verified September 24, 2026

Meta

Indiana — Meta Future is for Everyone Fund 2026 (Boone & Clark Counties)

Meta's 2026 Future is for Everyone Fund is open to eligible charitable organizations, schools and government entities serving Boone County or Clark County, Indiana. Applications close October 19, 2026 at 11:59:59 p.m. local time. No fixed request ceiling is published; projects must fit Community Enhancement, Economic Vitality, Education or Sustainability.

FundingNo fixed minimum or maximum is published. Applicants should request a realistic amount aligned with project scope and capable of being used within about one year.
DeadlineOctober 19, 2026 at 11:59:59 p.m. local time; the Indiana ChangeX page identifies EDT.
Required next actionIdentify a specific eligible Boone County or Clark County applicant and verify the correct ChangeX portal, applicant authority, project-specific cost and procurement treatment, measurable outcomes, and live application requirements. Then clear verified business Contact, Email_Opt_Out, permanent-bounce, Account/Contact/Deal/Atlas_Email_Queue, and authoritative send-history gates before ORIGINAL outreach.
Active Atlas Opportunity Score 91/100
32 days leftVerified 2026-09-19

Texas Department of State Health Services (DSHS)

Texas DSHS Medical Staffing for Declared Emergency/Disaster Events — HHS0014039

Texas DSHS is accepting medical staffing companies through Open Enrollment HHS0014039 to supply credentialed health and allied-health professionals for statewide disaster response, State Missions, training and exercises. Applications are due November 15, 2026 at 5:00 PM CST; DSHS intends to establish several statewide contracts but guarantees no deployment volume or compensation.

FundingOpen-enrollment emergency medical staffing contract; no fixed award ceiling or guaranteed contract value. DSHS may establish several statewide contracts and issue funded purchase orders for activated State Missions or Events, including deployments tied to federal or State disaster declarations, subject to appropriations and available funds.
DeadlineNovember 15, 2026 at 5:00 PM CST
Required next actionConfirm the applicant is an established medical staffing company with at least three years of relevant experience; verify Texas business authorization, Active franchise-tax status, EIN, non-debarment, vendor-performance standing, credentialing procedures, required insurance, and deployable licensed/certified personnel with at least two years of specialty experience. Under Addendum 1, provide three positive references for similar contracts within the two years immediately preceding submission and use the amended Section 13 application destination. Recheck the official HHS page for later addenda immediately before filing.
Upcoming Atlas Opportunity Score 90/100
Verified September 3, 2026

Health Resources and Services Administration (HRSA)

Vermont Medicare Rural Hospital Flexibility (Flex) Program — Annual CAH Funding Watch

Vermont’s State Office of Rural Health administers the ongoing HRSA-supported Medicare Rural Hospital Flexibility Program for Critical Access Hospitals and statewide rural-health partners. Flex supports quality improvement, hospital finance and operations, population health, EMS and transition planning; Atlas is tracking the next Vermont subgrant opportunity as a Funding Watch rather than presenting a prior cycle as open.

FundingOngoing HRSA-supported Vermont Flex funding; the current Vermont Department of Health page does not publish a guaranteed per-hospital award amount or next-cycle applicant ceiling.
DeadlineFunding Watch — no current standalone public application deadline is published by Vermont Department of Health as of September 3, 2026. The annual Flex budget period runs September 1 through August 31.
Required next actionVermont Critical Access Hospitals should pre-position a measurable project in quality improvement, finance/operations, population health, EMS or rural access; document baseline and target outcomes; and confirm current Flex subgrant timing and allowable costs with the Vermont State Office of Rural Health before procurement or expenditure.