Kentucky’s Rural Health Transformation Program previously solicited applications for the Request for Application: Rural Health Transformation Program Funding Opportunity to Establish or Expand Community Paramedicine Programming. Kentucky’s current RHT Funding Opportunities page now marks this application opportunity as closed. The 2026 RFA remains useful for understanding program design and future round expectations, but Atlas does not treat it as a currently open application route.
Funding and deadline status
The May 2026 RFA used rolling review language and set June 12, 2026 as the deadline for Budget Period 1 funding available August 1, 2026. It also stated that agencies applying after that date could be considered for future Community Paramedicine funding opportunities. Kentucky’s current RHT Funding Opportunities page now expressly marks the application opportunity as closed. Atlas therefore does not treat the 2026 RFA as an open rolling application route. A future round must be verified through a new or reopened state notice before applicant outreach or submission.
The RFA identifies a maximum of $20 million across all awardees for the first year. It does not publish an individual applicant ceiling or award range; awards may vary based on the proposed budget.
Eligible applicants
Eligible applicants are nonprofit and publicly funded EMS agencies operating in Kentucky. Applicants must hold an active EMS agency license and be in good standing at application and throughout the award period. Programs must serve rural Kentucky communities and comply with Kentucky Board of Emergency Medical Services standards.
Program focus and allowable uses
Community paramedicine activities may include in home and community based follow up, preventive and chronic care, care coordination and navigation, behavioral health crisis support, and connections to primary care, specialty care and community resources. Allowable costs include personnel, community paramedicine training and certification, equipment, supplies and technology necessary for service delivery, including vehicles, tablets, Wi Fi routers, documentation and care coordination software, and medical supplies. Indirect costs are capped at 10 percent of total costs, and total administrative costs funded through direct and indirect costs cannot exceed 10 percent of the award.
Atlas strategy
Atlas Opportunity Score: 99/100 if a future round reopens with materially similar terms. The 2026 RFA had unusually strong strategic fit because it expressly supported community based care, in home assessment, technology enabled service delivery, and equipment needed for community paramedicine. N9+ Fit Score: 98/100, conditional if reopened. The Nonagon N9+ device and platform can have a legitimate role in a compliant community paramedicine workflow involving guided remote physical examinations, vitals and telehealth enabled clinical encounters when the applicant, medical director and Kentucky determine that the technology is operationally appropriate and allowable in an approved scope and budget. Dr. Miltie, LLC is not the eligible prime applicant. No new outreach should occur while the state lists the application opportunity as closed.
Application requirements
The 2026 RFA limited the application packet to 25 pages and directed submissions to jimmie.hampton@ky.gov with the required RHT CP RFA subject line. Required elements included agency and applicant information, current community paramedicine status, funding pathway, program evaluation, narrative, sustainability planning, behavioral health partner identification, an attestation, authorized agency representative signature, the required application form and budget template, and supporting readiness documentation such as letters of support. Because Kentucky now lists the opportunity as closed, these instructions should not be used for a new submission unless the state reopens the round or issues updated instructions.
Recommended next action
Monitor Kentucky’s official RHT Funding Opportunities page for a reopening or a new Community Paramedicine funding round. Do not initiate new applicant outreach or submit under the 2026 RFA while the state marks applications closed. If a future round opens, reverify eligibility, funding, deadline, EMS license and good standing, rural service area, community paramedicine credentialing, medical direction, workforce readiness, partner documentation, technology allowability and budget before proceeding.