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ActiveAtlas Opportunity Score 97/100

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 CT
Last verifiedAugust 31, 2026
Required next actionImmediately confirm the applicant is a Texas-licensed hospital with a qualifying Stroke Designation, current CMS-approved healthcare accreditation, required provider licenses and board certifications, and no current CRS Mobile Stroke Unit contract. Define whether the project is a start-up MSU or an eligible expansion/maintenance project and document the specialized ambulance, mobile CT, 24/7 stroke-care coverage, neurologist or tele-neurology workflow, EMS and trauma-system integration, outcomes plan and four-month implementation timeline. Critically, do not assume the grant will purchase the ambulance, CT scanner, N9+ hardware or other capital equipment: Section 5.3(L) expressly prohibits grant-funded Equipment and other capital expenditures even though the MSU must be equipped and the budget section references services and Equipment. If the project depends on funding a specific technology or hardware item, submit a written clarification to HHSC by September 9, 2026 at 5:00 PM CT and budget only costs confirmed allowable. Submit the complete application by September 28, 2026 at 10:30 AM CT.

Broad Eligibility

Applicants must hold a Stroke Designation and be currently licensed in Texas to operate as a hospital. Required clinical providers must hold applicable Texas licenses and board certifications, and the applicant must maintain accreditation from a CMS-approved healthcare accreditation organization. The project must provide a specialized ambulance designated as a Mobile Stroke Unit with mobile CT capability, trained acute-stroke personnel, and a neurologist either on board or available through telemedicine. Existing contractors with current CRS Mobile Stroke Unit contracts are not eligible for this RFA. Eligible service areas include counties and cities statewide in Texas.

Atlas Analysis

Exceptional Texas acute-care, mobile-health and telemedicine opportunity because the RFA funds Mobile Stroke Unit start-up or eligible expansion/maintenance and expressly permits telemedicine neurological services, with no match requirement. N9+ Direct Vendor Fit Score: 82/100, Model B. An eligible Texas hospital must apply, and Dr. Miltie may be considered as a technology/vendor component only where the hospital and HHSC confirm the cost is allowable. Atlas corrected an important cost-allowability issue on August 30: the RFA requires an MSU to have a mobile CT scanner and other necessary medical equipment, but Section 5.3(L) separately prohibits grant funds from being used for Equipment and other capital expenditures. Applicants should therefore treat major hardware, vehicle and capital acquisition, including N9+ hardware, as non-grant-funded unless HHSC issues a clarification or addendum, while evaluating allowable operating, service, software, supply and telemedicine costs separately. Do not substitute N9+ for the required CT/MSU equipment. The compressed April 2027 through August 31, 2027 project period makes implementation readiness critical, and HHSC will not reimburse more than 10% of total FY2027 grant funding for personnel/salary expenses.

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 anticipated project period is April 2027 through August 31, 2027, with HHSC able to extend an approved project up to one year.

Deadline: applications must be received by September 28, 2026 at 10:30 AM Central Time. An optional applicant conference is scheduled for September 4, 2026 at 10:30 AM CT, and questions are due September 9, 2026 at 5:00 PM CT.

Who can apply: the applicant must hold a Texas Stroke Designation, be currently licensed in Texas to operate as a hospital, maintain required physician licensing and board certification, and hold qualifying CMS-approved healthcare accreditation. Existing contractors with current CRS MSU contracts are not eligible.

Eligible program model: applicants may propose a start-up MSU or expansion/maintenance of an existing qualifying MSU. The MSU must be a specialized ambulance equipped for stroke diagnosis and treatment, integrated into an EMS and trauma-care system, and include a neurologist either on board or available through a telemedicine medical service. Eligible services include stroke diagnosis, acute stroke treatment outside the hospital, medication treatment, neurological services and telemedicine.

Critical budget caution: the RFA requires the MSU to have a mobile CT scanner and other necessary medical equipment, but Section 5.3(L) separately prohibits grant funds from being used for Equipment and other capital expenditures. HHSC also limits personnel/salary reimbursement to no more than 10% of total FY2027 grant funding. Applicants should therefore treat major hardware, vehicle and capital acquisition as non-grant-funded unless HHSC issues a clarification or addendum, and should submit a written clarification by September 9 if the project depends on a specific technology line item.

Atlas Opportunity Score: 97/100. This is an exceptional Texas acute-care, mobile-health and telemedicine opportunity with a clear statewide service area, no match requirement, direct tele-neurology language and a substantial funding pool.

N9+ Direct Vendor Fit: 82/100, Model B. An eligible Texas hospital must apply. N9+ could potentially support telemedicine-enabled assessment or specialist extension within the hospital-led MSU workflow, but it must not be represented as a substitute for the required CT/MSU equipment, and hardware should not be budgeted as grant-funded unless HHSC confirms the specific cost is allowable. Operating, service, software, supply and telemedicine costs may present the cleaner pathway depending on HHSC clarification.

Official source: Texas HHS RFA HHS0017579.

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Source verificationOfficial government source · resources.hhs.texas.govAtlas last verified this record August 31, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗