


RHTP Updates and Information
Missouri’s Rural Health Transformation Program (RHTP), a federally funded initiative designed to strengthen and redesign rural healthcare delivery, continues to move forward with several major developments.
Hub Anchor Request for Applications (RFA) Now Open
On May 15, DSS released a Request for Applications (RFA) for organizations interested in serving as ToRCH Care Hub Anchors.
Hub Anchors will serve as neutral coordinators for their regional Hub, supporting governance, coordination workflows, staffing, and collaboration among healthcare and community partners.
Missouri strongly encourages organizations to work collaboratively within their communities to identify the most appropriate Hub Anchor or consortium structure before applying.
Application Deadline: June 18, 2026 at 11:59 PM CST
Application must be submitted to DSS.RHTP@dss.mo.gov
Resources:
Hub Anchor Application Packet
Informational Hub Anchor Application Webinar Recording
Applications and questions should be submitted to: DSS.RHTP@dss.mo.gov
ToRCH Care Hub Boundaries Released
DSS has released official county groupings for the local “Hubs” that will serve as the foundation of Missouri’s Rural Health Transformation Program.
These Hubs are designed to organize healthcare partners across approximately 3–5 counties and improve coordination between hospitals, clinics, EMS, pharmacies, community-based organizations, and other local partners. The goal is to create more seamless systems of care and improve access to services close to home.
View the official Hub County Groupings Map here or view them below.

View the Progress of Missouri's RHTP Implementation
Rural Health Advocacy Day at the Missouri State Capitol
Join MARHC at the Missouri State Capitol on Tuesday, February 25, from 10 AM to 2 PM, as we come together to advocate for our rural communities. Rural Health Advocacy Day brings together advocates, healthcare providers, and community members to meet with legislators and discuss our collective priorities for rural health.
This event will feature:
🔹 Meetings with local legislators to voice the needs of your community.
🔹 Conversations with health committee members on key legislative priorities.
🔹 A united effort to advocate for better access, delivery, and workforce solutions in rural health.
No experience in advocacy? No problem! Come as you are, and we’ll provide the support and guidance you need to make a meaningful impact.
Missouri Rural Health Association is offering an advocacy training prior to this event on February 20th. Learn more here.
Missouri Association of Rural Health Clinics
PO Box 296 Jefferson City, MO 65102
The Missouri Association of Rural Health Clinics is managed in partnership with the Missouri Rural Health Association.