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The LPHA Hub is not searchable on the web and is only intended for use by staff of DHSS and local public health agencies. However, anyone with a direct link is able to gain access. We encourage you to avoid sharing LPHA Hub links with anyone outside of DHSS or LPHAs. If information is needed for external users, please download and send the file, or copy/paste and provide separately. Thank you.

Missouri's Rural Health Transformation Project (RHTP)

Survey Deadline April 17: Your organization’s input is needed for Missouri’s Digital Readiness Survey, conducted as part of the RHTP. The State has requested a consolidated response from your organization, and to meet that expectation, all submissions must be provided by April 17, 2026. (link)​

RHTP Implementation Webinars: DSS invites stakeholders to participate in a series of informational webinars supporting Missouri’s implementation of the RHTP. The webinarS will introduce the Transformation of Rural Community Health (ToRCH) Care, the state’s coordinated model to enhance rural healthcare delivery and improve community outcomes. It will outline opportunities for organizations to participate and preview upcoming leadership roles within the program.

  • Apr 22, 1:00 pm, ToRCH Care program overview webinar

  • Apr 29, 1:00 pm, Hospital-specific program deep dive  

  • May 6, 1:00 pm, Non-hospital clinical providers deep dive (e.g., FQHCs, RHCs, CCBHCs, EMS, pharmacies)

  • May 13, 1:00 pm, Community institutions deep dive (e.g., CBOs, LPHAs)

Additional webinars for Hub Anchor applicants will be held following the application release, expected early June.

More details  

Register for webinars 

► RHTP website, MO DSS

► Missouri RHTP Application (2025)

RHTP Overview (ppt), Daniel Bogle, DHSS

LPHA Update Call discussing RHTP, 12/16/2025 (recording)

  1. Improve Rural Health

  2. Sustainable Access

  3. Workforce Development

  4. Innovative Care

  5. Tech Innovation

FREQUENTLY ASKED QUESTIONS

Q: How does Missouri define "rural" counties?

A: Missouri defines rural counties as:

  • fewer than 150 people per square mile

  • county lacks at least 10% of a central city within an MSA

 

Q: How many of Missouri's counties are considered "rural"?

A: Missouri has 99 counties that are classified as “rural.” These include all of  Missouri's counties except:  St. Louis, St. Charles, Jefferson, Cape Girardeau, Boone, Cole, Greene, Christian, Jasper, Newton, Cass, Jackson, Clay, Platte, and Buchanan.

 

Q: Which counties in Missouri will be eligible to participate in the RHTP?

A: Five non-rural counties were classified as “rural adjacent” for the purposes of the RHTP and will therefore be included in the community hubs defined in Missouri's RHTP application. These counties include Buchanan, Cape Girardeau, Christian, Jasper, and Newton.

 

This means every county except the following will be eligible to participate in the Community Hubs portion of the RHTP work in Missouri.

  • St. Louis County

  • City of St. Louis

  • St. Charles County

  • Jefferson County

  • Boone County

  • Cole County

  • Greene County

  • Cass County

  • Jackson County

  • Clay County

  • Platte County

This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

© 2024 by Ozarks Public Health Institute in partnership with Missouri Department of Health and Senior Services.

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