Attachment 1 - Rural Health Transformation Program (RTHP) Hub Counties.docx

This is an attachment document identifying Rural Health Transformation Program (RTHP) Hub Counties in support of the Rural Graduate Medical Education Program Development opportunity issued by the Missouri Department of Health and Senior Services. The attachment designates specific counties within Missouri that qualify as hub counties for purposes of the RTHP initiative, which focuses on expanding graduate medical education capacity and rural health workforce development. The document serves as a reference exhibit defining geographic eligibility parameters and target service areas for organizations responding to the solicitation, establishing which counties are designated as hub locations for program implementation and coordination activities.

The hub county designations function as a foundational framework for applicants to understand service delivery expectations, funding allocation priorities, and regional collaboration requirements under the Rural Graduate Medical Education Program Development initiative. Organizations responding to this opportunity must align their proposed activities and service delivery models with the identified hub counties to ensure compliance with program objectives and geographic targeting requirements. The designation of these specific counties indicates concentrated focus areas for graduate medical education expansion efforts, rural physician workforce pipeline development, and enhanced healthcare access initiatives within Missouri's designated rural regions.