Rural Graduate Medical Education Program Development

The Missouri Department of Health and Senior Services is soliciting proposals to develop and implement a rural graduate medical education program, with responses due November 17, 2026. The program targets physician and medical professional availability in underserved rural Missouri through educational pathways, training opportunities, and support mechanisms for medical residents and fellows who practice in rural communities. The solicitation was posted October 26, 2026.

Three attachments posted October 27, 2026 shape the response. Attachment 1 designates Rural Health Transformation Program (RTHP) hub counties, and responding organizations must align proposed activities and service delivery models with those counties. Attachment 2 is a sample work plan template requiring measurable outcomes, a month-based project timeline, major objectives with key tasks, and a named responsible person for each task. Attachment 3 sets out federal and subrecipient requirements, including OMB guidance, procurement and cost standards, a prohibition on lobbying costs, civil rights compliance, audit and reporting obligations, and compliance rules for subrecipients receiving pass-through funds.