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Arkansas · RHT

Community paramedicine and Rural Health Transformation in Arkansas

Who administers the program, how a community paramedicine service line is usually positioned, and what a subrecipient will need to report.

Talk about ARBudget kit
Program
Rural Health Transformation, FY2026–2030
Lead agency
Arkansas's Rural Health Transformation program office
Award
First-year awards announced Dec 29, 2025
Reporting
Quarterly progress plus annual reporting; records kept at least three years.

Who runs Rural Health Transformation here?

Arkansas's Rural Health Transformation program office

How much did the state receive?

First-year award announced Dec 29, 2025. Per-state awards ranged from $147M to $281M.

What the sources say

  • $10 million funds an EMS Coordinated Network for Emergency Navigation, Community Care and Telehealth.
  • The network covers telehealth, connectivity, patient monitoring, data sharing and a Patient Navigation Hub.

The Arkansas angle

Arkansas is funding a coordination layer explicitly, navigation, monitoring and data sharing, which is the shape of work DispatchCare supports as a vendor to a subrecipient.

Sources

Scope of practice in Arkansas

These mission templates are the ones we would enable first in AR. Everything else in the catalog is available once the state EMS office and your medical director confirm scope.

Enabled by default

Confirm with the Arkansas EMS office

  • A5 Post-surgical wound / ortho check
  • A8 Hospital-at-home in-person visit
  • C1 Low-acuity assessment, treat-in-place
  • C2 IV fluids, antiemetic or antibiotic dose at home
  • C4 SNF / ALF acute-change assessment
  • C5 Dialysis missed-treatment check
  • D1 Point-of-care labs / blood draw
  • D2 12-lead ECG at home
  • D3 Injection administration
  • D4 Wound care / dressing change
  • D5 Catheter / ostomy care
  • E1 Postpartum blood-pressure check
  • F1 Palliative symptom visit
  • F2 After-hours hospice response

Scope-dependent work, point-of-care draws, injections, IV doses, catheter care and treat-in-place, varies by state and by medical director. We do not assert scope on your behalf.

How a CP program is usually positioned

A hospital, EMS agency or health system acts as the subrecipient. The subaward funds the new service line: staff time in a new role, the coordination layer that gets referrals to them, and the evaluation work that proves the program did something.

Vendors sit under the subrecipient. VectorCare contracts as a vendor or subcontractor and does not administer funds or determine allowability. Arkansas's approved plan and CMS rules do that.

What you will report

Last reviewed:

Arkansas and the first CMS quarterly report

Quarterly Report #1 covers Aug 1 to Oct 30, 2026. CMS lists Sunday, Nov 29, 2026 as the due date. A weekend due date moves to the next business day, so the report is due Monday, Nov 30, 2026.

People-served counts and county-level metrics start with grantee data. With DispatchCare, each grantee records CP missions and outcomes in the same fields, so the state office can count missions by county.

Book a 15-minute demoSee all CMS due dates

Getting started in Arkansas

Three steps that shorten the runway.

  1. 01

    Name the cohort

    One population, one referral source, one countable outcome.

  2. 02

    Line up the referral path

    Decide which hospital sends referrals and from which system.

  3. 03

    Write the evaluation in

    Agree the measures before the first visit, not after the first quarter.

Questions buyers ask

It depends on your state's approved RHT plan; the full answer and where to check are in the RHT budget kit at dispatchcare.com/rural-health-transformation/budget-kit.

Non-supplantation asks whether the cost would have been paid anyway. For many states, scheduled preventive community paramedicine visits are not an existing billable service, so coordination and evaluation for a new or newly expanded program are new costs attached to new activity. Say that plainly, and keep emergency response and existing billing on existing funding. DispatchCare is positioned as new program infrastructure plus evaluation — not a replacement for ePCR, CAD, or an existing billable service.

Nothing to join the network and receive missions.

Retention is configurable per customer contract. The federal rule for RHT records is 2 CFR 200.334: recipients and subrecipients keep federal award records for three years from the date they submit the final financial report, and longer if litigation, a claim or an audit starts before the three years end.

Bring community care coordination to Arkansas.

A 15-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.

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