Oregon Office of Rural Health

Oregon Office of Rural Health

Mobile Integrated Health (MIH) Programs

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Summary

ORH has a long history of supporting Oregon’s rural and remote EMS agencies and providers. Click here to learn more about ORH’s rural EMS programs, scholarships and resources. 

In August 2025, ORH was awarded funding from the Health Resources Services Administration (HRSA) Rural Health Care Services Outreach Program with a focus on Mobile Integrated Health (MIH). In addition, ORH received a competitive Catalyst Award from the Oregon Health Authority (OHA) through the Rural Health Transformation Program (RHTP) in July 2026, which also aims to support the expansion of MIH programs in rural Oregon counties.

MIH, also commonly referred to as community paramedicine (CP), is a care delivery model that brings resources to patients in a home or community-based setting, often using specially trained EMTs, paramedics, nurses, medical assistants (MAs) and community health workers (CHWs) to support patients with chronic disease management, preventative care and wraparound health-related services.

Below is information about ORH’s current and upcoming MIH projects, resources and opportunities for rural and remote organizations. Please note that some of ORH’s MIH offerings and supports are still in process and will be updated on this page as they are ready to launch.   

Current MIH Projects, Resources and Opportunities

  • ORH will cover the training and certification fees for up to six students per year to be enrolled in an online accelerated community paramedic program. Students must be affiliated with an EMS agency, clinic or hospital. The affiliated EMS agency, clinic or hospital must be located in a designated rural area, based on the Rural Health Grants Eligibility Analyzer tool.
  • Scholarship applications are considered when submitted on a rolling basis until the funding limit is reached. The award cap is $3,000 per student.
  • Funds are also available to provide support for removing barriers students might experience that could prevent them from successfully completing their community paramedic training. Examples include required course textbooks, computer for remote course classwork, testing fees, etc. Student barrier removal awards are determined based on the student’s needs (not to exceed $1,000).
  • To apply for these funds, please review this PDF list of the online application questions. After reviewing, click here when you are prepared to complete the scholarship application. 
  • ORH, in collaboration with the Oregon Mobile Integrated Healthcare Coalition, provides resources and technical assistance to support the establishment of new MIH programs in rural Oregon counties.
  • Funds from the HRSA Rural Health Care Services Outreach Program are supporting the development and implementation of a new MIH program in Wheeler County, which aims to begin enrolling patients by August 2027.
  • Funds from an Oregon Health Authority Catalyst Award, through the Rural Health Transformation Program (RHTP), are supporting two additional pilot MIH programs in Grant and Harney counties and the expansion of the pilot program in Wheeler County.
  • In 2019, ORH conducted listening sessions with rural and remote EMS agencies. Access the full report here. 

Upcoming ORH MIH Opportunities

  • MIH toolkit with MIH-related resources and example documents (e.g., job descriptions, policies, scopes of practice, etc.)
  • Individual technical assistance for rural agencies/organizations interested in establishing and/or expanding MIH programs
  • MIH learning collaborative and peer workgroup – convene with other agencies/organizations to discuss common questions and strategies for establishing and/or expanding MIH programs
  • MIH provider peer workgroup – meet up with your MIH/community paramedic peers to discuss the work you do with your patients, share resources and more!
  • Additional conference and training scholarship opportunities

Connect with Others about MIH

ORH has created a SharePoint site dedicated to all aspects of Oregon rural EMS workforce recruitment and retention, including MIH/CP. The Oregon Rural EMS SharePoint site is designed as an online meeting space to find resources, share ideas, post questions and collaborate. 

As a closed group, this SharePoint site is only available to rural EMS agencies, as well as to clinics and hospitals with MIH/CP programs. Register for site access here and choose one or more of the following topics of interest: 

  • Leadership;
  • Billing and coding; 
  • Human resources;
  • Equipment acquisition;
  • EMS education in Oregon schools; and 
  • Mobile integrated health/community paramedicine (MIH/CP)

Please note that this is a private ORH website, and members must be invited. You will receive the site access link by email shortly after form submission.

MIH Resources

Contact

Please contact Melissa Varnum | varnum@ohsu.edu | with any questions about the opportunities listed on this page.