Oregon Office of Rural Health

Mobile Integrated Health (MIH) Programs

MIH Banner

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 focused on Mobile Integrated Health (MIH). 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. 

This four-year grant will support the development and dissemination of an MIH toolkit, create a framework for technical assistance for MIH programs statewide, provide community paramedic training scholarships and launch a pilot MIH program in Wheeler County.

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 Projects and Opportunities

  • ORH will cover the training and certification fees for up to four students per year to be enrolled in an online accelerated community paramedic program. Students must be affiliated with an EMS agency. The affiliated EMS agency or the student 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. 

  • Funds from the HRSA Rural Health Care Services Outreach Program are supporting the establishment of a new MIH program in Wheeler County. Partners include the Oregon Mobile Integrated Healthcare Coalition, Asher Community Health Center, Spray Ambulance, Fossil Ambulance, Mitchell Ambulance, Wheeler County Public Health, Northeast Wheeler County Health District and others.
  • The Wheeler County pilot MIH program aims to begin enrolling patients by August 2027.

  • In 2019, ORH conducted listening sessions with rural and remote EMS agencies. Access the full report here

ORH MIH Opportunities Coming Soon

  • MIH toolkit with MIH-related resources and example documents (e.g. job descriptions, policies, scopes of practice, etc.)
  • Individual technical assistance for 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
  • Additional conference and training scholarship opportunities

Contact

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