NC North Carolina Rural Health Transformation Program
Plan North Carolina's Rural Health Transformation Plan
1 distribution gate. 18 sub-initiatives. $213.0M in motion.
The North Carolina Atlas names every gate that controls the money, every program officer, every dollar tracked. Source-cited PDF, refreshed quarterly. It shows you what it takes to be fundable here.
FY26 award
$213,008,356 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-09-23
- 85 rural counties
- 2.96M rural pop. · 2.22M Census ACS
- 55 rural hospitals
- 5 at risk (5 immediate)
- 1 distribution gates
- 18 sub-initiatives
North Carolina's award and rural demographics are verified against primary sources. The initiative budget is still under CMS review, so allocations are not yet final and are not shown. This page upgrades to the full money-flow breakdown the moment North Carolina publishes its approved budget.
Key dates
When the money moves.
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FY26 award announced CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-09-23
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Period of performance ends CMS Notice of Award, Rural Health Transformation Program standard terms (Utah RHTCMS332051-01-00, page 6) View source Accessed 2026-09-23
What's new
What North Carolina has announced lately.
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Program web presence reorganized: RHTP moved from the Office of Rural Health section to Department Initiatives, with a new Initiative Six (Digital Health) page and an Advisory Committee page. www.ncdhhs.gov
The NC Rural Health Transformation Program has six core initiatives. Initiative six is focused on digital health and technology.
Quote on file, page pending View source Accessed 2026-09-23 -
$1.25 million to five organizations to expand rural school-based health centers (Appalachian District HD, Blue Ridge CHS, First Health of the Carolinas, Mountain Community Health Partnership, Wilson County HD). www.ncdhhs.gov
Today Governor Stein and the North Carolina Department of Health and Human Services announced $1.25 million in federal funding through the North Carolina Rural Health Transformation Program to expand preventive and acute health care, provide nutrition support, and address behavioral health needs.
Quote on file, page pending View source Accessed 2026-09-23 -
CMS announces the same $1.25 million to expand preventive, acute and behavioral healthcare for children in rural North Carolina. www.cms.gov
a $1.25 million investment is being delivered to expand access to preventive, acute, and behavioral healthcare for children in rural North Carolina
Quote on file, page pending View source Accessed 2026-09-23 -
NCRHTP Advisory Committee formed with 40+ members, chaired by Secretary Dev Sangvai with Deputy Secretary Debra Farrington as co-chair. www.ncdhhs.gov
Dev Sangvai, NC Health and Human Services Secretary (Committee Chair) Debra Farrington, NCDHHS Deputy Secretary for Health (Committee Co-Chair)
Quote on file, page pending View source Accessed 2026-09-23 -
Rural Health Innovation Fund: $20 million kickstart for rural provider health IT, telehealth, AI decision support, EHR and cybersecurity; the state page says the competitive application begins in September 2026. www.ncdhhs.gov
a $20 million kickstart investment to launch the Rural Health Innovation Fund. Funds will be available through a competitive application process.
Quote on file, page pending View source Accessed 2026-09-23
The plan
6 initiatives. 18 sub-initiatives.
Transform Rural Health Through Community-Led, Tailored Networks (NC ROOTS)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| NC ROOTS Hub Lead, Region 1 North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | under review | |
| NC ROOTS Hub Lead, Regions 2 and 5 North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | under review | |
| NC ROOTS Hub Lead, Region 3 North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | under review | |
| NC ROOTS Hub Lead, Region 4 North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | under review | |
| NC ROOTS Hub Lead, Region 6 North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | under review |
Build Rural Capacity in Primary Care, Chronic Care, and Social-Related Services into Rural Community Networks
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Chronic Care Management North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Prevention and Screening North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Perinatal and Maternal Care North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Nutrition / Food as Medicine North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Build and Integrate Behavioral Health and SUD Services Into Rural Community Networks
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Mobile Integrated Health and Community Paramedicine (MIH/CP) Grant North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | under review | |
| CCBHC Model Expansion North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| School-Based Behavioral Health North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Build a Robust and Resilient Workforce and Innovative Care Team Models for Rural Communities
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Rural Residencies and Provider Training North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Workforce Pipelines, Scholarships, and Placement North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Ensure Fiscal Sustainability of Rural Health Providers Through Innovative Financial Models
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Primary Care Capitation Pilot North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Small-and-Medium-Sized Rural Hospital Pilot North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Modernize Rural Care Delivery Through Digital-Forward Solutions
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Rural Health Innovation Fund (RHIF) North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| HIE Connectivity, AI, and Virtual Care North Carolina's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Primary documents
1 state-published documents tracked.
People to know
Who decides where the money goes.
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Program administration North Carolina Department of Health and Human Services, Office of Rural Health
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Rural Health Transformation Program (RHTP) Director NCDHHS Office of Rural Health
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Director, Office of Rural Health NCDHHS Office of Rural Health
Procurement portals
Where to bid.
Frequently asked
North Carolina RHTP, answered.
How much did North Carolina receive from the federal Rural Health Transformation Program?
North Carolina received $213,008,356 for FY26 under the $50 billion Rural Health Transformation Program (P.L. 119-21 sec 71401), administered by North Carolina Department of Health and Human Services, Office of Rural Health. The program runs FY26 through FY30.
Who administers North Carolina's RHTP funding?
North Carolina Department of Health and Human Services, Office of Rural Health is the lead agency. North Carolina's plan organizes the funding across 6 initiatives. The named administering agency for each sub-initiative, the lead implementers, and the routing path are detailed in the Atlas.
How can a vendor or provider pursue North Carolina RHTP funding?
Register as a state vendor, hold an active UEI and SAM.gov registration, and apply to the relevant funding opportunity as it posts. The live opportunity calendar, exact deadlines, and per-initiative routing are in the Atlas.