ND North Dakota Rural Health Transformation Program
Plan North Dakota Rural Health Transformation Plan
1 distribution gate. 18 sub-initiatives. $198.9M in motion.
The North Dakota 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
$198,936,970 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-09-23
$1.00B planned over 5 years
- 0.31M rural pop.
- 39 rural hospitals
- 1 distribution gates
- 18 sub-initiatives
North Dakota'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 Dakota 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 Dakota has announced lately.
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Expand Rural Health Care Rotations is the first ND opportunity marked Awarded on the funding page (24 applicants). No recipient list or dollar total is posted. www.hhs.nd.gov
Expand Rural Health Care Rotations – Awarded | 24 Applicants
Quote on file, page pending View source Accessed 2026-09-23 -
CMS announces about $1 million for North Dakota's Coordinating and Connecting Care initiative on Aug. 20, while the state solicitation for that single planning grant was still open (due Aug. 26). www.cms.gov
The Trump Administration announced an additional $1 million, made possible through the federal Rural Health Transformation Program (RHTP), is being put to work in North Dakota to expand coordinated statewide care and ensure seamless access for patients across the state.
Quote on file, page pending View source Accessed 2026-09-23 -
Gov. Armstrong appoints senior advisor Conner Swanson as DHHS commissioner effective Aug. 29, succeeding interim Commissioner Pat Traynor; the governor credits Swanson with 'behind-the-scenes leadership' on RHTP. www.governor.nd.gov
Swanson succeeds Pat Traynor, who took a civil service leave from his role as executive director of Dakota Medical Foundation to serve full-time as interim commissioner of DHHS starting in June 2025.
Quote on file, page pending View source Accessed 2026-09-23 -
Coordinating and Connecting Care opens: about $1 million for a single Year 1 planning grant (planning only, no system build). Now Closed with 10 applicants. www.hhs.nd.gov
Approximately $1 million in federal funding is available for a single Year 1 planning grant focused on improving how healthcare providers, community organizations and other partners coordinate services and referrals.
Quote on file, page pending View source Accessed 2026-09-23 -
Non-Emergency Medical Transportation Acquisition opens: about $2 million, roughly four grants of about $500,000. Now Closed with 13 applicants. www.hhs.nd.gov
Approximately $2 million in federal funding is available through this competitive opportunity.
Quote on file, page pending View source Accessed 2026-09-23 -
HHS launches a new wave of RHTP funding opportunities totaling about $50.5 million, covering most of the August application deadlines. www.hhs.nd.gov
North Dakota Health and Human Services (HHS) is launching a new wave of funding opportunities totaling approximately $50.5 million through the North Dakota Rural Health Transformation Program (RHTP)
Quote on file, page pending View source Accessed 2026-09-23
The plan
4 initiatives. 18 sub-initiatives.
Strengthen and Stabilize Rural Health Workforce
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Expand Rural Health Care Training Pipelines North Dakota's Rural Health Transformation funding area supporting value-based care and provider payment models and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | 56 | under review |
| Improve Retention in Rural and Tribal Communities North Dakota's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | 5 | under review |
| Technology as an Extender for Rural Providers North Dakota's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 346 | under review |
| Technical Assistance and Training for Existing Workforce North Dakota's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention and care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 48 | under review |
Make North Dakota Healthy Again
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Eat Well North Dakota North Dakota's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 1 | under review |
| North Dakota Moves Together North Dakota's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | 1 | under review |
| Building Connection and Resiliency North Dakota's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | 8 | under review |
| Investing in Value North Dakota's Rural Health Transformation funding area supporting consumer-facing health technology and IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 29 | under review |
Bring High-Quality Health Care Closer to Home
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Rightsizing Rural Health Care Delivery Systems for the Future North Dakota's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 7 | under review |
| Sustaining Revenue North Dakota's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 7 | under review |
| Clinics Without Walls North Dakota's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 346 | under review |
| Ensuring Safety Net Service Delivery North Dakota's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability and care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. Closed, awards pending | LEAD | 78 | under review |
| Ensuring Transportation North Dakota's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 37 | under review |
| Coordinating and Connecting Care North Dakota's Rural Health Transformation funding area supporting IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 9 | under review |
Connect Tech, Data and Providers for a Stronger North Dakota
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Breaking Data Barriers North Dakota's Rural Health Transformation funding area supporting behavioral health and substance use treatment access and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 67 | under review |
| Cooperative Purchasing for Technology and Other Health Care Infrastructure North Dakota's Rural Health Transformation funding area supporting behavioral health and substance use treatment access and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 67 | under review |
| Harnessing Artificial Intelligence (AI) and New Technology North Dakota's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 34 | under review |
| Support Consumer Focused Applications and Devices that Improve Health North Dakota's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 3 | 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 Dakota Department of Health and Human Services
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RHTP Project Director NDHHS Medical Services Division
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RHTP Grants Manager NDHHS Finance Division
Procurement portals