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ND North Dakota

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.

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$198.9M18 sub-initiatives · split in the Atlas
NDHHS
Dollar split, officers, and deadlines: in the Atlas. →

FY26 award

$198,936,970

$1.00B planned over 5 years

Lead agency NDHHS
Per rural resident $651
  • 0.31M rural pop.
  • 39 rural hospitals
  • 1 distribution gates
  • 18 sub-initiatives
Last verified 2026-05-29 (16d ago, aging) sources published 2025-12-29 15 primary sources cited 0x75d0bd9a…5f75f2 provenance receipt
Preliminary

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.

Program milestones and live funding-opportunity deadlines. Cited; refreshed as the calendar moves.

  1. milestone

    FY26 award announced

  2. upcoming

    Program period (FY26 to FY30)

The plan

4 initiatives. 18 sub-initiatives.

Strengthen and Stabilize Rural Health Workforce

$162.4M over 5y
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. Applications open 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

$85.87M over 5y
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. Applications open 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. Applications open 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

$583.8M over 5y
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. Applications open 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

$168.0M over 5y
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.

The freshness engine watches every primary document North Dakota has published and fires a capture event when a new one drops or an existing one changes. Newest indexed shown below; the full directory with direct links and change history unlocks with the Atlas.

Newest indexed nofo 2026-04-30

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People to know

Who decides where the money goes.

Officials current as of Q2 2026. Top 3 shown at no charge; full directory unlocked with Pro.

  • Rural Health Transformation Program Office

    As of Q2 2026

    Program administration North Dakota Department of Health and Human Services

  • Sarah Aker

    As of Q2 2026

    RHTP Project Director NDHHS Medical Services Division

  • Lonny Mertz

    As of Q2 2026

    RHTP Grants Manager NDHHS Finance Division

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Procurement portals

Where to bid.