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Community Health Grant: Strengthening Access to Primary Care is sponsored by North Carolina Department of Health and Human Services (NCDHHS), Office of Rural Health. This grant supports primary care safety-net organizations that provide services to medically underserved and vulnerable populations across North Carolina, aiming to expand access to affordable, high-quality primary and preventive care.
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Rural Health Transformation Program | NCDHHS On Dec. 29, 2025, the Centers for Medicare and Medicaid Services (CMS) awarded North Carolina over $213 million in federal funding through the Rural Health Transformation Program (RHTP). North Carolina applied for the funds to improve healthcare for rural North Carolinians and their communities.
North Carolinians interested in learning more about the Rural Health Transformation Program are encouraged to check back on this page for the latest updates. North Carolina has the second-largest rural population in the U.S., with nearly 3 million residents living in rural areas. This plan reflects NCDHHS’ commitment to ensuring that every North Carolinian, no matter where they live, has access to high-quality healthcare.
The North Carolina Rural Health Transformation Program (NCRHTP) emerged from extensive engagement with more than 420 stakeholders across the state, including rural hospitals, community health centers, local health departments, faith-based organizations, Tribal communities and community members.
A Plan Built With, and For, Rural North Carolina The plan is designed so that every North Carolinian can see the benefit of this work — from farmers in Robeson County to teachers in Madison County, small business owners in Bertie County, and parents in Dare County. It aims to strengthen the healthcare infrastructure that supports individuals, families, and communities across the entire state.
The comprehensive initiative focuses on six interconnected strategies: Community-Rooted Care Networks : Establishing locally governed "NC ROOTS" Hubs that connect medical, behavioral health, and social services, making it easier for rural residents to access comprehensive care close to home Prevention and Chronic Disease Management : Expanding programs for diabetes and hypertension control, cancer screening, maternal health services, and nutrition support, including "food as medicine" initiatives Behavioral Health Expansion : Growing mental health and substance use disorder services through new clinics, mobile crisis teams, school-based programs, and integration with primary care Workforce Development : Training and retaining healthcare professionals through rural residency programs, incentives and innovative career pathways—creating jobs while addressing provider shortages Financial Sustainability : Helping rural practices and hospitals transition to value-based payment models that reward keeping people healthy, not just treating illness Technology and Innovation : Deploying cutting-edge artificial intelligence to support rural providers, improving health information sharing, and ensuring digital literacy for all residents Partnerships Across Sectors Implementation will be guided by a statewide steering committee including NCDHHS’ Office of Rural Health and divisions of Medicaid, Public Health, and Mental Health, working in partnership with university and community college partners, and numerous community partners.
NCDHHS recently announced a new NC Rural Health Transformation Program Advisory Committee to guide how the program is designed and implemented for our rural communities. The department is committed to transparency throughout implementation, with regular public updates, community forums, and opportunities for ongoing stakeholder input.
The RHTP will improve health care delivery for more than 3 million North Carolinians in rural communities, support over 400 rural health facilities, and bring hundreds of millions of dollars in federal investment to the state over the next five years.
NCDHHS recently announced the selection of organizations to serve as North Carolina Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) Hub Leads for NC’s Rural Health Transformation Program. Together, these organizations will work as regional networks connecting medical, behavioral health, and social supports as North Carolina increases access to care for rural communities across all 100 counties.
Learn more about the ROOTS Hub leads . NCDHHS will work to finalize contracts with the selected organizations by early June 2026. Once confirmed, the NC ROOTS Hub Leads will conduct regional needs assessments and establish local networks of partner organizations focused on strengthening the rural health care infrastructure.
More details on ways to get involved will be announced soon. Nearly 3 million rural North Carolinians served across 85 counties At least $200 million in federal investment over five years 400+ rural health facilities supported Six integrated initiatives addressing workforce, access, technology, behavioral health, chronic disease, and payment models 420+ stakeholders engaged in application development RHTP is part of H. R.
1, a federal reconciliation bill signed into law in July that includes significant changes to Medicaid. RHTP provides one-time funding to states to support rural communities in improving health care access, quality and outcomes. The program is a cooperative agreement designed to help states transform rural health care delivery systems by investing in innovation, infrastructure, partnerships and workforce development.
It is not a replacement for Medicaid funding, but rather a strategic opportunity to strengthen rural health systems in the face of longstanding challenges. The first $25 billion from RHTP will be split evenly between all 50 states and will equal about $200 million each year for the next five years for North Carolina. The second $25 billion will be split at CMS' discretion among all 50 states over the next five years.
You can see more about the needs of Rural North Carolina at the following websites: Healthy North Carolina 2030 North Carolina Health Disparities Analysis Report News Release: NCDHHS Selects NC ROOTS Hub Leads to Strengthen Rural Health Care Across North Carolina Application: North Carolina's Rural Health Transformation Plan One Pager Summary: North Carolina’s Rural Health Transformation Plan CMS’ Rural Health Transformation Program Overview NC Rural Health Transformation Program Webinar: Progress Update and ROOTS Hub Introduction (June 24, 2026) This Rural Health Transformation Webinar features updates from the North Carolina Rural Health Transformation Program and NCDHHS.
The webinar also features an introduction of North Carolina's five ROOTS Hubs Leads with presentations from each region. Stevens Amendment Disclosure: This webpage is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $213,008,356. 47 with 100% funded by CMS/HHS.
The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.
According to the current listing, eligibility includes: Private nonprofit or public organizations currently providing primary care to underserved populations in North Carolina; Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes; Rural Health Clinics (RHCs); Loca…. Confirm the full requirements in the official notice before applying.
The current listing shows up to $150,000 per applicant. Verify award ceilings, matching requirements, and allowable costs in the official notice.
Community Health Grant: Strengthening Access to Primary Care is funded by North Carolina Department of Health and Human Services (NCDHHS), Office of Rural Health. Verify program details on the funder's official page before applying.
This opportunity targets applicants in North Carolina. If your organization operates elsewhere, check the official notice for location requirements.
Start from the official opportunity page linked in this listing — it carries the sponsor's submission instructions.
The Rural Health Care Program's Third Further Notice hit the Federal Register on August 31, 2026. It proposes killing cost studies, publishing an eligible services list, setting application processing deadlines, and eliminating the Healthcare Connect Fund annual report. What it conspicuously does not propose is any change to the $744.2 million cap that the whole proceeding says is under strain.
Read articleCMS awarded all 50 states a slice of the $50 billion Rural Health Transformation Program on December 29, 2025 — first-year checks average $200M, ranging from $147M to $281M. The federal application is closed and you cannot apply to CMS. The money reaches hospitals, clinics, and nonprofits only as state subawards, and those competitions open through 2026. Here is how the formula worked, what the funds can and cannot buy, and how to position for a subaward before the money starts flowing.
Read articleCMS awarded the entire $50 billion Rural Health Transformation Program to all 50 states, with first-year checks averaging $200M per state and money starting to move October 1, 2026. The federal contest is over — but for rural hospitals, clinics, behavioral-health providers, and nonprofits, the real competition is just beginning inside each state's sub-grant process. Here is how the money splits, what it can fund, and how to position now.
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