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Find similar grantsCommunity Health Grants (North Carolina) is sponsored by North Carolina Department of Health and Human Services (NCDHHS), Office of Rural Health and Community Care. These funds are directed toward safety-net organizations that provide health care services to underserved populations in North Carolina.
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Rural Health Transformation Program | NCDHHS North Carolina’s Rural Health Transformation Program (NCRHTP) is a statewide initiative, supported by over $213 million in federal funding in year 1 from the U.S. Centers for Medicare and Medicaid Services (CMS), designed to address longstanding challenges in rural health care access and delivery.
North Carolina has the second-largest rural population in the U.S., with more than 3 million residents living in rural areas. This program 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 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 program 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.
NCRHTP focuses on six interconnected initiatives: 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 The North Carolina Rural Health Transformation Program is guided by a statewide steering committee including NCDHHS’ Office of Rural Health and divisions of Medicaid, Public Health, and Mental Health and Substance Use Services, working in partnership with the North Carolina Governor’s Office and numerous community partners.
The NC Rural Health Transformation Program Advisory Committee , comprised of more than 40 representatives from across sectors, also guides how the program is designed and implemented for our rural communities. The department is committed to transparency throughout NC’s Rural Health Transformation Program and will provide regular public updates, community forums and opportunities for ongoing input and engagement.
Press Release: NCDHHS Announces NCRHTP Advisory Committee Membership Press Release: NCDHHS, NCDIT Announce Three Programs to Improve Health Care as Part of North Carolina’s Rural Health Transformation Program Press Release: NCDHHS Announces $10 Million for EMS Workforce Through NC Rural Health Transformation Program Press Release: NCDHHS Selects NC ROOTS Hub Leads to Strengthen Rural Health Care Across North Carolina Press Release: NCDHHS Announces NC Rural Health Transformation Program Director Press Release: Governor Stein, NCDHHS to Host Virtual Town Hall On North Carolina’s Rural Health Transformation Program Press Release: North Carolina Awarded $213 Million for Rural Health Transformation Program; Strategic roadmap and federal investment to improve health in rural communities Press Release: North Carolina Applies for $200 Million from Rural Health Transformation Program More than 3 million rural North Carolinians served across 85 counties At least $200 million annually 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 The federal Rural Health Transformation Program 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 provides 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 Application: North Carolina's Rural Health Transformation Plan One Pager Summary: North Carolina’s Rural Health Transformation Plan CMS’ Rural Health Transformation Program Overview 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: Safety-net organizations in North Carolina, including free clinics, public health departments, school-based health centers, rural health centers, community health centers, and other not-for-profit clinics. Confirm the full requirements in the official notice before applying.
The current listing shows up to $150,000 per year. Verify award ceilings, matching requirements, and allowable costs in the official notice.
Community Health Grants (North Carolina) is funded by North Carolina Department of Health and Human Services (NCDHHS), Office of Rural Health and Community Care. 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 articleWC Docket No. 26-173 is the first comprehensive review of USAC since 1998. It proposes writing schools, libraries, and health care providers into the audit rule, codifying extrapolated recoveries from statistical samples, requiring payment before appeals resolve, and cutting the USAC board from 20 to 13 — eliminating the Schools and Libraries Committee along the way.
Read articleHHS announced $102 million in New Access Points awards on August 13, 2026 — 158 health centers, more than 415 new sites, nearly 1 million more patients. That works out to roughly $246,000 per site, which does not build a clinic. Here is what the award actually buys, why the real selection happened before applications were scored, and what unfunded applicants should do next.
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