# Electronic Medical Record Enhancement Funding Opportunity (Solicitation 210-411) North Dakota Health and Human Services (ND HHS), through the Rural Health Transformation Program (RHTP), offers competitive funding to support enhancements to existing Electronic Medical Record (EMR) systems among eligible rural and tribal health providers. This funding opportunity, as outlined under Initiative 4: 'Connect Tech, Data and Providers for a Stronger North Dakota', Theme 1: 'Breaking Data Barriers—Enhance existing EHRs with additional technology and AI add-ons,' is focused on proposals that directly strengthen service delivery, improve patient outcomes and experience, increase access to care, reduce wait times, and reinforce cybersecurity. Only projects enhancing established EMR systems are eligible—EMR replacements are addressed in separate, future opportunities. Up to $10 million is available in Year 1, with estimated average awards of $500,000 and approximately 20 anticipated recipients. Projects must use the ND HHS Itemized Subrecipient Budget Template (Excel; one tab per strategy) with cost justifications. Projects must be fully implemented and all funds expended by September 30, 2027. Priority is given to applications demonstrating measurable improvements in patient outcomes, expanded access, and reductions in wait times for rural/tribal residents. Awardees are ineligible for subsequent RHTP EMR replacement funding. Only one application per eligible organization is permitted. ## Key facts - Status: Closed - Type: GRANT - Issued by: North Dakota Health and Human Services (North Dakota) - Posted: 2026-07-01 - Questions due: 2026-07-22 - Application due: 2026-07-29 - Eligible applicants: Critical Access Hospitals, Rural Federally Qualified Health Centers, Rural Hospital Systems, Non-federally operated Indian Health Service facilities, Tribally run 638 health facilities, Long-term care facilities - How to apply: Qualtrics online portal - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260701-electronic-medical-record-enhancement-FO.pdf ## Eligibility Eligible applicants must serve rural or tribal North Dakota residents. Eligible rural organizations include: critical access hospitals; rural federally qualified health centers; rural hospital systems; non-federally operated Indian Health Service facilities and tribally run 638 facilities; and long-term care facilities. Entities located in or incorporated into Grand Forks, Fargo, West Fargo, and Bismarck are urban and ineligible. Projects must benefit rural or tribal residents and be sustainable. Awardees may not seek future RHTP EMR replacement funding. Each eligible entity must apply individually. No pass-throughs or subawards are permitted. ## Requirements Only one application per eligible organization. Applications must: 1) describe proposed EMR enhancements with a clear project narrative—identified need, outcomes (SMART), strategies, services, and tasks; 2) provide a detailed timeline with milestones up to September 30, 2027; 3) complete the required Itemized Subrecipient Budget Template (Excel), with a separate tab for each requested strategy and justification for costs; 4) propose reporting of 3–5 project metrics aligned with Initiative 4 (e.g., remote monitoring, AI-informed care, cybersecurity improvements); 5) identify key personnel and, if applicable, external sources with justification. Applications are submitted via the ND HHS Qualtrics portal. Recipients must comply with up to five years of reporting and may not act as passthrough entities or issue subawards. ## Required attachments - Completed Itemized Subrecipient Budget Template (Excel, one tab per strategy with justifications for each cost) - Responses to all Qualtrics application questions ## Application package and source documents - [ND - 2026 - Electronic Medical Record Enhancement Funding Opportunity Application Guidance (20260701-electronic-medical-record-enhancement-FO.pdf)](https://www.ruralcarejourney.com/api/documents/239b5895-605b-44de-b210-00312428eefc/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260701-electronic-medical-record-enhancement-FO.pdf - [ND - 2026 - Electronic Medical Record Enhancement TA Call July 8,2026](https://www.ruralcarejourney.com/api/documents/780cac22-9fcb-4f7e-976a-9c466d4c5ca4/file) — official: https://vimeo.com/1209869258 - [ND - 2026 - RHTP Technical Assistance for Hospital-Based Wellness Equipment – July 1, 2026](https://www.ruralcarejourney.com/api/documents/59de7fe2-00f5-496b-906c-0eb494689cec/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260707-hospital-based-wellness-equipment-TA-call.pdf - [ND - 2026 - North Dakota launches funding opportunity to strengthen rural health care through electronic medical record enhancements (north-dakota-launches-funding-opportunity-strengthen-rural-health-care-through-electronic) (ND news article announcing EMR Enhancement funding opportunity)](https://www.ruralcarejourney.com/api/documents/a29e5641-d610-4971-b651-537c0cdad05c/file) — official: https://www.hhs.nd.gov/news/north-dakota-launches-funding-opportunity-strengthen-rural-health-care-through-electronic More North Dakota RHTP activity: https://www.ruralcarejourney.com/states/nd (markdown: https://www.ruralcarejourney.com/states/nd.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/electronic-medical-record-enhancement-funding-opportunity-solicitation-210-411--db2a69734d — data as of 2026-08-11. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.