# Expand Rural Health Care Rotations Initiative

Embeds new learner types (students, residents) into rural communities by expanding rural rotation programs. At least 50% of training must occur in rural or tribal communities. One application per organization. Five-year service commitment applies when housing support or individual awards are offered. Posted April 30, 2026, deadline May 15, 2026.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: North Dakota Health and Human Services (North Dakota)
- Posted: 2026-04-30
- Questions due: 2026-05-08
- Application due: 2026-05-15
- Funding: $200,000 – $3.0M
- Eligible applicants: Hospital, Clinic, Home Care Provider, Long-term Care Facility, Behavioral Health Provider, Tribe, Tribal Health Organization, Emergency Medical Services Provider, Local Public Health, Non-profit, Education System
- How to apply: Qualtrics portal
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/expand-rural-health-care-rotations-exclusion.pdf

## Eligibility

Applicants must be located in or provide services in rural and tribal North Dakota health care facilities. Entities within Grand Forks, Fargo, West Fargo and Bismarck are considered urban and do not qualify unless at least 50% of the population served or the focus is North Dakota rural citizens. Eligible applicants include hospitals, clinics, home care providers, long-term care facilities, behavioral health providers, tribes and Tribal health organizations (excluding Indian Health Services), emergency medical services providers, local public health, non-profit organizations, and education systems.

## Requirements

Submit application through Qualtrics. Provide background information (organization name, location, population served). Submit Project Narrative (identified need, goals, strategies, outcomes). Provide Action Plan (timeline, milestones, metrics, key personnel). Submit itemized budget using ND HHS template, including justification and indirect costs if applicable. Adhere to federal guidance on allowable and unallowable costs. Applicants must propose strategies and outcomes aligned with RHTP evaluation plan and metrics. Policies and systems to manage five-year service commitment agreement (if applicable) must be established and submitted. Successful applicants required to submit progress reports and impact stories.

## Required attachments

- Project Narrative
- Action Plan
- Budget Template
- Policies and procedures for five-year service commitment (if applicable)

## Application package and source documents

- [ND - 2026 - Expand Rural Health Care Rotations Competitive Funding Opportunity Application Guidance](https://www.ruralcarejourney.com/api/documents/fbdc97d6-cdf1-473b-a24f-3098e36861a0/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/expand-rural-health-care-rotations-exclusion.pdf
- [ND - 2026 - Expand Rural Health Care Rotations Initiative Frequently Asked Questions and Guidance](https://www.ruralcarejourney.com/api/documents/aa8755c4-5806-4658-bbdf-b00015c26d95/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019efad02fe0-67c41ba1-e091-4d46-9c98-68d3a7e4fb74-000000/oV0bDefVtCqFh5sJIPnOCX1--EmRUAzI9_nUhlZKlls=452
- [ND - 2026 - Expand Rural Health Care Rotations - Closed (24 Applicants)](https://www.ruralcarejourney.com/api/documents/d6b06011-d032-4bf6-8dbb-a9ce78150e11/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/2/0100019efad02fe0-67c41ba1-e091-4d46-9c98-68d3a7e4fb74-000000/aka666E1bXjGdEFhItkQQMOIxrexCHE6BNEIJVFc7xI=452
- [ND - 2026 - RHTP Funding Opportunities Webpage](https://www.ruralcarejourney.com/api/documents/3909aedd-e95d-4987-b1d6-f196c2efb05f/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/3/0100019e272e5fdc-f4916caa-a1e9-4e5a-8074-381beb453343-000000/1BPLrvchRPX5UiQVDqmvGlrevLBObX4FjrmiLhe3GFU=452
- [ND - 2026 - RHTP Funding Opportunities Webpage — North Dakota](https://www.ruralcarejourney.com/api/documents/ad2c3f51-00b0-4f95-a676-ee6ef6776831/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/2/0100019e272e5fdc-f4916caa-a1e9-4e5a-8074-381beb453343-000000/v7h49bEj-qmfoYSAqwWgd0ioizL9b2RkauboHKVYd_Y=452
- [ND - 2026 - RHTP North Dakota Funding Opportunities Webpage and FAQ for 2026 Initiatives](https://www.ruralcarejourney.com/api/documents/a7706805-7bc3-46d9-9c60-dc9051a0ee72/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019e272e5fdc-f4916caa-a1e9-4e5a-8074-381beb453343-000000/16YWHZjADlmwba3MeVaZsbXF08-OaV_6duC7L1ofcZo=452
- [ND - 2026 - RHTP North Dakota Funding Opportunities and Frequently Asked Questions (2026)](https://www.ruralcarejourney.com/api/documents/e17c63e0-8937-4941-a539-a414bf04b11d/file) — official: https://www.hhs.nd.gov/rural-health-transformation/funding?utm_medium=email&utm_source=govdelivery
- [ND - 2026 - RHTP Funding Opportunities Webpage Announcement](https://www.ruralcarejourney.com/api/documents/3d932363-e56c-4f26-9b7c-a78ec50d1d81/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019e3b643cd7-52b46a53-76be-4d44-addf-fd64e19c909c-000000/N3E6Y_6XJMCgm-psYtZ2pcxAwQ3EgWzUfZvZ8x1bOpc=452
- [ND - 2026 - RHTP Funding Opportunities Webpage](https://www.ruralcarejourney.com/api/documents/02e7809e-ade9-4b7f-91c0-d8ca35b1d15e/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/2/0100019e660b935e-0c026527-9acc-42e4-a592-85f4356f6fc8-000000/UY5RNPni2we5vFsskX4XKejv-BIRvtcMmw-fpvuY1FA=452
- [ND - 2026 - RHTP Funding Opportunities](https://www.ruralcarejourney.com/api/documents/04bc5315-ce2b-4bd4-87e7-dfb1cf05c89c/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019e660b935e-0c026527-9acc-42e4-a592-85f4356f6fc8-000000/Uwq98KgYVB14AoIxCq189JoZybKz8PNlq3u6OKpL5h8=452
- [ND - 2026 - RHTP: North Dakota Funding Opportunities and FAQ](https://www.ruralcarejourney.com/api/documents/017a1882-3ad2-4590-8408-eaf498a32361/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019e74825feb-1d9ddbb9-0dad-4123-9613-b2fcc951eb24-000000/U605P-MQYaHpMqAnlrZEIbj4n76uKI7N3HVg5HMH29A=452
- [ND - 2026 - RHTP Funding Opportunities: North Dakota](https://www.ruralcarejourney.com/api/documents/c8339262-6be8-4128-a27c-3f21c662e451/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/2/0100019e74825feb-1d9ddbb9-0dad-4123-9613-b2fcc951eb24-000000/Ap5jqz5bwv_57p-EJi_toDTbeXhk30KemTOABqCco3g=452
- [ND - 2026 - RHTP Funding Opportunities](https://www.ruralcarejourney.com/api/documents/b1a8c46a-2b3f-4bdc-ac1b-528554917c02/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019eb1b1c62a-cfaede67-34a3-4758-9069-1b4ccd76a202-000000/3fWW6HhNdm0nf4IIFnI0qnlGIPpBWMNzFkQ47MF8Q5k=452
- [ND - 2026 - RHTP Funding Opportunities](https://www.ruralcarejourney.com/api/documents/2ff16605-b120-4d47-88f3-d09b89f31b0c/file) — official: https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.hhs.nd.gov%2Frural-health-transformation%2Ffunding%3Futm_medium=email%26utm_source=govdelivery/1/0100019eb360dd7a-a57700c1-35ee-4366-a7c9-41a88a77e03f-000000/23HBMnEw6ELZ2rZP1PCKi9wpmcVyfnHu8aBSveqP76k=452
- [ND - 2026 - Expanding Rural Rotations Funding Opportunity Solicitation 210.212 (TA call handout: Expanding Rural Rotations, Solicitation 210.212)](https://www.ruralcarejourney.com/api/documents/5e32c1b9-7661-4ab1-97d6-5f5702b044ed/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/rural-rotations-ta-call-handout-certified.pdf

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/expand-rural-health-care-rotations-initiative--01fac2ec3a — data as of 2026-10-25.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.