# Leveling Up Initiative - Chronic Disease Program Expansion

Supports programs expanding chronic disease management in rural SC, focusing on diabetes, hypertension, sickle cell, and similar conditions. Provides funding to scale specialty care, implement tele-specialty and education initiatives, and train providers to improve coordinated care and outcomes in underserved rural areas. Funds expansion of chronic disease management initiatives to improve health outcomes for rural populations. Supports innovative models and partnerships for chronic care.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: South Carolina Department of Health and Human Services (South Carolina)
- Posted: 2026-04-02
- Questions due: 2026-04-16
- Application due: 2026-06-01
- Funding: $100,000 – $5.0M
- Eligible applicants: Rural Hospital, CAH, Healthcare Provider, Federally Qualified Health Center, EMS Provider, Pharmacy, Community-based Organization, Local Government Entity, Public Health Agency, Non-profit, Community Health Center
- How to apply: Email to grants@scdhhs.gov
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://scdhhs.gov/sites/dhhs/files/(2026-04-02)%20Leveling%20Up%20SCDHHS-26-002.pdf

## Eligibility

Healthcare providers, community-based organizations, local government entities, public health agencies, and nonprofits based in SC serving rural communities as defined by HRSA. Activities must benefit rural SC residents and demonstrate measurable rural impact. Eligibility criteria specified per initiative. Multiple applications allowed.

## Requirements

Submit cover sheet, 1-page project summary, 10-page project narrative, detailed budget/budget narrative, disclosure of relevant settlement agreements/claims, and up to 5 pages of letters of support; Project narrative to include organization background, needs assessment (with data), scope/timeline, monitoring/evaluation, and sustainability; Must select only one project category per application (Chronic Disease Program Expansion); Quarterly reporting required; All funds to be expended by September 30, 2027. Applicants must comply with 2 CFR Part 200 and 2 CFR Part 300. Submit signed cover sheet One-page project summary Ten-page project narrative Budget & budget narrative (limits as below) Letters of support Disclosure of settlement agreements/claims

## Required attachments

- Cover Sheet
- Project Summary
- Project Narrative
- Budget Worksheet
- Budget Narrative
- Settlement Agreements/Claims Disclosure
- Letters of Support
- Budget Worksheet (Attachment I)

## Application package and source documents

- [SC - 2026 - RHTP: Leveling Up Initiative](https://www.ruralcarejourney.com/api/documents/6b76aaeb-8c6e-4dce-8afd-00c8cda08b38/file) (primary) — official: https://scdhhs.gov/sites/dhhs/files/(2026-04-02)%20Leveling%20Up%20SCDHHS-26-002.pdf
- [SC - 2026 - South Carolina RHTP ((2026-03-24)_RHTP_Grant_Applications_Powerpoint)](https://www.ruralcarejourney.com/api/documents/c93256e8-00de-4ac0-b6af-e93de64a1db0/file) — official: https://scdhhs.gov/sites/dhhs/files/(2026-03-24)%20RHTP%20Grant%20Applications%20Powerpoint.pdf

More South Carolina RHTP activity: https://www.ruralcarejourney.com/states/sc (markdown: https://www.ruralcarejourney.com/states/sc.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/leveling-up-initiative-chronic-disease-program-expansion--b46456cfc9 — data as of 2026-06-15.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.