# NC Mobile Integrated Health (MIH) and Community Paramedicine Program Grant

The NC Mobile Integrated Health (MIH) and Community Paramedicine (CP) Grant, administered by the NC Office of Emergency Medical Services, funds licensed NC EMS agencies that provide primary 911 response in rural areas (≤750 people/sq. mile with limited healthcare access). The program supports establishing or expanding MIH/CP programs with an emphasis on behavioral health crisis response, SUD/MOUD treatment access, and reducing emergency department utilization for mental health and substance use crises. Fundable activities in Year 1 include personnel, equipment, program infrastructure, expanded treatment access, behavioral health crisis response, care coordination, and workforce training. Total pool: $10,000,000; estimated 50–100 awards of $75,000–$200,000 (Year 1). Continuation funding in Years 2–5 is contingent on performance.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: NC Office of Emergency Medical Services (NC OEMS) (North Carolina)
- Posted: 2026-04-24
- Application due: 2026-05-20
- Funding: $75,000 – $200,000
- Eligible applicants: Local government EMS agencies, Public/nonprofit EMS agencies
- How to apply: Online submission via ReadyOp portal
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.ncdhhs.gov/divisions/office-rural-health/rural-health-transformation-program/rural-health-transformation-program-grant-opportunities

## Eligibility

Licensed North Carolina EMS agencies that provide primary 911 response in rural or rural-adjacent communities as defined by the NC Rural Health Center: (1) Counties with population density ≤250 people/sq. mile (rural), or (2) counties with population density 251–750 people/sq. mile (rural-adjacent) and limited access to behavioral health/SUD services.

## Requirements

Applicants must propose to expand or establish Mobile Integrated Health/Community Paramedicine programs in rural communities, with programmatic focus on behavioral health and substance use crisis response, access to SUD/MOUD treatment, reducing ED utilization, and improving follow-up care. Eligible expenditures include personnel, equipment, program and treatment access expansion, emergency response protocols, care coordination, and workforce training. Detailed application requirements, including documentation and budget templates, are available in the RFA.

## Required attachments

- Application narrative
- Budget and budget justification
- Proof of EMS agency licensure
- Letters of support/partnerships (if applicable)

## Application package and source documents

- [NC - 2026 - 2026 RHTP – Request for Application No. 2026-NC MIH](https://www.ruralcarejourney.com/api/documents/3d1bff58-704b-441b-99cf-a98b0d0e1624/file) (primary) — official: https://hpp.nc.gov/wp-content/uploads/2026/04/OEMS-MIH-RFA-FINAL.docx
- [NC - 2026 - RHTP Grant Opportunities](https://www.ruralcarejourney.com/api/documents/26461f15-e299-45cf-a414-4419c999a90f/file) — official: https://www.ncdhhs.gov/divisions/office-rural-health/rural-health-transformation-program/rural-health-transformation-program-grant-opportunities
- [NC - 2026 - NC Mobile Integrated Healthcare Request for Application Competitive Grant Funding](https://www.ruralcarejourney.com/api/documents/ea124de3-fd42-4476-9bfe-293f19ad4f71/file) — official: https://hpp.nc.gov/wp-content/uploads/2026/04/OEMS-MIH-RHTP-Webinar-Slides.pdf
- [NC - 2026 - NC Mobile Integrated Healthcare Request for Application Competitive Grant Funding](https://www.ruralcarejourney.com/api/documents/5d90527e-d9d7-4626-97ec-707ea9fcaa29/file) — official: https://hpp.nc.gov/wp-content/uploads/2026/05/OEMS-MIH-RHTP-Webinar-Slides.pdf
- [NC - 2026 - Mobile Integrated Health Grant Funding Opportunity Request For Applications](https://www.ruralcarejourney.com/api/documents/aa4a64d2-9c92-4a56-b368-7e494fe1951c/file) — official: https://hpp.nc.gov/mobile-integrated-health-rfa/
- [NC - 2026 - Mobile Integrated Health Grant Funding Opportunity Request For Applications](https://www.ruralcarejourney.com/api/documents/2fa06e3d-192b-465a-bd22-2f70d8c681d0/file) — official: https://hpp.nc.gov/mobile-integrated-health-rfa
- [NC - 2026 - RFA#: 2026-NCROOTS North Carolina Rural Organizations Orchestrating Transformation for Sustainability (“NC ROOTS”) Hubs Addendum 1](https://www.ruralcarejourney.com/api/documents/7ab850d9-6923-42c3-a38f-b60c4902bcbd/file) — official: https://www.ncdhhs.gov/documents/addendum-1-rfa-2026-ncroots/open
- [NC - 2026 - What is the North Carolina RHTP (NCRHTP)?](https://www.ruralcarejourney.com/api/documents/960383bf-86db-4eb4-b134-a23ae46d39e7/file) — official: https://www.ncdhhs.gov/divisions/office-rural-health/rural-health-transformation-program/nc-rural-health-transformation-program-frequently-asked-questions
- [NC - 2026 - North Carolina awards $10 million to 39 EMS agencies for Mobile Integrated Health (NCDHHS Mobile Integrated Health award announcement)](https://www.ruralcarejourney.com/api/documents/c90c7a3f-afbc-4b23-b217-72f49652861c/file) — official: https://www.ncdhhs.gov/news/press-releases/2026/06/08/ncdhhs-announces-10-million-ems-workforce-through-nc-rural-health-transformation-program

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/nc-mobile-integrated-health-mih-and-community-paramedicine-program-grant--b3bfc9d418 — data as of 2026-06-21.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.