# NC ROOTS Hub Leads — Rural Health Transformation Program

NC DHHS Office of Rural Health sought six regional lead organizations (one per NC Medicaid region) to serve as NC ROOTS Hub Leads, responsible for managing and coordinating rural health transformation initiatives—including primary care, behavioral health, workforce development, value-based payment, and digital health—for roughly 3 million rural North Carolinians. Funding for GAP 1 totals $7,513,062 (approximately $1,252,177 per hub for 17 months). Awards were announced May 1, 2026. Five organizations were selected: Impact Health (Region 1), Trillium Health Resources (Regions 2 & 5), Vaya Health (Region 3), UNC Hospitals (Region 4), and Access East Inc. (Region 6). Program period: June 1, 2026 – October 30, 2027.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: NC DHHS Office of Rural Health (North Carolina)
- Posted: 2026-02-27
- Application due: 2026-04-02
- Eligible applicants: Public Agencies, Private Nonprofits, Health or Hospital Systems
- How to apply: Email application to dhhs-ncroots.rfa@dhhs.nc.gov
- 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

Eligibility: Public or private entities with a Unique Entity Identifier (UEI), at least 3 years’ presence in North Carolina, and fiduciary capacity.

## Requirements

Applicants were required to submit a work plan, budget, letters of support, attest to existing fiduciary capacity, demonstrate leadership in rural or regional health programming, and provide documentation of 3+ years continuous NC operations.

## Required attachments

- Work Plan
- Budget and Budget Narrative
- Letters of Support
- Proof of UEI
- Documentation of 3+ years NC presence

## Application package and source documents

- [NC - 2026 - NC ROOTS Hub Lead RFA# 2026-NCROOTS](https://www.ruralcarejourney.com/api/documents/438df616-b6ed-429e-886c-d5bcb0b94e0c/file) (primary) — official: https://www.ncdhhs.gov/rfa-2026-ncroots/download?attachment
- [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 - El Departamento de Salud y Servicios Humanos de Carolina del Norte anunció hoy la selección de organizaciones que servirán como líderes para centros de organizaciones rurales…](https://www.ruralcarejourney.com/api/documents/74d160f9-591b-4aa5-bc88-3ee3d5f3598c/file) — official: https://www.ncdhhs.gov/news/press-releases/2026/05/01/ncdhhs-selects-nc-roots-hub-leads-strengthen-rural-health-care-across-north-carolina
- [NC - 2025 - NC Department of Health and Human Services launches dashboard of Year 1 RHTP awards; CMS awards $100 million for Year 2 (NC ROOTS dashboard and award announcement)](https://www.ruralcarejourney.com/api/documents/9dd07a74-59ee-466d-88f9-9b036c45f22e/file) — official: https://wataugaonline.com/state-launches-new-rural-health-transformation-program-dashboard/
- [NC - 2026 - Request for Applications RFA# 2026-NCROOTS North Carolina Rural Organizations Orchestrating Transformation for Sustainability Hubs](https://www.ruralcarejourney.com/api/documents/794370db-abfc-4695-9650-8faa38516963/file) — official: https://www.ncdhhs.gov/rfa-2026-ncroots/download
- [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

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-roots-hub-leads-rural-health-transformation-program--a7306fc47a — data as of 2026-10-22.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.