Trillium Health Resources (NC ROOTS Hub Lead, Regions 2 & 5) · Posted July 30, 2026
Application Due
August 31, 2026
Q&A Deadline
August 6, 2026
the North Carolina Rural Health Transformation Program (NCRHTP), seeks applications from qualified organizations to expand the Food Is Medicine Program infrastructure, capacity, and workforce. This RFA is issued identically for Region 2 (RFA No. THR-ROOTS2-2026-003) and Region 5 (RFA No. THR-ROOTS5-2026-003). Supported by federal funding from CMS/HHS through the NCRHTP, the initiative aims to improve rural nutrition access, integrate Food Is Medicine interventions into care delivery, and address food insecurity, chronic disease, and health disparities. Required activities include investing in food system infrastructure (excluding direct food purchases), expanding community nutrition education and workforce (especially Community Health Workers), adopting NCCARE360 for referral and tracking, and comprehensive project planning with impact projections. Applications must document organizational experience in rural food access, health education, and community engagement. Minimum qualifications include a Unique Entity Identifier (UEI) from SAM.gov, legal authorization to operate in North Carolina, financial resources sufficient to incur and pay allowable costs before reimbursement, and capacity for all deliverables. Awards may be single, multiple, or none at Trillium's discretion according to evaluation criteria and regional needs. Funding is 100% federal and delivered via reimbursement.
Eligible applicants must possess a Unique Entity Identifier (UEI) from SAM.gov; be a legally organized entity authorized to conduct business in North Carolina (e.g., corporation, nonprofit, college/university, governmental entity, LLC, sole proprietorship); have sufficient financial and fiscal capacity to incur and pay program costs prior to reimbursement; not be debarred, suspended, or ineligible for government contracts (federal/state/NC lists); certify capacity to complete all deliverables; and demonstrate meaningful engagement with rural, underrepresented, or low-income populations.
Required attachments
Application submission via Trillium Health Resources regional portal (email per RFA Section 4.1).
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Application Prep
Application #: THR-ROOTS2-2026-003 (Region 2), THR-ROOTS5-2026-003 (Region 5)
Reference: CMS-RHT-26-001
Program: NC ROOTS Hub
Match: Not required (100% federal funds)
Performance: Five years from 2026 (NCRHTP Program)
Key Dates:
Review Criteria:
Portal: https://trilliumhealthresources.org/NC-ROOTS-Region-2
Contact
Region 2
Region2NCRootsHub@TrilliumNC.org
Region 5
Region5NCRootsHub@trilliumnc.org
info@trilliumhealthresources.org
NC ROOTS webpage