# North Carolina Minority Diabetes Prevention Program - Region 8 Rural Health Transformation Grant – FY 2026

The North Carolina Department of Health and Human Services (NCDHHS), Office of Minority Health and Health Disparities, seeks qualified applicants to deliver the Minority Diabetes Prevention Program in Region 8 (Bladen, Brunswick, Columbus, Duplin, New Hanover, Onslow, Pender, Robeson, Sampson counties). Grantees must screen at least 165 residents for prediabetes, enroll a minimum of 50 participants in a CDC-recognized 12-month lifestyle change program, ensure at least 60% participation from minoritized populations, and coordinate at least 4 12-month lifestyle class series. The project must maintain CDC DPRP recognition, establish collaborative partnerships (including Tribal engagement when applicable), provide outreach and quality improvement, submit a Project Plan per Division guidance, and comply with fiscal/programmatic reporting requirements. Year 1 funding is $195,105 (100% federal via CMS RHT Program). Per Addendum 1 (issued June 19, 2026), the submission deadline was extended to July 10, 2026, 5:00 PM ET, and participant eligibility was clarified to require CDC DPRP eligibility (qualifying prediabetes blood test, history of gestational diabetes, or a positive prediabetes risk screening) in addition to BMI/age/no-prior-diagnosis criteria. Per Addendum 2 (issued July 2, 2026), Year 1 award amount is revised to $195,105 and the application deadline is extended to July 17, 2026, 5:00 PM ET. Applications are due via email to OMHHD@dhhs.nc.gov.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: North Carolina Department of Health and Human Services, Office of Minority Health and Health Disparities (North Carolina)
- Posted: 2026-06-15
- Questions due: 2026-06-29
- Application due: 2026-07-17
- Funding: $195,105
- Eligible applicants: For-profit, Local Health Department, Tribal Health Program, Non-profit, Community-based Organization, Faith-based Organization, Academic Institution, Other government entities
- How to apply: Email complete application and attachments (subject line: NC MDPP Funding Opportunity) to OMHHD@dhhs.nc.gov by July 17, 2026, 5:00 PM ET. (Per Addendum 2)
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.ncdhhs.gov/rfa-2026-nc-mdpp/download

## Eligibility

Eligible applicants are public or private, for-profit or nonprofit organizations, nonprofit organizations with 501(c)(3) status, local health departments, Tribal health programs, other eligible government entities, community- or faith-based entities, and academic institutions recognized under North Carolina law. Applicants must demonstrate experience delivering community-based health or chronic disease prevention programs, particularly for populations at higher risk for diabetes, and must have the administrative and operational capacity to implement a 12-month lifestyle change program in accordance with CDC Diabetes Prevention Recognition Program (DPRP) standards. Applicants must also show meaningful engagement with the communities they intend to serve, including partnerships with community leaders, faith-based organizations, or Tribal representatives, and a governance structure or advisory mechanism that ensures community input into program planning and implementation. Individuals, including sole proprietorships, and foreign organizations are not eligible.

## Requirements

Screen at least 165 residents for prediabetes; enroll at least 50 participants in a CDC-recognized 12-month lifestyle intervention; deliver services in Bladen, Brunswick, Columbus, Duplin, New Hanover, Onslow, Pender, Robeson, Sampson counties; ensure ≥60% of participants are from minoritized populations; maintain CDC DPRP recognition and compliance; establish collaborative governance with partners including Tribal groups; demonstrate risk management, monitoring, and reporting systems; comply with a 10% indirect cost cap, reimbursement-only funding, cost documentation standards, and all state/federal programmatic requirements.

## Required attachments

- Cover Page
- Proposal Summary
- Organization Background and Qualifications
- Needs Assessment
- Applicant’s Approach
- Project Narrative
- Budget and Narrative
- Supporting Documentation
- Risk and Monitoring Plan
- Proof of Non-Profit Status
- Conflict of Interest Policy
- Signed State/Federal Certifications
- Certification of No Overdue Taxes (Notarized)
- Board Letter for Person Authorized to Sign
- Documentation for Unique Entity Identifier (UEI)
- eProcurement Registration
- Indirect Cost Rate Letter (if applicable)
- NC Secretary of State Registration (non-governmental entities)

## Application package and source documents

- [NC - 2026 - North Carolina Minority Diabetes Prevention Program - Region 8 RHT Grant – FY 2026](https://www.ruralcarejourney.com/api/documents/68f3237b-aefd-4b9e-9b57-b525126adbbb/file) (primary) — official: https://www.ncdhhs.gov/rfa-2026-nc-mdpp/download
- [NC - 2026 - Addendum #1 – Clarification of Participant Eligibility Requirements for the NC Minority Diabetes Prevention Program (NC MDPP) – Region 8 RFA (RFA Addendum 1 (deadline extension + eligibility clarification))](https://www.ruralcarejourney.com/api/documents/5ac59582-7152-4925-a242-ff3fda2153eb/file) — official: https://www.ncdhhs.gov/nc-mdpp-rfa-addendum-1/download
- [NC - 2026 - NC RHTP Initiative Six: Digital Health](https://www.ruralcarejourney.com/api/documents/23bd16eb-de65-4f86-9562-6b252b09d0ed/file) — official: https://www.ncdhhs.gov/divisions/office-rural-health/rural-health-transformation-program/ncrhtp-initiative-six-digital-health?utm_source=NCDHHS+Rural+Health+Transformation+Program+News&utm_campaign=e08841282d-EMAIL_CAMPAIGN_2026_04_13_05_40_COPY_01&utm_medium=email&utm_term=0_-9b60c926d1-434328118&mc_cid=e08841282d&mc_eid=4437229f64
- [NC - 2026 - RHT Grant – FY 2026](https://www.ruralcarejourney.com/api/documents/d6832381-2c27-4332-be54-1c91dcd637d6/file) — official: https://www.ncdhhs.gov/nc-mdpp-rfa-addendum-2/open
- [NC - 2025 - NC Department of Health and Human Services launches dashboard of Year 1 RHTP awards; CMS awards $100 million for Year 2 (NC diabetes prevention 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/

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/north-carolina-minority-diabetes-prevention-program-region-8-rural-health-transf--f959ff7e0e — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.