North Dakota Federal RHTP Award (FY2026-FY2030)

Centers for Medicare & Medicaid Services (CMS)

Summary

Federal RHTP state award baseline derived from CMS 50-state spotlights.

Eligibility

States are eligible to apply. Program initiatives may benefit and distribute funds to rural health providers, Critical Access Hospitals (CAHs), Rural Health Clinics, Tribal Health Organizations, Federally Qualified Health Centers (FQHCs), EMS organizations, educational institutions, local governments, and community-based organizations.

State Health DepartmentCAHRural HospitalFlex ProgramNon-profitTribal Health OrganizationFQHCEMS OrganizationEducational InstitutionLocal GovernmentCommunity-Based Organization

Requirements Checklist

States must submit a single application covering all five years. Applications must invest in at least three permissible funding uses as described in OBBBA.
A sustainability plan is required.

Application scored on strategy, workplan, outcomes, projected impact, and technical/rural factors.

States must obligate awarded funds by end of federal fiscal year and liquidate by end of the following fiscal year.

Must show progress on initiatives to qualify for workload funding.

Renovations/alterations can’t exceed 20% of funding; provider payments max 15%; EMR replacement max 5%; technical fund max 10%/$20M.

Required attachments

Sustainability Plan
Application Narrative
Budget Proposal

Submission Instructions

Submission to CMS (portal/process not specified in document); North Dakota HHS leads state application development.

Source Documents

Primary: 1Supporting: 5Reference: 4

PDF

Additional files

APPLICATIONPDF

PDF

APPLICATIONPDF

APPLICATIONHTML

PDF

Application Prep

Portal: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

Budget Range

Minimum$199M

Maximum$199M

Contact

Sarah Aker, Executive Director, Medical Services (information shown in slide header, no email or phone provided)

AddedMay 1, 2026

UpdatedMay 1, 2026

Confidence94/100