# North Dakota Federal RHTP Award: Year 1 (FY 2026)

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to North Dakota: $198,936,969.55, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; North Dakota's Year 2 award is $206,379,627.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (North Dakota)
- Application due: 2025-12-31
- Funding: $198.9M
- Eligible applicants: State Health Department, CAH, Rural Hospital, Flex Program, Non-profit, Tribal Health Organization, FQHC, EMS Organization, Educational Institution, Local Government, Community-Based Organization
- How to apply: Submission to CMS (portal/process not specified in document); North Dakota HHS leads state application development.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## 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.

## Requirements

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

## Application package and source documents

- [US - 2026 - CMS RHTP](https://www.ruralcarejourney.com/api/documents/e04c82f9-6d26-4d92-8db9-7715c2a38d4a/file) (primary) — official: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf
- [US - 2026 - RHT Program Overview](https://www.ruralcarejourney.com/api/documents/e6dd59cf-4228-45ce-8888-31634918e482/file) — official: https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
- [ND - 2025 - North Dakota RHT Plan Application Letter to CMS Administrator](https://www.ruralcarejourney.com/api/documents/350067dc-fbdc-4951-a446-d5eb903e3dbf/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/nd-rhtp-governor-letter-exclusion.pdf
- [ND - 2025 - North Dakota RHT Plan Budget Narrative – Year 1](https://www.ruralcarejourney.com/api/documents/1ba6cda2-a1c1-46f9-9a77-2e7fcb18ab46/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/nd-rhtp-year-one-budget-narrative-exclusion.pdf
- [ND - 2026 - North Dakota BRFSS Comparisons by Urban/Rural County of Residence and North Dakota Rural Health Workforce Transformation Strategic Plan](https://www.ruralcarejourney.com/api/documents/26d9e387-0b36-44ff-ad17-b35dd32384eb/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/nd-rhtp-project-appendics-exclusion.pdf
- [ND - 2026 - Funding Opportunity Scoring Tool Attachment B: Scoring Tool](https://www.ruralcarejourney.com/api/documents/2172a70b-0a19-4b6a-9325-2ea7764c462b/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/scoring-tool-exclusion.pdf
- [ND - 2026 - North Dakota Federal RHTP Award (FY2026-FY2030)](https://www.ruralcarejourney.com/api/documents/44d681d0-6902-4447-b4c2-d42be1f0c8c7/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/grant-template-exclusion.pdf
- [ND - 2026 - RHTP Competitive Funding Opportunity Application Guidance: Behavioral Health Promotion Community Grants](https://www.ruralcarejourney.com/api/documents/70c02995-ff14-4350-8ff1-a76c56c739b0/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/behavioral-health-promotion-community-grants-exclusion.pdf
- [ND - 2026 - Behavioral Health Promotion Community Grants Funding Opportunity Application Guidance](https://www.ruralcarejourney.com/api/documents/c42cb719-db0a-4630-8fa3-514c3088e53a/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/behavioral-health-promotion-community-grant-exclusion.pdf
- [ND - 2026 - Rural Workforce Retention Funding Opportunity Solicitation Number: 210-22102](https://www.ruralcarejourney.com/api/documents/377a9167-09d9-4195-9a2b-61a0dabf784d/file) — official: https://www.hhs.nd.gov/rural-health-transformation/funding/workforce

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/north-dakota-federal-rhtp-award-year-1-fy-2026--0795e5df61 — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.