# North Dakota RHTP Clinics without Walls: Telehealth Infrastructure (Solicitation 210-331)

This is a competitive funding opportunity through North Dakota Health and Human Services' Rural Health Transformation Program (RHTP), supporting the expansion of telehealth infrastructure in rural and tribal communities lacking local healthcare providers. The goal is to create and enhance telehealth access points—such as telehealth pods in community facilities, mobile telehealth units, and technology upgrades—that enable rural Medicaid members and other underserved residents to access preventive services, behavioral health, specialty care, and chronic disease management. Approximately $3.6 million is available in this cycle, with an estimated 25 individual awards averaging $144,000 each. Funded projects are expected to strengthen rural care delivery capacity, increase access, and improve measured health outcomes. The operating period concludes August 31, 2027, and all awarded funds and equipment must be expended and received by that date.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: North Dakota Health and Human Services (ND HHS) — Rural Health Transformation Program (North Dakota)
- Posted: 2026-07-23
- Application due: 2026-08-14
- Funding: $3.6M
- Eligible applicants: Hospitals, Clinics, Home care providers, Long-term care facilities, Behavioral health providers, Tribes and tribal organizations (excluding federally operated IHS), Emergency medical services providers, Pharmacy providers, Health care providers, Local public health units
- How to apply: Online submission via the ND HHS Qualtrics application portal (link provided in solicitation guidance).
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260723-Clinics-Without-Walls-Telehealth-Infrastructure-FO.pdf

## Eligibility

Eligible applicants are rural healthcare organizations in North Dakota, including hospitals, clinics, home care and long-term care providers, behavioral health providers, emergency medical services, pharmacy providers, local public health units, Tribes and tribal organizations (excluding federally operated Indian Health Services facilities). Projects must serve rural residents; urban-based applicants are only eligible if at least 50% of the project serves ND rural citizens. Priority will be given to projects improving access and outcomes for rural, tribal, medically underserved, or frontier communities without local healthcare providers.

## Requirements

Applicants must submit a complete application through the Qualtrics portal by the deadline, including: organizational background; project narrative describing the identified need, proposed goals, specific strategies and activities; action plan with timeline, milestones, and key personnel; and a detailed budget using the ND HHS-provided template. Projects should focus on establishing or enhancing telehealth access points, upgrading technology and equipment for virtual care, and ensuring project sustainability. Only one application per organization is allowed. All activities and purchases must align with allowable uses; supplanting existing funding is not permitted. Applicants must meet detailed reporting and outcome tracking requirements if awarded.

## Required attachments

- Organizational background statement
- Project narrative
- Action plan and timeline
- Key personnel list
- Completed ND HHS budget template

## Application package and source documents

- [ND - 2026 - Clinics without Walls: Telehealth Infrastructure](https://www.ruralcarejourney.com/api/documents/a747c75e-d7b9-4d84-becb-8a97c92c48a9/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260723-Clinics-Without-Walls-Telehealth-Infrastructure-FO.pdf

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-rhtp-clinics-without-walls-telehealth-infrastructure-solicitation-2--aa70aada26 — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.