# North Dakota RHTP: Non-Emergency Medical Transportation Acquisition

Competitive RHTP funding for existing community-based healthcare organizations to purchase new accessible vans or transportation vehicles for NEMT within or from rural areas to care delivery. Eligible vehicles include small or large chassis vans with wheelchair lifts, passenger seating, and vehicle tracking hardware. Applicants must propose acquisition of new vehicles to expand transportation access for rural and rural tribal Medicaid-enrolled populations; replacing or upgrading existing vehicles is unallowable. Funded projects are expected to support Initiative 3 of North Dakota’s RHTP: improving access to care by reducing avoidable emergency department visits, enhancing care coordination, and improving timeliness of specialist appointments for Medicaid beneficiaries in rural areas. Awards are anticipated to be collaborative in design but financially independent, requiring robust reporting by individual applicants.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: North Dakota Health and Human Services (North Dakota)
- Posted: 2026-08-04
- Questions due: 2026-08-12
- Application due: 2026-08-19
- Funding: $2.0M
- Eligible applicants: Rural hospitals, Rural clinics, Federally qualified health centers, Non-federally operated Indian Health Services facilities, Tribally run 638 health facilities
- How to apply: Application submission through Qualtrics portal; upload completed "Itemized Subrecipient Budget Template" in Excel format.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260804-non-emergency-medical-transportation-acquisition-FO-V1.pdf

## Eligibility

Eligible applicants are existing rural community-based healthcare organizations that are currently enrolled Medicaid providers in good standing. These include rural hospitals, clinics, federally qualified health centers, non-federally operated Indian Health Services facilities, and tribally run 638 health facilities. Applicants must serve rural North Dakota residents, including rural tribal populations. Entities located within or serving the cities of Grand Forks, Fargo, West Fargo, and Bismarck are considered urban and are not eligible.

## Requirements

Applicants must submit an application through Qualtrics by the due date, including detailed responses to all questions and an itemized budget using the provided Excel template. Only new vehicle purchases are allowable. Replacing or upgrading existing vehicles is unallowable. Applicants must identify key personnel, demonstrate alignment with eligible project types and metrics, and detail a strategy, outcomes, and reporting plan. Successful applicants must enroll as NEMT providers and comply with the North Dakota Medicaid Billing and Policy Manual. Collaborative proposals should be financially independent, with no passthrough entities or subawards.

## Required attachments

- Completed Itemized Subrecipient Budget Template (Excel)
- Letters of support from partner organizations (if applicable)

## Application package and source documents

- [ND - 2026 - Non-Emergency Medical Transportation Acquisition Funding Opportunity Application Guidance (Funding Opportunity Application Guidance)](https://www.ruralcarejourney.com/api/documents/ee8f586c-ad5e-4f50-82d7-e350dc1f198a/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260804-non-emergency-medical-transportation-acquisition-FO-V1.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-non-emergency-medical-transportation-acquisition--694dbd9e31 — data as of 2026-08-19.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.