# RHTP Competitive Funding Opportunity: Rural Hospital Clinical Equipment (Solicitation 210-312)

North Dakota Health and Human Services (ND HHS) is offering up to $2,000,000 per eligible rural hospital through the Rural Health Transformation Program (RHTP) Competitive Funding Opportunity for Rural Hospital Clinical Equipment (Solicitation 210-312). Approximately $40 million in total funding will support the purchase, installation, and minor renovations associated with advanced clinical equipment at rural hospitals—including critical access hospitals, rural emergency hospitals, and general acute hospitals (including eligible non-federally operated Indian Health Service Hospitals). The opportunity advances Initiative 3: Bring High-Quality Healthcare Closer to Home by modernizing rural physical infrastructure, strengthening service capacity, improving clinical outcomes, reducing patient outmigration, and enabling more efficient and resilient care delivery. Eligible equipment includes, but is not limited to, diagnostic imaging, surgical, emergency department, inpatient, swing bed, cardiology, lab, pharmacy, environmental, rehabilitation, OB, oncology, home health, and department-specific advanced clinical and capital equipment. Associated installation and minor renovations integral to equipment are allowable. Unallowable costs include equipment or renovations for non-clinical purposes, supplanting of existing funding, major facility renovations, general facility improvements, and items outside clinical scope. One application per organization is permitted; all applications must be submitted via Qualtrics by June 30, 2026 (5:00 PM CT).

## Key facts

- Status: Closed
- Type: RFA
- Issued by: North Dakota Health and Human Services (North Dakota)
- Posted: 2026-06-04
- Questions due: 2026-06-23
- Application due: 2026-06-30
- Funding: $2.0M
- Eligible applicants: Rural Hospital (Critical Access Hospital, Rural Emergency Hospital, eligible General Acute Hospital, non-federally operated Indian Health Service Hospitals meeting ND HHS definition)
- How to apply: Online submission via Qualtrics portal: https://ndhealth.co1.qualtrics.com/jfe/form/SV_1WSVcqLVykzbtsi
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/Equipment%20Funding%20Opportunity%20Updated%206.4.pdf

## Eligibility

Eligible applicants are rurally located hospitals in North Dakota, specifically Critical Access Hospitals, Rural Emergency Hospitals, and General Acute Hospitals—including non-federally operated Indian Health Service Hospitals—meeting the CMS rural hospital definition. Ineligible entities include hospitals or facilities located in Grand Forks, Fargo, West Fargo, or Bismarck; clinics; health centers; behavioral health or psychiatric hospitals; and federally operated Indian Health Service hospitals.

## Requirements

Applicants must submit an electronic application through the Qualtrics portal, provide a completed Itemized Subrecipient Budget Template (Excel, with separate tabs for multiple priority requests), a project narrative addressing identified need, proposed goals, strategies, activities, measurable outcomes, and sustainability, an action plan (timeline, milestones, metrics, key personnel), and formal governing body approval (board or county commission, as appropriate). Funds may only be used for eligible rural hospital clinical equipment and associated installation/minor renovations. Funds cannot be used for pre-award costs, major construction, unallowable non-clinical items, supplanting existing funding, or expenses supported by other federal/state funds.

## Required attachments

- Completed application via Qualtrics portal
- Itemized Subrecipient Budget Template (Excel; separate tabs if multiple priorities)
- Project narrative (see application guidance requirements)
- Action plan (timeline, milestones, metrics, key personnel)
- Formal documentation of governing body approval (board minutes/approval letter or county commission minutes/letter, as applicable)

## Application package and source documents

- [ND - 2026 - RHTP Technical Assistance for Rural Hospital Clinical Equipment Funding Opportunity (Technical assistance call handout (June 3, 2026))](https://www.ruralcarejourney.com/api/documents/7be2d5c2-a230-490d-9d47-1540281bb366/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260603-rhtp-rural-hospital-equipment-funding.pdf
- [ND - 2026 - RHTP Competitive Funding Opportunity Application Guidance: Rural Hospital Clinical Equipment (Solicitation 210-312) (Official application guidance)](https://www.ruralcarejourney.com/api/documents/85fc12aa-7943-4ae4-9988-869de51d9407/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/Equipment%20Funding%20Opportunity%20Updated%206.4.pdf
- [ND - 2026 - Itemized Subrecipient Budget Template with Technology - Updated 6-12-26 (Budget template (technology update 6-12-26))](https://www.ruralcarejourney.com/api/documents/7daa53b4-408a-44d4-b7c2-6e158ef024ec/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/RHTP-Subrecipient-Budget-Template-Tech-6-12-26.xlsx
- [ND - 2026 - RHTP Technical Assistance for School-Based Wellness Equipment – July 1, 2026](https://www.ruralcarejourney.com/api/documents/2c6abee1-9239-4a95-9d8f-95827fd5a5c9/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260707-school-based-wellness-equipment-TA-call.pdf
- [ND - 2026 - RHTP Technical Assistance for Hospital-Based Wellness Equipment – July 1, 2026](https://www.ruralcarejourney.com/api/documents/59de7fe2-00f5-496b-906c-0eb494689cec/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260707-hospital-based-wellness-equipment-TA-call.pdf
- [ND - 2026 - Funding Opportunity Updates June 24, 2026](https://www.ruralcarejourney.com/api/documents/a69a0668-40c7-4a68-b6ce-c27942a543fb/file)
- [ND - 2026 - RHTP Technical Assistance for Rural Hospital Clinical Equipment Funding Opportunity, June 3, 2026 (Presentation_handout_-_Rural_Hospital_Clinical_Equipment) (TA call handout: Rural Hospital Clinical Equipment, Jun 3 2026)](https://www.ruralcarejourney.com/api/documents/1157df16-728f-421c-b44e-d98d67bbd0ef/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/Presentation%20handout%20-%20Rural%20Hospital%20Clinical%20Equipment.docx
- [ND - 2026 - North Dakota launches $40 million grant opportunity to help rural hospitals expand lifesaving care close to home (Program launch news article ($40M total pool))](https://www.ruralcarejourney.com/api/documents/ed8e3274-eb1c-499b-9fd8-0b753d2048fe/file)

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

---
Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/rhtp-competitive-funding-opportunity-rural-hospital-clinical-equipment-solicitat--d243ecbd20 — data as of 2026-08-22.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.