# Rightsizing Health Care Delivery Systems for the Future: Rural Federally Qualified Health Centers and Critical Access Hospitals

North Dakota Health and Human Services, through the Rural Health Transformation Program, offers competitive funding for rural Federally Qualified Health Centers (FQHCs) and Critical Access Hospitals (CAHs) to receive technical assistance and comprehensive financial and operational assessments. The opportunity supports efforts to rightsize infrastructure and care delivery models for future sustainability. Up to 42 awards of $40,000 each are expected, and selected participants will receive assistance from the preferred TA vendor Eide Bailly in year one. Program includes market share analysis, productivity assessment, operational consulting, and development of an action plan for right-sizing services and infrastructure.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: North Dakota Health and Human Services: Rural Health Transformation Program (North Dakota)
- Posted: 2026-05-01
- Application due: 2026-05-22
- Funding: $40,000
- Eligible applicants: Critical Access Hospital, Federally Qualified Health Center
- How to apply: Applications must be submitted through the North Dakota Health and Human Services RHTP application portal as described in the guidance document.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/rightsizing-health-care-delivery-systems-exclusion.pdf

## Eligibility

Rural Federally Qualified Health Centers and Critical Access Hospitals located in North Dakota are eligible to apply. Applicants must be able to participate in technical assistance and reporting requirements as outlined in the funding guidance.

## Requirements

Applicants must submit background information, a project narrative, an action plan, and a budget. Required participation includes technical assistance activities, and completing comprehensive financial and operational assessments. Ongoing progress reporting is required as specified in the program guidelines.

## Required attachments

- Background Information
- Project Narrative
- Action Plan
- Budget

## Application package and source documents

- [ND - 2026 - Rightsizing Health Care Delivery Systems for the Future: Rural Federally Qualified Health Centers and Critical Access Hospitals](https://www.ruralcarejourney.com/api/documents/dd1dad97-346e-4e0e-9c2f-b169257598eb/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/rightsizing-health-care-delivery-systems-exclusion.pdf
- [ND - 2026 - North Dakota Health and Human Services is announcing multiple RHTP funding opportunities now open for application across rural and tribal…](https://www.ruralcarejourney.com/api/documents/6d419c11-351b-4aed-b4b7-7759b8cf2610/file)
- [ND - 2026 - RHTP Technical Assistance for Rightsizing Rural Health Care Delivery System for the Future, May 7, 2026 (Rightsizing TA Call Handout (May 7 2026))](https://www.ruralcarejourney.com/api/documents/c0cd502a-7d72-41de-9278-d1129e2f929f/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/rightsizing-ta-call-handout-certified.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/rightsizing-health-care-delivery-systems-for-the-future-rural-federally-qualifie--28d7991fa8 — data as of 2026-06-21.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.