# Rural Health Transformation Program Technical Assistance for Ensuring Safety Net Service Delivery Funding Opportunity The Ensuring Safety Net Service Delivery funding opportunity, under North Dakota’s Rural Health Transformation Program (RHTP), provides up to $15 million in competitive grant funding to rural and tribal health providers and partners to address critical service delivery gaps and improve health and behavioral health outcomes for rural and tribal Medicaid members and other residents across North Dakota. This opportunity, announced May 8, 2026, anticipates approximately 50 awards for projects that may include: expanding access to essential health and behavioral health services, enhancing workforce development, strengthening healthcare infrastructure, deploying telehealth solutions, procuring equipment, conducting limited facility renovations (with costs capped at 20% of a project's total budget), planning, training, and related capacity-building activities. Eligible applicants must directly benefit rural or tribal North Dakota residents. Administrative expenses are capped at 10% of the budget, provider payments at 15%, and renovation/alteration costs at 20%. Unallowable costs include construction, meals/food, and supplanting existing funding. All activities and costs must comply with relevant ND HHS and federal requirements (including 2 CFR Part 200 and 300). Rural/urban eligibility definitions and application requirements are clarified in the primary NOFO, with urban entities eligible only if their application targets rural beneficiaries or rural use of funds. Applicants must articulate measurable and sustainable health improvements, especially for Medicaid members, and applications must be submitted via the Qualtrics portal using all required templates by the published deadline. ## Key facts - Status: Closed - Type: RFA - Issued by: North Dakota Health and Human Services (ND HHS) (North Dakota) - Posted: 2026-05-08 - Application due: 2026-05-29 - Funding: $10,000 – $500,000 - Eligible applicants: Rural Hospital, Critical Access Hospital, Tribal Health Organization, Tribe, Clinic, Behavioral Health Provider, EMS Provider, Home Care Provider, Long-term Care Facility, Transportation Provider, Local Public Health, Non-profit, Community Organization, Faith-Based Organization, Municipality, Civic Group, Education System, Educational Institution, Parks and Recreation, For-profit (subrecipient only) - How to apply: Qualtrics online application portal (link on ND HHS RHTP funding page); submissions must include all required components and be received by the stated deadline. Late or incomplete applications will not be reviewed. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/safety-net-ta-call-handout-certified.pdf ## Eligibility Eligible applicants include organizations based in or serving rural or tribal regions of North Dakota. Urban entities (located in Grand Forks, Fargo, West Fargo, or Bismarck) are eligible only if at least 50% of project beneficiaries are rural ND citizens or all funds are used for rural ND residents. Eligible applicants: hospitals, clinics, home care providers, critical access hospitals, long-term care facilities, behavioral health providers, tribes and tribal health organizations, EMS providers, other health care providers, transportation providers, local public health, nonprofit organizations, educational institutions/systems, community organizations, faith-based organizations, parks and recreation, municipalities, and civic groups. For-profit providers are eligible as subrecipients/subcontractors only, not direct awardees. ## Requirements Applicants must: (1) Register to do business in North Dakota (Secretary of State); (2) Register in SAM.gov and obtain a UEI; (3) Register in the state vendor registry if not previously paid by ND; (4) Complete and submit an IRS W-9 or substitute W-9; (5) Submit a complete application package with narrative, action plan, and itemized budget using the required Excel template; (6) Respond to all application questions as published in the official NOFO; (7) Upload all required attachments in the Qualtrics portal by the deadline. All activities and costs must comply with RHTP Notice of Funding Opportunity guidance and state/federal (2 CFR Part 200 and 2 CFR Part 300) requirements. Administrative, provider payment, and renovation cost caps apply. ## Required attachments - Project Narrative - Action Plan - Itemized Budget Template (Excel format, as provided by ND HHS) - Budget Justification - Policies and Procedures (if applicable) - IRS W-9 or Substitute W-9 - Proof of North Dakota business registration - Proof of SAM.gov UEI - Itemized Subrecipient Budget (Excel, if vendors/partners are used) - Organization Background - Key Personnel/Staffing Plan ## Application package and source documents - [ND - 2026 - RHTP Technical Assistance for Ensuring Safety Net Service Delivery Funding Opportunity](https://www.ruralcarejourney.com/api/documents/d139c0d8-d421-40b2-9d72-4cd19e40ceeb/file) (primary) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/safety-net-ta-call-handout-certified.pdf - [ND - 2026 - RHT Funding Opportunities](https://www.ruralcarejourney.com/api/documents/7217deaa-8ff6-498f-9d09-c0d31497eb77/file) — official: https://www.hhs.nd.gov/rural-health-transformation/funding - [ND - 2026 - RHTP Technical Assistance for Mobile Mammography Unit Acquisition Funding Opportunity (20260611-rhtp-mobile-mammography-funding-opportunity)](https://www.ruralcarejourney.com/api/documents/c5e474aa-f9e4-4ee9-8efe-a1fde6cbc97e/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260611-rhtp-mobile-mammography-funding-opportunity.pdf - [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 - Deadlines approaching for RHTP funding opportunities (2026-05-26-listserv-Deadlines approaching for Rural Health Transformation Program funding opportunities)](https://www.ruralcarejourney.com/api/documents/57707f21-9ae9-430d-b5e8-a88a64fe5b35/file) - [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 Technology as an Extender July 30, 2026](https://www.ruralcarejourney.com/api/documents/acc240d5-5b43-45cd-a068-d35111e026a8/file) — official: https://www.hhs.nd.gov/sites/default/files/documents/rhtp/20260805-Tech-as-an-Extender-ppt-handout.pdf - [ND - 1982 - RHTP Technical Assistance for Ensuring Safety Net Service Delivery Funding Opportunity](https://www.ruralcarejourney.com/api/documents/97252d44-92a9-4dfc-9410-4d517b39da9d/file) — official: https://www.hhs.nd.gov/rural-health-transformation/support?utm_medium=email&utm_source=govdelivery 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/rural-health-transformation-program-technical-assistance-for-ensuring-safety-net--671b09e7a0 — data as of 2026-08-06. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.