# Telehealth Infrastructure Grant Program (Wave 6)

Competitive grants from the NC Office of Rural Health to rural North Carolina health care providers for telehealth infrastructure: equipment, high-speed internet access, telehealth training for staff and patients, technology equipment and internet service support for eligible patients, and other infrastructure needed to establish two-way, real-time audio and video telehealth. Priority goes to independent primary care and independent OB-GYN practices. Funded by a state appropriation (Session Law 2023-134, ARPA Temporary Savings Fund), not by the Rural Health Transformation Program.

## Key facts

- Status: Open
- Type: RFA
- Issued by: North Carolina Department of Health and Human Services, Office of Rural Health (ORH) (North Carolina)
- Posted: 2026-11-03
- Application due: 2027-01-15
- Funding: $15.0M – $250,000
- How to apply: Two steps: submit the organization's name and contact information through the ORH application link (open December 9, 2026 to January 15, 2027); ORH then emails a personalized link to the electronic application.
- Funding source: state-funded, not RHTP
- Official source: https://www.ncdhhs.gov/about/grant-opportunities/rural-health-grant-opportunities/telehealth-infrastructure-grant-program-wave-6

## Eligibility

Health care providers located in a rural area of North Carolina (ORH's rural county list or The Rural Center's definition). All rural NC-based primary care practices, including independent primary care and independent OB-GYN practices, are eligible; priority to independent primary care and OB-GYN practices. One application per organization.

## Requirements

Awards are for a 12-month funding period from June 1, 2027 through May 31, 2028, and all award funds must be expended by the contract end date. Grant awardees may claim pre-award allowable expenditures for qualifying telehealth services rendered from July 1, 2023 to March 1, 2025 if costs meet program criteria. Allowable uses include provider-managed telehealth equipment, high-speed internet access, telehealth-related training for staff and patients, patient technology equipment, patient internet service support, and other infrastructure needed to establish two-way, real-time interactive audio/video telehealth services. Awardees must submit required documents and complete registrations within 14 days of notice of award, report unduplicated patient counts at 3, 6, 9, and 12 months, and connect to NC HealthConnex. Indirect costs are not allowable for this grant as of April 16, 2026.

## Application package and source documents

- [NC - 2026 - Telehealth Infrastructure Grant Program (Wave 6) Request for Applications (Telehealth Infrastructure Program RFA (Wave 6))](https://www.ruralcarejourney.com/api/documents/09f8bae2-55fa-4497-b479-3e78b585859c/file) (primary) — official: https://www.ncdhhs.gov/telehealth-infrastructure-program-rfa-wave-6/download?attachment
- [NC - 2026 - Telehealth Infrastructure Program RFA Wave 6 (NCDHHS program page: Telehealth Infrastructure Grant Program Wave 6)](https://www.ruralcarejourney.com/api/documents/7461cad1-689c-409a-9505-1ea1c8bce38c/file) — official: https://www.ncdhhs.gov/about/grant-opportunities/rural-health-grant-opportunities/telehealth-infrastructure-grant-program-wave-6

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

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/telehealth-infrastructure-grant-program-wave-6--ad1a898ed8 — data as of 2026-11-13.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.