HHS Region 4 · North Carolina Office of Emergency Medical Services (NCOEMS)
Program Overview
North Carolina's Rural Health Transformation Program is in the implementation phase, with six regional ROOTS Hubs launched in 2026 to coordinate initiatives across 85 rural counties. Major focus areas include integrating primary, behavioral, and social health services, advancing chronic disease prevention, expanding maternal and school health centers, supporting workforce development, preparing providers for value-based care, and investing in digital health innovation and infrastructure modernization. Current structured plan tracks 6 key initiatives and 14 strategic goals.
Updated
County-level estimates averaged across North Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (100)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Wake County | 1,178,653 | 8.1% | 5.1% |
| Mecklenburg County | 1,154,681 | 10.4% | 7.4% |
| Guilford County | 547,940 | 14.6% | 10.3% |
| Forsyth County | 389,977 | 14.5% | 10.1% |
| Cumberland County | 338,545 | 16.7% | 13.3% |
| Durham County | 332,353 | 11.5% | 7.6% |
| Buncombe County | 274,360 | 11.8% | 6.4% |
| Union County | 250,958 | 7.7% | 5.6% |
| Cabarrus County | 236,133 | 9.3% | 6.8% |
| New Hanover County | 235,229 | 12.3% | 7.5% |
| Gaston County | 234,881 | 13.5% | 10.0% |
| Johnston County | 234,263 | 10.6% | 7.6% |
AI source: NC - 2026 - State Launches NEW RHTP Dashboard
AI auto-updated Nov 7, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in North Carolina?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $429,832,929.77 (Year 1 $213.0M + Year 2 $216.8M)
Initiatives (6)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). Complete In progress Not started
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
No related documents
No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
10 related documents
2,196,327 rural residents
North Carolina continues implementation of the Rural Health Transformation Program. As of October–November 2026, six NC ROOTS Hub Leads are operating, each with advisory boards and active RFAs for initiatives in workforce, maternal health, and nutrition. The $20 million Rural Health Innovation Fund is launched and accepting applications, and both statewide and regional grant opportunities are open for local providers. Year 1 funds have been awarded and projects are underway, with $123.5M to ROOTS hubs and $11.2M to EMS programs; application periods remain ongoing for additional grants. State opportunities: 1 active (1 closing soon, 9 past/closed), $21.8M listed funding. Key opportunities: North Carolina Rural Health Innovation Fund; Expanding School Health Centers to Rural Areas Funding Opportunity; NC Mobile Integrated Health (MIH) and Community Paramedicine Program Grant. Strategy alignment: supports telehealth, care access, workforce priorities.
North Carolina’s Rural Health Transformation Program (RHTP) continues to advance regionally governed NC ROOTS Hub Leads in all six Medicaid regions, anchoring rural health transformation through coordinated partnerships and targeted investment in proven interventions. Advisory boards and the statewide RHTP Advisory Committee, meeting quarterly and open to public participation, steer priorities across workforce, primary care, chronic disease, behavioral health, financial innovation, and digital modernization. The program leverages both the Rural Health Innovation Fund and competitive grants to bolster provider capacity, accelerate digital health expansion, and close access gaps. Year 2 moves from planning into phased statewide implementation, maintaining current milestones and adapting as guided by advisory input.
Model
Regionally governed NC ROOTS Hubs serve as backbone entities in each Medicaid region, linking medical, behavioral, workforce, technology, and value-based payment transformation. Hub Leads coordinate governance, regional subgranting, and partner networks according to assessed needs and state priorities, overseen by advisory boards and the RHTP Advisory Committee.
Key Initiatives (6)CMS official list ↗
Supporting activities (15)
• Establish and fund NC ROOTS Hub Leads in all Medicaid regions to coordinate rural health transformation and conduct regional needs assessments
• Maintain regional advisory boards (including tribal government appointees) and quarterly public RHTP Advisory Committee meetings for program governance, accountability, and community engagement
Timeline: Five-year phased implementation: ROOTS Hub contracts and regional needs assessments (2026–2027); statewide sequential rollout of program initiatives and digital health expansion (2026–2031); quarterly RHTP Advisory Committee meetings and formal regional advisory boards beginning in 2026 to guide ongoing program refinement.
Build a Robust & Resilient Workforce & Innovative Care Team Models for Rural Communities
Build Rural Community Care Network "Hubs"
Create Models & Capacity for Expanded Primary Care, Prevention, and Chronic Disease
Ensure Fiscal Sustainability of Rural Health Providers Through Innovative Financial Models
Expand and Integrate Behavioral Health and Substance Use Disorder Services
Modernize Rural Care Delivery Through Digital Forward Solutions
State Policy Action commitments (3 of 19)
Focus on prevention and control of diabetes, hypertension, cancer screening, and maternal health through expanded programs and nutrition supports.
Development of rural residency programs, incentives, and innovative career pathways to address provider shortages.
Rural areas face limited access to physical and behavioral health providers, impacting youth health outcomes.
NC - 2026 - North Carolina RHTP Award Announcement
Auto-grouped context match (37%)
NC - 2025 - North Carolina Department of Health and Human Services Submits RHT Plan to CMS
NCDHHS press release: RHT plan submitted to CMS (Nov 2025)
NC - 2026 - NC RHTP Newsletter: Oct. 12, 2026
NC RHTP newsletter — activity award evidence
NC - 2027 - Transforming Rural Health in North Carolina: Our Progress
NC - 2027 - Transforming Rural Health in North Carolina: Our Progress
NC - 2026 - NC RHTP Newsletter: Nov. 3, 2026
NC - 2026 - NC RHTP Newsletter: Nov. 3, 2026
NC - 2026 - NC Department of Health and Human Services Launches Dashboard of Year 1 RHTP Awards; CMS Announces $100 Million for Year 2
NC - 2026 - NC Department of Health and Human Services Launches Dashboard of Year 1 RHTP Awards; CMS Announces $100 Million for Year 2
NC - 2025 - NC RHTP Awarded Projects and Budget Allocations for Year 1
NC - 2025 - NC RHTP Awarded Projects and Budget Allocations for Year 1
NC - 2026 - NCRHTP Holds First Advisory Committee Meeting
NCRHTP Holds First Advisory Committee Meeting
NC - 2025 - North Carolina Launches RHT
Award evidence — reconciled 2026-09-27
NC - 2026 - RHT Program Annual Report
North Carolina RHTP Year 1 annual report
North Carolina Department of Health and Human Services (NCDHHS) – Office of Rural Health
Due Nov 17, 2026· ⏰ 5 days left
3 related documents
NC - 2026 - Grant Opportunities Open Grant Opportunities
NC - 2026 - El Departamento de Salud y Servicios Humanos de Carolina del Norte y el Departamento de Informática de Carolina del Norte anunciaron hoy el lanzamiento del Fondo de Innovación…
Official NCDHHS program announcement
NC - 2026 - Rural Health Innovation Fund Readiness Intake
Official readiness-intake application portal
NC Department of Health and Human Services (NC Medicaid / NC Rural Health Transformation Program)
Grouped files
1 related document
NC - 2025 - North Carolina RHTP CMS-RHT-26-001
NC RHTP application (CMS-RHT-26-001) - lists the Medicaid rural primary care capitation pilot
Trillium Health Resources (NC ROOTS Hub Lead, Regions 2 & 5)
Due Sep 1, 2026
4 related documents
NC - 2026 - Region 5 NC ROOTS
NC ROOTS Region 5 supporting source
By budget period: BP1 $203.8M (from the award date, the source's publish date, or RCJ having recorded the award before Budget Period 2 began)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026BP1 | Trillium Health Resources Financial Sustainability: ROOTS Hub Regional Hospital Sustainability (Trillium Region 2). These funds support rural hospitals as they adapt to financial pressures and changing community needs. | $583K | — | |
| 2026BP1 | Trillium Health Resources Behavioral Health Expansion: Rural Crisis Center Program. Builds a Rural Crisis Center to strengthen crisis stabilization services. | $40K | — | |
| 2026BP1 | Trillium Health Resources Prevention and Chronic Disease Management: ROOTS Hub Regional Nutrition Access (Trillium Region 5). These funds support efforts to improve access to healthy food in rural communities. Regions use them to strengthen local food programs, connect families with nutrition services, and reduce barriers to getting healthy meals. | $400K | — | |
| 2026BP1 | Trillium Health Resources Community-Rooted Care Work: ROOTS Hub Lead Core Functions (Trillium Region 5). Leads a locally governed network connecting healthcare, behavioral health, and social supports, based on extensive regional needs assessments and community engagement. | $12.5M | — | |
| 2026BP1 | Trillium Health Resources Community-Rooted Care Work: ROOTS Hub Regional Tribal Programming (Trillium Health Resources Region 5). These funds help regions partner directly with Tribal Nations and tribal communities to identify needs, strengthen relationships, and support culturally-grounded health and wellness initiatives. The work ensures Tribal communities have a strong voice in planning and program design. | $2.3M | — | |
| 2026BP1 | Trillium Health Resources Prevention and Chronic Disease Management: ROOTS Hub Regional Chronic Disease & Prevention (Trillium Region 5). These funds help regions expand programs that prevent and manage chronic diseases like diabetes and heart disease. The work focuses on connecting rural residents with education, screenings, and supports that help them stay healthy. | $400K | — | |
| 2026BP1 | Trillium Health Resources Financial Sustainability: ROOTS Hub Regional Hospital Sustainability (Trillium Region 5). These funds support rural hospitals as they adapt to financial pressures and changing community needs. | $583K | — | |
| 2026BP1 | Trillium Health Resources Workforce Development: ROOTS Hub Regional Workforce Development Transformation (Trillium Region 2). These funds help regions strengthen their health and social services workforce development by expanding training, recruitment, and retention efforts. This ensures rural communities have more trusted providers and support staff to meet growing needs. | $5.8M | — | |
| 2026BP1 | Trillium Health Resources Community-Rooted Care Work: ROOTS Hub Regional Rural Needs Assessment (Trillium Health Resources Region 2). These funds support each region in working with community partners to identify health and social service needs in rural areas. The findings help shape programs that address the challenges rural residents face. | $500K | — | |
| 2026BP1 | Trillium Health Resources Community-Rooted Care Work: ROOTS Hub Regional Rural Needs Assessment (Trillium Health Resources Region 5). These funds support each region in working with community partners to identify health and social service needs in rural areas. The findings help shape programs that address the challenges rural residents face. | $500K | — |
North Carolina has launched a new Rural Health Transformation Program Dashboard to provide insights and data regarding their rural health initiatives.
North Carolina launched a public dashboard summarizing all Year 1 RHTP projects, awards, counties served, and project descriptions. The state met every federally required milestone in Year 1 and will move into wider implementation in Year 2 with a $100 million federal CMS award. New investments include major initiatives in EMS opioid response, behavioral health expansion, diabetes prevention, and a competitive $20M Rural Health Innovation Fund for digital health infrastructure. Key contacts: Impact Health; Trillium Health Resources; Vaya Health; UNC Health Event schedule: - Rural Health Innovation Fund Informational Webinar - 11/05/2026 - 12:00 PM ET - Webinar link - National Rural Health Day Celebration - 11/19/2026 - 9:30 AM - 3:30 PM ET - Eastern AHEC, 2600 Arlington Blvd., Greenville, NC 27834 - NCRHTP Advisory Committee Meeting - 11/04/2026 - 2:00 PM - 4:00 PM ET - NCDHHS Headquarters, 1915 Health Services Way, Raleigh, or online (YouTube link) - NC Medicaid Primary Care Payment Pilot Program Feedback Submission Deadline - 11/09/2026 - ET - Online form
Event Schedule
Contacts
Core Initiatives
CMS announced $10 billion in second-year RHTP awards to all 50 states, building on prior progress and supporting a range of rural health transformation strategies. Funding supports implementation of approved state plans focused on access, workforce, prevention, and technology. The program encourages state flexibility, accountability, and tailored solutions for rural health improvement. Event schedule: - FY 2027 Rural Health Transformation Awards Announcement - 11/09/2026 - Nationwide
Event Schedule
Core Initiatives
North Carolina submitted a comprehensive rural health transformation plan requesting $200 million annually in federal funding over five years to improve health for nearly 3 million rural residents in 85 counties. The plan outlines six key strategies including launching a locally governed hub, expanding prevention and mental health services, investing in the rural health workforce, and enhancing technology. Event schedule: - Expected CMS funding decision announcement - 12/31/2025 - NCDHHS congressional briefing - 11/21/2025 - Raleigh, NC
Event Schedule
Core Initiatives
This form collects detailed information about organizational technology readiness for rural health providers in North Carolina, including EHR integration, broadband connectivity, patient engagement, cybersecurity, population health tools, and strategic planning. Applicants must provide information about clinical volume, rural patient proportions, payer mix, and IT workforce. The form is part of the RHIF initiative to assess and fund technology modernization in eligible rural health settings.
North Carolina received a $213 million CMS award for Year 1 of the Rural Health Transformation Program focused on six interconnected initiatives to improve rural health. The state awarded funds to projects including EMS Mobile Integrated Health and ROOTS Hub Leads, investing in workforce, technology, and coordinated care networks. Event schedule: - Year 1 Spending Deadline - 09/30/2027 - North Carolina - Year 2 Program Start - 10/31/2026 - North Carolina
Event Schedule
Core Initiatives
In its first year, North Carolina received $213 million from CMS, awarded to local and regional projects with spending allowed through September 2027. The program focuses on six interconnected initiatives including mobile health, regional coordination hubs, behavioral health expansion, and workforce development. Year 2 began in October 2026 with a $100 million initial award announced by CMS.
The NC Rural Health Transformation Program emphasizes digital health and technology as one of its six core initiatives. This initiative includes improving health information sharing, deploying AI to support rural providers, and promoting digital literacy among residents.
Event Schedule
Core Initiatives
NC's Rural Health Transformation Program includes six core initiatives with a focus on advancing digital health and technology. This includes improving health information sharing, leveraging artificial intelligence, and enhancing digital literacy among rural residents.
Core Initiatives
The program includes launching a locally governed NC ROOTS Hub to connect medical, mental health, and social supports, expanding prevention and chronic disease management programs, increasing access to mental health services, investing in the rural healthcare workforce, supporting providers transitioning to value-based care, and enhancing healthcare technology. It involves collaboration across state agencies, community organizations, academic institutions, and rural providers. The program will support over 400 rural health facilities and nearly 3 million rural residents. Event schedule: - NCDHHS Congressional and NC General Assembly Briefing - November 21, 2025 - Raleigh, NC - Anticipated CMS Funding Decision Announcement - December 31, 2025 - Program Begin Date - Early 2026
Event Schedule
Core Initiatives
In Year 1, North Carolina rapidly obligated $213 million in federal RHTP funding, launching regional Hubs and initiating targeted investments in EMS, behavioral health, and diabetes prevention. The program is building statewide infrastructure and using local needs assessments to guide ongoing implementation. Over 3.5 million rural residents are impacted by these efforts.
Core Initiatives
This document highlights early implementation partners in North Carolina's Region 4 under the NC ROOTS program. The initiatives focus on chronic disease prevention, cancer prevention, maternal and infant health, and building workforce capacity through integrated training and community engagement.
Core Initiatives
Event schedule: - First Published - 09/25/2026 - Last Updated - 09/25/2026
Event Schedule
This document lists the advisory board members of NC ROOTS HUB Region 2, showing cross-sector leadership from universities, healthcare, community organizations, and tribal groups focused on workforce development, behavioral health, nutrition, and other rural health priorities.
This document highlights a job posting for the RHTP CSC Program Lead position for North Carolina.
2030
Complete all 2030 milestones
Provide evidence that all milestones scheduled for completion by 2030 have been completed.
Q2 2028
Complete Q2 2028 milestones
Provide evidence that all milestones scheduled for completion by Q2 2028 have been completed, unless CMS has approved an adjustment.
July 30, 2027
Year 1 Round 1 Activity Completed
Year 1 Round 1 activity completed.
July 30, 2027
Round 1 Activity Completed
Activities for Round 1 are completed by July 30, 2027.
February 15, 2027
Year 1 Round 2 Application Cycle Opens
Year 1 Round 2 Application Cycle opens.
February 2027
Year 1, Round 2 Opens
Year 1, Round 2 of RHIF opens in February 2027.
Anticipated January 2027
Awards Announced
Awards are anticipated to be announced.
November 16, 2026 (11:59 pm)
Application Closes
Application for the RHIF closes on November 16, 2026.
November- December 2026
Application Review Window
Application review window for Year 1 Round 1.
November–December 2026
Review Window
Applications are reviewed from November to December 2026.
October 31, 2026
Intake Assessment Closes
Year 1 Round 1 Intake Assessment closes.
October 30, 2026
Remaining Year 1 funds committed
The remaining 20% of Year 1 funds will be committed by October 30, 2026.
NC - 2027 - Trump Administration Announces $10 Billion in Second Year of RHT Awards to All 50 States
Nov 9, 2026 16:47
·EmailNC - 2025 - NC Department of Health and Human Services launches dashboard of Year 1 RHTP awards; CMS awards $100 million for Year 2
NC - 2026 - North Carolina Launches New RHTP Dashboard
Nov 3, 2026 18:09
·EmailNC RHTP site updated — 1 new, 0 existing source(s) refreshed
NC state summary updated: transformationStrategy initiatives: 16 -> 6
North Carolina’s Rural Health Transformation Program (RHTP) continues deploying regionally governed ROOTS Hub Leads in all six Medicaid regi…
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 59.
NC - 2026 - Intellectual Developmental Disability (I/DD) Services Array Brochure
NC - 2026 - EPSDT brochure
NC - 2026 - Mental Health First Aid Brochure
2026 · PDF
NC - 2026 - Individual & Family-Directed Supports Brochure
2026 · PDF
NC - 2026 - CFAC Brochure
NC - 2026 - CIT Brochure
10A NCAC 41A .0206 Infection Prevention – Health Care Settings
NC - 2026 - Request an Award
HTML
NC - 2026 - NCDHHS Announces More Than $17 Million for Rural Mental Health Services
2026 · HTML
NC - 2025 - North Carolina Department of Health and Human Services to Begin Preparing Application for RHTP Funding
2025 · HTML
NC - 2026 - Rural Health Innovation Fund Readiness Intake
FY2026 · HTML
NC - 2026 - Budget and Implementation Plan template download
XLSX
NC - 2026 - Budget and Implementation Plan template download
XLSX
NC - 2026 - RHTP CSC Program Lead JR 121057
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Print Form Application for Health Coverage & Help Paying Costs
Healthy Opportunities Network Leads and Regions Awarded
Open
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NC - 2026 - Providers: We Need Your Insight to Shape Rural Health Technology Innovation in NC
2026
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2025 Appropriations Act Legislative Fiscal Note
2025-2026 · PDF
2025 Appropriations Act. Fiscal Note for Senate Bill 257 (Fourth Edition)
2025-2026 · PDF
Legislative Actuarial Note – Health Benefits: 2025 Appropriations Act
2025 · PDF
2025 Appropriations Act
2025 · PDF
2025 Appropriations Act Legislative Fiscal Note
2025-2026 · PDF
2025 Appropriations Act Legislative Actuarial Note - Retirement
2025-2026 · PDF
2025 Appropriations Act
2025-2027 · RTF
2025 Appropriations Act
2025-2027 · PDF
2025 Appropriations Act
2025-2027 · PDF
Article 2. Verification of Work Authorization
2025 · PDF
North Carolina Suspension Of Funding List RHTP Reference
2025-2026 · HTML
NC - 2027 - North Carolina RHTP Project Abstract and Summary
2027-2031 · PDF
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09 Ncac 03m .0205
Submit a Request - Meetings | NC Governor
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NC - 2026 - Region 2 NC ROOTS
Source listing page
NC - 2026 - RFA No. THR-ROOTS2-2026-004 NC ROOTS Region 2 I Gave Birth Implementation
Primary source
NC - 2026 - About the NC ROOTS Hubs
Auto-linked by context
North Carolina has launched a statewide Rural Health Transformation Program with over $213 million in initial federal funding. An Advisory Committee representing over 40 diverse organizations will help guide program design and implementation. The committee meets quarterly and is open to public participation. Key contacts: Debra Farrington ruralhealthtransformation@dhhs.nc.gov; Dev Sangvai ruralhealthtransformation@dhhs.nc.gov Event schedule: - Next Advisory Committee Meeting - November 4, 2026 - 2:00 PM - 4:00 PM - NCDHHS Headquarters, 1915 Health Services Way, Raleigh and online via NCDHHS YouTube
Event Schedule
Contacts
Core Initiatives
This award announcement details NC's RHTP allocation for priority projects focused on rural health transformation, including behavioral health clinics, EMS mobile integrated care, crisis response, hospital sustainability, and health equity efforts. Over 100 awards are distributed across dozens of counties and community organizations, with work beginning in 2025 and funds available until September 2027. The focus integrates behavioral health, population health, maternal care, chronic disease prevention, nutrition access, and financial sustainability for rural hospital systems.
Core Initiatives
North Carolina has secured a $213 million federal award from CMS to launch its Rural Health Transformation Program, supporting expansive health reforms across rural communities. Key initiatives include targeted funding for mental health, EMS workforce, and digital health infrastructure, plus the launch of the ROOTS Hub to steer regional networks statewide. More than 3.5 million rural North Carolinians are expected to benefit from improved care access and provider resources. Event schedule: - Virtual Town Hall: North Carolina’s Rural Health Transformation Program - 01/16/2026 - 2:30 PM - 3:30 PM ET - Virtual
Event Schedule
Core Initiatives
This RFA seeks applications from qualified organizations in NC Medicaid Region 5 to expand food system infrastructure, nutrition education, and workforce for Food Is Medicine programs under the NC Rural Health Transformation Program. Targeted areas include underserved and rural counties with significant health disparities and high chronic disease burden. Grantees will champion NCCARE360 adoption for closed-loop referrals and must demonstrate capacity for rapid implementation and long-term sustainability. Key contacts: Region5NCRootsHub@TrilliumNC.org; Region5NCRootsHub@trilliumnc.org Event schedule: - RFA Issued - 07/30/2026 - Written Questions Deadline - 08/06/2026 - 5:00 PM EDT - Application Submission Deadline - 08/31/2026 - 4:00 PM EDT - Applications due - 2026-08-31 - 16:00 EDT
Event Schedule
Contacts
Core Initiatives
North Carolina launched its new Rural Health Transformation Program dashboard, showcasing Year 1 projects and funding. The program made substantial investments in opioid response, diabetes prevention, behavioral health, and infrastructure across six regions. Year 2 funding will begin in phases, with a new $20M Rural Health Innovation Fund opening applications for technology and digital health modernization. Event schedule: - RHIF Informational Webinar - 11/05/2026 - 12:00 PM ET - Online - National Rural Health Day Celebration - 11/19/2026 - 9:30 AM - 3:30 PM ET - Eastern AHEC, 2600 Arlington Blvd., Greenville, NC 27834 - RHIF Application Intake Assessment Closed - 10/30/2026 - NCRHTP Advisory Committee Meeting - 11/04/2026 - 2:00 PM - 4:00 PM ET - NCDHHS Headquarters, 1915 Health Services Way, Raleigh, NC or Online/YouTube - RHIF Awards Announcement (anticipated) - RHIF Project Completion Deadline - 07/30/2027 - RHIF Application Feedback Deadline - 11/09/2026 - National Rural Health Day Registration Deadline - 11/11/2026
Event Schedule
Contacts
Core Initiatives
Core Initiatives
This annual report template guides states in reporting progress and use of funds for the Rural Health Transformation Program. It standardizes milestones and evidence for each stage of initiative implementation, including planning, execution, and sustainability. States detail governance, policy actions, metric tracking, and funding disbursement, supporting oversight and continuous improvement. Event schedule: - Launch competitive application to identify ROOTS Hub Leads - 2026-02 - Contracting with Hub Leads completed - 2026-06 - Launch meeting with Duke Margolis Institute for Health Policy - 2026-06 - Completion of regional needs assessment process - 2026-08 - Finalization of Action Plans - 2026-09 - Number of NC ROOTS hubs established measurement date - 2026-06-24 - UTC
Event Schedule
Core Initiatives
North Carolina expanded Medicaid in December 2023, enrolling nearly 500,000 people in the first nine months. The state secured $835 million investment for behavioral health and resilience, with strategic goals including whole-person health and closing gaps among historically marginalized groups. The report identifies prioritized disparities across chronic disease, mental health, communicable disease, and maternal health, emphasizing actionable strategies for stakeholders statewide. Key contacts: Dawn Verret; Beth Blaise; Cheryl Speight Event schedule: - Medicaid Expansion Launch - 12/01/2023 - ET - Statewide North Carolina - Report Release - 09/05/2024 - ET - North Carolina Department of Health and Human Services - Healthy Opportunities Pilots launched - 2022-03 - America/New_York - North Carolina, 33 rural counties - Healthy Opportunities Pilots services as of April 2024 - 2024-04 - America/New_York - North Carolina (33 counties) - Medicaid Expansion effective date - 2023-12-01 - America/New_York - North Carolina - Richmond County MAP Q1 milestone - 2023-03-31 - America/New_York - Richmond County, NC
Event Schedule
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Core Initiatives
The Advisory Committee convened to review the first year of North Carolina's Rural Health Transformation Program implementation, discuss early program highlights and the Rural Health Innovation Fund, and solicit feedback on improving engagement with rural communities. Barriers to engagement and new funding opportunities were prioritized, with future meetings scheduled regionally across the state. Diverse stakeholders from government, healthcare, community organizations, and academia contribute to program leadership. Key contacts: Maggie Woods; Debra Farrington; Alice Pollard; Joseph Watkins Event schedule: - Advisory Committee Meeting - 11/04/2026 - 2:00 PM ET - 1915 Health Services Way, Raleigh, NC 27607, Training Room A&B and virtual (YouTube Link) - Future Meeting - February 2027, Durham Convention Center - Future Meeting - May 2027, Eastern NC - Future Meeting - August 2027, Western NC - Future Meeting - November 2027, NCDHHS Headquarters
Event Schedule
Contacts
Core Initiatives
North Carolina Department of Health and Human Services (NCDHHS) is launching multiple funding opportunities as part of the Rural Health Transformation Program, including the Rural Health Innovation Fund ($20 million/year for up to five years), school health centers expansion, diabetes prevention targeting minority communities, Mobile Integrated Health grants, and ROOTS Hub Lead recruitment. These initiatives together aim to modernize rural health infrastructure, expand care access, improve outcomes, and support nearly three million rural residents through regionally tailored programs. Key contacts: RHIF@nc.gov; OMHHD@dhhs.nc.gov Event schedule: - Expanding School Health Centers application deadline - 08/12/2026 - 5:00 PM ET - NC Minority Diabetes Prevention Program application deadline - 07/17/2026 - 5:00 PM ET - NC Minority Diabetes Prevention Program application questions deadline - 06/29/2026 - ET - NC Minority Diabetes Prevention Program informational webinar - 07/02/2026 - ET - Mobile Integrated Health application deadline - 05/20/2026 - 11:59 PM ET - NC ROOTS Hub Lead application period end - 04/02/2026 - ET - Expanding School Health Centers application questions deadline - 07/29/2026 - ET
Event Schedule
Contacts
Core Initiatives
The NC ROOTS Hubs are regional governance networks coordinating RHTP initiatives tailored to local needs. They focus on advancing integrated primary care, behavioral health, workforce development, value-based payment, and digital health.
Core Initiatives