# North Dakota — Rural Health Transformation Program (RHTP)

The North Dakota Rural Health Transformation Program is implementing phased, competitive funding rounds focused on workforce stabilization, preventive care, behavioral health, and health technology modernization in rural and tribal communities. Current priorities include workforce training and retention, safety net service delivery, telehealth and remote monitoring, and data and infrastructure upgrades designed to support measurable, sustainable improvements in health care access and outcomes. The program emphasizes collaboration and local leadership, with structured grant opportunities tracked across four major pillars and progress monitored against established goals. As of late 2026, most Year 1 funding opportunities have closed and applications are under active review, with leadership transition underway and awards expected soon. Current structured plan tracks 4 key initiatives and 13 strategic goals.

## At a glance

- Federal awards to date: $405,316,596.31 (Year 1 $198.9M + Year 2 $206.4M)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 29 (0 open or announced, 29 closed)
- Critical Access Hospitals: 46
- Rural population share: 38%

## Current progress

North Dakota's Rural Health Transformation Program has awarded several year one funding opportunities across workforce, technology, and care access, with hundreds of applications from rural and tribal providers. As of October 2026, all core initial solicitations are closed and awards have been granted, with technical assistance provided and further sub-opportunities expected in mid-2026. Multiple funding rounds are planned in phases to expand engagement and impact. The state continues to announce and administer new opportunities as part of ongoing implementation. State opportunities: 25 total (25 past/closed), $59.0M listed funding. Key opportunities: North Dakota RHTP Rural Ambulance Modernization (Solicitation 210-342); Ensuring Safety Net Service Delivery Initiative; North Dakota Technology as an Extender Funding Opportunity (Solicitation 210-231). Strategy alignment: supports telehealth, care access, workforce priorities.

## CMS published status (State Data Maps)

- State Policy Action commitments: 5 of 19
- Initiatives (4), current CMS stage of each:
  - Bring High-Quality Health Care Closer to Home — Stage 2
  - Connect Tech, Data and Providers for a Stronger North Dakota — Stage 2
  - Make North Dakota Healthy Again | Preventive Care, Healthy Eating — Stage 2
  - Strengthen and Stabilize Rural Health Workforce — Stage 2
- CMS data captured 2026-11-11, last confirmed 2026-11-11

## Open and announced opportunities

None open right now.

## Closed opportunities (29, most recent first)

- [North Dakota RHTP: Coordinating and Connecting Care (Solicitation 210-362)](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-coordinating-and-connecting-care-solicitation-210-362--6d99a73acf) — GRANT; Closed; due 2026-08-26; $1.0M
- [North Dakota RHTP: Non-Emergency Medical Transportation Acquisition](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-non-emergency-medical-transportation-acquisition--694dbd9e31) — GRANT; Closed; due 2026-08-19; $2.0M
- [North Dakota Technology as an Extender Funding Opportunity (Solicitation 210-231)](https://www.ruralcarejourney.com/opportunities/north-dakota-technology-as-an-extender-funding-opportunity-solicitation-210-231--49d9cf63e9) — GRANT; Closed; due 2026-08-18; $250,000 – $5.0M
- [North Dakota Clinics without Walls: Remote Patient Monitoring Funding Opportunity (Solicitation 210-334)](https://www.ruralcarejourney.com/opportunities/north-dakota-clinics-without-walls-remote-patient-monitoring-funding-opportunity--18e377cdb1) — GRANT; Closed; due 2026-08-14; $80,000 – $1.6M
- [North Dakota RHTP Clinics without Walls: Telehealth Infrastructure (Solicitation 210-331)](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-clinics-without-walls-telehealth-infrastructure-solicitation-2--aa70aada26) — GRANT; Closed; due 2026-08-14; $3.6M
- [North Dakota RHTP Childcare for the Rural Health Workforce (210-223)](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-childcare-for-the-rural-health-workforce-210-223--acd71566eb) — NOFO; Closed; due 2026-08-11; $78,000
- [North Dakota RHTP Rural Ambulance Modernization (Solicitation 210-342)](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-rural-ambulance-modernization-solicitation-210-342--d9eed16d32) — GRANT; Closed; due 2026-08-10; $22.0M
- [North Dakota RHTP Parents Lead: Assessment and Train-the-Trainer Curriculum Development (210-133)](https://www.ruralcarejourney.com/opportunities/north-dakota-rhtp-parents-lead-assessment-and-train-the-trainer-curriculum-devel--65c82d5186) — NOFO; Closed; due 2026-08-08; $500,000
- [North Dakota Self-Serve Dispensing Kiosks in Pharmacies Funding Opportunity (Solicitation 210-441)](https://www.ruralcarejourney.com/opportunities/north-dakota-self-serve-dispensing-kiosks-in-pharmacies-funding-opportunity-soli--b124a564be) — GRANT; Closed; due 2026-07-30
- [School-Based Wellness Equipment funding opportunity (Solicitation 210-122)](https://www.ruralcarejourney.com/opportunities/school-based-wellness-equipment-funding-opportunity-solicitation-210-122--d780c47315) — RFA; Closed; due 2026-07-30; $5,000 – $25,000
- [Hospital-Based Wellness Equipment funding opportunity (Solicitation 210-122)](https://www.ruralcarejourney.com/opportunities/hospital-based-wellness-equipment-funding-opportunity-solicitation-210-122--52278c4020) — RFA; Closed; due 2026-07-30; $50,000
- [Electronic Medical Record Enhancement Funding Opportunity (Solicitation 210-411)](https://www.ruralcarejourney.com/opportunities/electronic-medical-record-enhancement-funding-opportunity-solicitation-210-411--db2a69734d) — GRANT; Closed; due 2026-07-29
- [North Dakota Harnessing Artificial Intelligence Innovation Funding Opportunity (Solicitation 210-430)](https://www.ruralcarejourney.com/opportunities/north-dakota-harnessing-artificial-intelligence-innovation-funding-opportunity-s--24f8ce728b) — GRANT; Closed; due 2026-07-29; $200,000
- [RHTP Competitive Funding Opportunity: Rural Hospital Clinical Equipment (Solicitation 210-312)](https://www.ruralcarejourney.com/opportunities/rhtp-competitive-funding-opportunity-rural-hospital-clinical-equipment-solicitat--d243ecbd20) — RFA; Closed; due 2026-06-30; $2.0M
- [Mobile Mammography Unit Acquisition Funding Opportunity](https://www.ruralcarejourney.com/opportunities/mobile-mammography-unit-acquisition-funding-opportunity--ad294a7c8a) — RFA; Closed; due 2026-06-30; $1.5M
- [Suicide Intervention in Healthcare Systems](https://www.ruralcarejourney.com/opportunities/suicide-intervention-in-healthcare-systems--95093cc47e) — GRANT; Closed; due 2026-06-12; $400,000
- [Ensuring Safety Net Service Delivery Initiative](https://www.ruralcarejourney.com/opportunities/ensuring-safety-net-service-delivery-initiative--4ab97e21f7) — GRANT; Closed; due 2026-05-29; $300,000 – $15.0M
- [Rural Health Transformation Program Technical Assistance for Ensuring Safety Net Service Delivery Funding Opportunity](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-technical-assistance-for-ensuring-safety-net--671b09e7a0) — RFA; Closed; due 2026-05-29; $10,000 – $500,000
- [Behavioral Health Promotion Community Grants](https://www.ruralcarejourney.com/opportunities/behavioral-health-promotion-community-grants--77cd7f80a5) — RFA; Closed; due 2026-05-29
- [Rightsizing Health Care Delivery Systems for the Future: Rural Federally Qualified Health Centers and Critical Access Hospitals](https://www.ruralcarejourney.com/opportunities/rightsizing-health-care-delivery-systems-for-the-future-rural-federally-qualifie--28d7991fa8) — GRANT; Closed; due 2026-05-22; $40,000
- [Make North Dakota Healthy Again: Community-Based Walking Program](https://www.ruralcarejourney.com/opportunities/make-north-dakota-healthy-again-community-based-walking-program--c25f8e8eb8) — RFA; Closed; due 2026-05-22
- [Rural Health Transformation Program: Community Gardens Grant](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-community-gardens-grant--058a58c16e) — GRANT; Closed; due 2026-05-22; $5,000 – $30,000
- [Zero-Hour Physical Education (PE) Grant for Rural and Tribal Schools](https://www.ruralcarejourney.com/opportunities/zero-hour-physical-education-pe-grant-for-rural-and-tribal-schools--67cf947986) — RFA; Closed; due 2026-05-22
- [Expand Rural Health Care Rotations Initiative](https://www.ruralcarejourney.com/opportunities/expand-rural-health-care-rotations-initiative--01fac2ec3a) — GRANT; Closed; due 2026-05-15; $200,000 – $3.0M
- [Train In Place Rural Healthcare Workforce Credentialing](https://www.ruralcarejourney.com/opportunities/train-in-place-rural-healthcare-workforce-credentialing--82c01046d3) — RFA; Closed; due 2026-05-15

## Official sources RCJ monitors

- [ND RHTP Primary](https://www.hhs.nd.gov/rural-health-transformation)
- [ND Release / Application](https://www.hhs.nd.gov/rural-health-transformation/funding)

---
Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/nd — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.