State Designated Rural Health Center Request for Applications 2024

SFY 2024 State Designated Rural Health Centers Support Grants

RFA Opens: February 27, 2023
RFA Deadline: March 24, 2023 5:00 p.m.

ORH conducted a Technical Assistance Session on Wednesday, March 15, 2023 from 10:00 am to 11:00 am.

RFA Technical Assistance Slides


NC ORH assists underserved communities and populations with developing innovative strategies for improving access, quality, and cost-effectiveness of health care.  Distribution of primary care providers in North Carolina has historically been skewed toward cities and larger towns.  Rural residents, who often face transportation issues, find accessing primary care services difficult.  Through the establishment of State Designated Rural Health Centers (SDRHC), NC ORH partners with local communities to provide funding to improve ability to serve underserved populations who would otherwise be unable to access needed primary care services due to geographic, economic, or other barriers. Thus, SDRHCs have become an integral part of the health care safety net for North Carolina’s rural and underserved residents.

The primary purpose of the state designation is to support new access points and stabilize current access in care sites that do not already receive support 

The SDRHC Guide is available as a resource for more detailed information about NC ORH’s work to increase access to quality care in rural and underserved communities. The Guide outlines the process for receiving State Designation as Rural Health Center and the activities the funds support.


NC ORH is accepting applications for continuing and new SDRHCs. The purpose of grants awarded under this program is to support SDRHCs.

These grant funds, supported through the North Carolina General Assembly, are for assuring access to primary and preventive care to meet the health needs of rural, underserved and medically indigent patients in North Carolina.  An important component of this work is to stabilize and strengthen the safety net through increased levels of collaboration and integration of services to sustain and meet the needs of those served more effectively. 
The SFY 2024 RFA supports the state mission of improving health, safety and well-being of all North Carolinians while being good stewards of resources. The RFA seeks to develop sustainable models of care as well as address the conditions in which people live that directly impact health, known as “social determinants of health.” The initial focus encourages partnering with community-based organizations to ensure access to transportation, food, housing, and personal violence resources.

How to Apply  

Applicants must submit their application electronically through an online REDCap survey. There is a two-step process to receive a personalized link to the application. The link below will request information about your organization and a contact person. The contact person will then be sent a personalized link to apply to the Rural Health Centers Support Grants RFA.  

Click the link to access electronic version of application:

SFY24 RHC Project Narrative
2023-24 RHC Attestation
SFY 24 RHC Budget
SDRHC Manual

Provider Documents
Conflict of Interest Acknowledgement and Policy
Conflict of Interest Verification
IRS Tax Exemption Form
State Grant Certification - No Overdue Tax Debt. NOTE:THIS IS THE ONLY FORM THAT MUST BE NOTARIZED.
State Certification