Rural Health Transformation Program Grant Opportunities
Mobile Integrated Health Grant Funding Opportunity
The North Carolina Office of Emergency Medical Services is seeking applications from EMS organizations to expand Mobile Integrated Health (MIH) and Community Paramedicine (CP) programs in rural communities across North Carolina. As part of the Rural Health Transformation Program, this funding opportunity supports a five-year initiative to strengthen behavioral health crisis response, improve treatment access for individuals experiencing substance use disorder (SUD), and reduce emergency department utilization associated with mental health crises and opioid overdoses.
How to Apply
Completed applications must be submitted via the online ReadyOp application no later than 11:59 p.m. on May 20, 2026. Interested organizations are encouraged to view the Applicant Webinar and Webinar Slides on the North Carolina Healthcare Preparedness Program website.
Documents
NC ROOTS Hub Lead Request for Applications
NCDHHS is seeking qualified organizations to serve as designated ROOTS Hub Leads for the North Carolina Rural Health Transformation Program (NCRHTP). This opportunity is designed to support NCDHHS’ efforts to transform rural health care delivery, strengthen local systems, and improve health outcomes for nearly 3 million rural North Carolinians. The application period ended April 2, 2026.
Public Notice: NCDHHS Requests Applicants for NC Rural Health Transformation ROOTS Hub Leads
About the NC ROOTS Hubs
NC ROOTS (Rural Organizations Orchestrating Transformation for Sustainability) Hubs are regional, locally governed networks that coordinate services and lead implementation of NCRHTP initiatives. Working with community partners, each Hub will help advance efforts across primary care, behavioral health, workforce development, value-based payment, and digital health—tailoring strategies to the unique needs of their region.
Eligibility and Scope
Up to six organizations will be selected, one for each North Carolina Medicaid region. Applicants must demonstrate the infrastructure, knowledge, experience and capacity to serve as both the programmatic and fiduciary lead for their region, guiding a partner network to successfully implement NCRHTP initiatives. The ROOTS Hub Leads RFA webinar provides an overview and context for the NC ROOTS Hubs' core functions.
Documents
- RFA# 2026-NCROOTS
- Addendum 1
- Addendum 2
- Applicant Budget Worksheet
- Applicant Budget Worksheet Instructions
- RFA Application
- How to navigate the headers in the RFA PDF
Program Background
RHTP was established under H.R. 1, a federal reconciliation bill enacted in July. The program provides one-time federal funding to support states in strengthening rural health care access, quality, and outcomes. Through RHTP, NCDHHS is investing in innovation, infrastructure, partnerships, and workforce development to help transform rural health care delivery systems.
For more information about the program, visit the North Carolina Rural Health Transformation Program webpage.
Stevens Amendment Disclosure: 213,008,356.47 or 100% of the total costs of the North Carolina Rural Health Transformation Program in budget period 1 are funded with Federal funds, including awards anticipated under this RFA; $0 or 0% of the total cost of this program is funded by non-governmental sources. This disclosure is provided in accordance with the Stevens Amendment (Section 505, Division H of Consolidated Appropriations Act, 2021, Public Law 116-260).