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Rural Health Transformation Program tracker › North Dakota

North Dakota

Rural Health Transformation Program
Program
North Dakota
First-year award
$198,936,970 (CMS)
Lead agency
North Dakota Health and Human Services (HHS)
Program page
hhs.nd.gov/rural-health-transformation
Contact
The program office's contact details
Where the plan names technology
Initiative 4 of North Dakota's plan, "Connect Tech, Data and Providers for a Stronger North Dakota," would "Enhance existing EHRs with additional technology and AI add-ons," and the plan says "AI will also support rural providers with decision support tools and diagnostics"; its Clinics Without Walls strategy invests in "a statewide telehealth network" and remote patient monitoring. The state's 2026 rounds include a $1,000,000 Harnessing Artificial Intelligence Innovation round covering predictive analytics and "Agentic outreach, assessments, triage and scheduling," and an EMR enhancement round for "technology and AI add-ons" and cybersecurity.
AI named in the plan
Yes
Funding rounds
  • Closed Coordinating and Connecting Care; about $1 million, one Year 1 planning grant; opened Aug 13, 2026, deadline Aug 26, 2026; eligible: Organizations with experience in care coordination, health information exchange, community services, interoperability, data governance or statewide planning, alone or leading a consortium
  • Closed Non-Emergency Medical Transportation Acquisition; approximately $2 million; opened Aug 11, 2026, deadline Aug 19, 2026; eligible: Rural hospitals, clinics, federally qualified health centers and tribal or non-federally operated Indian Health Service facilities enrolled as Medicaid providers
  • Closed Technology as an Extender (210-231); approximately $5 million in year one; deadline Aug 18, 2026; eligible: Critical access and rural emergency hospitals, tribal and non-federally operated Indian Health Service facilities, clinics, federally qualified health centers, skilled nursing and basic care facilities
  • Closed Clinics without Walls: Telehealth Infrastructure (210-331); approximately $3,600,000; deadline Aug 14, 2026; eligible: Rural hospitals, clinics, home care, long-term care, behavioral health, EMS and pharmacy providers, tribes and local public health units serving rural residents
  • Closed Clinics without Walls: Remote Patient Monitoring (210-334); approximately $1.6 million; deadline Aug 14, 2026; eligible: Health care providers serving rural residents, including rural and critical access hospitals, federally qualified health centers, clinics and tribes
  • Closed Childcare for the Rural Health Workforce; approximately $3 million, 38 planning grants; deadline Aug 11, 2026
  • Closed Rural Ambulance Modernization; approximately $22 million; deadline Aug 9, 2026; eligible: Ambulance service districts, and licensed ambulance services not required to form districts
  • Closed Parents Lead: Assessment and Train-the-Trainer Curriculum Development; one award of approximately $500,000; deadline Aug 8, 2026
  • Closed Hospital Wellness Equipment; approximately $500,000; opened Jun 30, 2026, deadline Jul 30, 2026; eligible: Critical access hospitals, including non-federally operated Indian Health Service hospitals
  • Closed School-based Wellness Equipment; approximately $500,000; opened Jun 30, 2026, deadline Jul 30, 2026; eligible: Tribal, public and private schools in rural North Dakota
  • Closed Self-Serve Dispensing Kiosks in Pharmacies (210-441); approximately $600,000; deadline Jul 30, 2026; eligible: Retail pharmacies serving rural populations and pharmacies in rural critical access hospitals
  • Closed Electronic Medical Record Enhancement (210-411); Up to $10 million in Year 1; deadline Jul 29, 2026; eligible: Rural critical access hospitals, rural federally qualified health centers, rural hospital systems, tribal and non-federally operated Indian Health Service facilities and long-term care facilities
  • Closed Harnessing Artificial Intelligence Innovation (210-430); $1,000,000 for Year 1; deadline Jul 29, 2026; eligible: Rural skilled nursing facilities, tribal and non-federally operated Indian Health Service facilities, federally qualified health centers, prospective payment system hospitals, critical access hospitals and pharmacies
  • Closed Rural Hospital Clinical Equipment (210-312); approximately $40,000,000; deadline Jun 30, 2026; eligible: Rurally located critical access hospitals, rural emergency hospitals and ambulatory care units
  • Closed Mobile Mammography Unit Acquisition (210-333); one award of approximately $1,500,000; deadline Jun 30, 2026; eligible: Integrated health care systems, rural clinic or hospital systems, federally qualified health centers and tribal health organizations
  • Closed Suicide Intervention: Health Care Systems (210-131); approximately $400,000 in year one, one award; deadline Jun 12, 2026; eligible: 501(c)(3) nonprofit organizations, private sector agencies, educational institutions, hospitals and clinics and other health care providers serving rural or tribal residents
  • Awarded Behavioral Health Promotion Community Grants (210-121); approximately $1,600,000 in year one; opened Apr 30, 2026, deadline May 29, 2026; eligible: Hospitals, clinics and home care providers, tribes, local public health, political subdivisions, nonprofits, education systems, community organizations and child care providers serving rural or tribal residents
  • Closed Ensuring Safety Net Service Delivery (210-341); approximately $15,000,000 in year one; deadline May 29, 2026; eligible: Hospitals, clinics, home care, long-term care, behavioral health and EMS providers, tribes, local public health, nonprofits, education systems and community organizations serving rural or tribal residents
  • Closed Rightsizing Health Care Delivery Systems for the Future (210-311); approximately $2,310,000 in year one, 42 awards of $40,000; deadline May 22, 2026; eligible: Rurally located critical access hospitals and federally qualified health centers and their owned and operated clinics
  • Awarded Zero-Hour Physical Education Initiative; about $700,000; opened Apr 22, 2026, deadline May 22, 2026; eligible: Rural and tribal public and private schools, regional education associations and school consortiums
  • Awarded Community Gardens Project; about $300,000; opened Apr 22, 2026, deadline May 22, 2026; eligible: Rural schools, civic groups, municipalities, health care facilities, parks and recreation entities, public health units and nonprofit organizations
  • Closed Community-Based Walking Programs; about $2.6 million; opened Apr 22, 2026, deadline May 22, 2026; eligible: Rural civic groups, municipalities, health care facilities, parks and recreation entities, public health units and nonprofit organizations
  • Closed Expanding Rural Rotations (210.212); $3,000,000; deadline May 15, 2026; eligible: Hospitals, clinics, home care, long-term care, behavioral health and EMS providers, tribes and tribal health organizations, local public health, nonprofits and education systems, for the rural or tribal health care workforce
  • Closed Workforce Retention Funding for Critical Access Hospitals and Their Owned and Operated Clinics (210-22102); approximately $10,000,000 in year one; opened Mar 18, 2026, deadline Apr 30, 2026; eligible: The state's 37 critical access hospitals, including their owned and operated clinics
Next
North Dakota's funding page labels the Zero-Hour PE, Community Gardens and Behavioral Health Promotion rounds "Awarded" (23, 45 and 79 applicants) but names no recipients, and no state announcement of subaward recipients was found. That page is too long to be read in full for this tracker, so rounds listed after the Behavioral Health Promotion grants are shown as closed from their deadlines. CMS's Aug. 20 release describes the $1 million Coordinating and Connecting Care Initiative as launched. The program page says "North Dakota is expected to receive $1 billion over five years."
Sources: CMS, first-year awards, ND HHS program page, North Dakota's project narrative, North Dakota's project summary, ND HHS funding opportunities, ND HHS FAQ, ND HHS, first workforce round, ND HHS, school and community rounds, ND HHS, clinical equipment round, ND HHS, EMR enhancement round, ND HHS, July 29 rounds, Harnessing Artificial Intelligence Innovation solicitation, Technology as an Extender solicitation, CMS, North Dakota care coordination, Suicide Intervention solicitation, ND HHS, school wellness equipment round
Checked against its sources

What the money can pay for: What does the Rural Health Transformation Program pay for?.

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