NC ROOTS Hub Leads — Rural Health Transformation Program

Summary

NC DHHS Office of Rural Health sought six regional lead organizations (one per NC Medicaid region) to serve as NC ROOTS Hub Leads, responsible for managing and coordinating rural health transformation initiatives—including primary care, behavioral health, workforce development, value-based payment, and digital health—for roughly 3 million rural North Carolinians. Funding for GAP 1 totals $7,513,062 (approximately $1,252,177 per hub for 17 months). Awards were announced May 1, 2026. Five organizations were selected: Impact Health (Region 1), Trillium Health Resources (Regions 2 & 5), Vaya Health (Region 3), UNC Hospitals (Region 4), and Access East Inc. (Region 6). Program period: June 1, 2026 – October 30, 2027.

Eligibility

Eligibility: Public or private entities with a Unique Entity Identifier (UEI), at least 3 years’ presence in North Carolina, and fiduciary capacity.

Requirements Checklist

• Applicants were required to submit a work plan, budget, letters of support, attest to existing fiduciary capacity, demonstrate leadership in rural or regional health programming, and provide documentation of 3+ years continuous NC operations.

Required attachments

• Work Plan
• Budget and Budget Narrative