North Carolina

The program supports Mobile Integrated Health and Community Paramedicine expansions in rural areas, designates regional ROOTS Hubs to coordinate services, and focuses on primary care, behavioral health, workforce development, value-based payment, and digital health tailored to regional needs. Funding and applications are managed through NCDHHS with significant federal support. Event schedule: - Mobile Integrated Health Grant Application Deadline - 05/20/2026 - 11:59 PM ET - Online via ReadyOp application - ROOTS Hub Leads Application Period End - 04/02/2026 - ET

Event schedule: - Anticipated Timeline • Completed applications must be submitted to https://nc.readyop.com/fs/ 4jP3/8f8d7100 no later than 23:59 on , 2026. • Applicants must demonstrate ability to initiate services within 90– 180 days of contract execution. NC OFFICE OF EMERGENCY MEDICAL SERVICES - May 20 - Required Application Components • Application Must Include: − Required form fields in ReadyOp − Project Narrative Document (10-page limit) − Line-Item Budget Summary (template) − Budget narrative − Supporting documents • Letter of project intent on agency letterhead indicating signatory involvement • Letters of support from key partners • Letter of support from medical director • Organizational Chart (optional) • Program Implementation Chart (optional) NC OFFICE OF EMERGENCY MEDICAL SERVICES

The program funds EMS organizations in rural and rural-adjacent counties to improve behavioral health and SUD services access. Applications are due May 20, 2026, with awards announced June 1, 2026, and project periods from July 1, 2026 to October 30, 2027. Weekly office hours and webinars assist applicants. Key contacts: OEMSMIH@dhhs.nc.gov Event schedule: - RFA Posted - April 24, 2026 - Applications Due - May 20, 2026 - 23:59 - Award Notifications Issued - June 1, 2026 - Contract Period Start - July 1, 2026 - Contract Period End - October 30, 2027 - Applicant Webinar - April 27, 2026 - 1:30 PM ET - webinar

Event schedule: - NCDHHS Selects NC ROOTS Hub Leads to Strengthen Rural Health Care Across North Carolina - NCDHHS Skip to main content FRAUD ALERT Be aware of multiple fraudulent text scams requesting payment for NCDMV fees, fines or tolls. NCDMV will NEVER request payment by text. Please report it as spam and delete. Learn More About NCDMV Fraudulent Text Scams An official website of the State of North Carolina An official website of NC How you know State Government websites value user privacy. To learn more, view our full privacy policy . Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website. 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Together, these organizations will work as regional networks connecting medical, behavioral health, and social supports as North Carolina increases access to care for rural communities across all 100 counties. RALEIGH May 1, 2026 The North Carolina Department of Health and Human Services today announced the selection of organizations to serve as leads for the North Carolina Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) Hub for the state’s Rural Health Transformation Program (NCRHTP). Together, these organizations will work as regional networks connecting medical, behavioral health, and social supports as North Carolina increases access to care for rural communities across all 100 counties. "Ensuring communities, providers, and stakeholders continue to be at the forefront of our efforts to transform the health and well-being of the more than 3.5 million rural residents in North Carolina is crucial," said NC Health and Human Services Secretary Dev Sangvai . "By investing in strong regional partnerships, we are creating a healthier, more connected rural health system that serves North Carolinians when and where they need it." The selected NC ROOTS Hub Leads are locally governed networks representing each of the North Carolina Medicaid regions that will coordinate care and implement NCRHTP initiatives. The NC ROOTS Hub Lead awardees include: Impact Health – Region 1 Trillium Health Resources – Region 2 and 5 Vaya Health – Region 3 University of North Carolina Hospitals – Region 4 Access East, Inc. – Region 6 The organizations were selected through a competitive process to ensure they demonstrated the knowledge, experience, infrastructure, and capacity to serve as both the programmatic and fiduciary leads for their regions. These organizations will work with NCDHHS to finalize contracts by June 1, 2026. Following a regional needs assessment, the NC ROOTS Hub Leads will establish local networks of partner organizations focused on strengthening the rural health care infrastructure. Over the next five years, tailored to their regions’ needs, NC ROOTS Hubs will support rural communities by: Improving behavioral health and substance use services Enhancing care coordination across regions Leveraging digital tools to improve outcomes Expanding access to primary care Strengthening health care through workforce development "Where you live should not determine your access to high-quality care," said NCDHHS Deputy Secretary for Health Debra Farrington . "Our selected NC ROOTS Hub Leads will bring together voices from across the state to deliver coordinated, impactful services that foster better outcomes and address the unique challenges our rural communities face." This announcement reflects continued progress in the implementation of the NCRHTP. NCDHHS remains on track with its year one strategy, advancing the foundational infrastructure necessary to address immediate needs and support the program’s sustainability. Funded through a $213,008,356.47 investment from the U.S. Centers for Medicare Medicaid Services , the RHTP is a statewide initiative led by NCDHHS designed to improve health outcomes, support sustainable access to care, and advance health care delivery for rural communities. The program will support more than 400 rural health facilities and bring hundreds of millions of dollars in federal investment to the state over the next five years. North Carolina has the second-largest rural population in the country, and NCDHHS is committed to advancing innovative strategies through investments and initiatives that support high-quality care for all North Carolinians. For more information, visit the North Carolina Rural Health Transformation Program website . Stevens Amendment Disclosure: This press release is supported by the Centers for Medicare Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $213,008,356.47 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government. El Departamento de Salud y Servicios Humanos de Carolina del Norte anunció hoy la selección de organizaciones que servirán como líderes para centros de organizaciones rurales orquestando la transformación para la sostenibilidad en Carolina del Norte (North Carolina Rural Organizations Orchestrating Transformation for Sustainability – NC ROOTS, por sus siglas en inglés), para el Programa de Transformación de la Salud Rural de Carolina del Norte (NCRHTP, por sus siglas en inglés). Juntas, estas organizaciones trabajarán como redes regionales que conectan los apoyos médicos, de salud conductual y sociales a medida que Carolina del Norte aumenta el acceso a la atención para las comunidades rurales en los 100 condados. "Garantizar que las comunidades, los proveedores y las partes interesadas sigan estando a la vanguardia de nuestros esfuerzos para transformar la salud y el bienestar de los más de 3.5 millones de habitantes de zonas rurales de Carolina del Norte es crucial", dijo Dev Sangvai, secretario de Salud y Servicios Humanos de Carolina del Norte . "Al invertir en alianzas regionales sólidas, estamos creando un sistema de salud rural más saludable y conectado que atiende a los habitantes de Carolina del Norte cuando y donde lo necesiten". Los líderes seleccionados para los Centros NC ROOTS son redes gobernadas localmente que representan a cada una de las regiones de Medicaid de Carolina del Norte que coordinarán la atención e implementarán las iniciativas del NCRHTP. Los seleccionados como líderes de Centros NC ROOTS incluyen: Impact Health – Región 1 Trillium Health Resources – Región 2 y 5 Vaya Health – Región 3 Hospitales de la Universidad de Carolina del Norte – Región 4 Access East, Inc. Región 6 Las organizaciones fueron seleccionadas a través de un proceso competitivo para garantizar que demostraran el conocimiento, la experiencia, la infraestructura y la capacidad para servir como líderes programáticos y fiduciarios para sus regiones. Estas organizaciones trabajarán con el Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS, por sus siglas en inglés) para finalizar los contratos antes del 1 de junio de 2026. Después de una evaluación de las necesidades regionales, los líderes de los Centros NC ROOTS establecerán redes locales de organizaciones asociadas centradas en el fortalecimiento de la infraestructura de atención médica rural. Durante los próximos cinco años, adaptados a las necesidades de sus regiones, los Centros NC ROOTS apoyarán a las comunidades rurales mediante: Mejorar los servicios de salud conductual y de uso de sustancias Mejorar la coordinación de la atención en todas las regiones Aprovechar las herramientas digitales para mejorar los resultados Ampliar el acceso a la atención primaria Fortalecer la atención médica a través del desarrollo de la fuerza laboral "El lugar donde vive no debe determinar su acceso a una atención de alta calidad", dijo la subsecretaria de Salud del NCDHHS, Debra Farrington . "Nuestros líderes seleccionados de los Centros NC ROOTS reunirán voces de todo el estado para brindar servicios coordinados e impactantes que fomenten mejores resultados y aborden los desafíos únicos que enfrentan nuestras comunidades rurales". Este anuncio refleja el progreso continuo en la implementación del NCRHTP. El NCDHHS sigue en el buen camino con su estrategia del primer año, avanzando en la infraestructura fundamental necesaria para abordar las necesidades inmediatas y apoyar la sostenibilidad del programa. Financiado a través de una inversión de $213,008,356.47 de los Centros de Servicios para Medicare y Medicaid de los Estados Unidos , el RHTP es una iniciativa estatal dirigida por el NCDHHS diseñada para mejorar los resultados de salud, apoyar el acceso sostenible a la atención y promover la prestación de atención médica para las comunidades rurales. El programa apoyará a más de 400 centros de salud rurales y aportará cientos de millones de dólares en inversión federal al estado durante los próximos cinco años. Carolina del Norte tiene la segunda población rural más grande del país, y el NCDHHS se compromete a promover estrategias innovadoras a través de inversiones e iniciativas que apoyen la atención de alta calidad para todos los habitantes de Carolina del Norte. Para obtener más información, visite el sitio web del Programa de Transformación de la Salud Rural de Carolina del Norte . Divulgación de la Enmienda Stevens: Este comunicado de prensa cuenta con el respaldo de los Centros de Servicios de Medicare y Medicaid (CMS, por sus siglas en inglés) del Departamento de Salud y Servicios Humanos (HHS, por sus siglas en inglés) de los Estados Unidos como parte de un premio de asistencia financiera por un total de $ 213,008,356.47 con 100 por ciento financiado por CMS/HHS. Los contenidos pertenecen al autor y no representan necesariamente las opiniones oficiales ni el respaldo de SAMHSA/HHS ni del gobierno de los Estados Unidos. Related Topics: Office of Rural Health and Community Care Office of Rural Health and Community Care Office of Rural Health Contact Information NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Follow Us Network Menu Employee Directory nc.gov Website Feedback Accessibility Disclaimer Terms of Use Privacy Policy Open Budget Hosted on Digital Commons