Rightsizing Health Care Delivery Systems for the Future: Rural Federally Qualified Health Centers and Critical Access Hospitals
Supports rural ND FQHCs and CAHs with technical assistance and analysis to optimize, plan, and sustain essential health care services in alignment with community needs.
Funder: North Dakota Department of Health and Human Services
Due Dates: May 29, 2026 (Full application submission deadline, 5 p.m. CT)
Funding Amounts: Up to $40,000 per award (42 awards expected); additional $42,000 available for CAH Analytics Tool; all funds must be expended by September 30, 2027.
Summary: Supports rural North Dakota FQHCs and CAHs with technical assistance and planning to optimize health care delivery for sustainability and community alignment.
Key Information: Participation is required for future implementation funding; only rurally located FQHCs/CAHs (or those serving ≥50% rural ND residents) are eligible.
Description
This funding opportunity, part of North Dakota’s Rural Health Transformation Program (RHTP), provides technical assistance and comprehensive analysis to rural Federally Qualified Health Centers (FQHCs) and Critical Access Hospitals (CAHs) across North Dakota. The goal is to help these facilities plan for “rightsizing” their services, licensure, and operational scope to better align with current and projected community health needs. Awardees will receive support through compliance guidance, financial and operational assessments, and strategic planning—all designed to ensure essential services remain accessible, efficient, and sustainable in rural areas. The program focuses on data-driven decision-making, readiness for future care models, and strengthening the rural health infrastructure. Participation in this technical assistance phase is required to be eligible for future RHTP implementation funding.
