HarperRHTP Tracker
All States/North Dakota

North Dakota

Planning

Access to Care

FY26 Award
$/Rural Resident
$561
Rank
29th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $98.9M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Bring High-Quality Health Care Closer to Home$583.8M

Deploy telehealth hubs, mobile clinics, remote monitoring, and revenue diversification to keep care local.

Workforce Development
Strengthen and Stabilize Rural Health Workforce$162.4M

Create new residency programs, build grow-your-own pipelines, and provide retention grants.

Financial Sustainability
Revenue Diversification and Sustainability

Help rural providers diversify revenue streams and build financially sustainable operations.

Quality & Health Outcomes
Make North Dakota Healthy Again$85.9M

Launch Eat Well ND, ND Moves Together, and targeted nutrition and behavioral health programs.

Infrastructure & Technology
Connect Tech, Data and Providers for a Stronger ND$168.0M

Build shared infrastructure and data sharing systems to strengthen North Dakota's rural health network.

Source: CMS state abstracts

How to Participate in North Dakota

Steps for healthcare organizations to access RHTP funding through North Dakota's programs.

Lead State Agency
North Dakota Health and Human Services
Visit agency website
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in North Dakota's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating North Dakota's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

$583.8M
for closer-to-home care
North Dakota invests $583.8M — the largest share of its RHTP budget — in bringing high-quality healthcare closer to home through telehealth, mobile clinics, and remote monitoring.
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$21.6M
$20.5M
$23.8M
$24.2M
$30.7M
$45.0M
$28.2M
$28.4M
$27.4M
$27.6M
RHTP $198.9MHRSA $27.6M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$226.5M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

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