RHTCMS332043↗
North Dakota Department of Human Services received this grant or assistance award from Centers for Medicare and Medicaid Services: $198.94M obligated so far for rural health transformation program. Its latest action was on 2026-04-01.
Key facts · data as of Oct 21, 2026
- Recipient
- North Dakota Department of Human Services
- Awarding agency
- Centers for Medicare and Medicaid Services (Department of Health and Human Services)
- Obligated to date
- $198.94M
Source: USAspending.gov prime award records (obligations: money committed, not outlays), data as of Oct 21, 2026.
Cite this page: SpendQuery, Award RHTCMS332043, data as of Oct 21, 2026, https://spendquery.com/award?id=ASST_NON_RHTCMS332043_075
North Dakota Department of Human Services: all federal awards · Department of Health and Human Services: spending
NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER THREAT FROM WORKFORCE SHORTAGES, FINANCIALLY FRAGILE FACILITIES, WIDENING OUTCOME GAPS FOR TRIBAL AND FRONTIER COMMUNITIES, AND FRAGMENTED DATA AND TECHNOLOGY THAT BLOCK INNOVATION. OUR RURAL HEALTH TRANSFORMATION PLAN (RHTP) IS A FIVE-YEAR, STATEWIDE ROADMAP TO STRENGTHEN AND STABILIZE RURAL WORKFORCE, BRING HIGH QUALITY HEALTH CARE CLOSER TO HOME, CONNECT TECH, DATA AND PROVIDERS AND MAKE NORTH DAKOTA HEALTHY AGAIN. BUILT ON BROAD STAKEHOLDER INPUT, OUR RHTP CONFRONTS IMMEDIATE THREATS TO RURAL HEALTH WHILE BUILDING LASTING SUSTAINABILITY. GOALS/OUTCOMES 1. REBUILD AND RETAIN A RURAL HEALTH WORKFORCE • INCREASE RURAL PROVIDER RETENTION • EXPAND REMOTE MONITORING AND AI-ASSISTED CARE • REDUCE HEALTH PROFESSIONAL SHORTAGES 2. PREVENT CHRONIC DISEASE, RESTORE HEALTH, AND REDUCE COST • INCREASE ACTIVITY AND REDUCE OBESITY • REDUCE CHRONIC DISEASE • PREVENT SUICIDE 3. BRING HIGH QUALITY CARE CLOSER TO HOME • INCREASE TELEHEALTH AND REMOTE MONITORING USE • IMPROVE CARE COORDINATION • IMPROVE TIMELINESS OF CARE 4. GAIN EFFICIENCY WITH MODERN TECH AND DATA • INCREASE TRANSPARENCY AND MODERNIZE AND CROSS-LINK DATA • CREATE SAVINGS FROM COOPERATIVE PURCHASING • EXPAND REMOTE MONITORING AND AI-ASSISTED CARE HOW NORTH DAKOTA WILL USE THE FUNDS 1. STRENGTHEN AND STABILIZE RURAL HEALTH WORKFORCE ($162.4M) – TRAIN AND RETAIN A HIGH-SKILLED WORKFORCE THROUGH NEW RESIDENCIES, GROW-YOUR-OWN WORKFORCE PIPELINES, RECRUITMENT AND RETENTION GRANTS, AND TRAINING TO DEVELOP THE EXISTING WORKFORCE TO WORK AT THE TOP OF THEIR LICENSE. 2. MAKE NORTH DAKOTA HEALTHY AGAIN ($85.9M) – LAUNCH EAT WELL ND AND ND MOVES TOGETHER TO PUT EVIDENCE-BASED PRACTICES IN NUTRITION, PHYSICAL ACTIVITY AND BEHAVIORAL HEALTH AT THE CENTER OF EVERYDAY LIFE. SUSTAIN PROGRESS THROUGH MULTIPAYER FOCUS ON INNOVATIVE CARE MODELS AND PAYMENT MECHANISMS. 3. BRING HIGH-QUALITY HEALTH CARE CLOSER TO HOME ($583.8M) – TRANSFORM CARE MODELS WITH NEW TECH TOOLS TO REDUCE RELIANCE ON PHYSICAL WORKFORCE AND FOSTER EFFICIENCY BY DEPLOYING TELEHEALTH HUBS, MOBILE CLINICS, REMOTE PATIENT MONITORING, WHILE ALIGNING TO NEW CARE COORDINATION MODELS AND FOCUSING ON SUSTAINABILITY THROUGH REVENUE DIVERSIFICATION AND RIGHT-SIZING CARE DELIVERY. 4. CONNECT TECH, DATA AND PROVIDERS FOR A STRONGER ND ($168.0M) – CUT COSTS BY MODERNIZING TECH INFRASTRUCTURE AND BRINGING PROVIDERS TOGETHER TO SUPPORT SHARED INFRASTRUCTURE AND IMPROVED DATA SHARING. NORTH DAKOTA IS TAKING BOLD STEPS TO RESTORE HEALTH, OPPORTUNITY, AND DIGNITY TO OUR PRAIRIES. NORTH DAKOTA’S RHTP DELIVERS PRACTICAL INVESTMENTS THAT HONOR LOCAL AND TRIBAL VALUES, PROTECT RURAL INDEPENDENCE, AND GET AMERICA BACK TO WHAT MATTERS: HEALTHY PEOPLE, PROSPEROUS COMMUNITIES, AND COMMON-SENSE SERVICE DELIVERY.
What it is
- Program
- Rural Health Transformation Program (Assistance Listing 93.798)
- Where the work is
- ND · district ND-00
Obligations by fiscal year
SpendQuery holds FY2023 on; earlier years are on USAspending.gov.
Subrecipients: where the money went next
67 subawards totaling $11.66M (5.9% of what was obligated), as North Dakota Department of Human Services reported them. Primes report subawards of $30,000 or more; smaller ones and unreported ones aren't here.
| Subrecipient | Amount | Subawards | Where | First | Last |
|---|---|---|---|---|---|
| North Dakota State University | $1.91M | 3 | ND | 2026-05-18 | 2026-06-03 |
| University of North Dakota | $1.05M | 3 | ND | 2026-04-24 | 2026-09-16 |
| Ronald Mcdonald House Charities of Bismarck | $750.0K | 1 | ND | 2026-08-12 | 2026-08-12 |
| Sanford Health Network North | $540.0K | 2 | ND | 2026-07-06 | 2026-07-06 |
| Christian Unity Hospital Inc | $304.6K | 1 | ND | 2026-07-22 | 2026-07-22 |
| P. R. Health Corporation | $287.6K | 1 | ND | 2026-08-31 | 2026-08-31 |
| Southwest Healthcare Services | $282.5K | 1 | ND | 2026-08-17 | 2026-08-17 |
| West River Health Services | $276.3K | 1 | ND | 2026-06-29 | 2026-06-29 |
| Wishek Hospital-Clinic Association | $274.3K | 1 | ND | 2026-07-27 | 2026-07-27 |
| Trinity Health | $273.1K | 1 | ND | 2026-06-22 | 2026-06-22 |
| Cavalier County Memorial Hospital Association | $270.8K | 1 | ND | 2026-08-10 | 2026-08-10 |
| SMP Health ST Aloisius | $270.0K | 1 | ND | 2026-06-26 | 2026-06-26 |
| Lutheran Charity Association | $270.0K | 1 | ND | 2026-08-04 | 2026-08-04 |
| Ashley Medical Center | $270.0K | 1 | ND | 2026-08-10 | 2026-08-10 |
| Towner County Medical Center, Inc. | $270.0K | 1 | ND | 2026-07-30 | 2026-07-30 |
| Linton Hospital | $269.9K | 1 | ND | 2026-07-27 | 2026-07-27 |
| Northwood Deaconess Health Center | $264.6K | 1 | ND | 2026-06-22 | 2026-06-22 |
| Carrington Health Center | $252.1K | 1 | ND | 2026-07-15 | 2026-07-15 |
| Hazen Memorial Hospital Association | $250.0K | 1 | ND | 2026-07-06 | 2026-07-06 |
| ST Lukes Hospital | $234.5K | 1 | ND | 2026-07-30 | 2026-07-30 |
| Jacobson Memorial Hospital Care Center | $213.0K | 1 | ND | 2026-08-05 | 2026-08-05 |
| ST Andrews Hospital | $201.5K | 1 | ND | 2026-07-06 | 2026-07-06 |
| Presentation Medical Center | $178.5K | 1 | ND | 2026-07-17 | 2026-07-17 |
| Mercy Hospital of Valley City | $135.9K | 1 | ND | 2026-09-04 | 2026-09-04 |
| South East Education Cooperative | $134.6K | 1 | ND | 2026-09-14 | 2026-09-14 |
The 25 largest of 62; the rest are on USAspending.gov.
The largest single subawards
| Date | To | Amount | For |
|---|---|---|---|
| 2026-06-03 | North Dakota State University | $1.28M | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-12 | Ronald Mcdonald House Charities of Bismarck | $750.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-06-26 | University of North Dakota | $604.1K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-05-18 | North Dakota State University | $504.5K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-09-16 | University of North Dakota | $306.9K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-22 | Christian Unity Hospital Inc | $304.6K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-31 | P. R. Health Corporation | $287.6K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-17 | Southwest Healthcare Services | $282.5K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-06-29 | West River Health Services | $276.3K | 93.798 RURAL HEALTH TRANSFORMATION |
| 2026-07-27 | Wishek Hospital-Clinic Association | $274.3K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-06-22 | Trinity Health | $273.1K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-10 | Cavalier County Memorial Hospital Association | $270.8K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-06 | Sanford Health Network North | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-06-26 | SMP Health ST Aloisius | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-04 | Lutheran Charity Association | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-10 | Ashley Medical Center | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-06 | Sanford Health Network North | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-30 | Towner County Medical Center, Inc. | $270.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-27 | Linton Hospital | $269.9K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-06-22 | Northwood Deaconess Health Center | $264.6K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-15 | Carrington Health Center | $252.1K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-06 | Hazen Memorial Hospital Association | $250.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-30 | ST Lukes Hospital | $234.5K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-08-05 | Jacobson Memorial Hospital Care Center | $213.0K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
| 2026-07-06 | ST Andrews Hospital | $201.5K | 93.798 RURAL HEALTH TRANSFORMATION PROGRAM |
Every action
5 actions since 2025-12-29. Each is a modification or amendment with the money it added or took back.
| Date | Amendment | Kind | Amount | What the agency wrote |
|---|---|---|---|---|
| 2026-04-01 | 04 | EX | $0 | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER… |
| 2026-03-27 | 03 | EX | $0 | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER… |
| 2026-02-24 | 02 | EX | $0 | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER… |
| 2026-01-21 | 01 | EX | $0 | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER… |
| 2025-12-29 | 00 | A1 | $198.94M | NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH TRANSFORMATION PLAN (RHTP) TOTAL BUDGET REQUESTED: $1,000,000,000 PURPOSE: NORTH DAKOTA’S RURAL HEALTH SYSTEM IS UNDER… |
Source: USAspending.gov prime award transactions and FSRS subaward reports, as loaded by SpendQuery (data as of 2026-10-21). Amounts are obligations (money committed), not outlays. The official record on USAspending.gov ↗