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 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.

Cooperative Agreement · Centers for Medicare and Medicaid Services · to North Dakota Department of Human Services (UEI GSKXYGKGX6A4) · data as of 2026-10-21

Obligated to date$198.94M5 actions
Period2025-12-29 → 2026-04-01first to last action
Passed on$11.66Mto 62 subrecipients

What it is

Program
Rural Health Transformation Program (Assistance Listing 93.798)
Where the work is
ND · district ND-00

Obligations by fiscal year

FY2026$198.94M

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.

SubrecipientAmountSubawardsWhereFirstLast
North Dakota State University$1.91M3ND2026-05-182026-06-03
University of North Dakota$1.05M3ND2026-04-242026-09-16
Ronald Mcdonald House Charities of Bismarck$750.0K1ND2026-08-122026-08-12
Sanford Health Network North$540.0K2ND2026-07-062026-07-06
Christian Unity Hospital Inc$304.6K1ND2026-07-222026-07-22
P. R. Health Corporation$287.6K1ND2026-08-312026-08-31
Southwest Healthcare Services$282.5K1ND2026-08-172026-08-17
West River Health Services$276.3K1ND2026-06-292026-06-29
Wishek Hospital-Clinic Association$274.3K1ND2026-07-272026-07-27
Trinity Health$273.1K1ND2026-06-222026-06-22
Cavalier County Memorial Hospital Association$270.8K1ND2026-08-102026-08-10
SMP Health ST Aloisius$270.0K1ND2026-06-262026-06-26
Lutheran Charity Association$270.0K1ND2026-08-042026-08-04
Ashley Medical Center$270.0K1ND2026-08-102026-08-10
Towner County Medical Center, Inc.$270.0K1ND2026-07-302026-07-30
Linton Hospital$269.9K1ND2026-07-272026-07-27
Northwood Deaconess Health Center$264.6K1ND2026-06-222026-06-22
Carrington Health Center$252.1K1ND2026-07-152026-07-15
Hazen Memorial Hospital Association$250.0K1ND2026-07-062026-07-06
ST Lukes Hospital$234.5K1ND2026-07-302026-07-30
Jacobson Memorial Hospital Care Center$213.0K1ND2026-08-052026-08-05
ST Andrews Hospital$201.5K1ND2026-07-062026-07-06
Presentation Medical Center$178.5K1ND2026-07-172026-07-17
Mercy Hospital of Valley City$135.9K1ND2026-09-042026-09-04
South East Education Cooperative$134.6K1ND2026-09-142026-09-14

The 25 largest of 62; the rest are on USAspending.gov.

The largest single subawards
DateToAmountFor
2026-06-03North Dakota State University$1.28M93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-12Ronald Mcdonald House Charities of Bismarck$750.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-06-26University of North Dakota$604.1K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-05-18North Dakota State University$504.5K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-09-16University of North Dakota$306.9K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-22Christian Unity Hospital Inc$304.6K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-31P. R. Health Corporation$287.6K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-17Southwest Healthcare Services$282.5K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-06-29West River Health Services$276.3K93.798 RURAL HEALTH TRANSFORMATION
2026-07-27Wishek Hospital-Clinic Association$274.3K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-06-22Trinity Health$273.1K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-10Cavalier County Memorial Hospital Association$270.8K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-06Sanford Health Network North$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-06-26SMP Health ST Aloisius$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-04Lutheran Charity Association$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-10Ashley Medical Center$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-06Sanford Health Network North$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-30Towner County Medical Center, Inc.$270.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-27Linton Hospital$269.9K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-06-22Northwood Deaconess Health Center$264.6K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-15Carrington Health Center$252.1K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-06Hazen Memorial Hospital Association$250.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-30ST Lukes Hospital$234.5K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-08-05Jacobson Memorial Hospital Care Center$213.0K93.798 RURAL HEALTH TRANSFORMATION PROGRAM
2026-07-06ST Andrews Hospital$201.5K93.798 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.

DateAmendmentKindAmountWhat the agency wrote
2026-04-0104EX$0NORTH 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…
2026-03-2703EX$0NORTH 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…
2026-02-2402EX$0NORTH 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…
2026-01-2101EX$0NORTH 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…
2025-12-2900A1$198.94MNORTH 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 ↗