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North Dakota CAH Subcontract Program

Please note there has been an extension.

Funding is available to support North Dakota Critical Access Hospitals (CAHs) and CAH-owned Rural Health Clinics in identifying potential areas of financial and operational improvement through CAH financial/operational improvement area of choice and Community Health Needs Assessment (CHNA) Implementation Activity.

The Flex Program currently has funding available for two awards up to $10,000 each for the Financial/Operational Improvement Area of Choice. The State Office of Rural Health has three awards up to $5,000 each for the CHNA Implementation Activity.

Eligibility

All North Dakota CAHs are eligible to apply for subcontract funding. A CAH may submit more than one application; however, may only have one active subcontract for each area of focus. Expenses for proposed activities cannot be incurred prior to award. A separate online application must be submitted for each area of focus.

Rural Hospital Flexibility and State Office of Rural Health funds cannot be used:

  • for direct patient care, healthcare services, equipment, or supplies
  • to purchase vehicles or communications equipment
  • to purchase or acquire real property or to improve existing property
  • for building and/or physical structural improvements
  • for hospital personnel time or associated expenses
  • for t-shirts, hats, prizes, etc.
  • for the purchase of food

NOTE: These subcontracts are intended to fund new activities, not any activity or projects which begin before the Flex subcontract is awarded. Any expenditures incurred prior to the formal contractual signing by both parties are the responsibility of the hospital. Prior expenses cannot be submitted for reimbursement. All project activities must be completed by August 31, 2025.

Technical Assistance Call

The technical assistance call has passed. If you were unavailable to join the call, contact Holly Long for individual assistance.

Important Dates

Financial/Operational Improvement Area of Choice Due Date: January 9, 2025
CHNA Implementation Activity Revised Due Date: January 24, 2025 Notice of Extension
Revised Award Notification Date: January 31, 2025
Award Completion Deadlines: Financial/Operational Improvement Area of Choice is August 31, 2025, CHNA Implementation Activity is June 30, 2025

Application Components

View the components needed to fill out the application forms.

Application Forms

Submit your applications through these online forms:

Note: Applications must be submitted through the online forms, applications will not be accepted via mail or email.

Questions?

Contact Holly Long at (701) 213-9985 or by email at holly.long@UND.edu.