North Dakota CAH Subcontract Program
Funding is available to support North Dakota Critical Access Hospitals (CAHs) in identifying potential areas of financial and operational improvement through CAH financial/operational improvement area of choice, and Community Health Needs Assessment (CHNA) implementation for collaborative population health programming in response to identification of unmet community health and health service needs.
The CAH Subcontract Program currently has approximately $41,000 available for Financial/Operational Improvement Area of Choice. The CHNA Implementation Activity has four awards up to $2,500 available.
This request for proposal (RFP) is released on behalf of the North Dakota Medicare Rural Hospital Flexibility (Flex) Program and the North Dakota State Office of Rural Health (SORH).
Important Dates
Release Date: October 6, 2026
Application Due Date: October 30, 2026
Award Notification Date: November 20, 2026
CHNA Implementation Activity Award Completion Date: June 30, 2027
Financial/Operational Improvement Area of Choice Award Completion Date: August 31, 2027
Technical Assistance (TA) Call
October 15 @ 1:00 pm Central
Call Number: (253) 215-8782 Meeting ID: 927 8388 5717 Passcode: 586958
If you are unable to join the Zoom call, contact Anna Walter for individual assistance.
Application Form
Submit your applications through these online forms:
Note: Applications must be submitted through these online forms – applications will not be accepted via mail or email.
Eligibility
All North Dakota CAHs and CAH-owned Rural Health Clinics (RHCs) 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 SORH 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