North Carolina (NC)

What the state has obligated, by initiative

• ›Initiative 1: Build Rural Community Care Network "Hubs"$78,000,000

  Fostering Collaboration · $75,000,000

  • North Carolina Rural Health Transformation (NCRHT) Program Hub Lead to establish regional governance and action planning. Investments in appropriate care based on action plan$75,000,000

  Prevention and Chronic Disease · $3,000,000

  • Conducting needs assessment$3,000,000
• ›Initiative 2: Create Models & Capacity for Expanded Primary Care, Prevention, and Chronic Disease$7,225,000

  Prevention of Chronic Disease · $7,225,000

  • Preventing chronic disease based on regional needs and action plan$7,200,000
  • Minority Diabetes Prevention Program (MDPP) Awardee$25,000
• ›Initiative 3: Expand and Integrate Behavioral Health and Substance Use Disorder Services$10,000,000

  Behavioral Health · $10,000,000

  • Implementation of the NCRHT Program’s Certified Community Behavioral Health Clinics (CCBHC) Project which is designed to improve access to community-based mental health and substance use disorder treatment and support, including 24/7 crisis services, to anyone in their service area who needs it, regardless of their age, ability to pay, or place of residence, particularly in rural and underserved communities$1,333,333
  • Implementation of the NCRHT Program’s Expansion of First Episode Psychosis (FEP) Services Project which involves early intervention services for youth and young adults ages 15-30 who are experiencing the emergence of a psychotic disorder$1,500,000
  • Implementation of the NCRHT Program’s Opioid Treatment Program (OTP) Project which is designed to expand access to evidence-based treatment for individuals with opioid use disorder (OUD), particularly in rural and underserved communities$750,000
• ›Initiative 4: Build a Robust & Resilient Workforce & Innovative Care Team Models for Rural Communities$34,794,450

  Workforce · $34,794,450

  • Regional workforce needs based on regional needs and action plan$34,794,450
• ›Initiative 5: Ensure Fiscal Sustainability of Rural Health Providers Through Innovative Financial Models$3,899,998

  Innovative Care · $3,499,998

  • Hospital feasibility studies and capacity building for Primary Care Pilot$3,499,998

  Program Administration Expense · $400,000

  • Strategy & design related to value-based payment (VBP) model, performance measures, member attribution model and stakeholder feedback support$400,000
• ›Initiative 6: Modernize Rural Care Delivery Through Digital Forward Solutions$27,402,958

  IT Advances · $27,402,958

  • Onboarding eligible rural providers to the Health Information Exchange (HIE) Network in a manner that will maximize health care savings and efficiencies to the State as well as optimize positive impacts on health outcomes for rural communities. Further, the NC HIE Authority will enhance and customize its services—and the training and technical assistance needed to support those services—to meet the expressed needs of rural providers$5,532,572
  • The Rural Health Innovation Fund (RHIF) will serve as a catalytic investment to help rural health providers modernize operations and health information technology (IT) infrastructure. The fund will enable providers to assess existing data systems, identify technology needs, evaluate vendors, and manage procurement and implementation § $1,870,386.45for Digital Health Literacy Partnership$20,000,000
• ›Program Operations$6,396,033

  Fostering Collaboration · $3,499,608

  § $ $3,499,608.00 for delivers technical assistance and peer learning across Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) Hubs and partners. Program Administration Expense · $2,896,425

  • Designing an evaluation plan and evaluate NCRHTP activities and investments across six initiatives$1,000,000
  • Microsoft (MS) Power Platform implementation support for sub-recipient and vendor management solution$264,795
  • NC Department of Health and Human Services (DHHS) personnel, fringe, travel supply costs, and cost allocation as detailed in most recent projected budget$1,631,630