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Details for Service Rural Health Centers Support
Service Name Rural Health Centers Support Program Name Capacity Building
Goal Manage resources to provide effective and efficient delivery of services to North Carolinians.
Objective Assure the capacity to deliver health and safety services to children and/or adults through collaboration, networks, partnerships and workforce development.
Division Central Management and Support - Office of Rural Health
Service Description


Support is provided to state-designated, 501(c)(3) rural health centers for primary care services, technical assistance, capital projects, and practice transformation.

Funding is provided for access to primary care services for underserved and uninsured rural residents. This population is afforded access through the Medical Access Plan (MAP). MAP services are available for patients with incomes up to 200% of Federal Poverty Guidelines. ORH currently reimburses rural health centers $100 for each MAP patient visit. The patient is required to pay a copayment that is determined by each rural health center's Board of Directors. Currently, twelve rural health centers are supported across the state through MAP grants. Grant funding is also available for practice transformation to patient centered medical home (PCMH) certification or development and maintenance of technological infrastructure/Meaningful Use (MU).

All funding initiatives must demonstrate the ability to create systems and processes that promote sustainability of the organization being funded.

In addition to operational assistance, state-designated rural health centers are also eligible to apply for funding to support capital projects. Capital projects may include roof repair, minor renovations, technological upgrades, HVAC replacement or new construction. The number and type of capital projects will vary from year to year, based on identified needs.


State-designated rural health centers, other organizations, or communities may also receive technical assistance from ORH. Technical assistance includes providing guidance with financial and personnel policy development, ICD -10 training, practice transformation and other areas as needed. These services are provided to assist centers with sustainability efforts. 



Web Site https://www.ncdhhs.gov/rural-health-centers Year First Initiated 1973
Available State Wide No Geographic Area Served Clay, Cleveland, Duplin, Granville, Halifax, Johnston, Madison, Northampton, Pender, Robeson, Tyrrell, Wayne, Wilkes, and Yancey counties
Grants Provided Yes Competitive Bidding Yes
Competitive Bidding Details Qualified rural health centers submit a request for application (RFA) for funding consideration by the Office. RFA information can be found on the Office's website annually in the spring.
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method For Medical Access Plan (MAP) participants, 200% of Federal Poverty Guidelines.
Income Eligibility Type Gross Income
Whose Income Eligibility All household income
Income Disregard Yes
Income Disregard Desc Do not include income from Supplemental Security Income (SSI), Work First, employment of individuals under age 21 who are full-time students, or unpredictable employment such as occasional yard work or baby sitting.
Income Verified Yes
Income Verified Method Tax returns, pay stubs
Income Criteria Other - The Office of Rural Health and Community Care determined income criteria when the initiative was created.
Income Eligibility Change 7/1/1973
Income Eligibility Method Prior To Change No changes
Income Eligibility Other

Target Population
Age Range Start Age Range End
0 100+

Legal Authority
Authorization Level Authorization Type Citation
State Statute Session Law 1973, Chapter 629 HB1237, Chapter 627

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
State Local Other
0 0 0
State Local
0 0