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Community Health Grants

Grants to North Carolina Primary Care Clinics to
Increase Care for Medically Underserved Residents

Agency Type:


Funding Source:

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North Carolina Department of Health and Human Services, Office of Rural Health

Conf. Date:


Deadline Date:

03/16/18 Electronic Receipt


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Grants to North Carolina organizations that provide health safety-net services in rural areas within the state. The purpose of this program is to ensure access to primary and preventive care for underserved, medically indigent, and vulnerable patients.

Primary care is defined as that care provided by physicians specifically trained for and skilled in comprehensive first contact and continuing care for persons with any undiagnosed sign, symptom, or health concern. There are providers of health care other than physicians who render some primary care services. Such providers may include nurse practitioners, physician assistants and some other health care providers.

Primary care safety-net organizations are eligible to apply for this funding to pay for patient care through a primary care access program (Track A) or through a reimbursement model for eligible expenses (Track B).

Track A: Uninsured and underinsured residents are afforded access through the Primary Care Access Program. This program helps residents of North Carolina, at or below 200% of Federal Poverty Levels who do not have primary health care coverage, access health care services. Visits are reimbursable for medically necessary, on-site, face-to-face provider encounters.

Track B: The reimbursement model for eligible expenses may include payment for clinical staff, medical/office supplies and equipment, and capital.

Allowable Costs:

Track A: Patient visits are reimbursable through Primary Care Access Program for medically necessary, on-site, face-to-face provider encounters at $100 per visit.

Track B: Reimbursement model for eligible expenses may include payment for clinical staff, medical/office supplies and equipment, and capital.

GrantWatch ID#:

GrantWatch ID#: 169075

Estimated Size of Grant:

Applicants may request up to $150,000.

Term of Contract:

Applicants may request up to 12 months of funding.

The proposed project period is July 1, 2018 - June 30, 2019.

Additional Eligibility Criteria:

All primary care safety-net organizations that provide direct primary and preventive care and serve as a medical home care are eligible to apply. This includes: federally qualified health centers and look-alikes (FQHCs), free and charitable clinics, health departments, hospital-owned primary care clinics, rural health centers, school based and school linked health centers, AHEC clinics, and other community organizations that provide direct primary and preventative patient care to medically vulnerable populations, including the uninsured. Collaborations amongst safety-net groups is encouraged to support primary and preventive care.

Eligible organizations that provide direct primary and preventive care may also use these funds to support any of the following: health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and treatment of acute and chronic illnesses in a variety of health care settings (care coordination/care management by a primary care entity, behavioral health, oral health, women’s health, maternal and child health that supports health care services in a primary care setting).

As a condition of receiving a grant award, successful applicants must agree to connect to NC HealthConnex by June 1, 2019*.

*In 2015 North Carolina passed a law (NCGS 90-414.7) establishing the North Carolina Health Information Exchange Authority (NC HIEA) to oversee and administer the NC Health Information Exchange Network called NC HealthConnex. The use of NC HealthConnex promotes the access, exchange and analysis of health information to improve patient care and coordination of care.

The law requires that:

Hospitals as defined by G.S. 131E-176(3), physicians licensed to practice under Article 1 of Chapter 90 of the NC General Statutes, physician assistants as defined in 21 NCAC 32S .0201, and nurse practitioners as defined in 21 NCAC 36 .0801 who provide Medicaid services and who have an electronic health record system shall connect by June 1, 2018.

All other providers of Medicaid and state-funded services shall connect by June 1, 2019.

To meet the state’s mandate, a provider is “connected” when its clinical and demographic information are being sent to NC HealthConnex at least twice daily.” For further information, please see the HIEA website:

Pre-proposal Conference:

The technical assistance webinar is scheduled for February 9, 2018, 11:00 AM to 12:00 PM

An informational regional meeting is scheduled for Thursday, February 8, 2018, 10:00 AM to 12:30 PM at Merchants Millpond State Park in Gatesville, NC (

Pre-Application Information:

Grant Applications will be accepted beginning February 1, 2018. Grant applications must be received electronically by the Office of Rural Health by March 16, 2018.

Program Guidelines:

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

To attend the February 9 technical assistance webinar:

Beginning February 1, 2018, applications will be accepted online here:

Ginny Ingram, Program Manager

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2001

URL for Full Text (RFP):

Geographic Focus:

USA: North Carolina