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Grants to North Carolina Primary Care Safety Net Organizations to Increase Access to Care for Medically Underserved Residents

Community Health Grant


GrantWatch ID#

Funding Source
North Carolina Department of Health and Human Services (DHHS)
Office of Rural Health (ORH)
Array ( )

Geographic Focus
USA: North Carolina

Important Dates
Deadline: 12/08/23 5:00 PM Receipt Save

Grant Description
Grants to North Carolina primary care safety net organizations to address the health needs of medically underserved residents. Applicants must submit a preliminary form in order to access the full application. The purpose of this program is to increase access to primary and preventive care to meet the health needs of vulnerable, underserved, and medically indigent patients, with an emphasis on providing primary and preventative medical services to uninsured or medically indigent patients.

An important component of this work is to strengthen the safety net through increased levels of collaboration and integration of services to sustain and meet the needs of those served more effectively. When an eligible primary care medical home safety net organization provides integrated care, grant funding may also support dental, pharmacy, and behavioral health services.

Primary care safety net organizations that currently provide primary and preventative health care for underserved and medically indigent patients in North Carolina are eligible to apply for this funding to pay for patient care through encounter-based reimbursement (Track A) or through reimbursement for eligible expenses (Track B). Telehealth services and equipment are eligible expenses in both tracks. Applicants must select one track.

  • Track A: Encounter-based reimbursement. Payment per patient encounter for low-income, uninsured, and underinsured residents, who do not have health care coverage or access to primary health care services. Visits are reimbursable for medically necessary, on-site, face-to-face provider encounters. Face-to-face encounters may also include telehealth patient encounters with a provider.
  • Track B: Reimbursement for eligible expenses. Payment may include salary/fringe benefits for clinical staff, medical/office supplies and equipment, and capital expenses, including equipment for telehealth services.

Eligible organizations that currently provide direct primary and preventive care may use these funds to support any of the following:

  • Health promotion, health maintenance, health counseling,
  • Disease prevention,
  • Patient education,
  • Diagnosis and treatment of acute and chronic illnesses,
  • Integrated care services (dental, pharmacy, behavioral health, care coordination/care management by a primary care entity),
  • Women’s health, maternal and child health that supports health care services in a primary care setting,
  • Collaborative, community-based, whole person-centered health care delivery models,
  • Telehealth patient care,
  • Care coordination and navigation, including activities related to Medicaid Expansion
  • Community health workers.


Additional Eligibility Criteria
All primary care safety net organizations that currently provide direct primary and preventive care and serve as a medical home are eligible to apply. This includes:
- Federally Qualified Health Centers and Look-Alikes (FQHCs),
- Free and Charitable Clinics,
- Health Departments,
- Non-Profit, Hospital-Owned Primary Care Clinics,
- Rural Health Centers,
- School-Based and School-Linked Health Centers,
- AHEC Clinics,
- Other Non-Profit Community Organizations that provide direct primary and preventive patient care to low-income, uninsured, underinsured and medically vulnerable populations.

Indirect costs are not eligible.

Regardless of track selected, applicant organizations must ensure that Community Health Grant funding does not duplicate or supplant any other funding, including Federal COVID funds.

Pre-Proposal Conference
Webinars for all Community Health Grant applicants will be held on the following dates: Organizations are invited to participate in one or both of the webinars.

November 6, 2023, at 1:00 pm: Microsoft Teams meeting
Join on your computer, mobile app or room device
Click here to join the meeting:
Meeting ID: 227 325 056 31
Passcode: C6yKDH

November 8, 2023, at 1:00 pm: Microsoft Teams meeting
Join on your computer, mobile app or room device
Click here to join the meeting:
Meeting ID: 228 582 094 598
Passcode: bjBrB5

Pre-Application Information
All applications are due by 5:00 PM on December 8, 2023. Only electronic applications will be accepted.

Access to the electronic application is a two-step process:
- Step One: Use the Office of Rural Health application link to submit the organization name and contact information. The link opens on October 24, 2023, and closes at 5:00 PM on December 8, 2023.
- Step Two: Upon submitting the required information to the Office of Rural Health Application Link, an email with a personalized link specific to your organization will be sent. The link in the email will provide access to the electronic application. The application closes at 5:00 PM on December 8, 2023. Please begin the application process in time to ensure completion on or before December 8, 2023. No new application links will be sent after December 7, 2023.

Only one application can be submitted per eligible organization.

Successful applicants will be required to attend a grant award workshop.

Link to webinar recording:

Number of Grants
ORH anticipates that approximately 33 applicants will receive three-year funding.

Estimated Size of Grant
Applicants may request up to $150,000 per year of the grant.

Term of Contract
Proposed Project Period or Contract Term: State Fiscal Year 2025: July 1, 2024 – June 30, 2025

Contact Information
Office of Rural Health Application Link:

For assistance with the application link contact:
Sharema Williams

Funding Agency Contact/Inquiry Information:
Nicole Fields-Pierre

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000

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