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North Carolina · RHT

Community paramedicine and Rural Health Transformation in North Carolina

Who administers the program, how a community paramedicine service line is usually positioned, and what a subrecipient will need to report.

Talk about NCBudget kit
Program
Rural Health Transformation, FY2026–2030
Lead agency
NC DHHS Office of EMS, with the NC Office of Rural Health
Award
Confirm against the CMS award notice before citing a figure.
Reporting
Quarterly progress plus annual reporting; records kept at least three years.

Who runs Rural Health Transformation here?

NC DHHS Office of EMS, with the NC Office of Rural Health

How much did the state receive?

First-year award announced Dec 29, 2025. Per-state awards ranged from $147M to $281M; confirm this state's figure against the CMS award notice before citing it.

What the sources say

  • $10 million is directed to 39 local EMS agencies for Mobile Integrated Health and community paramedicine.
  • The funded focus is substance use disorder and behavioral-health crisis response.
  • The MIH request-for-applications cycle runs in spring 2026.

The North Carolina angle

North Carolina is funding MIH at the local EMS agency level, so the referral path most subrecipients need is hospital or crisis-team to county agency, with behavioral-health follow-up as the first template.

Sources

Scope of practice in North Carolina

These mission templates are the ones we would enable first in NC. Everything else in the catalog is available once the state EMS office and your medical director confirm scope.

Enabled by default

Confirm with the North Carolina EMS office

  • A5 Post-surgical wound / ortho check
  • A8 Hospital-at-home in-person visit
  • B4 Remote patient monitoring install and training
  • C1 Low-acuity assessment, treat-in-place
  • C2 IV fluids, antiemetic or antibiotic dose at home
  • C4 SNF / ALF acute-change assessment
  • C5 Dialysis missed-treatment check
  • D1 Point-of-care labs / blood draw
  • D2 12-lead ECG at home
  • D3 Injection administration
  • D4 Wound care / dressing change
  • D5 Catheter / ostomy care
  • E1 Postpartum blood-pressure check
  • F1 Palliative symptom visit
  • F2 After-hours hospice response

Scope-dependent work, point-of-care draws, injections, IV doses, catheter care and treat-in-place, varies by state and by medical director. We do not assert scope on your behalf.

How a CP program is usually positioned

A hospital, EMS agency or health system acts as the subrecipient. The subaward funds the new service line: staff time in a new role, the coordination layer that gets referrals to them, and the evaluation work that proves the program did something.

Vendors sit under the subrecipient. VectorCare contracts as a vendor or subcontractor and does not administer funds or determine allowability, North Carolina's approved plan and CMS rules do that.

Verify North Carolina specifics

Confirm the award amount, the plan's priority areas and the subaward process against the CMS award notice and the state's published materials before relying on them.
What you will report

Last reviewed:

Getting started in North Carolina

Three steps that shorten the runway.

  1. 01

    Name the cohort

    One population, one referral source, one countable outcome.

  2. 02

    Line up the referral path

    Decide which hospital sends referrals and from which system.

  3. 03

    Write the evaluation in

    Agree the measures before the first visit, not after the first quarter.

Questions buyers ask

Software, onboarding and evaluation for new or expanded CP programs are commonly budgeted as subaward lines under a state's RHT plan. DispatchCare is a vendor or subcontractor to the subrecipient; eligibility is determined by your state's plan and CMS rules.

Bring community care coordination to North Carolina.

A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.

Book a demo