NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES
...The North Carolina Department of Health and Human Services has received approximately $27.6 billion in federal funding across nine awards. The Department of Health and Human Services provided $27.5 billion of this total, while the Department of Agriculture contributed $90.6 million. Award descriptions indicate funding for Medicaid entitlements, immunization programs, epidemiology and laboratory capacity for infectious disease control, and child care development initiatives.
The recipient's funding portfolio spans biotech and other sectors. Sample awards include Medicaid entitlements for fiscal year 2026, the Epidemiology and Laboratory Capacity program for emerging infectious disease prevention, the Immunization and Vaccines for Children program, and the Child Care and Development Block Grant.
Narrative generated May 13, 2026 by The Buildout's synthesis pipeline. Facts are drawn only from the recipient's tracked federal awards; no marketing material, no recipient input.
Based on 32 awards totaling $49,322,359,868.
Top 30 by amount
| Action date | Recipient | Agency | Amount | Description | Sector | Status |
|---|---|---|---|---|---|---|
| 2026-05-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $24,819,288,393 | MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19 | — | expired |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $18,399,629,835 | MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19 | — | active |
| 2026-06-22 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $1,167,031,150 | CK19-1904 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES (ELC) | — | active |
| 2026-05-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $795,112,426 | MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19 | — | expired |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $662,241,858 | MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19 | — | active |
| 2026-04-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $277,077,227 | CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN | — | expired |
| 2026-06-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $260,033,528 | 2026 TANF | — | active |
| 2026-06-22 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $251,462,130 | RYAN WHITE CARE ACT TITLE II | — | active |
| 2026-05-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $246,048,018 | CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY | — | active |
| 2026-03-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $213,008,356 | NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM - PROJECT ABSTRACT / SUMMARY ORGANIZATION: THE NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES (NCDHHS), AS THE GOVERNOR’S DESIGNEE, WILL LEAD THE NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM (NCRHTP) THROUGH ITS OFFICE OF RURAL HEALTH. IMPLEMENTATION IS GUIDED BY A STATEWIDE STEERING COMMITTEE THAT INCLUDES MEDICAID, PUBLIC HEALTH, AND BEHAVIORAL HEALTH DIVISIONS. KEY SUBRECIPIENTS INCLUDE THE DUKE-MARGOLIS HEALTH POLICY CENTER, UNC THE CECIL G. SHEPS CENTER FOR HEALTH SERVICES RESEARCH AND OTHERS TO BE DETERMINED. PROJECT GOALS: THIS TRANSFORMATIVE INVESTMENT IMPROVES HEALTH OUTCOMES AND ACCESS FOR NEARLY 3 MILLION RURAL NORTH CAROLINIANS ACROSS 85 OF 100 NC COUNTIES THROUGH THREE GOALS; (1) CATALYZING INNOVATIVE CARE MODELS, 2) TRANSFORMING THE RURAL CARE EXPERIENCE, AND 3) CREATING A SUSTAINABLE RURAL DELIVERY SYSTEM. BY FY2031, NCRHTP WILL INCREASE RURAL PROVIDER-TO-POPULATION RATIOS, REDUCE PREVENTABLE HOSPITAL READMISSIONS AND EMERGENCY VISITS, LOWER CHRONIC DISEASE RISK FACTORS, AND EXPAND ACCESS TO INTEGRATED BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE USE SERVICES. ALL WHILE SIMULTANEOUSLY INVESTING DIRECTLY INTO COMMUNITIES AND STIMULATING RURAL ECONOMIC DEVELOPMENT AND JOB CREATION. TOTAL BUDGET $1,000,000,000 OVER 5 YEARS (INDICATIVE PER CMS GUIDANCE) FUND USAGE: THROUGH 6 INTEGRATED INITIATIVES, NCRHTP WILL SUSTAINABLY TRANSFORM RURAL HEALTH. 1. LAUNCH “NC ROOTS”* HUBS. THESE LOCALLY GOVERNED, COMMUNITY-TAILORED NETWORKS CONNECT MEDICAL, BEHAVIORAL, AND SOCIAL SERVICES--MAKING IT EASIER FOR RURAL RESIDENTS TO ACCESS COMPREHENSIVE CARE IN ONE PLACE. EACH HUB IS TAILORED TO ITS REGION, OFFERING IN-PERSON SERVICES, CARE COORDINATION, AND DIRECT SUPPORT FOR FAMILIES, WHILE ALSO LEVERAGING VIRTUAL CARE AND ADVANCED AI TO ENHANCE ACCESS AND SHARE DATA. 2. IMPROVE PREVENTION/SCREENING, CHRONIC DISEASE MANAGEMENT, MATERNAL HEALTH, AND NUTRITION BY SCALING UP EFFECTIVE PROGRAMS FOR PRIMARY CARE ACCESS, FOOD AS MEDICINE, DIABETES AND HYPERTENSION MANAGEMENT, CANCER SCREENING, AND PERINATAL HEALTH. 3. EXPAND BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES AND INTEGRATE INTO REGIONAL CARE NETWORKS THROUGH THE GROWTH OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS), ENHANCED ASSESSMENT AND TREATMENT PROGRAMS TO ADDRESS CRITICAL CARE GAPS, AS WELL AS NEW COLLABORATIVE AND NON-TRADITIONAL WORKFORCE MODELS TO CONNECT RESIDENTS TO CARE. 4. MODERNIZE AND SUSTAIN THE RURAL HEALTH WORKFORCE THROUGH CATALYZING INVESTMENTS IN RURAL TRAINING CENTERS, FELLOWSHIPS, AND CERTIFICATION PROGRAMS TO RECRUIT, TRAIN, AND RETAIN CLINICIANS, ALLIED HEALTH PROFESSIONALS, AND COMMUNITY HEALTH WORKERS. 5. ADVANCE VALUE-BASED PAYMENT (VBP) BY ESTABLISHING CAPABILITIES FOR RURAL PRIMARY CARE PRACTICES TO PARTICIPATE IN ADVANCED VBP MODELS AND LAYING THE GROUNDWORK FOR RURAL HOSPITAL PARTICIPATION IN VBP ARRANGEMENTS, WITH A FOCUS ON FINANCIAL SUSTAINABILITY. 6. ACCELERATE TECHNOLOGICAL INNOVATION, ACCESS, AND INTEROPERABILITY THROUGH INCREASED HEALTH INFORMATION EXCHANGE PARTICIPATION, DIGITAL LITERACY PROGRAMS TO ENSURE RURAL RESIDENTS CAN ACCESS MODERN, CONNECTED CARE, AND THE BROAD IMPLEMENTATION OF STATE-OF-THE-ART AI-BASED TECHNOLOGY TO SUPPORT DOCUMENTATION AND REAL-TIME EXPERT CLINICAL DECISION SUPPORT TO DRIVE DOWN BUSINESS COSTS FOR RURAL PROVIDERS AND IMPROVE SUSTAINABILITY *RURAL ORGANIZATIONS ORCHESTRATING TRANSFORMATION FOR SUSTAINABILITY | — | active |
| 2026-05-19 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $197,783,902 | SNAP STATE ADMINISTRATIVE COSTS | — | expired |
| 2026-04-17 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $144,307,696 | WIC FOOD EXPENSE | — | active |
| 2026-03-31 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Education | $129,567,781 | STATE VOCATIONAL REHABILITATION SERVICES (VR) | — | active |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $124,318,434 | SCSS-2024 | — | expired |
| 2026-04-17 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $123,884,682 | SNAP STATE ADMINISTRATIVE COSTS | — | active |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $114,275,254 | SCSS-2026 - CHILD SUPPORT SERVICES - STATES | — | active |
| 2026-04-02 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $114,183,142 | STATE ADMINISTRATIVE MATCHING GRANTS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM | — | expired |
| 2026-03-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $113,618,818 | LIHEAP-2023 | — | expired |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $111,991,527 | LIHEAP-2024 | — | expired |
| 2026-03-05 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $110,290,092 | FOR CDC TO PROCESS THE INITIAL NOTICE OF AWARDS, NC IS SUBMITTING A SIGNED APPLICATION IN GRANTSOLUTIONS AS A SUPPLEMENT AMENDMENT. - THE COVID-19 PANDEMIC UNEARTHED GAPS ACROSS A FRAGMENTED, AND UNDERFUNDED PUBLIC HEALTH SYSTEM. NORTH CAROLINA DIVISION OF PUBLIC HEALTH’S APPLICATION TO RECEIVE ACCREDITATION BY THE PUBLIC HEALTH ACCREDITATION BOARD (PHAB) ALSO YIELDS SIGNIFICANT OPPORTUNITIES TO IMPROVE THE DELIVERY AND ACCOUNTABILITY FOR SERVICES. CDC’S OE22-2203: STRENGTHENING U.S. PUBLIC HEALTH INFRASTRUCTURE, WORKFORCE, AND DATA SYSTEMS GRANT WILL PROVIDE FUNDING TO IMPROVE CRITICAL PUBLIC HEALTH INFRASTRUCTURE NEEDS. THE INVESTMENT WILL HELP ENSURE THAT U.S. PUBLIC HEALTH SYSTEMS ARE READY TO RESPOND TO PUBLIC HEALTH EMERGENCIES LIKE COVID-19 AND TO MEET THE EVOLVING AND COMPLEX NEEDS OF THE COMMUNITIES AND POPULATIONS THEY SERVE. THE GRANT AFFORDS THE OPPORTUNITY TO STRENGTHEN THE FOUNDATIONS OF OUR PUBLIC HEALTH SYSTEM THROUGH FUNDING CROSS-CUTTING FUNCTIONS THAT SUPPORT THE PUBLIC HEALTH ENTERPRISE IN OUR STATE, AND IN TURN, CONTRIBUTE TO OUR ABILITIES TO EQUITABLY SERVE COMMUNITIES ACROSS THE STATE. NORTH CAROLINA WILL FOCUS OUR A1 WORKFORCE EFFORTS ON INCREASING HIRING OF DIVERSE STAFF, PROMOTING RETENTION AND EMPLOYEE EXPERIENCE, AND STRENGTHENING THE CAPABILITIES OF THE WORKFORCE. NORTH CAROLINA IS PRIORITIZING NEW ROLES THAT SERVE FOUNDATIONAL CAPABILITIES AND CUT ACROSS ALL FUNCTIONS, RATHER THAN ROLES THAT SERVE INDIVIDUAL HEALTH AREAS. THIS INITIATIVE WILL DOVETAIL WITH ONGOING EFFORTS UNDER THE PUBLIC HEALTH WORKFORCE INITIATIVE AND HEALTH DISPARITIES GRANTS, WHICH WILL SUNSET DURING THE AWARD PERIOD. WITH ONE-YEAR FUNDS AWARDED FOR A2 FOUNDATIONAL CAPABILITIES, NORTH CAROLINA WILL SUPPORT QUALITY IMPROVEMENT INITIATIVES TO IMPROVE ORGANIZATIONAL PROCESSES, INCLUDING IN HUMAN RESOURCES AND THE BUSINESS OFFICE. NORTH CAROLINA’S A3 DATA MODERNIZATION INITIATIVE WILL SUPPORT CROSS-DIVISION DATA INFRASTRUCTURE PROJECTS TO MAP GAPS AND PROPOSE SOLUTIONS, INCLUDING IN STRENGTHENING DATA WORKFORCE AND IMPROVING DATA AVAILABILITY. | — | active |
| 2026-03-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $108,276,899 | LIHEAP-2022 | — | expired |
| 2026-04-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $105,102,928 | LIHEAP-2026 - LOW INCOME HOME ENERGY ASSISTANCE | — | active |
| 2026-03-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $103,968,148 | LIHEAP-2021 | — | expired |
| 2026-05-04 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $90,561,535 | CNP CN BLOCK PROG | — | expired |
| 2026-04-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $87,549,495 | FOSTER-2026 - FOSTER CARE | — | active |
| 2026-04-17 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $80,608,585 | CNP CN BLOCK PROG | — | active |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $74,315,037 | NORTH CAROLINA SOR 4 APPLICATION - THE PRIMARY PURPOSE OF THE PROPOSED PROJECT IS TO CONTINUE ADDRESSING THE OPIOID CRISIS IN NORTH CAROLINA, USING THE NORTH CAROLINA OPIOID AND SUBSTANCE USE ACTION PLAN 3.0, UPDATED MARCH 2021 WITH THE INPUT OF COMMUNITY PARTNERS, AS THE GUIDE. THE ACTION PLAN AIMS TO PREVENT, REDUCE HARM AND CONNECT TO CARE. THE PLAN FOCUSES ON SEVERAL KEY AREAS: (1) EQUITY AND LIVED EXPERIENCES (BEHAVIORAL HEALTH EQUITY), (2) PREVENTING FUTURE OPIOID ADDICTION THROUGH EDUCATION (3) REDUCING HARM, (4) CONNECTING TO CARE BY INCREASING TREATMENT ACCESS FOR ADULTS IN RURAL AREAS, HIGH-NEED URBAN AREAS, AS WELL THOSE JUSTICE-INVOLVED (RECOVERY-ORIENTED), (5) EXPANDING ACCESS TO HOUSING AND EMPLOYMENT SUPPORTS. EFFORTS WILL BE FOCUSED ON ACTIVITIES THAT CAN REALISTICALLY BE ACCOMPLISHED WITHIN THE TIME FRAME OF THE THREE-YEAR GRANT. THE MAJORITY OF THE FUNDING WILL ADDRESS ACCESS TO CARE AND TREATMENT NEEDS, BUT ALSO INCLUDES CONTINUED CONTRACTS WITH THE EASTERN BAND OF THE CHEROKEE INDIAN AND CHEROKEE INDIAN HOSPITAL AUTHORITY. THE PROPOSED PROJECT PLANS TO SERVE A MINIMUM OF 3,000 UNDUPLICATED PARTICIPANTS IN YEAR 1 AND AN ADDITIONAL 3,000 IN THE SECOND YEAR OF THE GRANT AS WELL AS IN YEAR 3. | — | active |
| 2026-04-06 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $65,829,325 | ADPTASST-2026 - ADOPTION ASSISTANCE | — | active |
| 2026-04-17 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Agriculture | $60,709,777 | WIC ADMIN EXPENSES | — | expired |
| 2026-04-20 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | Department of Health and Human Services | $59,515,321 | CCDM-2026 - CHILD CARE AND DEVELOPMENT FUND -- STATE MATCHING | — | active |
Profile compiled from publicly available USAspending.gov records, ingested and entity-resolved by The Buildout's pipeline.