New Hampshire was awarded $204 million from the Centers for Medicare and Medicaid Services to implement the first budget period of its five-period Rural Health Transformation (RHT) Plan. The State’s RHT Plan is administered by the Governor’s Office of New Opportunities and Rural Transformational Health (GO-NORTH). GO-NORTH contracted with the Community Development Finance Authority (CDFA) to invest more than $40 million per year to create the GO-NORTH Rural Community Health Infrastructure Program, which will provide resources to nonprofits and municipalities to support infrastructure improvements to health and community facilities across the State.
The GO-NORTH Rural Community Health Infrastructure Program is a competitive program that will invest funds to rehabilitate rural health infrastructure that are included in and aligned with the initiatives and outcomes committed to in New Hampshire’s GO-NORTH Plan. The program will also provide technical assistance to prospective applicants and awardees to help facilitate successful implementation, from grant application through project completion.
PROGRAM GUIDANCE & MATERIALS
The GO-NORTH Rural Community Health Infrastructure Program Budget Period 1 Application and Program Guide is now available. The guide contains information for program applicants including:
• Program overview, objectives and priorities;
• Eligible entities and infrastructure investments;
• Steps in the application process;
• Evaluation and scoring elements;
• Technical assistance, grant administration, compliance and additional program guidelines.
CDFA hosted a virtual webinar on June 11, 2026 for organizations interested in applying for the GO-NORTH Rural Community Health Infrastructure Program funds or learning more about the program. Topics covered include: an overview of the Program for Budget Year 1, eligible applicants and activities, and the first step in the application process. The webinar recording is available.
Grant writers, grant administrators, municipalities, nonprofits and any projects that intend to apply for the program are encouraged to review these materials.
APPLICATION PROCESS
Organizations interested in seeking GO-NORTH Rural Community Health Infrastructure Program resources must complete the following steps.
Step 1: Request for Eligibility Determination
The Request for Eligibility Determination is the first required step in the application process for the GO-NORTH Rural Community Health Infrastructure Program. The form is available on CDFA’s Grant Management System (https://nhcdfagrants.org/). It is listed as funding opportunity #40398 and titled “GO-NORTH Request for Eligibility Determination Form Budget Period 1.” It requires a concise, high-level overview of the proposed project. See Appendix F in the guide for an outline of the form. Please note this is not a full application.
Requests will be reviewed on a rolling basis by CDFA and GO-NORTH. Approval of a Request for Eligibility Determination does not guarantee funding but provides the opportunity for the eligible entity to submit a full application to be considered in a competitive funding round.
Step 2: Review Application Instructions
Once an organization’s Request for Eligibility Determination is approved, CDFA will share a pre-recorded overview of instructions to help the organization prepare its application.
Step 3: Schedule a Pre-application Meeting with CDFA
Once the organization’s Request for Eligibility Determination has been approved, we strongly encourage those interested in pursuing a full application to schedule a virtual pre-application meeting with CDFA staff. These one-on-one meetings are an opportunity for CDFA to answer questions about the GO-NORTH Rural Community Health Infrastructure Program or the application process and provide guidance specific to your proposed project.
Step 4: Submit a Full Application
Organizations that have received an approved Request for Eligibility Determination and are ready to implement their project are encouraged to submit a full application on CDFA’s Grant Management System (https://nhcdfagrants.org/) in advance of the September 1, 2026 deadline. It is listed as funding opportunity #40701 and titled “GO-NORTH RCHIP Application Budget Period 1” within the Grants Management System. See Appendix G in the guide for an outline of the full application.
