Rural Organizations Orchestrating Transformation for Sustainability

NC ROOTS Hub

Strengthening rural health through local partnership, collaboration, and community-led transformation

a female doctor standing infront of a rural landscape
A blue heart with an outline of a field inside. NC Rural Health Transformation Logo

About NC ROOTS

NC ROOTS (Rural Organizations Orchestrating Transformation for Sustainability) is a statewide initiative focused on improving health outcomes in rural communities across North Carolina. 

This work brings together local partners, providers, and community leaders to strengthen access to care, address health-related needs, and build long-term capacity in rural health systems. 

The NC ROOTS Hub model is designed to support collaboration, coordination, and community-informed solutions that reflect the unique needs of each region. 

For full program details, visit the North Carolina Department of Health and Human Services NC ROOTS page. 

a north carolina map showing all regions divided by colors

Request for Applications (RFAs) Available Now

Trillium Health Resources announces the first round for RFAs to identify and engage qualified subrecipients whose missions and capabilities align with our shared commitment to strengthening rural health care infrastructure and improving health outcomes throughout regions 2 and 5. 

The RFAs provide eligible organizations with an opportunity to apply for NC ROOTS funding and partner with Trillium to expand access to care, strengthen local health systems, and advance health equity throughout the communities we serve. We encourage organizations with innovative, community-focused solutions to review the available funding opportunities and apply.

Additional funding opportunities will be released in future RFAs.
 

RFA Informational Session

Trillium hosted an RFA Informational Session on August 4, 2026. The following slides and the accompanying recording represent what was shared during the meeting. This informational session applies only to the RFAs posted for Regions 2 and 5, which have submission deadlines of 8/24 and 8/31. 

Trillium’s Role

Trillium Health Resources is the NC ROOTS Hub Lead for Regions 2 and 5.

image of a diagram showing Trillium RoleAs part of this work, we help build strong local networks of partners who work together to improve health care in rural communities. Over the next five years, NC ROOTS Hubs will support rural communities by:

  • Improving mental health and substance use services
  • Helping doctors, clinics, and services work better together
  • Using digital tools to improve care and outcomes
  • Expanding access to primary care
  • Strengthening and growing the health care workforce

Trillium has long invested in people, communities, and new ways of delivering care. These efforts help more people get the care they need, reduce gaps in services, and support individuals and families to live healthier lives.

As a NC ROOTS Hub Lead, Trillium is proud to serve rural North Carolina. We will use our experience, partnerships, and resources to help strengthen local health care and support long-term improvements across the region.

Regional NC ROOTS Hubs

Together, we can strengthen rural health systems and support healthier communities across North Carolina.

Stay Connected

We invite partners, community members, and stakeholders to stay engaged as this work moves forward.

By joining our contact list, you’ll stay informed about opportunities to engage, collaborate, and help shape the future of rural health in your region.

Sign up for updates here

Stevens Amendment Disclosure:

This webpage is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $213,008,356.47 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

Page last verified on