NC ROOTS Hub
Strengthening rural health through local partnership, collaboration, and community-led transformation
NC ROOTS invites community partners, organizations, and stakeholders to submit letters of interest for upcoming initiatives that advance our mission of strengthening resilience, opportunity, and equity across North Carolina. These letters help us identify aligned collaborators and ensure each initiative reflects the needs and priorities of the communities we serve. We welcome interest from groups committed to driving meaningful, community centered impact as we continue to grow and evolve this work.
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.
North Carolina ROOTS Survey
What is the NC ROOTS Project and how can you be involved?
Earlier this year, North Carolina received a $213 million grant to transform rural health services. The Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) initiative provides a critical opportunity to improve the lives of those living in rural North Carolina.
Trillium Health Resources was selected to serve as the hub lead for our region, and we need your help. Your voice will directly help us identify:
- Community Needs: Where care is lacking most.
- Service Gaps: Programs or resources that are missing.
- Access Issues: Barriers preventing people in your county from getting
care.
Time to complete: Less than 5 minutes. Your responses are entirely confidential. Please return by July 20, 2026.
Thank you for taking the time to share your perspective and improve health outcomes in our community!
Trillium’s Role
Trillium Health Resources is the NC ROOTS Hub Lead for Regions 2 and 5.
As 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.
NC ROOTS Regional Kickoff Meetings Recordings
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.
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.