New Hampshire RHTP Compliance Prerequisites
What your organization needs in place before applying for RHTP sub-grants in New Hampshire.
New Hampshire's first funding round has been committed — four sole-source contracts totaling $133 million were approved by the Executive Council on March 17, 2026, going directly to named institutional partners (Foundation for Healthy Communities, CDFA, University System of NH, Community College System of NH). A fifth hub (Community Behavioral Healthcare) is pending Executive Council approval. These are not open competitions. The next opportunity for most organizations will be competitive RFPs posted by GO-NORTH and by the Foundation for Healthy Communities. Use this window to confirm compliance prerequisites — organizations that arrive at the competitive RFP window ready will move faster than those who discover gaps after a solicitation releases.
New Hampshire's RHTP is administered through GO-NORTH (Governor's Office of New Opportunities & Rural Transformational Health), a dedicated state office that reports to the Governor's office with DHHS co-involvement. The sub-grant mechanism is mixed: initial distributions are non-competitive contracts approved by the Executive Council; future sub-grants from hub recipients (especially Foundation for Healthy Communities) are expected to be competitive applications. This means organizations will apply to the hub recipient, not directly to GO-NORTH or DHHS. The Foundation for Healthy Communities ($66.5M hub) is a New Hampshire nonprofit organization. When applying to sub-grants from this hub, organizations will be receiving federal pass-through funds through a private nonprofit pass-through entity — 2 CFR 200 applies to the pass-through relationship. No sub-grant solicitation from the Foundation has been published as of March 2026.
SAM.gov registration with an active Unique Entity Identifier (UEI) is required for organizations receiving federal pass-through funds. Even if your sub-grant ultimately comes through the Foundation for Healthy Communities (a nonprofit), federal flow-through requirements mean the UEI requirement follows the federal dollars. Organizations that have never registered or whose registration has lapsed should act now — registration or renewal takes 7–10 business days. Annual renewal is required; confirm your expiration date at sam.gov.
A written, board-approved cost allocation methodology consistent with 2 CFR 200 Subpart E is required for organizations receiving federal grants or sub-grants. New Hampshire's rural provider mix — FQHCs, CAHs, home health agencies, county nursing homes, EMS, community colleges, and universities — each have different cost principle frameworks. Organizations applying through the Foundation for Healthy Communities hub should document their cost allocation methodology now, before sub-grant solicitations are released. FQHCs operating under HRSA cost-based reimbursement models have established methodology frameworks; confirm these are consistent with 2 CFR 200 for the RHTP sub-grant context.
Organizations expending $1,000,000 or more in total federal awards annually are subject to Single Audit under 2 CFR 200 Subpart F (threshold updated in 2024 from $750,000). The four institutional hub recipients — Foundation for Healthy Communities, CDFA, University System, Community College System — will each be subject to Single Audit given their award sizes. Sub-grantees from those hubs must also meet the threshold test. Organizations that have not previously conducted Single Audits should engage an auditor now if their total federal expenditures are likely to cross $1M with RHTP funds included.
Competitive RFP forthcoming: GO-NORTH has signaled that future funding beyond the initial sole-source contracts will use competitive RFPs posted at gonorth.nh.gov. Monitor this site. The Foundation for Healthy Communities will separately post sub-grant opportunities for FQHCs, CAHs, home health agencies, EMS, and nursing homes. New Hampshire's unusual political dynamic — where the Executive Council has approval authority over contracts — creates timeline uncertainty. The Council initially paused spending before approving the first four contracts. Future contract approvals may face similar scrutiny; build timeline flexibility into organizational planning. New Hampshire has no federally recognized tribes. No tribal-specific compliance requirements apply. Community Behavioral Healthcare hub: pending Executive Council approval (estimated March 25, 2026 or subsequent). This hub is the primary pathway for behavioral health providers, CCBHCs, and SUD treatment programs.
Required Prerequisites
SAM.gov Registration
All federal sub-grant applicants must have an active System for Award Management (SAM.gov) registration at the time of submission. Registration takes 7–10 business days for initial setup or annual renewal. Your Unique Entity Identifier (UEI) is assigned through SAM.gov. Do not wait until the application window opens to check your status.
Cost Allocation Methodology (2 CFR 200)
You must have a written, consistently applied cost allocation methodology that documents how shared costs are distributed across funding streams. This does not need to be complex, but it must be written and board-approved. An informal practice that hasn't been reduced to documentation will not satisfy this requirement. The methodology must be in place before you apply — not after you receive the award.
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