South Carolina RHTP Compliance Prerequisites
What your organization needs in place before applying for RHTP sub-grants in South Carolina.
No solicitation has been published yet. Use this window to build compliance infrastructure — organizations that arrive at the application window with complete SAM.gov registration, documented cost allocation methodology, and clean audit status move faster than those that treat compliance as a post-award problem.
South Carolina's RHTP is administered by the South Carolina Department of Health and Human Services (SCDHHS) as the designated lead agency. As of March 22, 2026, SCDHHS has not published a sub-grantee solicitation, implementation framework, or procurement document. No state-specific compliance requirements beyond the federal baseline have been announced. The key open question is mechanism: SCDHHS has not stated whether it will distribute sub-awards via grant or contract. A grant mechanism means 2 CFR 200 Uniform Guidance applies in full to sub-recipients; a contract/procurement mechanism means South Carolina state procurement rules govern, and different insurance, bonding, and registration requirements may apply. Until the mechanism is announced, organizations should build readiness for both tracks. No technical assistance program for potential sub-grantees has been announced by SCDHHS as of March 22, 2026. The SC Office of Rural Health (SCORH) is conducting a stakeholder interest survey and may provide coordination support; contact SCORH at scorh.net for more information.
SAM.gov registration is a federal baseline requirement for all RHTP sub-awards. No South Carolina solicitation has cited it yet (no solicitation has been published), but it will be required. Organizations that are not currently registered should complete registration immediately — initial registration takes 7–10 business days, and lapsed registrations require renewal on the same timeline. Check and confirm your organization's SAM.gov status, expiration date, and Unique Entity Identifier (UEI) before the solicitation window opens.
No solicitation has been published. As a federal pass-through award, 2 CFR 200 applies. Sub-recipients will be required to maintain a written, board-approved cost allocation methodology that is consistently applied across programs. Organizations that have not previously administered federal grants should develop and document their cost allocation methodology now.
The 2024 Uniform Guidance revision raised the single audit threshold to $1,000,000 in federal expenditures per fiscal year. Organizations that receive RHTP sub-awards above this threshold will be subject to single audit requirements under 2 CFR 200 Subpart F. No solicitation has been published, so no state-specific audit requirements have been cited. Organizations with unresolved findings from prior audits should address them before submitting applications.
None of the following have been identified as requirements yet because no solicitation has been published: state procurement registration (South Carolina's procurement system is SCEIS/SCS), insurance minimums, match or cost-share requirements, indirect cost rate documentation, organizational age or prior grant history requirements. Program contact: grants@scdhhs.gov. Program page: scdhhs.gov/rhtp. SCORH stakeholder coordination: scorh.net/rural-health-transformation-fund/. SCDHHS has indicated it will provide implementation guidance through webinars and Medicaid bulletins — subscribing to SCDHHS GovDelivery email updates is recommended.
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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