# Creating Healthier Rural Communities Through the End Zone for Chronic Disease Prevention

The End Zone for Chronic Disease Prevention competitive grant supports population health improvements and chronic disease prevention in rural Tennessee, specifically through sustainable policy, systems, and environmental changes such as Healthy Food Environment strategies. Funded through the Rural Health Transformation Program (RHTP), this opportunity is open to rural hospitals, health systems, FQHCs, and community-based organizations serving maternal/infant health or coordinating rural health events. Applications may include activities in up to three eligible counties and must demonstrate how projects align with evidence-based interventions for nutrition security and chronic disease risk reduction.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Tennessee Department of Health (Tennessee)
- Posted: 2026-06-05
- Questions due: 2026-06-11
- Application due: 2026-07-06
- Eligible applicants: Rural Hospital, FQHC, Non-profit, Community-based Organization, Public Health Agency, Other organizations experienced in maternal/infant health and event coordination, Local Health Department, Local Government, Educational Institution, Other qualified organizations
- How to apply: TDH Partner Portal: https://tndeptofhealth.caspio.app/tdh-partner-portal/home
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.tn.gov/health/rural.html

## Eligibility

Eligible applicants are rural hospitals, health systems, Federally Qualified Health Centers, non-profit and community-based organizations, public health agencies, and other qualified organizations with demonstrated experience in maternal/infant health or health-related event coordination serving rural Tennessee. Applicants must be registered with the State of Tennessee and may request activities covering up to three eligible rural counties per application. See Amendment 1 for clarifications.

## Requirements

Applications must be submitted through the TDH Partner Portal by the deadline. The submission must include the Technical Informational Form, Cost Informational Form, Work Plan, Budget Narrative, at least one Letter of Support, any required contract exceptions, and a list of anticipated prior-approval items. Activities should include strategies supporting a Healthy Food Environment. Funding is provided on a cost-reimbursement basis only. Applicants are strongly encouraged to attend the pre-response teleconference.

## Required attachments

- Technical Informational Form
- Cost Informational Form
- Application (with responses, 12-point font)
- Work Plan
- Budget Narrative
- Letters of Support (at least one required)
- Upload of any contract exceptions
- List of anticipated prior-approval items

## Application package and source documents

- [TN - 2026 - REQUEST FOR APPLICATION # 34320-19226 Amendment #1 for Creating Healthier Rural Communities through the End Zone for Chronic Disease Prevention Procurement Opportunity](https://www.ruralcarejourney.com/api/documents/8373c5ac-88dd-4674-ae2f-f2d09710e2eb/file)
- [TN - 2025 - Grant Contract between Tennessee Department of Health and Grantee for Maternal/Infant and Child Health Healthcare Resiliency Program (RFA_EndZone_34320-19226FinalPosting.pdf)](https://www.ruralcarejourney.com/api/documents/611d49b2-f7d1-479b-8066-1e3514d9f840/file) (primary) — official: https://c2cre237.caspio.com/dp/4cdb40003c407a2328014c28a496
- [TN - 2024 - Request for Application (RFA) #34320-19226 Creating Healthier Rural Communities Through the End Zone for Chronic Disease Prevention Procurement Opportunity](https://www.ruralcarejourney.com/api/documents/362daa14-ce0f-4beb-8686-11f2a3ed0aa4/file)
- [TN - 2024 - Amendment 1 for Request for Application (RFA) #34320-19226 Creating Healthier Rural Communities Through the End Zone for Chronic Disease Prevention Procurement Opportunity](https://www.ruralcarejourney.com/api/documents/a7452705-cc2a-4c14-a6d1-d1cd3dffb114/file)
- [TN - 2026 - Creating Healthier Rural Communities Through the End Zone for Chronic Disease Prevention Procurement Opportunity](https://www.ruralcarejourney.com/api/documents/5a32bb00-44be-4544-8a41-06e8616e4df4/file)

More Tennessee RHTP activity: https://www.ruralcarejourney.com/states/tn (markdown: https://www.ruralcarejourney.com/states/tn.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/creating-healthier-rural-communities-through-the-end-zone-for-chronic-disease-pr--82ea81ea08 — data as of 2026-08-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.