# Maternal/Infant and Child Health Healthcare Resiliency Program

The Tennessee Department of Health (TDH) is seeking applications under RFA #34320-19426 to implement projects that strengthen maternal, infant, and child health systems of care for rural communities through service expansion, targeted interventions, workforce training, education, and improved access to quality care. Grants of up to $12,500,000 will be awarded for a project period of 50 months, with up to 100 awards anticipated. The program, a key component of the CMS Rural Health Transformation Program, focuses on expanding access, modernizing technology, strengthening the rural health workforce, and innovating in service delivery, with robust outcome reporting requirements. Priority is given to evidence-based, locally relevant projects for women of reproductive age, pregnant and postpartum individuals, infants, and children through age 18, including those with special healthcare needs in HRSA-designated rural areas. This opportunity is aligned with TDH's 2026–2030 Priorities and Maternal/Infant Health Strategic Plans. No cost share or match is required.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Tennessee Department of Health (Tennessee)
- Posted: 2026-06-02
- Questions due: 2026-06-05
- Application due: 2026-06-29
- Eligible applicants: Rural Hospital, FQHC, Non-profit, Community-based Organization, Local Health Department, Governmental Agencies
- 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 include rural hospitals and health systems, Federally Qualified Health Centers (FQHCs), non-profit and community-based organizations, local health departments, and other healthcare entities serving HRSA-designated rural communities. Applicants must be registered with the State of Tennessee, as well as with the Secretary of State and, if applicable, registered as a tax-exempt organization with the IRS. For-profit entities and governmental agencies may be eligible for certain funding streams; see RFA for details.

## Requirements

Applicants must propose projects that directly strengthen maternal, infant, and child health systems of care in rural Tennessee. Projects should address one or more priorities such as service expansion, targeted interventions, workforce training, education, care coordination, modernization of technology, or other innovations that improve access and outcomes for rural, high-need populations. All projects must incorporate rigorous outcome reporting and performance measurement, and applicants must submit required organizational documentation including Secretary of State registration, IRS status (if applicable), logic model, and a detailed budget. See RFA Sections I–II and Competitive Requirements document for details.

## Required attachments

- Proof of registration with the State of Tennessee (Secretary of State)
- Proof of IRS Tax-Exempt status (if applicable)
- Project proposal narrative (Application form)
- Budget and budget justification (Attachment 3: Excel Budget)
- Exhibit 1: Logic Model Worksheet
- Competitive Requirements response
- Names of current board members and executive director
- Letters of support (if applicable)

## Application package and source documents

- [TN - 2025 - Grant Contract between Tennessee Department of Health and Grantee for Maternal/Infant and Child Health Healthcare Resiliency Program](https://www.ruralcarejourney.com/api/documents/611d49b2-f7d1-479b-8066-1e3514d9f840/file) (primary) — official: https://c2cre237.caspio.com/dp/4cdb40003c407a2328014c28a496
- [TN - 2024 - W9 Form](https://www.ruralcarejourney.com/api/documents/3a5df130-f208-4403-af1d-bec9dae8eef6/file) — official: https://www.tn.gov/content/dam/tn/health/funding-opportunities/W9-2024.pdf
- [TN - 2026 - COMPETITIVE REQUIREMENTS](https://www.ruralcarejourney.com/api/documents/0f406c1a-a156-4f61-b984-b33425f53a87/file) — official: https://www.tn.gov/content/dam/tn/health/funding-opportunities/COMPETITIVE%20REQUIREMENTS%20031522%20FF.pdf
- [TN - 2025 - Competitive Requirements (TN - 2025 - Competitive Requirements)](https://www.ruralcarejourney.com/api/documents/f1ae3afd-6388-4948-be66-34dcc37df2c0/file) — official: https://www.tn.gov/content/dam/tn/health/funding-opportunities/COMPETITIVE-REQUIREMENTS-031522-FF.pdf
- [TN - 2026 - 4cdb4000d623a777634d470e9c80.html (Caspio application-page wrapper (not a source document))](https://www.ruralcarejourney.com/api/documents/17277f41-9f7f-46a7-9b2a-48fb1e97d50a/file) — official: https://c2cre237.caspio.com/dp/4cdb4000d623a777634d470e9c80?cbParamVirtual1=23
- [TN - 2026 - Request For Application #34320-19426 Amendment #1 For Maternal/Infant And Child Health Healthcare Resiliency Program Procurement Opportunity (Amendment 1 PDF)](https://www.ruralcarejourney.com/api/documents/b56255f4-f2e2-46f6-8544-fc8ae1f1c0c0/file)
- [TN - 2026 - Request For Application #34320-19426 Amendment #2 For Maternal/Infant And Child Health Healthcare Resiliency Program Procurement Opportunity (Amendment 2 PDF)](https://www.ruralcarejourney.com/api/documents/849a2571-31bc-440a-b317-e376b71b2fcd/file)
- [TN - 2026 - RFA #34320-19426 MCH Program Attachment 3 (Updated 2026-06-15) (ATT3_RFA_RHTF_HRP_MaternalChildHealth_34320-19426Updated06152026.xlsx.xlsx)](https://www.ruralcarejourney.com/api/documents/5303c087-b791-448c-af89-2c4a123e7480/file)
- [TN - 2026 - 2026 Awarded Projects of Tennessee's RHTP](https://www.ruralcarejourney.com/api/documents/e780ce0c-3a9e-404a-9d68-fd159da714fd/file) — official: https://www.tn.gov/health/rural/grants.html

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/maternal-infant-and-child-health-healthcare-resiliency-program--495982c8c3 — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.