Tennessee Department of Health · Posted June 10, 2024
The Rural Healthcare Access Modernization Program (RAMP) is a Tennessee Department of Health initiative supported by approximately $104.4 million in TennCare Shared Savings, complementing the federal Rural Health Transformation Program (RHTP). The Tennessee General Assembly allocated $104.4 million to TDH in the FY27 budget (from a $125M total; $20.6M funds a separate TennCare-administered Rural Health Clinic track). RAMP deploys three main funding priorities: (1) Rural Capital Projects — awards include one $40M, one $20M, two $10M, and four up to $2.5M (renovations, expansion, new construction; IT/equipment max 20% of grant, subject to approval for items >$10K); (2) Competitive Grant Extensions — supplemental funding for eligible RHTP-aligned projects needing to continue or complete implementation; (3) Primary Care Seed Funding — eight $500K awards and one $427.5K award (per-site cap $500K) to establish or expand rural primary care with emphasis on pediatric and obstetric care. Eligible applicants include governmental, nonprofit, for-profit organizations, and Tennessee state agencies serving rural populations in any of Tennessee's 95 counties. Multi-site operators are eligible, subject to per-applicant caps. Matching required for capital projects except for applicants in distressed/at-risk counties. Grantees must attend mandatory training on invoicing/reimbursement within 90 days of contract. Application process is forthcoming; further eligibility and application details will be published as available.
Eligible applicants are governmental entities, nonprofits, for-profit organizations, and Tennessee state agencies serving rural populations in any of Tennessee's 95 counties. Multi-site operators with proven rural healthcare models may apply for multiple locations, subject to the $500,000 per-applicant cap for seed grants. Matching is required for capital investments except for applicants in distressed and at-risk counties.
Required attachments
Applications will be available at https://www.tn.gov/health/ramp once the application period opens. Application materials, requirements, and key dates are not yet posted.
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Application Prep
Application #: (TBD — not yet released)
Reference: RAMP-FY27-TN
Program: Rural Healthcare Access Modernization Program (RAMP)
Match: Required for capital projects except for distressed/at-risk county applicants
Performance: Through 2031-06-30
Key Dates:
Review Criteria:
Portal: https://www.tn.gov/health/ramp
Budget Range
Contact
RuralHealth@tn.gov
Subject line
ATTN: RAMP
Program manager
Mindy Goff
Program manager
Rich Cook