# Rural Healthcare Access Modernization Program (RAMP) — Tennessee

The Rural Health Access Modernization Program (RAMP), RFA #34320-32927, is a competitive, multi-year grant program from the Tennessee Department of Health with a funding pool of $100 million (FY27–FY31) to support capital investments that modernize rural healthcare infrastructure and expand access to care statewide—particularly in pediatrics and obstetrics. RAMP offers: (1) Hospital Capital Investment Projects—one $40M, one $20M, two $10M, two $5M, and four up to $2.5M awards; larger awards ($10M+) require grantee match, with ARC-designated distressed or at-risk counties exempt from match for awards ≤$20M; (2) Primary Care Practice Projects—eight $500K and one $427.5K award intended for new or expanded practices. Equipment/IT costs charged to the award are capped at 20%; ineligible costs include leasehold improvements, recurring software/cloud subscriptions, provider/clinical compensation, and recruitment/quality incentives. Projects may be located outside of rural counties if they directly benefit rural populations, provided the need is demonstrated. Multi-site primary care operators may submit multiple site-specific applications. All projects must be completed by June 30, 2031. Evaluation criteria comprise explicit scoring of community need (Community Health Assessment preferred), detailed project plan with logic model, evaluation plan, sustainability, and budget narrative. Applications are submitted via the TDH Partner Portal by 2:00 p.m. CT on September 30, 2026.

## Key facts

- Status: Closed
- Type: GRANT
- Issued by: Tennessee Department of Health (Tennessee)
- Posted: 2026-07-31
- Questions due: 2026-08-13
- Application due: 2026-09-30
- Funding: $427,500 – $40.0M
- Eligible applicants: State and Local Government, Nonprofit, For-profit Organization, State Agencies, Federally Qualified Health Centers, Community-based Organization, Health Systems
- How to apply: Applications must be submitted via the TDH Partner Portal (https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914) by 2:00 p.m. CT on September 30, 2026. Required materials include the Application (Attachment 1), Competitive Requirements, Project Timeline, Letter of Support, and Budget Form (A…
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.tn.gov/health/ramp

## Eligibility

Eligible applicants include governmental entities, nonprofits, for-profit organizations, community-based organizations, health systems, Federally Qualified Health Centers (FQHCs), and Tennessee state agencies serving rural populations in any Tennessee county. Projects can be physically located in non-rural counties if they serve rural healthcare access needs. Applicants for primary care projects may submit multiple applications for separate sites (one per site, each up to $500,000). Capital grant match: $40M award requires 1:1 match; $10M–$20M awards require 2:1 match; $5M and $2.5M awards require no match; ARC at-risk/distressed counties are exempt for awards $20M or less. Ineligible project costs: leasehold improvements, provider/clinical salaries/compensation, recurring software/cloud costs, provider recruitment, and quality incentives. All project activities must conclude by June 30, 2031.

## Requirements

Applicants must submit documentation of community need—preferably a Community Health Assessment or Community Health Needs Assessment—plus a detailed project plan incorporating a logic model, an evaluation/outcome plan, a sustainability plan, a line-item budget using TDH templates, and at least one letter of support from a collaborating partner. Maximum 20% of the award can be applied to IT/medical equipment purchased with RAMP funds (not for leases or recurring subscriptions). Purchases of $10,000+ require TDH approval. Construction, renovation, infrastructure, equipment, and eligible site work/architect fees are allowed. All work must finish by June 30, 2031. Ineligible: leasehold improvements, salaries/staff compensation/fees for clinicians or providers, recurring software/cloud expenses, provider recruitment, and quality incentives.

## Required attachments

- Application (Attachment 1)
- Competitive Requirements
- Project Timeline (max 2 pages)
- Letter of support from a collaborating partner
- Budget Form (Attachment 2)
- Project Plan with Logic Model
- Evaluation Plan
- Community Health Assessment or Community Health Needs Assessment (if available)
- Narrative Budget
- Sustainability Plan

## Application package and source documents

- [TN - 2027 - Rural Healthcare Access Modernization Program (RAMP) — Competitive Grant Application](https://www.ruralcarejourney.com/api/documents/c2af0a66-9541-4149-9d13-2a7a636f51b1/file) — official: https://www.tn.gov/health/ramp
- [TN - 2025 - Rural Health Access Modernization Program (RAMP): TennCare Shared Savings Application](https://www.ruralcarejourney.com/api/documents/976d839d-9e50-433c-bdc4-6f50029f0658/file) — official: https://www.tn.gov/content/dam/tn/health/pdf/2025-06-10-RAMP-TennCare-Shared-Savings-Executive-Summary.pdf
- [TN - 2026 - Request For Application For Rural Health Access Modernization Program (RAMP) RFA #34320-32927 (Request for Application (RFA) — Updated)](https://www.ruralcarejourney.com/api/documents/699fff66-9bf6-4b0b-b6fe-38331c060cf3/file) (primary) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=RFA%20_RAMP_34320-32927FinalPostingUpdated.pdf
- [TN - 2026 - Request for Application # 34320-36927 Amendment # 1 for Rural Health Access Modernization Program (RAMP) (Amendment 1)](https://www.ruralcarejourney.com/api/documents/41596c4c-d504-402b-9e68-f9f02d30b2f5/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=A1_RFA_RAMP_34320-36927FinalPosting.pdf
- [TN - 2026 - Request For Application # 34320-36927 Amendment #2 For Rural Health Access Modernization Program (RAMP) (Amendment 2)](https://www.ruralcarejourney.com/api/documents/64c9d603-0063-459c-9ff1-4695e9d7b429/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=A2_RFA_RAMP_34320-36927FinalPosting.pdf
- [TN - 2026 - RAMP Application Logic Model (Exhibit 1 — Logic Model Required)](https://www.ruralcarejourney.com/api/documents/a077c6ee-ce7a-49e4-ad04-2c71d30b24ca/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=EX1_RAMP_34320-32927FinalPosting.pdf
- [TN - 2026 - Exhibit 2- Ramp Program Funding Strategy (Exhibit 2 — RAMP Program Funding Strategy)](https://www.ruralcarejourney.com/api/documents/f2404600-5e39-460e-8a46-674a840f1f20/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=Exhibit%202-%20RAMP%20Program%20Funding%20Strategy.pdf
- [Attachment 2- Grantee Match.xls (Attachment 2 — Grant Budget — Grantee Match)](https://www.ruralcarejourney.com/api/documents/3d0acd9e-3dac-4911-a755-33da0d9e9cab/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=Attachment%202-%20Grantee%20Match.xls
- [TN - 2026 - ATTACHMENT #2 Grant Budget (Dec 15, 2026 – June 30, 2031) (Attachment 2 — Grant Budget — No Match)](https://www.ruralcarejourney.com/api/documents/9e600443-e337-4182-8528-be0b04177be1/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=Attachment%202-%20No%20Match.xlsx
- [TN - 2026 - Grant Contract Between the State of Tennessee, Department of Health and Grantee for Rural Health Access Modernization Program (RAMP) (Sample Governmental Grant Contract — Grantee Match)](https://www.ruralcarejourney.com/api/documents/cb8e79db-d6c6-4047-8a89-62abf60770c4/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=GG_Grantee%20Match_DGA_RAMP_34320-37027FinalPostingUpdated.pdf
- [TN - 2026 - Grant Contract Between the State of Tennessee, Department of Health and Grantee Name for Rural Health Access Modernization Program (RAMP) (Sample Governmental Grant Contract — No Match)](https://www.ruralcarejourney.com/api/documents/87427966-ba4d-40e8-9290-2a6a770e0764/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=GG_No%20Match_DGA_RAMP_34320-37027FinalPostingUpdated.pdf
- [TN - 2026 - Grant Contract for Rural Health Access Modernization Program (RAMP) between State of Tennessee Department of Health and Grantee (Sample Grant Contract — Grantee Match)](https://www.ruralcarejourney.com/api/documents/c3e2dcdf-6a4a-4d60-9234-ea09703c46c6/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=GR_Grantee%20Match_DGA_RAMP_34320-37027FinalPostingUpdated.pdf
- [TN - 2026 - Grant Contract Between The State Of Tennessee, Department Of Health And Grantee Name (Sample Grant Contract — No Match)](https://www.ruralcarejourney.com/api/documents/54de7d9c-cb6f-4e43-8a14-b82d1bc26c54/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32%26document=GR_No%20Match_DGA_RAMP_34320-37027FinalPostingUpdated.pdf
- [TN - 2026 - RFA 34320-36927 Rural Healthcare Access Modernization Program (RAMP) Pre-response Teleconference (Pre-response Teleconference Presentation)](https://www.ruralcarejourney.com/api/documents/092a7090-8c89-4b37-a2c6-f6ab77f10043/file) — official: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914?cbParamVirtual1=32
- [TN - 2026 - COMPETITIVE REQUIREMENTS (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 - 2026 - Tennessee Landing Page (updated: October 12, 2026)](https://www.ruralcarejourney.com/api/documents/87d34cb1-cdc1-4e2c-89f6-6f4662a624d9/file) — official: https://tha.com/advocacy/rural-health-transformation-program
- [TN - 2026 - Tennessee RHT Fund Application: Hospital Funding Pathways](https://www.ruralcarejourney.com/api/documents/15569371-6be0-426c-b5e2-6649b004249b/file) — official: https://tha.com/wp-content/uploads/2026/04/THA-TN-RHTF-Hospital-Funding-Pathways-4-1-2026.pdf

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/rural-healthcare-access-modernization-program-ramp-tennessee--a034a19185 — data as of 2026-10-21.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.