Tennessee

The Rural Health Transformation (RHT) Program is a $50 billion initiative spanning FY2026–2030 to support system-wide change in rural health delivery nationwide. States compete for federal cooperative agreements to improve health care access, quality, sustainability, and capacity through technology innovation, workforce recruitment, and new payment and care models. Key priorities include chronic disease management, behavioral health, health IT, and sustainable rural provider access. Key contacts: MAHARural@cms.hhs.gov Event schedule: - NOFO release (expected) - September 15, 2025 - grants.gov - Applicant Webinar - September 19, 2025 - Application submissions close - November 2025 - Awards announced by - December 31, 2025

The State of Tennessee will award approximately 8-12 CARE grants for a total of $2,000,000, supporting rural county health councils in implementing sustainable, community-driven health improvement strategies. Grants will be awarded in tiers to align with project scale, readiness, and impact, and target upstream policy, systems, and environmental change for rural health. Applications must demonstrate CHA/CHIP alignment, systems approach, collaboration, sustainability, and sound budgeting. Key contacts: Jessica James Competitive.Health@tn.gov Event schedule: - RFA Issued - 09/25/2026 - CT - Pre-response Teleconference - 10/09/2026 - 2:00 PM CT - https://tn.webex.com/tn/j.php?MTID=md3a72dc5d1452885c6c9bd1cc4080d7c - Deadline for Written Questions & Comments - 10/30/2026 - 2:00 PM CT - State Response to Written Questions & Comments - 11/06/2026 - CT - Deadline for Applications - 11/20/2026 - 2:00 PM CT - Online via TDH Partner Portal - Evaluation Notice Released - 12/22/2026 - CT - Effective Start Date of Contract - 02/01/2027 - CT

This is an instructional and template file for a grant budget submission, not a populated application or award. No specific RHTP, rural health, or rural Medicaid activities or entities are described. It is a procedural document outlining how to complete a budget form.

RAMP is a $104.4 million state-funded initiative administered by the Tennessee Department of Health to modernize rural healthcare infrastructure, expand service capacity, and strengthen care delivery across all 95 Tennessee counties. The program offers capital investment grants, competitive grant extensions, and primary care seed grants, with targeted support for distressed and at-risk counties. Grantees must align with RHTP goals and may receive technical assistance and support for collaboration and participation in statewide health information exchanges. Key contacts: Jessica James Competitive.Health@tn.gov; JW Randolph; Mindy Goff; Rich Cook Event schedule: - Pre-Response Teleconference - 07/06/2026 - CT - Webinar - RFA Issued - CT - Written Questions & Comments Deadline - 08/13/2026 - 2:00 PM CT - State Response to Written Questions - 08/24/2026 - CT - Application Deadline - 09/30/2026 - 2:00 PM CT - Evaluation Notice Released - 11/09/2026 - CT - Effective Start Date of Contract - 12/15/2026 - CT

Tennessee is preparing for a major federal investment in rural health transformation through the Rural Health Transformation Program (RHTP) with over $104 million in state-directed funding allocated for FY27. Multiple competitive grant opportunities and RFPs are available for rural hospitals, FQHCs, nonprofits, and community-based organizations statewide. Funding prioritizes workforce development, behavioral health, chronic disease prevention, telehealth, maternal and infant wellness, and rural health clinic sustainability. Key contacts: Jessica James Competitive.Health@tn.gov Event schedule: - MaRTHA Grant Opportunity Closes - 08/03/2026 - CT - HRP: Health Technology and Innovation Grant Opportunity Closes - 08/03/2026 - CT - Rural Fetal and Infant Wellness Initiative Grant Opportunity Closes - 08/06/2026 - CT - Stillbirth Funeral Assistance Application Deadline - 10/23/2026 - 2:00 PM CT - Perinatal Behavioral Health Workforce Development Project Application Deadline - 09/28/2026 - 2:00 PM CT

Tennessee has received $206.9 million from CMS for the first year of Rural Health Transformation Program funding. The plan advances care access, workforce pipeline, clinic and hospital modernization, digital health and telehealth capacities, and targeted maternal and child health improvements for rural residents. Competitive opportunities will be available for hospitals, health systems, FQHCs, and other partners, with reimbursement-based grants and no rigid budget caps per project. Key contacts: RuralHealth@tn.gov Event schedule: - RHTP Webinar #1 - 03/31/2026 - Webinar replay link in document - RHTP Webinar #2 - 04/15/2026 - Webinar replay link in document - RHTP Info Session - 05/15/2026 - Info session replay link in document

The City of Lawrenceburg, TN, in partnership with the Lawrence County Health Council, received a $140,050 Healthy Active Rural Tennessee (HART) grant for the 'Connecting Healthy Spaces' project. Supported by Tennessee's Rural Health Transformation Program (RHTP), the project aims to improve access to physical activity, fresh foods, and connectivity between parks and downtown areas. Improvements will include safer pedestrian and bicycle routes, clear wayfinding, and enhanced connections to historical sites and community destinations. The initiative also involves public engagement, with a meeting scheduled to gather resident input.