HHS Region 4 · Tennessee Department of Health (TDH)
Program Overview
The Tennessee Rural Health Transformation Program is currently being implemented with a structured plan focused on reversing rural hospital decline, expanding care access, modernizing healthcare technology, and strengthening local economies. Major priorities include competitive grants, modernization initiatives, and targeted improvements for mothers, children, and older adults, supported by ongoing stakeholder engagement through scheduled webinars and events. Tennessee emphasizes sustainable, community-driven models and measurable outcomes under active deployment across key focus areas. Current structured plan tracks multiple concurrent initiatives and strategic goals. Current structured plan tracks 15 key initiatives and 10 strategic goals.
Updated
County-level estimates averaged across Tennessee — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (95)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Shelby County | 919,173 | 17.8% | 13.6% |
| Davidson County | 715,388 | 13.9% | 9.9% |
| Knox County | 494,148 | 12.2% | 7.1% |
| Hamilton County | 376,192 | 13.1% | 8.7% |
| Rutherford County | 360,646 | 9.3% | 5.8% |
| Williamson County | 260,351 | 4.6% | 3.1% |
| Montgomery County | 234,153 | 11.3% | 8.7% |
| Sumner County | 204,424 | 8.8% | 6.4% |
| Sullivan County | 160,624 | 15.4% | 11.0% |
| Wilson County | 158,805 | 8.0% | 5.9% |
| Blount County | 139,333 | 8.4% | 5.4% |
| Washington County | 136,261 | 15.5% | 9.4% |
AI source: TN - 2026 - Request for Proposals (RFP) Opportunities
AI auto-updated Jul 21, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
4 related documents
TN - 2026 - Tennessee to Release 1st Grant Funding Opportunity of RHTP
State announcement (supporting)
1,467,777 rural residents
Tennessee has received its federal award and officially released competitive grant opportunities under the Rural Health Transformation Program. State-level procurement has been publicly launched, with multiple RFAs and RFPs open for applications and active amendments confirming timelines and program details as of July 2026. No sub-awards have been made yet, but applications are being solicited for initiatives such as the Memory Care Assessment Network and Healthcare Resiliency Program, with evaluation and contract start dates set. Stakeholder engagement and technical clarifications are ongoing. State opportunities: 7 active (1 upcoming, 6 closing soon, 7 past/closed), $177.0M listed funding. Key opportunities: Establish the Tennessee Memory Care Assessment Network (MCAN); Rural Health Transformation Healthcare Resiliency Program: Health Technology and Innovation (Long-Range) (RFA #34320-21427); Healthcare Resiliency Program: Health Technology and Innovation (Short Range) RFA #34320-20327. Strategy alignment: supports care access, telehealth priorities.
Tennessee’s Rural Health Transformation Program (RHTP) advances rural health system resiliency through phased, locally-driven competitive grants and innovation procurement. Priorities include facility modernization, maternal and child health, digital health, memory care, chronic disease prevention, and workforce development. Program implementation leverages initiatives such as RAMP, MCAN, Health Tech Innovation, and County Health Councils to support measurable improvements over the CMS grant cycle.
Model
Locally-led, statewide rural health system transformation combining phased competitive capital and technology investment, digital health modernization, memory and behavioral health initiatives, workforce development, value-based payment reforms, prevention, and comprehensive community health strategies.
Key Initiatives
Timeline: Program rollout began with statewide webinars in March 2026, grant applications from May through August 2026 with ongoing phased opportunities. Implementation and evaluation phases extend throughout the five-year CMS RHTP grant period (2026–2031).
Behavioral Health: Teleconsultation and education for perinatal and pediatric behavioral health featured in first grant round. (Regions: statewide)
Chronic Disease: Dedicated grant cycle addresses chronic disease prevention and health education for rural populations. (Regions: rural Tennessee)
Maternal and Pediatric Care: Funds new and expanded rural primary, pediatric, and obstetric services via RAMP and RHTP grants. (Regions: rural/underserved)
TN - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Tennessee
TN - 2025 - RHTP Application Opportunity Number: CMS-RHT-26-001 Project Narrative Submitted by the State of Tennessee Tennessee Department of Health November 5, 2025
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TN - 2025 - See Tennessee Gov. Bill Lee's Announcement of Tennessee's Proposal
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Due Aug 14, 2026
1 related document
TN - 2026 - RFP 34320-19927
Primary source
Tennessee Department of Health
Due Aug 3, 2026
1 related document
TN - 2026 - rural (18fdf5)
Source listing page
Tennessee Department of Health
Due Aug 3, 2026
3 related documents
TN - 2026 - RFA #34320-21427 Amendment #1 for Healthcare Resiliency Program: Health Technology and Innovation (Long-Range) Procurement Opportunity
Tennessee has officially launched its Rural Health Transformation Grants, with an announcement from the Commissioner of Health. The program aims to support and transform healthcare in rural communities. No specific funding amounts or sub-awardees are named in this announcement.
This document is an amendment to the application process for Tennessee's Make Rural Tennessee Healthy Again Healthcare Resiliency Program. It updates key dates and confirms the application schedule. No evaluation or award decisions are included. Event schedule: - Pre-response Teleconference - 2:00 PM CT - Written Questions & Comments Deadline - 2:00 PM CT - State Response to Written Questions & Comments - July 22, 2026 - CT - Deadline for Applications - August 3, 2026 - 2:00 PM CT - Evaluation Notice Released - August 31, 2026 - CT - Effective Start Date of Contract - September 1, 2026 - CT
Event Schedule
This document is an amendment to the Request for Grant Proposal for Tennessee's Rural Fetal and Infant Health Initiative. It clarifies the schedule, key dates, and logistical questions regarding the procurement process. The amendment does not modify substantive program requirements. Event schedule: - Pre-proposal Teleconference - 07/13/2026 - 2:00 PM CT - Webex - Written Questions & Comments Deadline - 07/23/2026 - 2:00 PM CT - State Response to Written Questions & Comments - 07/27/2026 - Proposal Deadline - 08/06/2026 - 2:00 PM CT - State Completion of Organizational & Technical Grant Proposal Evaluations - 08/20/2026 - 2:00 PM CT - State Scoring of Grant Budgets - 08/20/2026 - 3:00 PM CT - Evaluation Notice Released - 08/21/2026 - Contractor Contract Signature Deadline - 09/16/2026
Event Schedule
Core Initiatives
This document provides the official template for applicants to articulate their strategic plan and measurable deliverables for the End Zone program. It requires applicants to identify target rural communities, outline policy and environmental strategies, set concrete deliverables, and track demographic reach. The work plan places particular emphasis on food access, healthy environments, and at-risk populations.
The East Tennessee pilot aims to establish a behavioral health teleconsultation and education program for perinatal and pediatric professionals. Key activities include recruiting a clinical team, implementing outreach, launching a teleconsultation line, provider education, convening an expert panel, and forming learning collaboratives. The project is designed to expand regionally and statewide after initial pilot implementation.
Core Initiatives
Event schedule: - Tennessee to Release 1st Grant Funding Opportunity of Rural Health Transformation Program Skip to Main Content Go to TN.gov Go to TN.gov Section Go to Health Calendar Careers Contact Department Licensure Local Maternal Health Innovation Maternal Mortality Review Print This Page Print This Page Go to Search Information About the New Website for the Tennessee Department of Health Tennessee to Release 1st Grant Funding Opportunity of Rural Health Transformation Program Friday, May 15, 2026 - 11:00am NASHVILLE – The Tennessee Department of Health ( TDH ) released the first funding opportunity today of the Rural Health Transformation Program ( RHTP ). This begins a roll-out of competitive grant programs to deliver long-term, sustainable improvements in Tennessee’s rural health systems. “Tennessee is committed to strengthening rural health care and ensuring every resident has access to high-quality services, no matter where they live,” Tennessee Gov. Bill Lee said. “Through the Rural Health Transformation Program, we are responding to rural community needs by investing in structural solutions that will improve outcomes for rural families.” A link to the RHTP grant application portal, with funding materials and submission instructions, is available on both the RHTP homepage and in its Opportunities content section . Today’s release marks the first in a series of 2026 funding opportunities, with TDH aiming to commit its first year of funding to rural health projects by the U.S. Centers for Medicare and Medicaid Services’ (CMS) deadline of Oct. 30, 2026. The inaugural funding opportunity, for a Perinatal and Pediatric Behavioral Health Teleconsultation and Education Project , will support the use of technology to expand access to behavioral health education and consultation services. The initiative is designed to improve health outcomes for women, infants and children in rural communities. Additionally, upcoming RHTP competitive grant opportunities, with release dates and application deadlines, include: Perinatal and Pediatric Behavioral Health Teleconsultation and Education May 15 to June 15, 2026 Healthy Active Rural Tennessee (HART) May 22 to June 22, 2026 Healthcare Resiliency Program (HRP): Maternal Child Health May 29 to June 29, 2026 Chronic Disease Prevention June 5 to July 6, 2026 HRP: Service Line and Co-Location June 12 to July 13, 2026 Memory Care Assessment Network (MCAN) June 19 to July 20, 2026 Health Tech Innovation June 26 to July 27, 2026 HRP: Make Rural Tennessee Healthy Again (MaRTHA) July 3 to Aug. 3, 2026 County Health Council CARE Grants July 10 to Aug. 10, 2026 “Tennessee’s RHTP grants represent a strategic investment in the health of our rural communities,” Tennessee Health Commissioner Dr. John Dunn said. “By expanding access to specialized care and supporting local providers, we are working to improve health outcomes and create sustainable solutions across the state.” Potential RHTP applicants can sign up to receive email notifications and be informed when the department announces new project funding and grant opportunities. CMS awarded Tennessee $206,888,882 in late 2025 through the federal RHTP grant program, a nationwide, five-year commitment of $50 billion dedicated to improving access to care, quality, and health outcomes in rural communities nationwide. The mission of the Tennessee Department of Health is to protect, promote, and improve the health and well-being of all people in Tennessee. Learn more on the TDH website about department programs and services , and to find location information for Tennessee’s local health departments . This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $206,888,882.11 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government. Social Media facebook twitter youtube linkedin Food & Nutrition Commodity Food Program Nutrition Programs Pick TN Products Supplemental Nutrition Assistance Tennessee WIC Families & Kids Adopt a Child CoverKids Education Resources KidCentralTN Tennessee Disability Pathfinder State Government Resources Driver Services MyTN State Directory State Services Lookup Transparent Tennessee Get Outside Free TN Vacation Guide Outdoor Recreation State Historic Sites TN Natural Areas Tennessee State Parks Department of Health John R. Dunn, DVM, PhD, EMBA-SL Commissioner 710 James Robertson Parkway Nashville, TN 37243 tn.health@tn.gov Contact Us Flag Status Chat Help Translate Font Size a- Normal A+ TN.gov Services TN.gov Directory Transparent TN Web Policies Mobile App About Tennessee Title VI Accessibility Help & Contact Survey Close
This CMS document summarizes FY26 applications for the RHTP from multiple states, each proposing high-value, high-impact transformation plans for improving rural healthcare access, quality, and sustainability. All states focus on building workforce, expanding digital/telehealth solutions, and addressing maternal, chronic, and behavioral health needs. Most applications include new state-level initiatives, partnerships, and proposed outcomes for measurable health improvement.
The Tennessee Maternal Health Strategic Plan (MHSP) 2025-2030 is a comprehensive approach to reducing maternal morbidity and mortality in Tennessee through quality improvement, workforce strengthening, and addressing social determinants of health. The plan is supported by a $2.17 million HRSA award and includes clear performance targets and indicators. Key strategies target rural, high-need, and at-risk populations with a cross-sector partnership approach.
Core Initiatives
This is the template interagency grant agreement for Tennessee’s RHTP Health Technology and Innovation (Short Range) initiative. It establishes contract terms for a 12-month period, focusing on supporting rural providers in deploying and integrating health technology solutions, improving access and quality, and reporting progress to both Tennessee Department of Health and CMS. The agreement includes standard performance measurement and reporting requirements aligned with the CMS Rural Health Transformation Program. No award amounts or sub-awardees are specified in this document. Key contacts: Amanda Ables, MPA Amanda.Ables@tn.gov; Angela Sumner angela.sumner@tn.gov; Rushdi Eskarous rushdi.eskarous@tn.gov Event schedule: - Effective Date (Start of Grant Agreement) - 09/01/2026 - CT - Tennessee - Initial Grantee Training Call Deadline - Quarterly Written Progress Reports Due
Event Schedule
Contacts
Core Initiatives
The state offers grant opportunities including Perinatal and Pediatric Behavioral Teleconsultation and Education, Healthy Active Rural Tennessee (HART) for built environment projects, and Maternal/Infant and Child Health Healthcare Resiliency projects. These initiatives focus on expanding access to behavioral health, improving health outcomes through environment modifications, and strengthening maternal and child health systems, specifically targeting rural communities. Event schedule: - Perinatal and Pediatric Behavioral Teleconsultation Grant Close Date - 6/15/2026 - Healthy Active Rural Tennessee (HART) Grant Close Date - 6/22/2026 - Maternal/Infant and Child Health Healthcare Resiliency Grant Close Date - 6/29/2026
Core Initiatives
TN - 2024 - Amendment 1 for Request for Grant Proposals (RFGP) #34320-21027 Rural Fetal and Infant Health Initiative Procurement Opportunity
Jul 20, 2026 20:31
·EmailTN - 2024 - Amendment 1 for Request for Application (RFA) #34320-20127 Healthcare Resiliency Program: Make Rural Tennessee Healthy Again Procurement Opportunity
Jul 17, 2026 21:45
·EmailTN - 2024 - Request for Application (RFA) #34320-19326 Establishing the Tennessee Memory Care Assessment Network (MCAN) Procurement Opportunity
Jul 16, 2026 20:47
·EmailTN - 2026 - Healthy Resiliency Program: Make Rural Tennessee Healthy Again Procurement Opportunity
Jul 2, 2026 19:00
·EmailTN - 2026 - Request for Application RHT Healthcare Resiliency Program: Health Technology and Innovation (Long Range) Procurement Opportunity
Jul 1, 2026 22:58
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 728.
TN - 2026 - ATT3 HART 34320 18426FinalPosting
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SM-Version-1.5-Board-adopted-FINAL-01-24-2014.docx.pdf
TN - 2026 - Att3 RFA Rhtf Hrp Serviceline 34320 20627
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TN - 2026 - Request for Application RHT Healthcare Resiliency Program: Health Technology and Innovation (Long Range) Procurement Opportunity
Primary source (procurement digest): RFA #34320-21427
TN - 2026 - Request for Grant Proposal #34320-21027 Amendment #1 for Rural Fetal and Infant Health Initiative
Auto-linked process guidance fallback (9%)
Tennessee has dedicated approximately $104.4 million in TennCare Shared Savings to the Department of Health for rural healthcare transformation under RAMP, with an additional $20.6 million administered by TennCare for Rural Health Clinic sustainability. The program focuses on capital infrastructure, continuity of model projects from prior Rural Health Transformation efforts, and targeted primary care seed grants. Applications are not yet open, but details about eligibility, requirements, and process will be released soon. Key contacts: Mindy Goff RuralHealth@tn.gov; Rich Cook RuralHealth@tn.gov Event schedule: - The grant period ends on , 2031. - June 30 - 3. What is the maximum individual grant amount? - You must submit invoices within 30 days after the end of the calendar month in which the costs were incurred. Example: For May services, you must invoice by . - June 30 - 3. What happens if I submit a late invoice? - This Page Last Updated: , 2026 at 5:18 PM - June 24 - - facebook
Event Schedule
Contacts
Core Initiatives
Amendment #1 confirms deadlines for an RFA targeting rural hospitals, CAHs, clinics, and eligible partners to expand or co-locate key health service lines in rural TN. Eligible types include FQHCs, school-based clinics, RHCs, telehealth consortia, and collaborations. Supports minor interior renovations, equipment, workforce, and technology if tied to service expansion. Event schedule: - Pre-response Teleconference - 06/17/2026 - 1:00 p.m. CT - Teleconference Link - Deadline for Applications - 07/13/2026 - 2:00 p.m. CT - Evaluation Notice Released - 08/10/2026 - Effective Start Date of Contract - 09/01/2026 - RFA Amendment Release - 2018-09-20 - America/Chicago - Tennessee - RFA Amendment Effective Date - 09-20-18
Event Schedule
Core Initiatives
Core Initiatives
Core Initiatives
This contract launches Tennessee's RHTP-funded health technology innovation initiative covering rural providers. The grantee will procure and implement new tools to strengthen access and data-sharing, run training for rural provider staff, and report outcomes per CMS and TDH requirements. Explicit cost and recipient details remain to be finalized. Key contacts: Amanda Ables Amanda.Ables@tn.gov; Angela Sumner angela.sumner@tn.gov; Rushdi Eskarous rushdi.eskarous@tn.gov Event schedule: - Grant Contract Effective Date - 09/01/2026 - CT - Nashville, TN - Initial Grantee Training Call
Event Schedule
Contacts
Core Initiatives
This grant contract defines the scope, deliverables, and reporting requirements for Tennessee's RHTP Health Technology and Innovation (Short Range) award. It includes broad strategies to deploy, implement, and sustain technology for rural providers, with robust reporting and monitoring expected, but does not reveal the grantee's name or the federal dollar amount. Key priorities include increasing digital health access and supporting care coordination. Key contacts: Amanda Ables Amanda.Ables@tn.gov; Angela Sumner angela.sumner@tn.gov; Rushdi Eskarous rushdi.eskarous@tn.gov; Amanda Ables Event schedule: - Contract Effective Date - 09/01/2026
Event Schedule
Contacts
Core Initiatives
SRTS-Guide_Evaluation.pdf
checklist_walkability_0.pdf
Built Environment Evaluation Guide.pdf
TN - 2026 - Attachment 6.3 Release 3
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TN - 2025 - Attachment 3: Excel Budget
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TN - 2026 - Attachment 2
TN - 2026 - Att3 RFA Rhtf Mcan 34320 19326
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TN - 2026 - Evaluation Model
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TN - 2026 - RFA #34320-19426 MCH Program Attachment 3 (Updated 2026-06-15)
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TN - 2026 - SWC 503 Plant Locations
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TN - 2026 - ATT3 EndZone 34320 19226FinalPostingUpdated.xlsx
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PLAW-109publ282.pdf
TN - 2026 - RFP Attachment 6.5 System Requirements Matrix Release 2
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TN - 2025 - Attachment 3: Grant Budget
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TN - 2026 - End Zone Final
TN - 2026 - Att3 RFA Rhtf Hrp Healthtech Shortrange 34320 20327
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TN - 2026 - SWC 700 Vendor and Contract Information Spreadsheet
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Annual_Report_from_FY20-21_FINAL_on_12-22-21.pdf
TN - 2026 - TIAA Traditional Stable Value Account Contract Breakdown
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TN - 2026 - ATT3 EndZone 34320 19226FinalPosting
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PrinciplesToConsiderForTheImplementationOfACHNAProcess_GWU_20130604.pdf
bikabilitychecklist.pdf
TN - 2026 - Supplier Information
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TN - 2026 - Attachment 6.8 Release 4
Tennessee State Agency Service Contracting Coordinators RHTP Reference
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TN - 2026 - SWC 201 Equipment Rental
TN - 2026 - SWC 208 Gasoline and Diesel Fuel Usage Instructions
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TN - 2026 - SWC 215 Liquefied Propane Contact Information and Usage Instructions
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TN - 2026 - State Agency P-Card Procedures Model
TN - 2026 - ByLaws and Rules of Procedure
Tennessee Forecast Of Acquisition Plans Dashboard
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Governor's Office of Business Initiatives and Development (GO-BID)
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TN - 2026 - Attachment 1
TN - 2026 - Attachment 1
TN - 2026 - Specifications
TN - 2026 - Specifications
TN - 2026 - Bid Opportunities & ITBs