Forecast of Acquisition Plans Dashboard
HHS Region 4 · Tennessee Dept of Health — Rural Health Access
Program Overview
The Tennessee Rural Health Transformation Program is under structured, active implementation, with initial grants awarded to rural providers to enhance healthcare access and quality. Competitive solicitations focus on innovation catalysts, technology solutions, mobile app development for maternal and child health, patient navigation, rural transportation, and community health worker infrastructure, administered under the Rural Healthcare Access Modernization Program (RAMP). The program advances a locally-led model, modernized infrastructure, and improved outcomes for mothers, children, and older adults, with a phased schedule of RFP and RFA releases for community organizations and providers. Current efforts track multiple strategic initiatives and goals across rural regions. Current structured plan tracks 19 key initiatives and 15 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 - Sen. Southerland announces RHT grants benefiting Sevier County
AI auto-updated Sep 11, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
3 related documents
TN - 2026 - Tennessee to Release 1st Grant Funding Opportunity of RHTP
State announcement (supporting)
1,467,777 rural residents
Tennessee has launched the RHTP-supported Community Health Worker Infrastructure Project, issuing a competitive grant solicitation for provider organizations serving rural TennCare populations. Applications are now open, with evaluation and contract awards scheduled to begin in October 2026. Multiple RFAs are active and technical assistance, project monitoring, and stakeholder engagement activities are underway. Additional funding rounds are planned through summer 2026. State opportunities: 1 active (1 closing soon, 18 past/closed), $171.4M listed funding. Key opportunities: Tennessee RHT: Community Health Worker (CHW) Infrastructure Project; Healthcare Management Consulting Services (RFP #34320-20827); Healthcare Resiliency Program: Make Rural Tennessee Healthy Again Procurement Opportunity. Strategy alignment: supports care access, telehealth priorities.
Tennessee’s RHTP advances a phased, locally-led model emphasizing competitive grants and targeted procurements to reinforce rural health infrastructure, technology modernization, and care delivery. Continued focus includes hospital viability, maternal and child health, and workforce development—especially prioritized expansion of community health worker infrastructure aligned with TNCHWA accreditation and evidence-based models. Ongoing opportunities and evaluation rounds reflect CMS and state priorities for measurable health improvements in rural areas.
Model
Locally-led, statewide rural health transformation through phased, competitive investments in rural capital, workforce (including community health workers), and technology. The model incorporates digital health modernization, value-based care, memory and behavioral health initiatives, prevention, technical assistance, TNCHWA-aligned workforce development, and community-driven improvements.
Key Initiatives (19)
Timeline: Program rollout began with statewide webinars in March 2026; grant applications opened May through August 2026 with ongoing phased opportunities. Implementation and evaluation phases extend throughout the five-year CMS RHTP grant period (2026–2031).
Improving outcomes for mothers and children is a key focus in the rural health transformation efforts.
Improvement of health outcomes for older adults is a key focus of the program.
Reversing rural hospital decline and extending healthcare access are critical to sustaining rural healthcare infrastructure.
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
Auto-grouped context match (38%)
TN - 2025 - See Tennessee Gov. Bill Lee's Announcement of Tennessee's Proposal
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State of Tennessee, Department of Finance and Administration, Division of TennCare
Due Sep 30, 2026· ⏰ 10 days left
5 related documents
TN - 2026 - Request For Application For Community Health Worker Infrastructure Project RFA # 31865-00020 Release #2
CHW Infrastructure Project RFA (full solicitation, Release 2)
TN - 2026 - Request For Application For Community Health Worker Infrastructure Project RFA #31865-00020 Release #2
Amendment #1 (schedule confirmation + Release 2 reissue)
TN - 2026 - Upcoming Procurements
Primary source
TN - 2026 - Tennessee RHT Fund Application: Hospital Funding Pathways
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TN - 2026 - Tennessee RHTP
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Tennessee Department of Health
Grouped files
2 related documents
TN - 2025 - Rural Health Access Modernization Program (RAMP): TennCare Shared Savings Application
Tennessee Department of Health
Due Sep 10, 2026
1 related document
TN - 2026 - SOLICITATION NOTICE August 4, 2026 Service Providers: The State of Tennessee is issuing a solicitation to bid for a new Twelve (12) Month contract to provide rural health…
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2025 | University of Tennessee Health Science Center | Not disclosed | — |
Tennessee Department of Health announces multiple Rural Health Transformation Program and Rural Healthcare Access Modernization Program grant and procurement opportunities for hospitals, health systems, and community organizations. Over $104 million is allocated to support rural capital investment, grant extensions, and primary care seed grants as part of the transformation effort. Opportunities include funding for quality improvement, telehealth, workforce stability, technology upgrades, and innovative care delivery in rural communities. Key contacts: Jessica James Competitive.Health@tn.gov Event schedule: - MaRTHA Competitive Grant Opportunity Closes - 08/03/2026 - HRP: Health Technology and Innovation Opportunity Closes - 08/03/2026 - Rural Fetal and Infant Wellness Initiative Opportunity Closes - 08/06/2026
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CMS Administrator Oz participated with governors and the NGA to promote rural health transformation and Medicaid integrity efforts in Tennessee and other states.
Core Initiatives
The announcement reports on Rural Health Transformation grants benefiting Sevier County, Tennessee. It highlights federal investment supporting rural health improvements in the region.
This announcement highlights Tennessee's first recipients of the Rural Health Transformation Program grants, marking initial investments by the state to transform rural health care access and quality.
The Tennessee Department of Health announces the first recipients of Rural Health Transformation Program grants, marking the initial funding phase in the state for improving rural health services.
The program provides funding through an RFA for CHW Infrastructure Project, emphasizing sustainable CHW program development aligned with program standards and serving TennCare members, especially in rural areas. Applicants must complete a TennCare Blackout Period Attestation. Initial funding is for one year with potential extension based on performance. Event schedule: - Posting Date: , 2026 - September 1 - Summary: - Release Date: , 2026 - June 26 - Summary: - Release Date: , 2026 - July 15 - Summary:
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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
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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 2023 Task Force report offers actionable recommendations to improve rural access to care, workforce development, and social drivers of health in Tennessee. Strategic initiatives include a Center of Excellence, care access and telehealth pilots, expanded apprenticeship and training programs, and support for county health councils through grants and partnerships. Recommendations emphasize leveraging both public and private resources.
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
Reference: Article 37f32e60 35ff 5c4c 9ff9 Eb73ddffe2b5 Link: https://www.themountainpress.com/news/sen-southerland-announces-rural-health-transformation-grants-benefiting-sevier-county/article_37f32e60-35ff-5c4c-9ff9-eb73ddffe2b5.html
Reference: Article 8f883f20 60a7 5ea3 B003 Bc2ff6ccd589 Link: https://www.themountainpress.com/roane/roane/news/state_of_tennessee/tennessee-department-of-health-announces-first-recipients-of-rural-health-transformation-program-grants/article_8f883f20-60a7-5ea3-b003-bc2ff6ccd589.html
Reference: Tennessee Department of Health Announces 1ST Recipients of Rural Health Transformation Program Grants Link: https://www.tn.gov/health/news/2026/9/3/tennessee-department-of-health-announces-1st-recipients-of-rural-health-transformation-program-grants.html
Forecast of Acquisition Plans Dashboard
32110-22726 Attachment L Document
TN RHTP site updated — 4 new, 0 existing source(s) refreshed
TN RHTP site updated — 2 new doc(s)
TN - 2024 - Request for Application (RFA) #34320-20127 Healthcare Resiliency Program: Make Rural Tennessee Healthy Again Procurement Opportunity
Jul 22, 2026 22:21
·EmailTN - 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
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TN - 2026 - Appendix 7.24
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TN - 2026 - Cost Proposal
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TN - 2026 - Sole Source Contracts August 2026
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TN - 2026 - Contracts with Terms Beyond 60 Months August 2026
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TN - 2026 - SWC 700 Line Item Spreadsheet
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TN - 2026 - System Requirements Matrix-Release 2
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TN - 2026 - SWC 427 Catalog
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Amendment 2 RFA #34320-20127 MRTHA — ATT3_RFA_RHTF_HRP_MRTHA_34320-20127Updated.xlsx
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TN - 2026 - Dana Safety Catalog SABRE
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TN - 2026 - RFP Attachment 6.5 System Requirements Matrix Release 2
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TN - 2026 - RFA #34320-19426 MCH Program Attachment 3 (Updated 2026-06-15)
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TN - 2026 - Rural Healthcare Access Modernization Program (RAMP)
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
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This RFA solicits applications from Tennessee provider organizations for grants to build community health worker infrastructure, focusing on rural and underserved populations. Grants offer up to $450,000 for larger organizations and $225,000 for smaller organizations, with funding split between organizational infrastructure and technical assistance support via the IMPaCT model. Organizations must pursue TNCHWA accreditation, achieve staffing requirements, report milestones, and implement best practices for CHWs to qualify for funding. Key contacts: Shane Gibson Shane.P.Gibson@tn.gov Event schedule: - RFA Issued - 09/01/2026 - Pre-response Teleconference - 09/08/2026 - 11:00 a.m. CT - https://teams.microsoft.com/meet/27618636516124?p=mPGbTa6g80JWcsbWGU - Written Questions & Comments Deadline - 09/15/2026 - 2:00 p.m. CT - State Response to Written Questions & Comments - 09/23/2026 - Deadline for Applications - 09/30/2026 - 2:00 p.m. CT - Evaluation Notice Released - 10/07/2026 - Effective Start Date of Contract - 10/21/2026
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TennCare is issuing an RFA to fund up to eight organizations to strengthen community health worker (CHW) infrastructure in Tennessee, with a special focus on rural health transformation and addressing social determinants of health. Grants will support professional development, technology enhancements, accreditation preparation, and evidence-based model implementation such as IMPaCT. Special consideration is given to organizations serving rural TennCare members, and applicants must meet staffing and accreditation progress benchmarks for full funding eligibility. Key contacts: Shane Gibson Shane.P.Gibson@tn.gov Event schedule: - RFA Issued - 09/01/2026 - CT - Pre-response Teleconference - 09/08/2026 - 11:00 a.m. CT - Microsoft Teams Webinar - Written Questions & Comments Deadline - 09/15/2026 - 2:00 p.m. CT - State Response to Questions - 09/23/2026 - CT - Deadline for Applications - 09/30/2026 - 2:00 p.m. CT - Evaluation Notice Released - 10/07/2026 - CT - Effective Start Date of Contract - 10/21/2026 - CT
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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
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This amendment clarifies eligibility, allowable costs, and program requirements for applicants seeking funding under the End Zone RFA targeting chronic disease prevention in rural Tennessee. Activities must include a Healthy Food Environment strategy, and eligible applicants may request up to three rural counties per application. Funding will support sustainable policy, systems, and environmental changes to improve rural health, with cost-reimbursement and detailed performance reporting required. Event schedule: - Pre-response Teleconference - 06/11/2026 - 1:00 PM CT - Teleconference-20260611 1916-1 - Deadline for Applications - 07/06/2026 - 2:00 PM CT - Evaluation Notice Released - 08/03/2026 - Effective Start Date of Contract - 10/01/2026
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This report outlines the findings and recommendations developed by the Tennessee Rural Health Care Task Force during its 2022-2023 term. It presents a comprehensive strategic vision and budget proposals to improve rural access to care, transform the health care workforce, address social drivers of health, and sustain rural hospitals. The recommendations include establishing a Center of Excellence, new funding models, workforce pathways, and telemedicine investments.
Core Initiatives
This application proposes a comprehensive $125 million investment in rural health transformation across Tennessee, with a focus on access, workforce, technology, and prevention. Major strategies include competitive grants for facility upgrades, EMS and mobile health expansions, primary/dental care access for the uninsured, workforce training pipelines, and sweeping policy modernization. Rural Tennessee's health challenges—chronic disease, maternal mortality, provider shortages, hospital financial distress—are directly targeted through coordinated initiatives and statewide collaboration.
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