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Active — TDH currently states RAMP applications are open; Tennessee Hospital Association reports applications due September 30, 2026 at 2:00 PM Central Time under RFA 34320-36927.Atlas Opportunity Score 92/100

Tennessee Rural Healthcare Access Modernization Program (RAMP)

Tennessee competitive rural-health funding for capital modernization, service expansion, primary care seed projects, and selected technology and equipment upgrades.

FundingApproximately $104.4 million available through TDH: $100 million for rural capital investment and $4.4275 million for rural primary-care seed grants; individual capital awards up to $40 million and primary-care awards up to $500,000
DeadlineSeptember 30, 2026 at 2:00 PM Central Time (Tennessee Hospital Association, referencing TDH RFA 34320-36927; TDH currently states applications are open).
Last verifiedSeptember 28, 2026
Required next actionApplicant next step: review the current TDH RAMP application materials and portal, complete required Tennessee registration, and submit before September 30, 2026 at 2:00 PM Central Time. Recheck the TDH RAMP page and portal for amendments before final submission. Technology and equipment must be part of a qualifying capital investment, are limited to 20% of the total award, and equipment costing $10,000 or more requires prior written TDH approval.

Broad Eligibility

Applications are considered statewide across all 95 Tennessee counties. Eligible entities include governmental entities, nonprofits, for-profits and Tennessee state agencies serving rural populations; TDH also identifies rural hospitals, health systems, FQHCs, nonprofit organizations and community-based organizations as core applicant groups. Applicants must satisfy the current RAMP application and Tennessee registration requirements.

Atlas Analysis

Atlas Opportunity Score 92/100. Tennessee's RAMP is a large rural-health modernization program with approximately $104.4 million administered by TDH. Current guidance supports capital projects, rural primary-care expansion, selected RHTP continuation work, and IT and equipment upgrades when they are part of qualifying capital investment; technology and equipment is limited to 20% of an individual capital award, and equipment costing $10,000 or more requires prior written TDH approval. Awards are reimbursement-only, procurement must be competitive where practical, and subcontracting requires prior written approval. Applicants should build around demonstrated rural-access need, sustainable service capacity, and compliant capital scope rather than treat technology as a standalone purchase.

The Tennessee Department of Health administers the Rural Healthcare Access Modernization Program through the State Office of Rural Health using TennCare Shared Savings. TDH states that approximately $104.4 million is available: $100 million for rural capital investment and $4.4275 million for rural primary-care seed grants. Capital awards may reach $40 million, while primary-care awards are capped at $500,000 per applicant. The public program FAQ states that the grant period ends June 30, 2031.

RAMP supports strategic rural healthcare infrastructure, access expansion and modernization. TDH states that IT and equipment may be included when they are integral to a capital project, subject to the program’s 20% technology-and-equipment limitation for capital investment awards. Applications are open statewide across all 95 Tennessee counties. Tennessee Hospital Association reports that applications are due September 30, 2026 at 2:00 p.m. Central Time and identifies the controlling solicitation as RFA No. 34320-36927, while TDH’s public RAMP page currently confirms the program is open but does not display the closing date in its public text. Applicants should verify the controlling RFA/application portal before final submission.

TDH’s current RAMP FAQ confirms that awards are reimbursement-only with no advance payments. Competitive procurement is required where practical and must be documented. Equipment costs are limited to qualifying capital-project scope under the 20% technology/equipment cap, and equipment costing $10,000 or more requires prior written TDH approval. Subcontracting also requires prior written approval. Awardees must submit required fiscal and progress reporting, retain supporting records, and comply with applicable audit and State data-handling requirements.

Source verificationOfficial government source · www.tn.govAtlas last verified this record September 28, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗