HarperRHTP Tracker
All States/Tennessee

Tennessee

Planning

Workforce Development

FY26 Award
$/Rural Resident
$94
Rank
19th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $106.9M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Rural Healthcare Transformation

Right-size rural facilities and implement outcomes-based payment models for sustainable care access.

Workforce Development
Workforce Development Pipeline

Build a comprehensive workforce pipeline from training through retention to ensure sustainable rural staffing.

Financial Sustainability
Shared Savings for Capital Investments

Leverage an additional $125M in TennCare Shared Savings for capital investments in rural health facilities.

Quality & Health Outcomes
Maternal and Child Health Generational

Invest in strong starts for rural families through expanded maternal and child health programs.

Make Rural Tennessee Healthy Again

Deploy prevention, early detection, and nutrition security programs to improve population health outcomes.

Infrastructure & Technology
Technological Infrastructure

Deploy health-tech solutions and innovative care delivery technologies to modernize rural care.

Source: CMS state abstracts

How to Participate in Tennessee

Steps for healthcare organizations to access RHTP funding through Tennessee's programs.

Lead State Agency
Tennessee Department of Health
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in Tennessee's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Tennessee's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

$125M
shared savings for capital
Tennessee leverages an additional $125M in shared savings specifically for capital investments in rural health facilities, guided by the principle of "Better Care, Closer to Home."
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$186.8M
$183.3M
$188.1M
$184.0M
$237.4M
$333.7M
$230.1M
$240.0M
$238.7M
$225.9M
RHTP $206.9MHRSA $225.9M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$432.8M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

Stay Updated on Tennessee RHTP

Get RFP alerts and compliance guidance from Harper as Tennessee rolls out RHTP programs.

Let us know