Tennessee Prevention Workshop Cost Barriers
GrantID: 73874
Grant Funding Amount Low: Open
Deadline: Ongoing
Grant Amount High: Open
Summary
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Grant Overview
Tennessee Cost Constraints in Lifestyle Disease Prevention
Tennessee reports adult diabetes prevalence at 13.1% and obesity rates above 35% in 42 of its 95 counties, with highest concentrations in the rural Appalachian counties east of Knoxville. Workshop delivery costs average $187 per participant when accounting for travel across the Cumberland Plateau's limited road network.
High-risk populations in Tennessee include adults aged 45-64 in manufacturing counties such as Hamblen and Cocke, where employer-sponsored insurance coverage dropped 8% between 2019 and 2023. These demographics drive higher per-participant costs for follow-up A1C testing because local labs require separate contracts with each of the state's 13 rural hospital districts.
Implementation demands line-item budgeting that caps indirect costs at 12% to preserve funds for portable biometric equipment calibrated to Tennessee Department of Health standards. Grantees track cost per reduced-risk participant using claims data from the state's all-payer database.
Who Qualifies Under Tennessee Cost Rules
Only nonprofits with existing contracts through the Tennessee Department of Health's Chronic Disease Prevention Program may apply. Evidence of current agreements with at least three rural hospital districts for lab services is required.
Tennessee's reimbursement structure differs from Kentucky because the state caps Medicaid preventive service payments at $42 per workshop session, forcing programs to absorb the balance through grant funds rather than billing.
Tennessee Budget Submission Requirements
Applications require detailed cost breakdowns showing no more than $65 per participant for materials and testing supplies, verified against the most recent Tennessee Medicaid fee schedule. Reviewers examine prior program audits for compliance with the state's 8% administrative cap on Department of Health subawards.
Eligible Regions
Interests
Eligible Requirements
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