Accessing Community Health Workers in Tennessee
GrantID: 78201
Grant Funding Amount Low: Open
Deadline: Ongoing
Grant Amount High: Open
Summary
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Grant Overview
Tennessee's community-health-worker pipeline faces operational bottlenecks rooted in licensure and reimbursement mechanics. The Tennessee Department of Health reports that only 312 certified community health workers serve the 33 counties designated as health-professional-shortage areas for primary care. Most workers operate under short-term grants rather than Medicaid-reimbursable billing codes, creating turnover rates above 40 percent within 18 months.
These constraints intersect with the state's geography. The Appalachian counties along I-81 and I-75 exhibit hospital closure patterns that force residents to travel more than 45 minutes for routine screenings. Community health workers could conduct follow-up visits, yet current reimbursement rules limit payment to face-to-face encounters inside clinical walls. Any funded training program must therefore incorporate telehealth documentation protocols aligned with TennCare's 2022 remote-monitoring waiver.
Workforce composition data from the Department of Labor show that 71 percent of current community health workers hold only a high-school diploma. Training curricula must therefore embed both clinical competencies and administrative skills required for electronic health-record entry. Equipment budgets can include tablets preconfigured with the state's approved patient-education modules on diabetes and hypertension.
Applicants must hold a Tennessee certificate of public convenience and necessity or partner with an entity that does. Budget narratives require line-item justification for travel along the state's 13,000 miles of secondary roads, many of which receive no winter maintenance. Priority scoring favors proposals that place at least one worker inside each county's existing rural health clinic network.
Tennessee's operational requirements differ from those in Kentucky because proposals must reference the 2020 Tennessee Primary Care Association staffing model, which mandates 0.75 full-time-equivalent community health workers per 1,000 attributed Medicaid lives, a ratio not required under Kentucky's comparable program.
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