e-Prescribing

Tennessee Physician Connectivity Grant Overview
Governor’s eHealth Council
Governor Bredesen and the Tennessee General Assembly have authorized several initiatives to help health care providers in Tennessee implement new technologies that enhance the quality of care available to Tennessee residents.

The State will reimburse actual costs not to exceed $3,500 per Tennessee licensed physician ($2,500 for Nurse Practitioners and Physicians Assistants) and actual costs not to exceed $6,000 per treatment site in urban/semi-rural areas and $7,500 in rural areas to develop the infrastructure necessary to connect to the Tennessee eHealth Exchange Zone. The intention is that these state funds will serve as seed funding and will encourage further health information technology investment by the practice and other stakeholders.

Filling out the online application is the first step in the application process. Applications will be reviewed by state officials to determine those that will receive preliminary approvals. Applicants receiving a preliminary approval will be contacted for signatures to complete the grant disbursement.

All specialties are eligible to participate. However, the state reserves the right to prioritize disbursement based on type of practice and geographic location. Initially, priority will be given to primary care and pediatric providers in rural counties with few health care resources.
PLEASE NOTE: All fields are required.

Contact Name:
Title:
Organization Name:
Organization Type:	A/An Individual For-Profit Corporation Non-Profit Corporation Special Purpose Corporation/Association Partnership Joint Venture Limited Liability Company
City:
State:
Zip Code:
Phone:
Fax:
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FEIN/Tax ID #
County:
Percentage of Payor Mix: Please enter the percentages for each category where applicable	% TennCare % Medicare % Commercial % Uninsured % Other
Treatment Sites:	Please enter treatment site name and address of each of your treatment sites using this format: Name of site, address, city, state, zip(enter) Name of site, address, city, state, zip(enter)
Physicians:	Please enter all provider names and professional designation using this format: First, middle, and last name, professional designation, med. license # (enter)
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I affirm that the information provided on this application is correct under penalty of criminal or civil prosecution.