Building Telehealth Workforce for Rural Women in Montana
GrantID: 13281
Grant Funding Amount Low: $10,000
Deadline: Ongoing
Grant Amount High: $67,000
Summary
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Grant Overview
Montana telehealth funding for rural women's counseling services targets workforce shortages where the state reports only 4.2 licensed mental health counselors per 10,000 residents outside the Billings and Missoula metropolitan areas. Eligible applicants must be federally qualified health centers or critical access hospitals with active telehealth licenses from the Montana Board of Behavioral Health. Proposals require documented partnerships with at least two tribal health programs, given that seven of Montana's reservations lie more than 90 miles from the nearest reproductive health specialist.
The workforce gap appears most sharply in the eastern and northern regions where counties average fewer than one psychiatrist per 30,000 residents. Data from the Montana Department of Public Health and Human Services show that reproductive health counseling visits via telehealth increased 67 percent between 2019 and 2022 yet remain unavailable in 32 of 56 counties. Organizations must therefore submit staffing plans that include recruitment or retention incentives for providers willing to deliver services across time zones spanning the Continental Divide.
Infrastructure constraints include limited broadband coverage, with 14 percent of rural households lacking access speeds sufficient for video counseling. Funded projects must therefore budget for cellular-enabled tablets distributed through existing public health offices rather than assuming home connectivity. Workforce training requirements specify that counselors complete Montana-specific modules on agricultural stress and reservation-based confidentiality protocols before delivering services.
These requirements differ from those in Idaho or Wyoming because Montana's frontier designation covers 45 counties with populations under 6 people per square mile, triggering additional state reporting on travel-time savings. Applicants must also coordinate with the Montana Primary Care Association's existing telehealth network rather than building parallel systems. This approach addresses the state's documented 300 percent higher rate of reproductive-age women traveling out of state for counseling compared with national averages.
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