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Medicare Rural Hospital Flexibility Program

Type: Posted • Opportunity: HRSA-24-002

Description

Posted: Jan. 17, 2024, 12:00 a.m. EST
This notice announces the opportunity to apply for funding under the Medicare Rural Hospital Flexibility (Flex) Program. The purpose of the Flex Program is to enable states to support critical access hospitals (CAHs) in quality improvement, quality reporting, performance improvement and benchmarking; to assist facilities seeking designation as CAHs; and to establish or expand programs for the provision of rural emergency medical services (EMS). The Flex Program aims to provide training and technical assistance to build capacity, support innovation, and promote sustainable improvement in the rural health care system. The overall goal of the Flex Program is to ensure that high quality health care services are available in rural communities and aligned with community needs. Health care services include appropriate preventative, ambulatory, pre-hospital, emergent, and inpatient care. High quality rural health care will deliver high value to patients and communities and result in healthier rural people. The long-term objectives of the Flex Program are to enable CAHs, including CAH-owned clinics, and rural EMS agencies to: Show and improve quality of care; Stabilize finances and maintain services; Adjust to address changing community needs; and Ensure patient care is integrated throughout the rural health care delivery system. State Flex funding for this period of performance will act as a resource and focal point to address needs and demonstrate outcomes in the following five program areas with priority for quality, financial and operational improvement in CAHs, and supporting rural hospitals converting to CAH status. We recognize that the healthcare landscape is changing rapidly, with focus being placed on value-based care and alternative payment models. We encourage states to develop projects supporting innovative models of care, as appropriate, and place them in the following program areas: Program Area 1: CAH Quality Improvement (required) Program Area 2: CAH Financial and Operational Improvement (required) Program Area 3: CAH Population Health Improvement (optional) Program Area 4: Rural EMS Improvement (optional) Program Area 5: CAH Designation (required if assistance is requested by rural hospitals) For more details, see Program Requirements and Expectations.
Posted: July 19, 2023, 12:00 a.m. EDT
Posted: July 19, 2023, 12:00 a.m. EDT
Posted: July 19, 2023, 12:00 a.m. EDT
Background
The Medicare Rural Hospital Flexibility (Flex) Program is aimed at enabling states to support critical access hospitals (CAHs) in quality improvement, quality reporting, performance improvement, and benchmarking. It also aims to assist facilities seeking designation as CAHs and to establish or expand programs for the provision of rural emergency medical services (EMS). The program's long-term objectives include improving the quality of care, stabilizing finances, adjusting to address changing community needs, and ensuring patient care is integrated throughout the rural health care delivery system.

Grant Details
The Flex Program aims to provide training and technical assistance to build capacity, support innovation, and promote sustainable improvement in the rural health care system. It focuses on five program areas: CAH Quality Improvement, CAH Financial and Operational Improvement, CAH Population Health Improvement, Rural EMS Improvement, and CAH Designation. The program encourages states to develop projects supporting innovative models of care in alignment with the changing healthcare landscape.

Eligibility Requirements
States are eligible to apply for funding under this notice, including states that are current Medicare Rural Hospital Flexibility Program award recipients or states submitting a new application from a Governor designated entity. HRSA will accept only one application from each state.

Period of Performance
The period of performance for this grant is from September 1, 2024, through August 31, 2029 (5 years).

Grant Value
Approximately $30,000,000 will be available each year to fund 45 recipients. The estimated annual award amount varies by state per year subject to the availability of appropriated funds. Cost sharing or matching is not required for this program.

Overview

Category of Funding
Health
Funding Instruments
Cooperative Agreement
Grant Category
Discretionary
Cost Sharing / Matching Requirement
False
Source
On 1/17/24 Health Resources and Services Administration posted grant opportunity HRSA-24-002 for Medicare Rural Hospital Flexibility Program with funding of $30.0 million. The grant will be issued under grant program 93.241 State Rural Hospital Flexibility Program. It is expected that 45 total grants will be made.

Timing

Posted Date
Jan. 17, 2024, 12:00 a.m. EST
Closing Date
April 16, 2024, 12:00 a.m. EDT Due in 42 Days
Last Updated
Jan. 17, 2024, 2:13 p.m. EST
Version
1

Eligibility

Eligible Applicants
Others (see text field entitled "Additional Information on Eligibility" for clarification)
State governments
Additional Info
States are eligible to apply for funding under this notice, including states that are current Medicare Rural Hospital Flexibility Program award recipients under HRSA-19-024 or states submitting a new application from a Governor designated entity. HRSA will accept only one application from each state. The Governor designates the organization that may submit an application on behalf of each state.

Award Sizing

Ceiling
Not Listed
Floor
Not Listed
Estimated Program Funding
$30,000,000
Estimated Number of Grants
45

Contacts

Contact
Health Resources and Services Administration
Contact Email
Email Description
Contact Laura Seifert at (301)443-3343 or email Lseifert@hrsa.gov
Contact Phone
(301) 443-7432

Documents

Posted documents for HRSA-24-002

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