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Medicare Rural Hospital Flexibility Program

  • Program Name:Medicare Rural Hospital Flexibility
  • Activity Code:U2W
  • Application Available:1/24/2019
  • Application Deadline:3/29/2019
  • Created By:Beach, Dawn
  • Created On:11/29/2017
  • Last Updated by:User, Administrator
  • Last Updated On:1/30/2019
  • Estimated Project Start Date:9/1/2019

 Details of the changes posted in this announcement

Not Available

 Announcement Information

Announcement Number HRSA-19-024
Announcement Code
CFDA Number 93.241
Provisional No
Activity Code U2W
Competitive Yes
Fiscal Year 2019


The purpose of this cooperative agreement is to enable state Flex programs to support critical access hospitals (CAHs) in quality improvement, quality reporting, performance improvement, and benchmarking; to assist facilities seeking designation as CAHs; and to create a program to establish or expand the provision of rural emergency medical services (EMS). The aim of the Flex Program is 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 is 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 six program areas with an emphasis and priority on quality, operational, and financial improvement in CAHs: Program Area 1: CAH Quality Improvement (required) Program Area 2: CAH Operational and Financial Improvement (required) Program Area 3: CAH Population Health Improvement (optional) Program Area 4: Rural EMS Improvement (optional) Program Area 5: Innovative Model Development (optional) Program Area 6: CAH Designation (required if assistance is requested by rural hospitals)

 Application Information

Application Available 01/24/2019
Application Deadline 03/29/2019
Supplemental Application Deadline N/A
Explanation for Deadline N/A
Archive Date 05/28/2019
Letter of Intent Not required
Application Package SF424
Allow Applications to be Reopened in EHBs No
FOA Available Yes
Competitive Application Types Supported New; Continuation & Supplement
Allow Electronic Submission N/A
Page Limit for Application
Allow Multiple Applications
from an Organization from
Electronic Submission Instruction Electronic submission is/will be available in Grants.Gov

 General Information

Projected Award Date N/A
Estimated Project Period N/A
Estimated Project Start Date 09/01/2019
Estimated Project End Date 08/31/2024
Estimated Amount of this Competition $27,000,000.00
Estimated Number of Awards 45
Estimated Average Size of Awards $0.00
Cost Sharing No
Cooperative Agreement Yes

 Contact Information

Name Sarah D. Young, MPH
Phone Number (301)443-5905

 Download Information

Expand FOA (Guidance) Attachment (Maximum 1)
Document Name Size Date Attached Description
FINAL HRSA-19-024 FLEX Program.pdf 638 kB 01/24/2019
Expand Application Package (Maximum 1)
No documents attached
Expand User Guide (Maximum 1)
No documents attached

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