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Rural Health Information Hub

Medicare Rural Hospital Flexibility Program

Catalog of Federal Domestic Assistance Number: 93.241
Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services
Apr 16, 2024

For programmatic or technical questions:
Laura Seifert

For grants management or budget questions:
Bria Haley


The Medicare Rural Hospital Flexibility Program provides support to Critical Access Hospitals (CAHs) for quality improvement, quality reporting, performance improvements, and benchmarking; designating facilities as critical access hospitals; and the provision of rural emergency medical services (EMS).

Program areas include:
  • Improve the quality of care provided by CAHs
  • Improve the financial and operational outcomes of CAHs
  • CAH population health improvement
  • Rural EMS Improvement
  • CAH Designation

Eligible applicants are states, 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.

Geographic coverage
Amount of funding

Award ceiling: See Appendix: State Funding Levels in the application instructions.
Number of awards: Up to 45
Project period: 5 years
Total funding available: $30,000,000

Application process

Links to the full announcement, application instructions, and the online application process are available through

Applicant webinar
January 31, 2024
2:00 - 3:00 p.m. Eastern
Call-in number: 833.568.8864
Meeting ID: 160 222 5205

Tagged as
Critical Access Hospitals · Emergency medical services · Healthcare business and finance · Healthcare quality · Hospitals · Population health · Reimbursement and payment models

Organizations (3)

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.