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Rural Health Information Hub

Medicare Rural Hospital Flexibility Program

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

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
Mar 29, 2019

For programmatic or technical questions:
Sarah Young

For grants management or budget questions:
Benjamin White


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
  • Enhance the health of rural communities through community/population health improvement
  • Rural EMS Improvement
  • Innovative Model Development
  • CAH Designation

Only States with certified Critical Access Hospitals are eligible for this grant program. The Governor designates the eligible applicant from each state.

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: $27,000,000

Application process

Links to the application and full announcement are available through

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.