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Rural Health Information Hub

Arkansas' Medicare Rural Hospital Flexibility Grant (CAH/FLEX) 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.

Arkansas Department of Health, Arkansas Office of Rural Health & Primary Care
Dec 1, 2020

Harold Clayton


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 healthcare system. The Flex program supports Critical Access Hospitals (CAHs) in the areas of:

  • Quality improvement (required)
  • Operational and financial improvement (required)
    • Population health improvement (optional)
    • Rural EMS improvement (optional)
    • Innovative model development (optional)
    • CAH Designation (required if federal assistance is requested by rural hospitals)

    The Flex program establishes or expands the provision of rural emergency medical services.

    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
    • Ensure patient care is integrated throughout the rural healthcare delivery system

Participating hospitals must meet the following conditions:

  • Have 25 or fewer acute care inpatient beds
  • Be located more than 35 miles from another hospital (exceptions may apply – see What are the location requirements for CAH status?)
  • Maintain an annual average length of stay of 96 hours or less for acute care patients
  • Provide 24/7 emergency care services
Geographic coverage
Amount of funding

CAHs may request to utilize Flex funds for training and education

The current level of funding for the Arkansas Office of Rural Health and Primary Care is $602,319.

Application process

A signed Memorandum of Agreement (MOA) must be submitted from each CAH, and signed by CAH Administrator. CAH proposed activity must align with the Medicare Flexibility Program statues and guidelines.

Email request to:

Tagged as
Access · Critical Access Hospitals · Emergency department and urgent care services · Emergency medical services · Healthcare business and finance · Healthcare quality · Integrated service delivery · Arkansas

Organizations (2)

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