Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

North Carolina State Designated Rural Health Centers Operations Guidance
Manual providing consolidated resources for North Carolina's State Designated Rural Health Center (SDRHC) Program. Standardizes North Carolina SDRHC services, describes strategies to designate new rural health centers, and provides additional resources that support effective operations and transition into and out of SDRHC status.
Type: Document
Sponsoring organization: North Carolina Office of Rural Health
view details
Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
AHA Rural Health Services Resources and References
A collection of tools and case studies highlighting rural hospital healthcare innovations, including new payment models implemented by hospitals and health systems in rural communities.
Type: Website
Sponsoring organization: American Hospital Association
view details
CCHP Policy Finder
Database of telehealth laws and regulations with state-by-state information, information related to COVID-19 telehealth policy changes, Medicaid and Medicare information, and other payer and professional requirements. Offers maps comparing policies in each state.
Type: Website
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Emergency Triage, Treat, and Transport (ET3) Model
Provides information on a CMS model that permits ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth are eligible to participate.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Pennsylvania Rural Health Model
Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Community Health Access and Rural Transformation (CHART) Model
Provides information on a rural-focused CMS initiative that will test whether upfront investments, predictable capitated payments, and operational and regulatory flexibilities will enable rural healthcare providers to improve access to high-quality care and reduce costs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
CMS Coronavirus Waivers & Flexibilities
Lists Centers for Medicare and Medicaid Services (CMS) waivers and flexibilities available to healthcare providers to ensure healthcare access during the COVID-19 pandemic. Includes blanket waivers and fact sheets for specific types of providers, as well as approved states' other coronavirus 1135 waivers.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
CMS: Current Emergencies: Coronavirus Disease 2019
Guidance from CMS for healthcare facilities and labs related to COVID-19. Includes clinical and technical guidance for specific types of facilities, information on billing and coding, coverage for services related to COVID-19, and other topics.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Promoting Interoperability Program Hardship Exception Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details