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Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement

Agency: Health Resources and Services Administration

Assistance Listings: 93.155 -- Rural Health Research Centers

Last Updated: May 13, 2026

This notice announces the opportunity to apply for funding under the Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement. The Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP) is accepting applications for the fiscal year FY 2023 Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement. The purpose of this program is to improve healthcare in rural areas by analyzing and presenting Critical Access Hospital (CAH) data and capturing best practices to inform improvement efforts and efficiently target limited resources in CAHs. As Flex Program beneficiaries, CAHs will benefit by having resources that provide recommendations related to a number of national priorities: • Quality of care reporting and improvement • Financial and operational improvement • Population health activities • Emergency medical services integration Through this program, CAHs will have access to analyses of national, state, and hospital-level data, including reports for the Medicare Beneficiary Quality Improvement Program (MBQIP), as well as evidence-based best practices to improve their outcomes. Additionally, work evaluating CAH-focused improvement efforts will inform CAHs and State Flex Programs. This work can also include data analysis and evaluation of best practices of CAH associated Provider-Based Rural Health Clinics. This program directly supports CAHs as Medicare Rural Hospital Flexibility (Flex) Program beneficiaries in carrying out activities of the Flex Program.

Eligibility

Eligible applicants

Business

  • Small businesses
  • For-profit organizations other than small businesses

Education

  • Independent school districts

Nonprofit

  • Nonprofits non-higher education with 501(c)(3)
  • Other Native American tribal organizations

Government

  • City or township governments
  • State governments
  • County governments
  • Special district governments

Miscellaneous

  • Other

Additional information

Eligible applicants include domestic public or private, non-profit or for-profit organizations. Institutions of higher education, faith-based and community-based organizations, tribes, and tribal organizations are eligible to apply.

Grantor contact information

Description

Department of Health and Human Services, Health Resources and Services Administration kconnorsdelaguna@hrsa.gov

Email

Contact Kathleen Connors de Laguna at (301)287-0166 or email kconnorsdelaguna@hrsa.gov

kconnorsdelaguna@hrsa.gov

Documents

File nameDescriptionLast updated
FORHP_HRSA-23-043_U27_Flex_CA_FINAL.pdf
HRSA-23-043 Notice of Funding Opportunity
Aug 25, 2022 10:31 PM UTC

Link to additional information

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Closed: October 31, 2022

Application process

This site is a work in progress. Go to www.grants.gov to apply, track application status, and subscribe to updates.

Award

$1,615,000

Program Funding

1

Expected awards

$--

Award Minimum

$1,615,000

Award Maximum

Funding opportunity number:

HRSA-23-043

Cost sharing or matching requirement:

No

Funding instrument type:

Cooperative agreement

Opportunity Category:

Discretionary

Opportunity Category Explanation:

--

Category of Funding Activity:

Health

Category Explanation:

Https://grants.hrsa.gov/2010/Web2External/Interface/FundingCycle/ExternalView.aspx?fCycleID=989f1736-728c-4618-b7f6-3fe96321afa2

History

Version:

2

Posted date:

August 25, 2022

Archive date:

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