Opportunity Information: Apply for HRSA 10 049
Apply for HRSA 10 049
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Medicare Rural Hospital Flexibility" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.241 State Rural Hospital Flexibility Program.
- This funding opportunity was created on Feb 19, 2010 and posted on Jan 25, 2010.
- Applicants must submit their applications by Apr 1, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $22,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 45 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Only States with certified Critical Access Hospitals are eligible for this Grant Program. The Governor designates the eligible applicant from each State. Eligibility is limited to entities designated by the Governor of States with certified critical access hospitals.
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Opportunity Summary:
The Medicare Rural Hospital Flexibility Program (Flex) is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA) that funds state-level efforts to strengthen health care in rural communities, especially where Critical Access Hospitals (CAHs) operate or could potentially be designated. The program is designed to help states improve the quality and efficiency of rural health care, support the financial stability of small rural hospitals, and better integrate emergency medical services (EMS) into the broader health system. A central idea behind Flex is that rural care works best when it is coordinated, so the program encourages cooperative systems of care that link CAHs with EMS providers, clinics, and local health practitioners to reduce duplication, improve outcomes, and make limited rural resources stretch further.
Flex funding is directed to states, not individual hospitals, and states are expected to use it as a tool to plan, organize, and deliver improvement activities across multiple levels: statewide strategy, community partnerships, and facility-level support. A key requirement is that participating states develop rural health plans and then implement outreach, technical assistance, and capacity-building activities that advance several program goals. These goals include improving quality of care and performance management in rural hospitals, strengthening and integrating EMS, developing and implementing rural health networks, supporting existing CAHs and other eligible small rural hospitals, and assisting with the designation of new CAHs where appropriate. In practice, this means the grant can support activities like performance management systems, staff training, regional needs assessments, and network-building efforts that connect providers across a rural area.
The program also emphasizes structured, measurable approaches to improvement. States have used Flex resources to adopt tools such as balanced scorecards, build relationships with Quality Improvement Organizations (QIOs), create or expand quality improvement networks, and participate in national quality reporting and improvement initiatives. While the program’s focus is on small rural hospitals, the intent is broader modernization of rural health delivery, including better coordination among providers and more reliable emergency care pathways. Overall, the grant supports state leadership in helping rural systems move from isolated facilities toward more coordinated regional care.
For the specific funding announcement provided, the opportunity is listed as HRSA-10-049 under CFDA 93.241 (State Rural Hospital Flexibility Program). It is a discretionary grant with an estimated total funding amount of $22,000,000 and an expected 45 awards, and it does not require cost sharing or matching. Eligibility is limited to states that have certified Critical Access Hospitals, and the eligible applicant in each state must be an entity designated by the Governor. The posting date was January 25, 2010, with an application closing date of April 1, 2010, and an archive date of May 31, 2010. For access issues or support, the announcement directs applicants to the HRSA Call Center via CallCenter@HRSA.GOV or by phone at 877-464-4772.
Frequently Asked Questions (FAQs) - Medicare Rural Hospital Flexibility Program (Flex)
What is the Medicare Rural Hospital Flexibility Program (Flex)?
The Medicare Rural Hospital Flexibility Program (Flex) is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA). It funds state-level efforts to strengthen health care in rural communities, with a strong focus on communities where Critical Access Hospitals (CAHs) operate or could potentially be designated.
What is the main purpose of Flex funding?
The program is designed to help states improve the quality and efficiency of rural health care, support the financial stability of small rural hospitals, and better integrate emergency medical services (EMS) into the broader health system. It encourages coordinated systems of care so rural providers can reduce duplication, improve outcomes, and make limited resources go further.
Who administers this grant opportunity?
This opportunity is administered by HRSA (Health Resources and Services Administration).
Is Flex funding awarded directly to hospitals?
No. Flex funding is directed to states, not individual hospitals. States use the grant to plan, organize, and deliver improvement activities that can support multiple facilities and rural communities.
Who is eligible to apply for this funding?
Eligibility is limited to states that have certified Critical Access Hospitals (CAHs). In each eligible state, the applicant must be an entity designated by the Governor.
Does the program only support Critical Access Hospitals (CAHs)?
The program especially supports communities where CAHs operate or could potentially be designated. It also supports existing CAHs and other eligible small rural hospitals, and it can help with the designation of new CAHs where appropriate.
What types of activities can Flex funds support?
Based on the announcement, Flex funding can support state-led activities such as performance management systems, staff training, regional needs assessments, and network-building efforts that connect providers across a rural area. States also provide outreach, technical assistance, and capacity-building activities to advance program goals.
What are the program goals that states are expected to advance?
The announcement describes several key goals: improving quality of care and performance management in rural hospitals; strengthening and integrating EMS; developing and implementing rural health networks; supporting existing CAHs and other eligible small rural hospitals; and assisting with the designation of new CAHs where appropriate.
How does Flex promote coordination in rural health care?
Flex is built around the idea that rural care works best when it is coordinated. The program encourages cooperative systems of care that link CAHs with EMS providers, clinics, and local health practitioners to reduce duplication, improve outcomes, and improve how rural resources are used.
Are states required to develop a rural health plan?
Yes. A key requirement described in the opportunity is that participating states develop rural health plans and then implement activities aligned with those plans through outreach, technical assistance, and capacity-building.
What does the program mean by "structured, measurable approaches" to improvement?
The program emphasizes organized and measurable improvement strategies. The announcement notes that states have used Flex resources to adopt tools such as balanced scorecards, build relationships with Quality Improvement Organizations (QIOs), create or expand quality improvement networks, and participate in national quality reporting and improvement initiatives.
Does the program include emergency medical services (EMS) integration?
Yes. Integrating and strengthening EMS is a specific emphasis of the program, with the broader aim of improving emergency care pathways and connecting EMS more effectively to hospitals and other parts of the health system.
What is the funding opportunity number and CFDA listing?
The specific funding announcement is listed as HRSA-10-049 under CFDA 93.241 (State Rural Hospital Flexibility Program).
What type of grant is this?
This is described as a discretionary grant.
How much total funding is estimated for this opportunity?
The estimated total funding amount is $22,000,000.
How many awards are expected?
The opportunity indicates an expected 45 awards.
Is cost sharing or matching required?
No. The announcement states that cost sharing or matching is not required.
What were the key dates for this announcement?
The posting date was January 25, 2010. The application closing date was April 1, 2010. The archive date was May 31, 2010.
Where can applicants get help with access issues or support?
The announcement directs applicants to the HRSA Call Center at CallCenter@HRSA.GOV or by phone at 877-464-4772.
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