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2011 Flex Coordinator Manual

The 2011 Flex Coordinator Manual is a manual for those intimately involved with the Flex Program. We hope this document is useful both as a resource for current Flex Program staff and as an orientation manual for new staff.

Flex Coordinator Manual Table of Contents [PDF - 89 KB]

Section 1: Introduction to the Medicare Rural Hospital Flexibility (Flex) Program

Section 1 Table of Contents [PDF - 31 KB]

History of the Medicare Rural Hospital Flexibility Program [PDF - 27 KB]

Core Areas of the State Flex Program [PDF - 58 KB]

Medicare Beneficiary Quality Improvement Project (MBQIP) Overview for Flex Coordinators [PDF - 87 KB]

Flex Program Frequently Asked Questions [PDF - 73 KB]

Section 2: Introduction to the Technical Assistance and Services Center (TASC)

Section 2 Table of Contents [PDF - 30 KB]

Who Should I Contact if I Have a Question? [PDF - 76 KB]

TASC Communication Tools and Technical Assistance [PDF - 28 KB]

TASC Website [PDF - 146 KB]

Flex Program Workshop [PDF -  31 KB]

Section 3: Coordinator Reference

Section 3 Table of Contents [PDF - 29 KB]

Things to Remember [PDF - 32 KB]

Best Practices and Hints for Flex Coordinators [PDF - 1.14 MB]

Evaluation Models [PDF - 462 KB]

Example Critical Access Hospital Surveys [PDF - 46 KB]

Summary of Health Information Technology (HIT) Incentives and Resources [PDF - 184 KB]

Acronyms 101 [PDF - 34 KB]

Section 4: Legislation

Section 4 Table of Contents [PDF - 35 KB]

The Balanced Budget Act of 1997 (BBA) [PDF - 1.91 MB]

The Balanced Budget Refinement Act of 1999 (BBRA) [PDF - 2.13 MB]

The Benefits Improvement & Protection Act of 2000 (BIPA) [PDF - 191 KB]

The Medicare Prescription Drug, Improvement & Modernization Act of 2003 (MMA) [PDF - 2.67 MB]

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) [PDF - 96 KB]

The American Recovery and Reinvestment Act of 2009 (ARRA), Title IV Medicare and Medicaid Health Information Technology [PDF - 7.87 MB]

Complete version of the American Recovery and Reinvestment Act of 2009 (ARRA), including Title XIII Health Information Technology

The Patient Protection and Affordable Care Act (PPACA) of 2010 [PDF - 28 KB]

Section 5: Conditions of Participation (CoPs) and Interpretive Guidelines

Section 5 Table of Contents [PDF - 31 KB]

State Operations Manual, Appendix W – Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs [PDF - 2.57 MB]

Critical Access Hospital Site Visit Example [PDF - 97 KB]

  • CAH Preparation “On Site” Visit
  • Written Policies and Procedures
  • Checklist of Written Policies, Procedures & Agreements
  • Certification Process Preparation
  • Annual Evaluation
  • Documents to be Available for the Survey
  • Case Management/Utilization Review 

State Operations Manual, Appendix G – Guidance to Surveyors: Rural Health Clinics (RHCs) [PDF - 0.97 MB]

Section 6: The Health Resources and Services Adminstration's (HRSA) Office of Rural Health Policy (ORHP)

Section 6 Table of Contents [PDF - 30 KB]

Overview, Funding, and State Programs [PDF - 47 KB]

Office of Rural Health Policy Regional Liaisons [PDF - 41 KB]

Office of Rural Health Policy Staff List [PDF - 263 KB]

Section 7: Flex Grant Management

Section 7 Table of Contents [PDF - 31 KB]

HRSA Call Center Information [PDF - 49 KB]

Flex Grant Guidance Summary [PDF - 31 KB]

Performance Improvement Measurement System (PIMS) [PDF - 29 KB]

Find and Apply User Guide [PDF - 2.11 MB]

Applicant User Guide [PDF - 4.80 MB]

Tracking Your Grant Application Package [PDF - 971 KB]

Electronic Handbooks (EHBs) version 2.0 – Overview for Grantees [PDF - 1.99 MB]

Managing Your Grant [PDF - 61.4 KB]

Application for Federal Assistance SF-424 for New and Competing Continuations [PDF - 2.27 MB]

SF-424A Budget Information [PDF - 687 KB]

Federal Financial Report (FFR) Quick Guide [PDF - 515 KB] 

Federal Financial Report (FFR) Overview for Grantees [PDF - 969 KB]

Federal Financial Report (FFR) Form [PDF - 790 KB]

Notice of Grant Award (NGA) [PDF - 426 KB]

Section 8: The National Organization of State Offices of Rural Health (NOSORH)

Section 8 Table of Contents [PDF - 34 KB]

Description of NOSORH [PDF - 31 KB]

Contacts at NOSORH [PDF - 93 KB]

NOSORH Organizational Chart [PDF - 337 KB]

Introduction to State Rural Health Associations [PDF - 46 KB]

Section 9: Quality Improvement Organizations (QIOs)

Section 9 Table of Contents [PDF - 30 KB]

Medicare QIOs [PDF - 1.25 MB]

Medicare QIOs and Hospitals [PDF - 893 KB]

Frequently Asked Questions about QIOs [PDF - 438 KB]

Section 10: Flex Monitoring Team

Section 10 Table of Contents [PDF - 29 KB]

Description of the Flex Monitoring Team [PDF - 134 KB]

  • Continuing Flex Monitoring Team Projects
  • New Flex Monitoring Team Projects for FY 2010-2011
  • Selected Flex Monitoring Team Publications
  • Contact Information for the Flex Monitoring Team and its Resources

Section 11: Useful Organizations and Projects

Section 11 Table of Contents [PDF - 29 KB]

List of Useful Organizations [PDF - 59 KB]

List of Useful Health Information Technology (HIT) Organizations [PDF - 46 KB]

Relationship Diagram of Flex Programs, Offices of Rural Health, Health Resources and Services Administration (HRSA), and Other Organizations [PDF - 29 KB]

Section 12: State Contacts

Section 12 Table of Contents [PDF - 30 KB]

A list of Rural Health State Office Directors/Flex Program contacts is available on the Flex State Profile pages on the TASC website.

U.S. Time Zone Map [PDF - 7.23 MB]

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