Allowable Investments Search Tool

Identifying allowable investments for a SHIP-eligible hospital does not have to be a daunting task! This search tool created by SHIP-TA through the Federal Office of Rural Health Policy helps state coordinators and hospitals navigate the possibilities.
Image of magnifying glass on keyboard
Investment Status
Investment Categories
Enter keyword
1 results found

Subscriptions

Allowable
Accountable Care Organization (ACO)
Payment Bundling (PB)/Prospective Payment System (PPS)
Value-Based Purchasing (VBP) Investment

Allowable

Accountable Care Organization (ACO)

Payment Bundling (PB)/Prospective Payment System (PPS)

Value-Based Purchasing (VBP) Investment

Updated February 2025

Subscriptions for products that provide critical services are becoming more prevalent in rural hospitals. 

Generally, subscriptions for software are allowable. Please see the table below or email SHIP-TA@ruralcenter.org and copy your PO with questions or concerns.

Examples of allowable expenses include but are not limited to:

SHIP Quality Reporting (inc. MBQIP core measures)HCAHPSQuality Improvement Training
Telehealth Platforms (Excluding Provider Fees)Disease RegistriesPopulation Health Databases
ACO Subscriptions or FeesICD-10/11 Software Subscriptions Cybersecurity and/or IT security software
HIPAA ComplianceInteroperability softwareProvider Databases for Care Coordination
Data Collection (e.g. intake software or SDOH screening for Quality Improvement and/or Care Coordination)EMR/EHRPrice Transparency software
S-10 Cost Reporting softwareHIPAA-compliant web and video conferencing platforms exclusively for telehealth 

Note: A common example is ICD Software. Whereas a hospital purchased one program that could be downloaded to multiple computers (or server accessed), many ICD companies have now moved to cloud-based subscription services where the hospital pays a "per user" license. This specific example would be allowable under "Payment Bundling, A: ICD-10 Software."

Allowable investment

The Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS) provided financial support for this Information Services to Rural Hospital Flexibility Project. The award provided 100% of total costs and totaled $1,100,000. The contents are those of the author. They may not reflect the policies of HRSA, HHS, or the U.S. Government.

As a technical assistance provider to rural health care organizations, the National Rural Health Resource Center provides access to a wide range of resources on relevant topics. Inclusion on the National Rural Health Resource Center’s webpage or presentations does not imply endorsement of, or agreement with, the contents by the National Rural Health Resource Center or the Health Resources and Services Administration.