Flex Program Fiscal Year 2019 EMS Supplement Funding Guidance and Supporting Materials

Federal Office of Rural Health Policy (FORHP)

The Medicare Rural Hospital Flexibility (Flex) Program is intended to preserve access to primary and emergency health care services, improve the quality of rural health services, provide services that meet community needs, and foster a health delivery system that is both efficient and effective. In addition, the Flex Program supports the designation of critical access hospitals (CAHs).

The Federal Office of Rural Health Policy (FORHP) offered this supplemental funding as a competitive opportunity available only to state Flex Programs. It is intended to be a three year project period contingent upon availability of federal funding.

The goal of this supplemental funding is to improve access to quality emergency medical care in rural communities. These projects will develop an evidence base for Flex Program Emergency Medical Service (EMS) activities, by funding projects in the following two focus areas:

  • Focus Area 1: Implement demonstration projects on sustainable models of rural EMS care. Projects will facilitate the development and implementation of promising solutions for the problems faced by vulnerable EMS agencies and contribute to an evidence base for appropriate interventions.
  • Focus Area 2: Implement demonstration projects on data collection and reporting for a set of rural-relevant EMS quality measures. Projects will facilitate the development of a core set of validated, rural-relevant EMS quality measures.