Eligibility and Application Process

The Rural Healthcare Provider Transition Project is designed to help strengthen project participants' foundation in key elements of value-based care (VBC) including but not limited to efficiency, quality, patient experience, and safety of care.

RHPTP's goal is to guide small rural hospitals and certified rural health clinics not currently participating in VBC to prepare for and position their organizations to be effective participants in a health system focused on value.

Eligibility Requirements

RHPTP Eligibility

RHPTP Eligibility (PDF Document - 2 pages)

Small rural hospitals must meet all three eligibility requirements listed below.  Rural Health Clinics must be certified as a rural health clinic as described by CMS, and meet the definition of rural, defined in eligibility requirement number two:

  1. "eligible small rural hospital" is defined as a non-federal, short-term general acute care hospital that: (i) is located in a rural area as defined in 42 U.S.C. 1395ww(d) and (ii) has 49 available beds or less, as reported on the hospital's most recently filed Medicare Cost Report;
  2. "rural area" is defined as either: (1) located outside of a Metropolitan Statistical Area (MSA); (2) located within a rural census tract of a MSA, as determined under the Goldsmith Modification or the Rural Urban Commuting Areas (RUCAs) or (3) is being treated as if being located in a rural area pursuant to 42 U.S.C. 1395ww (d)(8)(E); and
  3. Eligible hospitals may be for-profit or not-for-profit, including faith-based. Hospitals in U.S. territories as well as tribally operated hospitals under Titles I and V of P.L. 93-638 are eligible to the extent that such hospitals meet the above criteria.

Please review the RHPTP Eligibility document above for additional eligibility details.

Application Process

RHPTP Application and Interview Process

RHPTP Application Questions

Applications are accepted on a rolling basis; however, a deadline is assigned for each upcoming project year. Once the deadline for an upcoming project year has passed, generally in September, organizations may begin applying for the next project year at any time. The application has been greatly simplified and should take no more than 10 minutes to complete. 

Each submitted application is followed by a 60-minute phone interview. Upon completion of interviews, five organizations are selected to participate in the upcoming project year (2022-2023) and will be notified via phone call and follow-up email in October 2022.

RHPTP offers the following application options:

  • Critical Access Hospital or Small Rural Hospital and Certified Rural Health Clinic(s) Combination
  • Critical Access Hospital only
  • Small Rural Hospital Only
  • Certified Rural Health Clinic Only
  • A consortium of Certified Rural Health Clinics

Project Contact

For questions regarding the online application and/or application process, please contact Angie LaFlamme at (218) 216-7022 or rhptp@ruralcenter.org.

Participant Feedback

Sudan Medical Clinic LLC, Muleshoe and Sudan, TX is honored to be a part of the Rural Healthcare Provider Transition Project. As a leadership team, we have learned so much through our participation in this project.

The RHPTP consultants provided us with technical assistance and coaching throughout the project.  Some of the time, it felt like we were drinking water from a fire hydrant, however, Stratis Health and Stroudwater were so kind, and helped us break down information and recommendations into bite-sized pieces so that we were able to learn about and implement various processes and initiatives. Both consultants also facilitated organizational action planning sessions with us to come up with initiatives for us to implement moving forward.  They also assured us that they are available to help when we have questions along the way. It’s also been great to have the resources and materials online to refer back to when needed.

Again, we are honored to have been selected to participate in this project, and are so excited about the progress our clinic has made in as little as six months!  It has been a wonderful experience to see the direction medicine is going and how it can be done in a way that improves patient outcomes and lower costs.


This project is supported by the Health Resources and Service Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U5ERH39345 as part of a financial assistance award totaling $800,000 (0% financed with nongovernmental sources). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA/HHS, or the U.S. Government.