Rural Healthcare Provider Transition Project Application: Part One

Thank you for your interest in the Rural Healthcare Provider Transition Project (RHPTP). RHPTP applications can be completed at any time during the year.

The RHPTP team would like to acknowledge the difficult conditions that healthcare organizations across the country are currently operating under, as well as understand the overwhelming notion that completing one more task right now may feel unobtainable. With that in mind, we have extended the RHPTP application deadline for the next project year (November 2021- August 2022) to 11:59 PM CST on Friday, October 01, 2021.

Technical Assistance provided by the RHPTP consultants provides a deeper dive into quality improvement and financial risk assessments providing your organization with tools to continue to support efforts in moving forward during challenging times.

Although the application deadline is October 1st, the technical assistance for this project will not begin until January 2022, therefore, if selected, project participation will not be time-intensive until after the first of the year.

We also understand that if selected, there may circumstances during the project year that are out of your control, i.e. pandemic surges, staff illness, and turnover, etc. With that in mind, it is our commitment to meet each participating rural health clinic and small rural hospital where they are at throughout the length of the project in order to help position your organization to be effective participants in a future health system focused on value.

The top 10 applicants will be contacted by Friday, October 8, 2021 to set-up a 60-minute virtual application interview.  These calls will take place during the month of October, and the final five applicants selected to participate in the upcoming project year will be notified in early November. Please contact with questions about the application process.

Applications may be submitted using the form provided below. It is not possible to save a partially completed application. Applicants can cut from MS Word document with prepared answers and paste into the online application.

Please contact the RHPTP Team at with any questions regarding the project or application process. 

Pre-Application Screening

Eligibility Requirements

The following questions will determine whether RHPTP is an appropriate project for your organization based on eligibility and participation requirements.

Small rural hospitals (SRH) and certified rural health clinics (RHC), provider-based and independent, are eligible to apply. Please read the below definitions to determine eligibility. 
Please note that RHCs only need to meet definition 2 below and be a certified rural health clinic.

Hospitals must meet all three definitions.

  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.
Alternate Payment Models
Are you currently part of any of the following Advanced Alternative Payment Models?
  • Bundled Payments for Care Improvement (BPCI) Advanced
  • Comprehensive Primary Care Plus (CPC+)
  • Medicare Accountable Care Organization (ACO)
    Track 1+ Model
  • Medicare Shared Savings Program
    Track 2, Track 3, Level E of the BASIC track, the ENHANCED track
  • Next Generation ACO Model
  • Oncology Care Model (OCM)
    Two-Sided Risk
  • Comprehensive Care for Joint Replacement (CJR) Payment Model
    Track 1-CEHRT
  • Vermont Medicare ACO Initiative
    As part of the Vermont All-Payer ACO Model
  • Comprehensive ESRD Care (CEC) Model
    LDO arrangement and Non-LDO Two-Sided Risk Arrangement
  • Maryland Total Cost of Care Model
    Care Redesign Program and Primary Care Program

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.