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. To be considered for the next project year (November 2021 - August 2022), applications must be completed in their entirety by 11:59 p.m. on September 10, 2021.  The top 10 applicants will be contacted by September 30, 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.

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.