The Federal Office of Rural Health Policy provides these updates in Rural Route, the monthly newsletter published by the Technical Assistance and Services Center (TASC). Contact Nicole Clement at if you would like to subscribe to receive the newsletter.

Federal Flex update includes: Ventilator Distribution Experiences; Fiscal Year 2021 Non-Competing Continuation (NCC) Progress Report; Attachment #3 Flex Quality Improvement (QI) Initiative proposal

Federal Flex update includes: Flex Non-Competing Continuation (NCC) Progress Report information, MBQIP Year 3 information; and Request for Proposals at the Annual Flex Reverse Site Visit.

Federal Flex update includes: Important deadlines for 2021 including FY 2019 Flex Annual Federal Financial Report, Prior Approval Carryover Request, FY 2021 NCC Progress Report; February MBQIP VKG; HHS Telehealth Website and the Rural Telehealth Initiative

Federal Flex update includes: Important deadlines for 2021 including FY 2019 Flex Annual Federal Financial Report, Prior Approval Carryover Request, FY 2021 NCC Progress Report; Rural Maternal and Obstetric Management Services (RMOMS) Pilot Grant Program.

Federal Flex update includes: Importing upcoming due dates including FY 2019 End of Year Report, FY 2019 EMS Supplement End of Year Report, Annual Federal Financial Report; upcoming MBQIP VKG.

Federal Flex update includes: Importing upcoming due dates including FY 2019 PIMS Report, FY 2019 End of Year Report, FY 2019 EMS Supplement End of Year Report; FORHP MBQIP Open Office Hours; National Rural Health Day webinar

Federal Flex update includes: FY2019 PIMS reports due October 30th; FY 2019 End of Year Report due November 30th; FY 2019 EMS Supplement awards; MBQIP Open Office Hours; Flex Monitoring Team website updates; FORHP's proposed modifications to definition of rural.

Federal Flex update includes: First-ever Virtual Flex Reverse Site Visit (RSV); new Project Officer Tahleah Chappel; Hospital State Division PO Map; Flex Program Year 2 information; upcoming PIMS information; MBQIP Reports; CHART Model

Federal Flex update includes: NCC progress reports comments; new FORHP Flex Project Officer Laura Seifert, Flex RSV and new FORHP team introduction.

Federal Flex update includes: NRHA and virtual meetings; Flex NCC Progress Reports; FORHP's COVID-19 webpage; FORHP's MBQIP Poolside Chat; and FMT's Engaging CAHs in Addressing Rural Substance Abuse brief.

Federal Flex update includes: Flex Non-Competing Continuation (NCC) progress report updates; FORHP is actively hiring two new Flex project officers; HRSA's allocation of $225 million to RHCs for COVID-19 testing; COVID-19 Provider Relief Fund; FORHP COVID-19 Inbox and website.

Federal Flex update includes: recent HSS press release on COVID-19 funding to support rural health efforts; April MBQIP Virtual Knowledge Group (VKG) on MBQIP and Flex in a COVID-19 world; reminders related to FY 2020 Flex Non-Competing (NCC) Progress Report.

Flex updates include: FORHP is working with HRSA on guidance around COVID-19; Contact FORHP if you need to make changes with your work plan; Monitor the CDC website for updates, CMS is waiving 25-bed limit and 96-hour length of stay limit; Flex NCC is currently available.

Federal Flex updates includes: New FORHP Flex Project Officer assignments; information regarding the Flex Program Non-Competing Continuation (NCC) Progress Report; HRSA's Notice of Funding Opportunity (NOFO) for the Telehealth Network Grant Program; CMS' request for information (RFI) regarding rural maternal health care.

Federal Flex updates include: H54 Flex Grant for Fiscal Year 2018 Federal Financial Reports due January 30; FMT recently released Patients' Experience in CAHs: HCAHPS Results, 2018; Revised EDTC measure has been implemented as of January 1, 2020 for discharges/transfers beginning in Q1 2020.

Federal Flex Update includes information regarding final reports for Fiscal Year (FY) 18 EMS Supplements, which are due Friday, January 17, 2020.

Federal Flex updates include: Welcome to Natalia Vargas, the new MBQIP Coordinator and Flex Project Officer; thank to all 45 states for successfully completing your PIMS reports; the Texas Observer's new series of rural health care stories; Sarah Young’s departure from the Flex Program.

Federal Flex updates include: PIMS due date extension to November 7, 2019 due to technical problems; resources related to PIMS reporting and IT system problems; FORHP's events and collaboration with National Rural Health Day.

Federal Flex updates include: Fiscal Year (FY) 2018 PIMS Reporting Instructions; PIMS IT Issues and glitches; MBQIP Coordinator and Flex project officer Yvonne Chow's departure from HRSA.

Federal Flex updates include: Fiscal Year (FY) 2019 cooperative agreements, FY 2018 Flex EMS Sustainability Projects, FY 2018 Reporting Process, Flex EMS Supplement Awards, interesting rural hospital stories; HRSA's request for comments on measuring access to health care in rural communities.

Federal Flex updates include: Flex forum for post-Reverse Site Visit conversation, Notices of Award for Fiscal Year (FY) 2019, PIMS for FY 2018, end-of-year reporting webinar.

Federal Flex updates include: upcoming Reverse Site Visit information, using the Flex forum for Flex issues to be addressed at RSV, Flex Monitoring Team CAH list.

Federal Flex updates include: FY 2020 MBQIP participation requirements, Inpatient Prospective Payment System proposed rule, Emergency Triage, Treat, and Transport (ET3) Model, Flex Program PIMS second request for comments, and Flex Reverse Site Visit.

Federal Flex updates include: MBQIP waivers, Flex funding no-cost extensions, carryover request changes, and Medication-Assisted Treatment Expansion funding opportunity

Federal Flex updates include: Completing Flex and EMS supplemental funding applications, MBQIP eligibility

Federal Flex updates include: Flex Notice of Funding Opportunity (NOFO), EMS supplement, recent webinar recordings from FORHP, TASC, and RQITA, request for comments on PIMS measures, and forthcoming funding opportunities

Federal Flex updates include: Flex and EMS Supplement Notice of Funding Opportunity release, Federal Financial Reports for fiscal year (FY) 2017 due, FY 2018 unspent funds, and difference in awarding process between grant and cooperative agreement - webinars with more details to come.

Federal Flex updates for December include: Notice of Funding Opportunity (NOFO) update and a reminder about Federal Financial Reports (FFRs) due date.

Federal Flex updates for November include: Reminders about the Notice of Funding Opportunity (NOFO), including details about NOFO webinars.

Federal Flex updates for October include: PIMS reporting call for feedback, change to HRSA guidance on federal funding acknowledgements, US Government Accountability Office report on rural hospital closures and an overview of National Rural Health Day events.

Federal Flex updates for September include: PIMS reporting reminder, NRHA CAH Conference this week and Notices of Award (NOA) have been released.

Federal Flex updates for August include: reminder about potential Notices of Award (NOA) delays, PIMS webinar reminder, 340B recertification period for hospitals and NRHA CAH Conference reminder.

Federal Flex updates for July 2018 include: Flex Program Reverse Site Visit presentations online, Fiscal Year (FY) 2018 Notices of Award and FY 2017 PIMS, suggestions sought for next grant cycle

Federal Flex updates for June 2018 include: 2018 Flex Reverse Site Visit

Federal Flex updates for May 2018 include: EMS Sustainability Project proposals, CAH updates for FMT, 2018 Rural Health Care Improvement Collaboration and Flex Reverse Site Visit.

Federal Flex updates for April 2018 include: Additional Fiscal Year 2018 funding for EMS Sustainability projects and primary Flex award increases.


This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,009,121 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.