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View the criteria to be eligible to participate in Flex-related activities for Fiscal Year 2020. Learn exceptions and answers to frequently asked questions and access the 2019 MBQIP sample waiver template.

A MOU is required in order for any CAH to participate in MBQIP. Access current and past MBQIP MOU and consent forms as well as descriptions of when to use them.

Resources to support abstracting, submitting, and confirming data submission to the Centers for Medicare and Medicaid Services (CMS) QualityNet Warehouse, including the CMS Abstraction and Reporting Tool (CART) and reporting specifications manuals. 

Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program is designed to be used by both new and current Flex Program staff: as an orientation manual and as a guide to helpful resources.

Access Flex Program funding guidance, templates, webinar recordings, the Flex Program Structure Document, and other associated materials for the current funding cycle.

Customer engagement is an important outcome of an overall learning and performance excellence strategy. Use these resources to learn more about identifying population health partners.

Resources related to Population Health: Outcomes and Impact Resources

Program evaluation relies on data and analysis. Data management is essential to the success of your population's health efforts.

Resources Related to Population Health: Understanding Value-Based Models

Leaders play a central role in setting values and directions. Use these resources to help develop leadership and planning for your organization.

Resources related to Population Health: Quality, Operations, and Processes Resources

The National Rural Health Resource Center (The Center) has launched the 2025 update to its Population Health Toolkit, which is designed to assist State Offices of Rural Health, state Medicare Rural Hospital Flexibility (Flex) Programs and individual health care organizations as they seek to better understand, manage and improve population health in their communities and states.

America’s rural health care system faces growing challenges in accessing capital funding for essential infrastructure projects. This paper provides a historical overview of major capital funding programs and analyzes the persistent challenges that prevent rural health care providers from converting available funding into usable capital—undermining sustainability in rural health systems.

See this profile to learn about the SHIP and Flex Program in Nebraska.

See this profile to learn about the SHIP and Flex Program in New Hampshire.

See this profile to learn about the SHIP and Flex Program in North Carolina.

See this profile to learn about the SHIP and Flex Program in Montana.

See this profile to learn about the SHIP and Flex Program in Missouri.

See this profile to learn about the SHIP and Flex Program in West Virginia.