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Working with the Medicare Rural Hospital Flexibility (Flex) Program may look different for every state, but there are several competencies that strong Flex Programs have in common. The Core Competencies for Flex Program Excellence include discussions of why these competencies have been identified, what proficiencies exist within each competency, and share a core competency self-assessment to identify your program’s strengths and opportunities. Each section of the guide also includes tools and resources to help support your program.

This guide offers anyone who manages and/or works with the Flex Program the opportunity to complete a competency self-assessment, identify areas of proficiency, recognize opportunities for improvement and development, and gather insight into what determines proficiency.