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This Medicare Rural Hospital Flexibility (Flex) Performance Management and Evaluation Guide aims to support Flex Program Coordinators towards incorporating performance management into program operations, leading towards program improvement and evaluation.

The annual Flex Program Reverse Site Visit (RSV) is supported by the Federal Office of Rural Health Policy (FORHP) and coordinated by the Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center (The Center).