Search Our Site

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.

State Flex Programs can help CAHs transition into value-based systems, population health models, and future opportunities through education, network support, facilitation of new partnerships, and technical assistance.

State Flex Programs need to have an in-depth understanding of the policies and regulations governing the Flex Program, as well as a basic understanding of the policy-making process and other policies and regulations affecting rural providers.

The Flex Program and CAHs rely on leadership and a skilled workforce to advance program goals and deliver high-quality, high-value care for patients.

It is important for state Flex Programs to understand the community needs of CAH and RHC service areas to develop or leverage program activities in support of health system development, community engagement, and population health improvement.

Evaluation reporting to program stakeholders should be included in Flex Program activities. Reporting supports overall program transparency and development, stakeholder buy-in, engagement, and accountability.