Allowable Investments Search Tool

In general, SHIP allowable investments include activities to assist small rural hospitals with their quality improvement efforts and with their adaptation to changing payment systems through investments in hardware, software and related trainings. This includes aiding with value and quality improvement.

Unallowable investments include, but are not limited to, travel costs, hospital services, hospital staff salaries, or general supplies. Hospitals should contact their State Office of Rural Health (SORH) with questions regarding the appropriateness or fit of a certain activity or hardware/software purchase. For additional clarifications, refer to Frequently Asked Questions (FAQs).

This tool classifies a number of example investment activities as Allowable, Unallowable, or PO Pre-Approval. This is not a comprehensive list. It is only intended to provide examples of allowable SHIP activities.

Physician Waiver to Prescribe and Dispense Buprenorphine
Unallowable

Costs or fees associated with a physician-waiver to prescribe and dispense Buprenorphine do not qualify as a SHIP allowable investment.

Providers may apply for a waiver with the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Become a Buprenorphine Waivered Practitioner since this has an opioid component. This process is free of charge; therefore, SHIP funds should be applied to other activities.

Provider-Based Clinic Quality Measures Education/Training
Allowable
Value-Based Purchasing (VBP) Investment

Education/training for provider-based rural health clinic quality improvement reporting, including patient satisfaction survey scores, is allowable.

340B Drug Pricing Program Training
Allowable
Payment Bundling (PB)

A 340B Drug Pricing Program training intended to increase efficiency or quality improvement in support of Prospective Bundling and Prospective Payment Systems initiatives is an allowable investment.

Wellness Streaming Services
Allowable
Accountable Care Organization (ACO)

IT software and hardware SHIP infrastructure for a wellness streaming services as a population health project is an allowable use of SHIP funds.

Telehealth Mobile Carts
Allowable
Accountable Care Organization (ACO)

Carts used to support the application and implementation of telehealth that are used by hospital staff to improve operational efficiencies are an allowable use of SHIP funds.

Training Crash Carts
Allowable
Value-Based Purchasing (VBP) Investment

Training crash carts that allow for continuous staff training to improve clinical care are an allowable use of SHIP funds. Examples of allowable training crash carts would be code blue simulation training carts.

Note: Real crash carts not used for simulation would not be an allowable use of SHIP Funds given those are part of the hospital’s day-to-day patient care operations.

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.