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.

Price Transparency Contractors
Unallowable

Payment to contractors for Price Transparency compliance in review and/or update of charges does not qualify as a SHIP allowable investment.

Price Transparency Training
Allowable
Payment Bundling (PB)

Training on revenue cycle management to improve processes that provide clear information about charges and costs including topics such as Chargemasters and price transparency is an allowable investment.

Hospital Pricing Transparency
Allowable
Payment Bundling (PB)

Hospital pricing transparency training, software, and hardware are allowable uses of SHIP funds.

Please note: Pricing transparency subscription fees can be covered under SHIP for the first year, but SHIP funds should not be used to cover a hospital’s operational cost year after year. Regarding using funds to pay for consultant or vendor to build a price transparency software, this is NOT allowable. SHIP funds can cover for price transparency training of staff for any software or website done by a consultant, but they cannot cover website development time.

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.

ICD-10 Training
Allowable
Payment Bundling (PB)

Any training to support coding and reimbursement, documentation, or documentation improvements that result in increased coding compliance are 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.

Mobile Language Line Workstation for Interpretation Services
PO Pre-Approval
Accountable Care Organization (ACO)

Mobile language line workstations, iPads, and tablets can potentially be allowable SHIP investments if used by hospital staff to support operational efficiency and increase equitable patient satisfaction.

Note: These investments require Project Officer pre-approval. If a hospital is interested in this investment, the State SHIP coordinator should email their project officer with justification of how these services will support operational efficiency and increase equitable patient satisfaction.

Staff-Provider Communication Whiteboards
Allowable
Value-Based Purchasing (VBP) Investment

Whiteboards used in conjunction with training for quality improvement are an allowable use of SHIP funds.

NOTE: Apart from training, whiteboards are not an allowable cost.  

Example of an allowable use of funds: If hospitals are doing a training on efficient and effective rounding, and part of that training requires the use of a whiteboard for implementing the rounding process and improving the quality and efficiency of providers and staff. 

COVID-19 Testing
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Costs for testing, including procuring, providing, or processing COVID-19 tests (including at-home testing kits).

COVID-19 Simultaneous Multi-Disease Test
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Costs for testing using a simultaneous multi-disease test that must include COVID-19

COVID-19 EMS Support
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Supporting EMS as it relates to COVID-19 testing and mitigation efforts, and as part of a system improvement process

Safe and Efficient Laboratories
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Alterations and renovations that do not qualify as construction to update laboratories or other key spaces for safer and more efficient COVID-19 testing.

COVID-19 Temporary Structures
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Installing tents, sheds, or other temporary structures to use for COVID-19 testing or mitigation activities.

Personal Protective Equipment (PPE)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Devices for masks, fit testing masks, respirators, or other personal protective equipment used to mitigate the spread of COVID-19.

COVID-19 Education Materials
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Covid-19 related education materials (including vaccination education materials) for dissemination to the public. 

COVID-19 Laboratory Supplies
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Laboratory supplies and equipment for COVID-19 testing. 

Electronic Health Records (EHR) (for COVID-19)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Electronic health record (EHR) costs supportive of COVID-19 testing and mitigation. 

Testing Staff (for COVID-19)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Costs associated with staff time spent on COVID-19 testing. 

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, $1,560,000 (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.