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.
Any training to support coding and reimbursement, documentation, or documentation improvements that result in increased coding compliance are allowable.
Trainings that improve processes through adoption of best practices and transition to value-based payment strategies such as financial and operational improvements are allowable investments.
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.
The Patient-Centered Medical Home (PCMH) process requires a fee at enrollment and then the rural health clinic implements changes by going through training that provides quality or efficiency improvement training in support of Value-Based Purchasing initiatives. This is an allowable investment. However, the application renewal fee each year would not be considered allowable.
Library fees and services that are used strictly for training access or material and not ongoing operational access can be an allowable use of SHIP funds but requires PO approval.
Costs for testing, including procuring, providing, or processing COVID-19 tests (including at-home testing kits).
Costs for testing using a simultaneous multi-disease test that must include COVID-19
Costs association with the mitigation of COVID-19 and other related respiratory disease.
The cost associated with COVID-19 testing education at hospitals and community locations including home health, hospice, and long-term care.
Supporting EMS as it relates to COVID-19 testing and mitigation efforts, and as part of a system improvement process
Alterations and renovations that do not qualify as construction to create isolation areas for potential COVID-19 patients
Alterations and renovations that do not qualify as construction to update surfaces to more sanitary materials to mitigate COVID-19
Alterations and renovations that do not qualify as construction to update laboratories or other key spaces for safer and more efficient COVID-19 testing.
Addition of automated doors, sinks, toilets, soap dispensers, etc. for the purpose of COVID-19 mitigation.
Creating negative pressure spaces within common spaces (such as waiting rooms and bathrooms), or in rooms to treat COVID-19 positive patients.
Installing tents, sheds, or other temporary structures to use for COVID-19 testing or mitigation activities.
Purchasing and installing HVAC and associated expenses to improve COVID-19 mitigation efforts.
Purchasing and installing ionized filtration systems for HVAC units to improve COVID-19 mitigation efforts.
Devices for masks, fit testing masks, respirators, or other personal protective equipment used to mitigate the spread of COVID-19.
Covid-19 related education materials (including vaccination education materials) for dissemination to the public.
Laboratory supplies and equipment for COVID-19 testing.
Portable equipment (such as a portable x-ray machine) that is used to prevent patients from being moved throughout a facility and to mitigate the spread of COVID-19.
Sanitation and cleaning equipment (including disinfectant robots) to be used to mitigate the spread of COVID-19. Also includes ultraviolet sanitation devices.
Temperature screening systems to be used to mitigate the spread of COVID-19. See COVID-19 Screen Staff as well.
Upgrading or expanding for telemetry equipment as part of a larger COVID-19 mitigation strategy.
Cost of paying screeners placed at facility entrance doors to protect patients and employees and mitigate the spread of COVID-19.
Costs associated with staff couriering COVID-19 tests to a laboratory.
Digital meeting technology software purchases to conduct digital/virtual meetings to mitigate the spread of COVID-19 by maintaining physical distancing and reducing facility traffic.
Electronic health record (EHR) costs supportive of COVID-19 testing and mitigation.
Costs related to treatment or direct patient care.
Vaccine purchases, dissemination (including boosters) of vaccinations, or supplies associated with COVID-19 vaccination (considered direct patient care).
Construction costs, including, but are not necessarily limited to permanent building additions, new permanent buildings, permanent building expansions, modular buildings (and installations), increasing the footprint of the facility, significant new ground disturbance, and projects with a total cost of $500,000 or more.
Costs associated with purchasing, maintaining, or operating a GlideScope™ or other similar equipment which allows for video laryngoscope (considered direct patient care).
Costs associated with purchasing, maintaining, or operating ventilators or other similar equipment which allows for respiratory assistance (considered direct patient care).
Costs associated with increasing staff salaries, recruitment, retention, bonuses, incentives, or benefits such as hazard pay, employee childcare, housing allowances, travel allowances (not associated with COVID-19 courier services), meals, snacks, or other incentive benefits. See Screening Staff, Testing Staff, Courier Staff, or Travel Nurse for more information.
Costs associated with staff time spent on COVID-19 testing.
Costs associated with purchasing, maintaining, upgrading beds/bedding, or other similar equipment for the benefit of COVID-19 mitigation and separation of patients that are not considered direct patient care (including percussion beds).
Minor alterations or renovations that exceed 50% of the hospital's total American Rescue Plan (ARP) award.
Costs associated with the purchase, maintenance, or usage of communication equipment including 2-way radios, electronic messaging boards for COVID-19 testing and mitigation, and video streaming equipment.
Costs associated with the purchase, maintenance, or operation of proximity badge systems to prevent hospital traffic and limit exposure to COVID-19.
Costs associated with the purchase, maintenance, or operation of any hospital vehicle.
Costs associated with designing and implementing employee burnout/mental health strategies.