2022 Flex Program Fundamentals

The Flex Program Fundamentals is a manual for those intimately involved with the Flex Program. We hope the Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program, is useful both as a resource for current Flex Program staff and as an orientation manual for new staff.

Executive Summary

Executive Summary (PDF Document - 5 pages)

Section 1: Introduction to the Medicare Rural Hospital Flexibility (Flex) Program

Section 2: Federal Office of Rural Health Policy (FORHP)

Section 3: Introduction to the Technical Assistance and Services Center (TASC)

TASC Staff

TASC Staff (PDF Document - 1 page)

TASC Website

TASC Website (PDF Document - 1 page)

Section 4: Flex Monitoring Team (FMT)

FMT Staff

FMT Staff (PDF Document - 1 page)

About the FMT

About the FMT (PDF Document - 5 pages)

  • Introduction
  • How the FMT Can Help You
  • Ongoing Projects
  • New Projects 2020-2021
  • Research Publications
  • Contact the FMT

Section 5: Rural Quality Improvement Technical Assistance (RQITA)


RQITA Staff (PDF Document - 1 page)


About RQITA (PDF Document - 3 pages)

  • About Stratis Health
  • Medicare Beneficiary Quality Improvement Project (MBQIP) Tools and Resources
  • MBQIP Technical Assistance Requests
  • Rural Quality Advisory Council

Section 6: Flex Coordinator Reference

Useful Organizations

Useful Organizations (PDF Document - 9 pages)

Acronyms 101

Acronyms 101 (PDF Document - 8 pages)

U.S. Time Zone Map

U.S. Time Zone Map (PDF Document - 1 page)

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.