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2017 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 [PDF - 80 KB]

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

History of the Flex Program [PDF - 53 KB]

Program Areas of the Flex Program [PDF - 75 KB]

Flex Grant Guidance Summary [PDF - 34 KB]

Core Competencies for State Flex Program Excellence [PDF - 47 KB]

Flex Program Frequently Asked Questions [PDF - 66 KB]

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

Overview and Funding [PDF - 39 KB]

FORHP Flex Program Project Officers [PDF - 30 KB]

Performance Improvement & Measurement System (PIMS) [PDF - 29 KB]

U.S. Department of Health and Human Services Organization Chart [PDF - 123 KB]

About FORHP's Hospital State Division [PDF - 324 KB]

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

Who Should I Contact if I Have a Question? [PDF - 104 KB]

TASC Communication Tools and Technical Assistance [PDF - 33 KB]

TASC Website [PDF - 26 KB]

FORHP Flex Program Workshop [PDF - 32 KB]

Section 4: Flex Monitoring Team (FMT)

About the FMT [PDF - 166 KB]

  • About the FMT
  • How the FMT Can Help You
  • Ongoing Projects
  • New Projects 2016-2017
  • Select FMT Publications
  • Contact Information for the FMT

Section 5: Rural Quality Improvement Technical Assistance (RQITA)

About RQITA [PDF - 96 KB]

  • About RQITA
  • About Stratis Health
  • Medicare Beneficiary Quality Improvement Project (MBQIP)
  • Support
  • MBQIP Technical Assistance Requests
  • Rural Quality Advisory Council

Section 6: Flex Coordinator Reference

Useful Organizations [PDF - 71 KB]

Acronyms 101 [PDF - 50 KB]

U.S. Time Zone Map [PDF - 1.12 MB]

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, $1,100,000 (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.