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Critical Access Hospitals (CAH) and the Flex Program

The Bureau of Rural Health & Primary Care develops, evaluates, and administers this federal program that provides states the opportunity to strengthen rural health care through a holistic approach.

The Flex program focuses on four core areas:
  • Support for Quality Improvement in CAHs
  • Support for Operational and Financial Improvement in CAHs
  • Support for Health System Development and Community Engagement, including integrating EMS in regional and local systems of care.
  • Designation of CAHs in the State

Medicare Beneficiary Quality Improvement Project (MBQIP): Supports CAHs with technical assistance to improve health care outcomes on Hospital Compare and other national benchmarks.