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Critical Access Hospitals (CAH) and the Flex Program

Medicare Rural Hospital Flexibility (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 the following program areas (with an emphasis and priority on quality and financial/operational improvement:

  1. Quality Improvement
  2. Financial and Operational Improvement
  3. Population Health Management and Emergency Medical Services Integration
  4. Integration of Innovative Health Care Models

CAHs are required to report quality metrics to participate in the Flex program: Medicare Beneficiary Quality Improvement Project (MBQIP)


Program Information