Promoting and protecting the health and safety of all Idahoans

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:

  • Quality Improvement 
  • Financial and Operational Improvement 
  • Population Health Management and Emergency Medical Services 
  • Integration 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)


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