HRSA-24-002 Flex NOFO FAQs .pdf
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- Attached to
- Medicare Rural Hospital Flexibility Program
- Opportunity number
- HRSA-24-002
About this file
This document is a Frequently Asked Questions (FAQs) document related to the Medicare Rural Hospital Flexibility Program Notice of Funding Opportunity (HRSA-24-002) from the Department of Health and Human Services Health Resources and Services Administration (HRSA).
The key details are:
- Only the governor-designated State Office of Rural Health (SORH) entity in each state can apply for this funding, though the awarded SORHs will work with Critical Access Hospitals (CAHs) and rural Emergency Medical Services (EMS) agencies.
- Templates for the work plan and budget justification are provided but not required, and applicants can use their own format.
- The program has optional focus areas on population health and EMS, and applicants can begin work in new program areas as long as they complete a needs assessment.
- Applicants need to demonstrate how Flex Program funding is differentiated from funding received from other programs like SHIP/SORH.
- For the EMS Supplemental funding (HRSA-24-006), applicants must show how the proposed activities differ from regular Flex EMS activities.
- Applicants can provide various types of documentation to demonstrate partnerships, including letters of support, agreements, or a partner list with brief descriptions.
HRSA-24-002 Flex NOFO FAQs
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HRSA-24-002 Medicare Rural Hospital Flexibility Program No�ce of Funding Opportunity Frequently Asked Ques�ons
1. Is my organiza�on eligible to apply for the Medicare Rural Hospital Flexibility Program or the EMS Supplemental funding?
o Only the governor-designated en�ty in each state, the State Office of Rural Health (SORH) may submit applica�ons for this funding. However, the awarded funding recipients (SORHs) will work with CAHs and rural EMS agencies for the dura�on of the funding. Hospitals and EMS agencies interested in this funding should reach out to their State Office of Rural Health.
2. Are the templates provided for the work plan and budget jus�fica�on required? Or can I use my own forma�ng?
o These templates are not required, you are free to use the format you would like. We do suggest you read the templates to make sure the components referenced are also included in your documents.
3. How can I make sure my budget jus�fica�on meets all of the requirements?
o The Technical Assistance and Services Center (TASC) has produced resources and templates to help with the development of your budget jus�fica�on, you can find them here.
4. I want to start working in one of the op�onal program areas (popula�on health or EMS), but I haven’t done work in this area previously. Can I begin work in a new program area if I will not have a project with a defined outcome yet?
o Yes, you can begin working in a new program area. You are encouraged to complete a needs assessment to determine the needs of your hospitals or EMS agencies. You may make a note in your narra�ve and your work plan sta�ng that your needs assessment will inform projects to be completed in future program years.
5. What should I do if I have a project that u�lizes Flex Program funding as well as funding from other programs (for example, SHIP/SORH)?
o Please make a note in your applica�on which projects incorporate funding from other programs, which pieces are paid for with Flex funding, and which pieces are paid for with the other programs.
6. How do I demonstrate that the ac�vi�es of the EMS Supplement are different from those of our regular Flex EMS ac�vi�es?
o If you are applying for the EMS Supplemental funding (HRSA-24-006), including a brief descrip�on of the regular EMS Flex ac�vi�es will help to demonstrate the difference. If you have no regular EMS ac�vi�es, you can note this as well.
7. Atachment 4 states we need to submit “Leters of Agreement/Memoranda of Understanding,” do I need to include formal leters for every contractor we will be working with?
o This atachment may include any documenta�on that demonstrates your partnership with your contractors. This may include leters of support, leters of agreement, memoranda of understanding, or even a list of who your partners will be and a brief descrip�on of what they will work on.
8. Do I need to submit the MOU for each of my CAHs that is par�cipa�ng in MBQIP?
o No, you do not need to submit this MOU with your applica�on.
https://nosorh.org/nosorh-members/nosorh-members-browse-by-state/ https://www.ruralcenter.org/resources/flex-program-funding-guidance
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