Community Health Access and Rural Transformation (CHART) Model
Inactive
- Assistance listing
- 93.624
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 62 $896,227,380 in federal obligations
Program facts
- Assistance types
-
- Cooperative Agreement
- Project Grant
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Medicare and Medicaid Services (CMS) is funding voluntary payment model testing to support rural health system transformation under the Community Health Access and Rural Transformation (CHART) Model (Assistance Listing 93.624), with the most recent grant award disbursed on October 1, 2021.
Activity has declined sharply in recent years. The program distributed 62 awards totaling $896.2 million in federal dollars obligated between 2013 and 2021. Award volume peaked in 2015 with 32 awards, fell to 1 award in 2018, and trailed to 4 awards in 2021. No grant awards have been disbursed since October 2021. The Notice of Funding Opportunity (CMS-2G2-21-001) closed on May 11, 2021, and no subsequent opportunities have been posted.
The program funds cooperative agreements supporting rural health care delivery system redesign under capitated payment arrangements. Recipients assess community health needs and implement transformation plans—typically addressing care coordination, chronic disease management, telemedicine deployment, and workforce development to stabilize rural hospital finances and improve access. Recent awards demonstrate geographic breadth: the University of Alabama at Birmingham led transformation covering 54 rural Alabama counties serving 1.1 million residents; Texas focused on telemedicine equipment and chronic disease prevention across multiple counties; Washington State's Health Care Authority redesigned care for North Central region hospitals serving approximately 120,000 residents; and South Dakota implemented telehealth and remote patient monitoring across three initial counties with plans to expand.
CMS provided all 53 of the program's cooperative agreements ($467.4 million) and all 8 project grants ($365.7 million), with one additional cooperative agreement under a different CMS bureau ($63.1 million). The assistance-type mix is predominantly cooperative agreements (76 percent, 47 awards) with a smaller share of project grants (24 percent, 15 awards). Recent awards ranged from approximately $1 million to $5 million in federal obligation, with the Texas award requesting $5 million for technical assistance and telemedicine infrastructure.
No grant opportunities are currently open under this Assistance Listing.
Objective and description
- Objective
The Community Health Access and Rural Transformation (CHART) Model is a voluntary payment Model. CHART will test whether aligned financial incentives across payers and robust technical support enable rural providers to transform care on a broad scale
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Community Health Access and Rural Transformation (CHART) | Closed |
Grant awards
Latest 10 of 62 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Health Research, Inc. | $90,016,872 | 10% |
| 2 | Health Care Authority | $69,252,378 | 8% |
| 3 | Michigan Department Of Health And Human Services | $67,627,445 | 8% |
| 4 | Executive Office State Of Ohio | $66,125,528 | 7% |
| 5 | State Of Colorado - Dept Of Health Care Policy & Financing | $64,923,062 | 7% |
| 6 | Finance & Administration Tennessee Depar | $62,404,732 | 7% |
| 7 | The Commonwealth Of Massachusetts | $43,952,056 | 5% |
| 8 | Human Services Vermont Agency Of | $42,036,872 | 5% |
| 9 | Arkansas Department Of Human Services | $42,000,000 | 5% |
| 10 | IA Department Of Human Services | $41,964,123 | 5% |
10 of 46 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$31,674 |
| FY2024 | -$2,162,764 |
| FY2023 | -$4,687,540 |
| FY2022 | $5,950,705 |
| FY2021 | -$4,891,758 |
| FY2020 | -$13,085,643 |
| FY2019 | $46,769,002 |
| FY2018 | $107,415,870 |
| FY2017 | $150,162,282 |
| FY2016 | $199,512,533 |
| FY2015 | $229,858,400 |
| FY2014 | $60,460,132 |
| FY2013 | $120,957,839 |
Show all 13
Quick answers
What is Assistance Listing 93.624?
Assistance Listing 93.624 is Community Health Access and Rural Transformation (CHART) Model, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services). It is inactive.
What is the CFDA number for Community Health Access and Rural Transformation (CHART) Model?
Its CFDA number is 93.624: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.624 awarded?
62 grant awards under 93.624 have obligated $896,227,380 in federal funds to 46 recipients.
Who receives the most funding from 93.624?
The recipients obligated the most under Community Health Access and Rural Transformation (CHART) Model are Health Research, Inc. ($90,016,872), Health Care Authority ($69,252,378) and Michigan Department Of Health And Human Services ($67,627,445).
Are there open grant opportunities under 93.624?
No opportunity listed under 93.624 is open now. The latest, Community Health Access and Rural Transformation (CHART), was posted on September 15, 2020.
On GovTribe
See this program's full record
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