Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement

Funding Agency:
Health Resources and Services Administration

This notice solicits applications for the Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement. The Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP) is accepting applications for fiscal year (FY) 2018 Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement. The purpose of this program is to provide data and conduct analysis to inform improvement efforts in Critical Access Hospitals (CAHs). CAHs will benefit by having resources related to financial and operational improvement, quality of care reporting and improvement, emergency medical service (EMS) integration and population health activities. CAHs will have access to analyses of relevant data and evidence-based best practices to improve their outcomes. CAH focused improvement efforts will also inform other CAHs and state Flex programs. 

Multiple applications from an organization are not allowable.


  • Duke Internal: Jan. 22, 2018
  • Sponsor Deadline: Feb. 23, 2018

Funding Opportunity Number: HRSA-18-037

Agency Website

Eligibility Requirements

Eligible applicants include domestic public or private, non-profit or for-profit organizations. Institutions of higher education, faith-based and community-based organizations, tribes, and tribal organizations are eligible to apply. Applicants may be a single entity or a consortium. 



Amount Description

Approximately $1,500,000 is expected to be available annually to fund one (1) recipient. You may apply for a ceiling amount of up to $1,500,000 total cost (includes both direct and indirect, facilities and administrative costs) per year. The actual amount available will not be determined until enactment of the final FY 2018 federal appropriation. The FY 2018 President’s Budget does not request funding for this program. This program notice is subject to the appropriation of funds, and is a contingency action taken to ensure that, should funds become available for this purpose, applications can be processed, and funds awarded in a timely manner. The project period is July 1, 2018 through June 30, 2023 (5 years). Funding beyond the first year is dependent on the availability of appropriated funds in subsequent fiscal years, satisfactory award recipient performance, and a decision that continued funding is in the best interest of the Federal Government.

Funding Type





Medical - Basic Science
Medical - Clinical Science
Social Sciences

Internal Nomination

Owing to the sponsor's restriction on the number of applications that may be submitted from Duke, anyone wishing to pursue nomination should submit the following materials as one PDF.

* A letter of support from dean or chair - 1 to 1.5 pages
* Project summary - 2 to 4 pages
* CV or Biosketch of project leader

Please submit internal materials through My Research Proposal. (Code ILN)

Instructions for setting up your account and uploading internal applications can be found here: Instructions_FINAL.pdf

Internal Deadline

January 22, 2018

External Deadline

February 23, 2018