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Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-22-063: Medicare Rural Hospital Flexibility Program- Emergency Medical Services Competing Supplement

Closed Closed March 4, 2022 Opportunity HRSA-22-063

This grant is closed. Who won this program's grants before is below, and similar open grants are at the end of the page. It is in our archive of Health Resources and Services Administration notices from 2021.

Health Resources and Services Administration offered grants of up to $300,000 to the applicants described in the notice. It expected to make about 6 awards worth $1.8 million in total. Applications closed on March 4, 2022.

From the official notice on Grants.gov, last changed December 2, 2021. Checked November 7, 2026.

Key dates

PostedDecember 2, 2021
DeadlineMarch 4, 2022

Who can apply

This opportunity was open to the applicants described in the notice.

Eligible applicants must be current recipients funded under HRSA-19-024, Medicare Rural Hospital Flexibility Program cooperative agreement. This competitive supplemental funding opportunity is only open to current award recipients of the Medicare Rural Hospital Flexibility Program cooperative agreement. Only states (current Medicare Rural Hospital Flexibility Program award recipients in states with certified critical access hospitals) are eligible to apply for funding under this notice.

Is this a realistic fit?

What the grant funds

This notice announces the opportunity to apply for funding under the Medicare Rural Hospital Flexibility Program (Flex Program) Emergency Medical Services (EMS) Competing Supplement. Throughout this NOFO, the term Flex Program will refer to the larger, primary program while Flex EMS Supplement will refer to the supplemental projects that are the focus of this NOFO. The goal of this supplemental funding is to expand upon the current Flex program by encouraging rural EMS agencies to educate staff and leadership on the importance of accurate reporting, and how it drives quality improvement efforts at the agency level. Improving and/or adding quality improvement activities allows EMS agencies to enhance clinical care, and find efficiencies which has the potential to both expand their ability to care for patients, and allow them to expand needed services. Additionally these supplements will serve as examples to other EMS agencies interested in this topic. The state Flex programs that choose to apply for this supplement should propose a project that identifies at least three specific EMS measures to improve on during the period of performance. The applicant should remember to take into account applicable health disparities and health equity measures when planning the project. The applicant should also include appropriate education/training on the use of data and quality improvement efforts.

Category: Health.

Who has won State Rural Hospital Flexibility Program grants before

From fiscal 2021 to 2025, State Rural Hospital Flexibility Program (93.241) awarded $92.7 million across 58 grant awards, an average of $1.6 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
Rural Health Redesign Center Organization, Inc.Pennsylvania1$17.4 million
Rural Health Resource CenterMinnesota2$3.9 million
Regents of the University of MinnesotaMinnesota1$3.5 million
Michigan Center for Rural HealthMichigan2$2.6 million
State of Montana Department of Health and Human ServicesMontana1$2.4 million

Top states: Pennsylvania ($18.5 million), Minnesota ($9.5 million), Georgia ($3.1 million), Iowa ($2.8 million), Michigan ($2.6 million).

Applying now

This notice no longer takes applications. Agencies often post the same opportunity again under a new number, so check the program's notices on Grants.gov and the similar open grants below.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.

Questions people ask

Is HRSA-22-063 still open?

No. It closed on March 4, 2022.

Who can apply for Medicare Rural Hospital Flexibility Program- Emergency Medical Services Competing Supplement?

Health Resources and Services Administration accepted applications from the applicants described in the notice. The notice adds further conditions, so read its eligibility section.

What is the deadline for Medicare Rural Hospital Flexibility Program- Emergency Medical Services Competing Supplement?

Closed March 4, 2022. Applications are no longer accepted; the program's newer notices are on this page when there are any.

How much funding is available?

Awards of up to $300,000 each. About $1.8 million in total across about 6 awards.

Who has won State Rural Hospital Flexibility Program grants before?

The largest recipients over five fiscal years were Rural Health Redesign Center Organization, Inc., Rural Health Resource Center, Regents of the University of Minnesota. The program made 58 awards worth $92.7 million in that time.

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