Opportunity Information: Apply for HRSA 17 001
The Frontier Community Health Integration Project (FCHIP) Technical Assistance, Tracking, and Analysis (TA) Program is a federal grant opportunity designed to support a small set of rural hospitals taking part in a Medicare demonstration focused on frontier communities. The program’s central aim is to provide hands-on technical assistance and ongoing analytic support to ten Critical Access Hospitals (CAHs) that were selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the FCHIP demonstration. These hospitals are located in three sparsely populated states: Montana, Nevada, and North Dakota. The broader demonstration is meant to test practical, real-world changes to how care is delivered and coordinated in remote areas, and how Medicare reimbursement rules can be adjusted to better fit the realities of frontier health care.
At its core, the technical assistance funded through this opportunity must help participating CAHs implement one or more of three specific interventions that CMS is testing through waiver authority. The first intervention focuses on ambulance services by waiving the standard “35-mile rule,” which typically limits when a CAH can receive cost-based reimbursement for ambulance transport. Under the waiver, these hospitals can pursue cost-based reimbursement for ambulance services even if there are other nearby providers, reflecting the fact that “nearby” can still be functionally inaccessible in frontier terrain and weather. The second intervention targets telehealth financing by waiving the fixed $25 originating site facility fee. Instead of that flat payment, the waiver allows reimbursement at 101 percent of allowable costs associated with telehealth, including overhead, staff salaries and fringe benefits, and depreciation of telehealth equipment. The third intervention modifies inpatient capacity rules by waiving the traditional 25-bed limit for CAHs, allowing up to 10 additional beds to be used specifically for skilled nursing facility (SNF) or nursing facility (NF) levels of care. This is intended to help frontier hospitals cover local post-acute and long-term care needs when nursing facilities may be scarce or distant.
Beyond supporting these three waiver-based interventions, the TA Program is also expected to provide broader operational support that helps the hospitals succeed in the demonstration and document what works. This includes assistance with quality measurement and performance improvement efforts, helping hospitals choose and track meaningful metrics, interpret results, and run improvement projects that fit their staffing and resource constraints. It also includes strategic planning support aimed at improving patient access to services, which in frontier contexts often means creatively addressing workforce shortages, transportation barriers, limited specialty availability, and care coordination across long distances. In addition, the program includes tracking, analytic, and administrative functions tailored to each CAH’s needs, recognizing that the ten participating hospitals may implement different combinations of interventions and may require different levels of support to comply with demonstration requirements and report outcomes.
Administratively, this funding opportunity is offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA), specifically the Federal Office of Rural Health Policy (FORHP). The award mechanism is a cooperative agreement, which generally indicates substantial federal involvement in the project’s execution (for example, coordination with HRSA/CMS priorities, regular communication, and structured reporting). The opportunity is listed under CFDA 93.155 and was published as HRSA-17-001. The source information indicates an expected number of awards of one, meaning HRSA anticipated selecting a single organization to operate the technical assistance, tracking, and analysis function on behalf of all ten CAHs, acting as a centralized support and evaluation resource for the demonstration.
The timing details included in the notice place the demonstration’s operational start date at August 1, 2016 under CMS administration, with the HRSA funding announcement created on December 8, 2016 and an original application closing date of March 13, 2017. Additional descriptive information about the underlying FCHIP demonstration is available through CMS’s Innovation Center initiative page. Overall, this opportunity is less about funding direct medical services and more about funding the expert support infrastructure that helps frontier hospitals implement payment and service delivery waivers effectively, improve quality, and generate credible data and lessons that can inform future rural health policy.Apply for HRSA 17 001
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Frontier Community Health Integration Project Technical Assistance, Tracking, and Analysis Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Dec 08, 2016.
- Applicants must submit their applications by Mar 13, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frontier Community Health Integration Project (FCHIP) TA Program FAQs
1) What is this grant opportunity?
The Frontier Community Health Integration Project (FCHIP) Technical Assistance, Tracking, and Analysis (TA) Program is a federal grant opportunity intended to fund a centralized organization to provide hands-on technical assistance and ongoing analytic support to a small set of rural hospitals participating in the FCHIP Medicare demonstration.
2) What is the main purpose of the TA Program?
The central aim is to help ten selected Critical Access Hospitals (CAHs) implement demonstration interventions being tested by CMS under waiver authority, while also providing tracking, analytic, and administrative support to help the hospitals comply with requirements and document outcomes.
3) Who are the hospitals being supported?
The program is designed to support ten Critical Access Hospitals (CAHs) selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the FCHIP demonstration.
4) Where are the participating hospitals located?
The ten participating CAHs are located in three sparsely populated states: Montana, Nevada, and North Dakota.
5) Is this funding meant to pay for direct medical services?
No. Based on the notice description, the opportunity is focused on funding expert support infrastructure (technical assistance, tracking, analysis, quality and performance improvement support, and related administration) rather than paying for direct delivery of medical services.
6) What kinds of interventions must the technical assistance support?
The technical assistance funded through this opportunity must support implementation of one or more of three CMS-tested interventions that rely on waiver authority: an ambulance reimbursement waiver, a telehealth financing waiver, and an inpatient capacity waiver related to additional beds for SNF/NF levels of care.
7) What is the ambulance services intervention (the “35-mile rule” waiver)?
This intervention waives the standard “35-mile rule,” which typically limits when a CAH can receive cost-based reimbursement for ambulance transport. Under the waiver, a CAH can pursue cost-based reimbursement for ambulance services even if other providers are nearby, acknowledging that in frontier conditions, “nearby” may still be practically inaccessible due to terrain, distance, or weather.
8) What is the telehealth financing intervention (the originating site fee waiver)?
This intervention waives the fixed $25 originating site facility fee for telehealth. Instead of the flat payment, the waiver allows reimbursement at 101 percent of allowable telehealth-related costs, including overhead, staff salaries and fringe benefits, and depreciation of telehealth equipment.
9) What is the inpatient capacity intervention (the 25-bed limit waiver)?
This intervention waives the traditional 25-bed limit for Critical Access Hospitals by allowing up to 10 additional beds, but specifically for skilled nursing facility (SNF) or nursing facility (NF) levels of care. The intent is to help frontier hospitals meet local post-acute and long-term care needs when nursing facilities are scarce or far away.
10) Do hospitals have to implement all three interventions?
No. The description indicates the TA Program must help participating CAHs implement one or more of the three interventions. It also notes the ten hospitals may implement different combinations of interventions.
11) Besides the three interventions, what other support is the TA Program expected to provide?
Beyond intervention support, the TA Program is expected to provide broader operational support to help hospitals succeed in the demonstration and document what works. This includes quality measurement and performance improvement assistance, strategic planning to improve patient access, and tailored tracking, analytic, and administrative functions for each participating CAH.
12) What does “quality measurement and performance improvement” support mean in this context?
It includes helping hospitals choose and track meaningful metrics, interpret results, and run performance improvement projects that fit frontier staffing and resource constraints.
13) What does “strategic planning support aimed at improving patient access” involve for frontier communities?
In frontier contexts, improving access often involves creatively addressing workforce shortages, transportation barriers, limited specialty availability, and care coordination across long distances. The TA Program is expected to help participating hospitals plan around these kinds of practical challenges.
14) What is meant by “tracking, analytic, and administrative functions tailored to each CAH’s needs”?
The notice indicates the ten CAHs may implement different combinations of interventions and may require different levels of support. The TA Program is expected to provide tracking and analysis (and related administrative support) that aligns with each hospital’s implementation approach and reporting/participation needs under the demonstration.
15) Which federal agencies are involved in this opportunity?
This funding opportunity is offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA), specifically HRSA’s Federal Office of Rural Health Policy (FORHP). The underlying demonstration is administered by CMS.
16) What type of award is this?
The award mechanism is a cooperative agreement, which generally means substantial federal involvement during execution, such as coordination with HRSA/CMS priorities, regular communication, and structured reporting.
17) How many awards were expected?
The source information indicates an expected number of awards of one. That means HRSA anticipated selecting a single organization to operate the technical assistance, tracking, and analysis function on behalf of all ten participating CAHs.
18) What is the CFDA number and funding opportunity identifier?
The opportunity is listed under CFDA 93.155 and was published as HRSA-17-001.
19) What are the key dates mentioned?
The notice describes the demonstration operational start date as August 1, 2016 (under CMS administration). The HRSA funding announcement was created on December 8, 2016, and the original application closing date was March 13, 2017.
20) Where can someone find more information about the broader FCHIP demonstration?
The notice indicates that additional descriptive information about the underlying FCHIP demonstration is available through CMS’s Innovation Center initiative page.
21) Why are these waivers and supports being tested in frontier areas?
The broader demonstration is meant to test practical, real-world changes to care delivery and coordination in remote areas, and to explore how Medicare reimbursement rules can be adjusted to better fit the realities of frontier health care.
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