Alaska Rural Hospital Flexibility Program
The Balanced Budget Act of 1997 created the
Medicare Rural Hospital Flexibility Program. The purpose of the program
is to assist rural hospitals to improve access to health services in
rural communities, to improve quality and relieve some of the financial pressures on rural hospitals and emergency medical services
The focus of Alaska’s Flex Program is supporting rural systems of care with emphasis on Critical Access Hospitals in rural Alaska.
The Flex Program provides support and assistance by:
- Providing financial assistance to rural hospitals through grants and other programs
- Offering information, training, and technical assistance on topics related to CAH operations
- Acting as the liaison between communities and federal and state programs
- Providing related program planning and research
- Implementing program enhancements
- Monitoring and communicating changes in federal programs
- Evaluating program performance
Other elements of the Flex Program
- Emergency Medical Services trauma level designation for
Emergency Departments: Flex Program funds help to support trauma level
designations of Emergency Departments in small rural hospitals. Trauma
level designation is important for reimbursement issues.
- Quality and Performance Improvement:Small rural hospitals often lack
the capacity and resources to pursue organized quality improvement
initiatives. Flex funding promotes optimum care, improves patient health
and safety, and promotes and preserves local access to care.
- Promoting Networks and Community Development:Many rural hospitals
cannot support a full range of specialty and high tech services.
Well-organized networks can promote system efficiency, help hospitals
maintain their census and maintain compliance with CAH rules.
Critical Access Hospital Designation Process
Critical Access Hospital designation under the
Medicare Rural Hospital Flexibility Program requires that a hospital
first be designated and then licensed by the State and certified by the
- A provider requests certification.
- An on-site survey is conducted by Health Facilities Licensing and
Certification staff to determine if the facility meets applicable State
and Federal law and regulations.
- If requirements are met, the facility is licensed and certified to provide health care services.
- The State Rural Hospital Flexibility Program requires a designation
that the hospital is eligible to participate in the program and convert
to a Critical Access Hospital.
phone: (907) 269-3445
fax: (907) 269-5236