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The Centers for Medicare & Medicaid Services (CMS) is now accepting new applications for the Rural Community Hospital Demonstration. The demonstration tests cost-based reimbursement for Medicare inpatient services for small rural hospitals with fewer than 51 beds that are not eligible to be Critical Access Hospitals.

As part of a broader rural strategy initiative [ https://www.cms.gov/files/document/reimagining-rural-health-strategy.pdf ], CMS hosted a Rural Health Hackathon [ https://www.cms.gov/priorities/innovation/2024-rural-health-hackathon ] in August 2024 to collaboratively produce creative, actionable ideas to address health care challenges facing rural communities. This Request for Applications (RFA) is one effort to help address these challenges.

The RFA opens today, December 20, and the application is available on Rural Community Hospital Demonstration webpage [ https://www.cms.gov/priorities/innovation/innovation-models/rural-community-hospital ]. Hospitals interested must apply by *11:59 p.m. Eastern Standard Time on March 1, 2025*. Hospitals currently participating in the demonstration do not need to complete a new application.

For the latest information on the demonstration, visit the Rural Community Hospital Demonstration webpage [ https://www.cms.gov/priorities/innovation/innovation-models/rural-community-hospital ].

If you have questions about the demonstration, please email RCHDemo@cms.hhs.gov.








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