Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

CHARTing a Course for Rural Hospital Transformation in Texas

Award Number: 2G2CMS331801
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 10/01/2021
PERIOD OF PERFORMANCE END DATE: 07/31/2026

Group Awards By:

View Award Description

CHARTing a Course for Rural Hospital Transformation in Texas - CHART Model Project Abstract Notice of Funding Opportunity Number: CMS-2G2-21-001 Texas’ proposed health care delivery system redesign concept is to bring improved financial stability to participant hospitals through capitated arrangements and provide strategies to address Community health challenges through telemedicine. Using community assessments to identify gaps between services and resources available, four Community health challenges common to each Community county have been identified. They include: (1) lack of coordinated care, (2) uncoordinated care transitions resulting in unplanned hospital readmissions, (3) improved treatment and prevention of chronic conditions like diabetes, cardiovascular disease, and congestive heart failure, and (4) limited or no access to primary and specialty care. Texas envisions a framework from which participating hospitals can customize their role in the CHART Model transformation plan by selecting one or more of the Community health challenges to address through a telemedicine project(s) that fits the needs of their county. Texas is requesting $5,000,000 in funding for its proposed project. If awarded, a significant portion of the cooperative funding would be used to: (1) provide technical assistance related to transformation, (2) allow hospitals to purchase telemedicine equipment, training, software, and (3) hire additional staff, if needed, to implement transformation goals. Using the funding award for telemedicine allows hospitals to create new or expanded services to generate new or expanded revenue streams, as well as maximize the number of patients treated; thereby, leading to improved financial stability for the facility. Texas proposes to transform its Medicaid payment arrangements by developing an outpatient prospective payment system model using a bundled payment arrangement like enhanced ambulatory patient groups. If these payment systems prove beneficial to participating hospitals, Texas may expand them each performance period to meet Medicaid participation targets and address Community health goals. Additionally, Texas plans to replicate one or more bundled payment arrangements now tested in Medicare. The CHART Model Texas advisory council will play a key role in the development and implementation of capitated payment arrangements and improving state Medicaid telemedicine policy. The geographic boundaries of Texas’ chosen Community are 13 noncontiguous rural counties and census tracts spread across the state. They include: (1) Angelina County, (2) Brown County, (3) Burnet County, (4) DeWitt County, (5) Dawson County, (6) Census Tract 48187210400 in Guadalupe County, (7) Haskell County, (8) Maverick County, (9) Mitchell County, (10) Polk County, (11) San Augustine County, (12) Census Tract 48485013700 in Wichita County, and (13) Young County.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2022	HEALTH & HUMAN SVC COMMN TX	4601 W GUADALUPE ST	AUSTIN	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	06	2	7/2/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2021	HEALTH & HUMAN SVC COMMN TX	4601 W GUADALUPE ST	AUSTIN	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	06	2	7/2/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = -$2,162,764 )
2024	2022	Health And Human Services Commission, Texas	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	04	2	10/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	HEALTH & HUMAN SVC COMMN TX	4601 W GUADALUPE ST	AUSTIN	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	05	2	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$498,662
2024	2022	Health And Human Services Commission, Texas	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	03	2	10/10/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	HEALTH & HUMAN SVC COMMN TX	4601 W GUADALUPE ST	AUSTIN	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	05	2	2/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1,664,102
														Subtotal = -$2,162,764

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	Health And Human Services Commission, Texas	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	02	2	9/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	Health And Human Services Commission, Texas	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	01	2	1/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $498,662 )
2022	2022	HEALTH AND HUMAN SERVICES COMMISSION, TEXAS	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	00	2	9/23/2022	NON-COMPETING CONTINUATION	$498,662
2022	2021	HEALTH AND HUMAN SERVICES COMMISSION, TEXAS	4601 W Guadalupe St	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	01	1	9/14/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $498,662

Issue Date FY: 2021 ( Subtotal = $2,000,000 )
2021	2021	Health And Human Services Commission, Texas	4900 N Lamar Blvd	Austin	TX	78751	TRAVIS	USA	Community Health Access and Rural Transformation (CHART) Model	00	1	9/10/2021	NEW	$2,000,000
														Subtotal = $2,000,000

Grand Total All Awards = $335,898

Top

All Categories

About

Search

Reports

Data Submission

Award Information

CHARTing a Course for Rural Hospital Transformation in Texas

Award Number: 2G2CMS331801

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

PERIOD OF PERFORMANCE START DATE: 10/01/2021

PERIOD OF PERFORMANCE END DATE: 07/31/2026

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer