Understanding and Facilitating Rural Health Transformation


Through the new Community Health Access and Rural Transformation (CHART) Model, CMS aims to continue addressing disparities by providing a way for rural communities to transform their health care delivery systems by leveraging innovative financial arrangements as well as operational and regulatory flexibilities.

The Rural Health Value team has been hosting “Let’s Talk About CHART” virtual discussions to help rural communities and stakeholders identify opportunities, questions, and potential next steps regarding the CHART Community Track application.

NOTE: The Centers for Medicare and Medicaid Services (CMS) has extended the Community Health Access and Rural Transformation (CHART) Model Community Transformation Track application deadline to May 11, 2021. See the updated NOFO.


Rural Health Value "Let's Talk About CHART Webinars":

Rural health Value CHART Q&A, Updated March 2, 2021 (PDF)

Next Up:

February 4, 2021:
Let’s Talk About CHART... Financial Model!

Virtual discussion focused on the CHART Financial Model:
  • Questions
  • Next steps
Find out more
Financial Model Slides (PDF)

Past Webinars:

October 28, 2020:
Let’s Talk About CHART!

Overview of Community Transformation Track and its four core components:
  • Lead Organization
  • Transformation Plan
  • Hospital Payment
  • Partners
Slides (10/28/2020) (PDF)

November 18, 2020:
Let’s Talk about CHART…for Lead Organizations!

Community Transformation Track - A focus on CHART Lead Organizations:
  • What it takes to serve as a Lead Organization
  • Key planning and readiness activities
  • Partners Lead Organizations will need and want to engage
Slides (11/18/2020) (PDF)

December 14, 2020, 12:00 CT / 1:00 p.m. ET
Let’s Talk about CHART… Transformation Planning

Understanding and facilitating rural health transformation:
  • Key requirements and components for Transformation Planning
  • Best practices for using Community Health Needs Assessments
  • Lessons learned in engaging multiple stakeholders
  • Opportunities for expanding telehealth use
Slides (12/14/2020) (PDF)
Demonstration data profile (PDF)

Other CHART Resources

Overview of CMMI's CHART Model: This video, developed by Chris Peterson, the former Deputy Director of Maryland's HSCRC (the commission that sets MD's hospital global budgets), provides a helpful description of the CHART Community Track, and can supplement the content CMMI and Rural Health Value have released.

Center for Medicare & Medicaid Innovation Center CHART Model: Details about the CHART model, including the Notice of Funding Opportunity, FAQ, Fact Sheet and more.

Community Health Access and Rural Transformation (CHART) Model Funding Opportunity Overview: This overview from the Rural Health Information Hub includes information regarding the CHART sponsors, deadlines, purpose, eligibility requirements, coverage, funding, and includes quick links to the direct CHART program site, contact email, and application instructions.

CHART Fact Sheet: From the Center for Connected Health Policy – the National Telehealth Policy Research Institute, highlights telehealth flexibilities available through the CHART model.

CHART Model Community Transformation Track: Value Proposition for Rural Healthcare Reform: This article from JD Supra includes an overview of the CHART Model track designs, roles and responsibilities, participating facilities, and next steps for applicants.