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Rescheduled – December 22, 2016 Rural Health Open Door Forum to February 2, 2017

November 28, 2016

The next Rural Health Open Door Forum that was scheduled for Thursday, December 22, 2016 will be rescheduled to February 2, 2017. The agenda and call-in information will be forthcoming. Thank you for your continued support and participation with the CMS Open Door Forums.

Join us next Tuesday

November 23, 2016

Giving Tuesday November 29, 2016

First comes Thanksgiving. The NAFC is so thankful for our clinics, our volunteers and everyone that supports our organization, our clinics and our patients. Thank you to all who have helped make health care a reality for millions of medically underserved people throughout the country.

Next comes the shopping. Black Friday, Cyber Monday.

And then #GIVINGTUESDAY. Or as we like to call it – #GIVINGHEALTHDAY.

Since its founding in 2012, #GivingTuesday has inspired giving around the world, resulting in greater donations, volunteer hours, and activities that bring about real change in communities.  We invite you to join the movement and to help get out and give this November 29.

We hope that you will join us this #GivingTuesday – #GivingHealthDay – and #give4health!  Be sure to follow us on Facebook, Twitter, LinkedIn and Instagram for more information on how you can get involved on November 29th and how you can show that you #believeincaring.

Rural Health Information Hub

November 23, 2016

View the Rural Health Information Hub updates.

New Online Tool for Quality Payment Program

November 23, 2016

View the eNews.

USDA Helps Farms and Businesses Cut Energy Costs

November 23, 2016

USDA Helps Farms and Businesses Cut Energy Costs

COLUMBIA, MO, November 22, 2016 – USDA is offering grants and loan guarantees to help rural businesses and agricultural producers reduce their energy costs and consumption. The funding is being provided through USDA Rural Development’s Rural Energy for America Program (REAP).  Loans and grants are available to install renewable energy systems or make energy efficiency improvements.

“REAP is a community and economic development program. Any time a program can reduce costs for producers and businesses, the result is improved community stability and vitality,” said Missouri State Director Janie Dunning. “Through REAP, projects are funded which reduce operating costs for businesses, farmers and ranchers. These projects not only assist community and economic development, but the energy savings and energy advancements extend the life of existing energy resources and contribute to preserving a healthy ecosystem.”

Renewable energy systems include solar, wind, geothermal, anaerobic digesters, and renewable biomass.

Energy efficiency improvements include grain drying and handling, lighting, refrigeration, facility improvements (such as adding insulation or replacing windows), heating and cooling upgrades, motor replacements and automated control upgrades.

Sixty-four REAP grants were awarded to Missouri farms and businesses in FY 2016.  The total amount of grant funds awarded was $1,085,751.  In addition to the grants, two businesses received guaranteed loans totaling $5,205,000.

Projects ranged from the installation of solar arrays and lighting to replacement of heating and cooling systems for small businesses and agriculture producers. For example, CADA Farm, LLC (Bunceton, MO) received a $12,327 grant to install a waste heat recovery system to improve energy efficiency in their turkey barns, which reduced their propane cost by 45%.

Grants of up to 25% of a project’s total costs are available.   The maximum grants are $250,000 for energy efficiency improvements and $500,000 for renewable energy systems.

In addition to the grants, loans guarantees of up to 75% of a project’s total costs are available.  The maximum loan is $25 million.

The next grant application deadline is March 31, 2017. Guaranteed loan applications will be reviewed on a monthly basis.

For information on REAP contact (573) 876-9321 or email

Don’t miss this great opportunity!

USDA, through its Rural Development mission area, has an active portfolio of more than $212 billion in loans and loan guarantees. These programs are designed to improve the economic stability of rural communities, businesses, residents, farmers and ranchers and improve the quality of life in rural America.


USDA is an equal opportunity provider and employer. To file a complaint of discrimination, write: USDA, Office of the Assistant Secretary for Civil Rights, Office of Adjudication, 1400 Independence Ave., S.W., Washington, DC 20250-9410 or call (866) 632-9992 (Toll-free Customer Service), (800) 877-8339 (Local or Federal relay), (866) 377-8642 (Relay voice users).

Wipfli Alerts & Updates: Extension of Due Date for Furnishing Statements to Participants of Forms 1095 and Related Relief

November 23, 2016

View the updates

Reassessing Financial Peer Groups for CAHs

November 22, 2016

Since 2004, the Flex Monitoring Team has produced the Critical Access Hospital Financial Indicators Report (CAHFIR) that provides CAH administrators with comparative financial indicators. In the past ten years, significant changes have occurred in the U.S. health system and economy that may have influenced the factors shaping CAH financial performance.

The Flex Monitoring Team has assessed whether the factors used in the current CAH financial peer groups are still important influences on CAH financial performance, and whether new hospital, geographic, or community factors should be considered. The results of this assessment are described in a new policy brief.

Access the Policy Brief