Missouri Small Rural Hospital Improvement Program (SHIP)
The Small Rural Hospital Improvement Grant Program administered by the Department of Health and Senior Services (DHSS) is supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP). Section 1820(g)(3) of the Social Security Act (SSA) authorizes SHIP to assist eligible hospitals in meeting the costs of implementing data system requirements established under the Medicare Program, including using funds to assist hospitals in participating in improvements in value and quality to health care such as:
Eligible small rural hospitals are located in the United States and its territories and include hospitals with 49 available beds or less. These small rural, non-federal hospitals provide short-term, general acute care to their communities. They may be for-profit, not-for-profit, or tribal organizations. Critical access hospitals are also eligible for the SHIP.
Missouri SHIP Grant
The DHSS, Office of Rural Health and Primary Care (ORHPC) administers the SHIP grant, which runs from June 1 – May 31 each year. The number of eligible and participating hospitals may vary on an annual basis. The current SHIP grant is on a 4 year cycle, beginning in FY23.
|SHIP Fiscal Years||Total Eligible
|Eligible CAHs||Total Participating
|FY20: June 1, 2020- May 31, 2021||49||35||43|
|FY21: June 1, 2021- May 31, 2022||48||35||43|
|FY22: June 1, 2022- May 31, 2023||48||35||43|
|FY23: June 1, 2022- May 31, 2024||49||35||41|
Annually, participating hospitals select eligible investment activities from three investment categories. The below chart shows hospital selections for the current grant year, FY23.
Participating hospitals are required to submit activity progress reports and invoices to ORHPC on a quarterly basis.
|SHIP Hospital Reporting and Invoicing Schedule|
|Start||End||Report Due||Invoice Due|
|Q1||June 1||August 31||September 10||September 10|
|Q2||September 1||November 30||December 10||December 10|
|Q3||December 1||February 28||March 10||March 10|
|Q4||March 1||May 31||June 10||June 10|
|Annual Financial Report||June 10|
MO SHIP Resources
- FY23 SHIP Kick Off Presentation Slides
- FY23 SHIP Kick Off Presentation Recording
- FY23 SHIP Missouri Participating Hospitals
- FY23 Allowable investments
- Missouri FY23 SHIP Investment Activity Selections
- Allowable Investment Search Tool
- CMS Hospital Price Transparency
- Rural Spotlight Blog
- Vendor Request for Payment Form
- Subrecipient Annual Financial Report