This content was published prior to the merger of equals between BKD and DHG on June 1, 2022. See all FORsights for the most up-to-date articles, webinars, and videos.
CMS Announces New Community Health Access & Rural Transformation Model

On August 11, 2020, CMS announced a new model for rural healthcare, the Community Health Access and Rural Transformation (CHART) Model. The model intends to increase financial stability for rural providers, help remove regulatory burdens, and enhance beneficiaries’ access to healthcare services.
The CHART Model has two tracks:
- Value-Based Community Transformation Track
- Accountable Care Organizations (ACO) Transformation Track
In the value-based community transformation track, CMS will select up to 15 “lead organizations” to receive cooperative agreements worth up to $5 million. $2 million will be made available upon acceptance into the CHART Model with the remainder being made available as communities progress through the model. Additional details regarding the community transformation track will be available sometime in September when the Notice of Funding Opportunity is published on the model website.
In the ACO transformation track, CMS will select up to 20 rural-focused ACOs to receive advance payments broken into two components—first, a one-time upfront payment equal to a minimum of $200,000 plus $36 per beneficiary, and second, a prospective per beneficiary per month equal to a minimum of $8 for up to 24 months. Additional details of the ACO transformation track will be in the request for application that’s expected to be published in early 2021 on the CHART Model website.
To read the complete CMS fact sheet on the CHART Model, visit CMS’ website.
If you have questions, reach out to your BKD Trusted Advisor™ or use the Contact Us form below.