Hospital at Home Program Implementation and Scale Grant Opportunity — Tier 3 (Scale & Sustainability)

Summary

Tier 3 is designed for hospitals with established Hospital at Home programs that have already achieved CMS Acute Hospital Care at Home (AHCAH) approval and are focused on expansion, optimization, and long-term sustainability. Funding supports enhancing program performance and extending access to inpatient-level care, particularly in rural communities. Maximum award is $2,000,000. HARI's role is limited to program oversight, statewide coordination, reporting guidance, and peer learning support -- not hospital-specific operational management.

Eligibility

Eligible applicants are Rhode Island acute-care hospitals with an existing CMS Acute Hospital Care at Home (AHCAH) waiver approval and an operational Hospital at Home program. Hospitals must demonstrate program maturity and readiness to scale, with a plan for extending inpatient-level care access, especially in rural communities.

Requirements Checklist

• Applicants must: (1) demonstrate current AHCAH waiver status and operational capabilities; (2) provide detailed expansion and optimization strategies (e.g., increased capacity, rural access, enhanced clinical services); (3) present a robust approach to quality improvement, data analytics, and workforce development; (4) align with the Rural Health Transformation Program Initiative #5 metrics and targets; (5) commit to all post-award reporting, evaluation, and learning activities as listed in the NOFO Tier 3 requirements (NOFO §2, Table 5); and (6) submit required documentation as outlined in the application instructions (NOFO §3).

Required attachments