CMS Center for Innovation Community Health Access & Rural Transformation (CHART) Model

  • CMS CHART Model - Community Transformation Track Notice of Funding Opportunity
  • Framework for Maine’s Participation
  • Maine DHHS Introduction to CMS Center for Innovation Community Health Access & Rural Transformation (CHART) Model
  • Statement of Interest for Maine Eligible Hospitals & Rural Communities: Maine DHHS encourages eligible hospitals and rural communities to consider the opportunity to participate in the Community Transformation Track of the CMS Innovation Center’s Community Health Access and Rural Transformation (CHART) model. Eligible hospitals and/or rural communities that meet the requirements for participation as outlined by CMS and have a vision for participation that is consistent with the Maine Framework for CHART participation are encouraged to indicate their interest by completing a brief online statement of interest by Friday, Oct 23, 2020.

    Eligible hospitals and/or interested organizations from rural communities may complete this statement of interest. Completing this statement does not constitute a commitment to pursue an application for participation in the CHART model. Interested eligible hospitals and/or rural communities that complete this statement will be invited to participate in a web-based discussion with Maine DHHS staff within 1-2 weeks after the submission deadline to further explore their interest, vision and capacity. Based on indications of interest and discussions with interested hospitals/communities, Maine DHHS aims to make a final selection for a Maine application to the CHART model by mid-November 2020.

    If you have questions about completing this statement of interest and/or the CMS CHART initiative, please contact Dr. Lisa Letourneau, ME DHHS at tel. 207.415.4043, or

Primary Care

Primary Care First (website) (slides)

Primary Care First Model Options is a set of voluntary five-year payment options that reward value and quality by offering an innovative payment structure to support delivery of advanced primary care.


Telehealth in Maine (PDF)

A brief update on current gaps and emerging initiatives


Colorado Hospital tranformation Program Concept Paper

Click on "Hospital Transformation Program Overview & Framework" to view the Concept Paper that describes Colorado's transition to a value-based program.

Ensuring Access to Care in Vulnerable Communities.

The task force report outlines nine emerging strategies that can help preserve access to health care services in vulnerable communities.

Life in America Parts 1 & 2

The “Life in Rural America” polling series is based on a survey conducted for National Public Radio, the Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health.

The Life in Rural America – Part I survey was conducted June 6 – August 4, 2018, among a nationally representative, probability based telephone (cell and landline) sample of 1,300 adults ages 18 or older living in the rural United States. The purpose of this survey was to understand the current views and experiences of rural Americans on economic and health issues

The Life in Rural America—Part II survey covers rural Americans’ personal experiences with health, social, civic, and economic issues in their local communities. It was conducted January 31 – March 2, 2019, among a nationally representative, probability-based telephone (cell and landline) sample of 1,405 adults ages 18 or older living in the rural United States.

Opportunities to Advance Complex Care in Rural and Frontier Areas

This brief, made possible through the Robert Wood Johnson Foundation, explores challenges associated with providing complex care in rural and frontier communities and outlines opportunities to ensure effective programs.

Reinventing Rural health Care: A Case Study of Seven Upper Midwest States

In 2017, the Bipartisan Policy Center and the Center for Outcomes Research and Education (CORE) spoke with over 90 national thought leaders and stakeholders about the current state of rural health care in the Upper Midwest region, including Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming. BPC and CORE used these discussions to determine the real-world implications of existing federal policies, to understand ongoing care challenges, and to identify opportunities for improvement in rural health care access and delivery.

Strengthening Health and Health Care in Rural America

Developing and sustaining new ways for rural Americans to access health care should be a top priority, given high levels of need.

Supporting Rural Health: Practical Solutions for State Policymakers

In November and December 2018, the Fund conducted three RSG regional meetings. As part of those meetings, state health policy leaders from both the executive and legislative branches met with national experts to discuss rural health concerns and learn more about practical, actionable solutions to the most pressing issues.

Toward a High Performing Rural Health Care System

This paper summarizes the key themes and recommendations that emerged directly from the structured conversations during a two-day meeting convened by the Rural Policy Research Institute's Health Panel. The Health Panel hopes this summary can inform ongoing national and state policy discussions of strategies for strengthening and sustaining rural health care systems.