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Grants will generally be reimbursement-based; director flags possible modified reimbursement for small providers
Summary
Richard Grimes said grants will typically reimburse incurred costs but that the program is exploring a "modified reimbursement" approach and case-by-case relief for small providers that cannot front expenses.
Richard Grimes told legislators that most grants under the Rural Health Transformation program will operate on a reimbursement basis: applicants incur costs and then submit documentation to receive funds.
Grimes said the team is considering flexibility for small providers that lack liquidity. "I think we got late breaking news yesterday ... it's gonna be under a modified reimbursement where instead of actually having to write a check to get reimbursement, maybe incur the cost," Grimes said, describing ongoing work to identify acceptable evidence for incurred costs. He urged applicants to describe liquidity needs in their narrative responses and said BDO would offer technical assistance and outreach to help applicants complete applications.
Legislators asked whether matching funds would increase priority; Grimes said matching would not be an explicit prioritization factor and that award decisions will instead focus on the quality of grant proposals and the program's sustainability criteria.
