Community Health Access and Rural Transformation (CHART) Model

In fall of 2021, Washington State began working on a seven-year, $5 million Community Health Access & Rural Transformation (CHART) Model grant from the Centers for Medicare & Medicaid Services (CMS). The CHART Model will help transform the health care system in rural communities in the North Central region (representing Chelan, Douglas, Grant, and Okanogan counties).

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The model is a voluntary payment model designed to meet the unique needs of the North Central rural communities. It will test whether aligned financial incentives, increased operational flexibility, and robust technical support change rural health care delivery system redesign.

Through this model, the Health Care Authority (HCA), North Central Accountable Community of Health, participating hospitals, and other partners will work together to:

  • Increase access to equitable, coordinated, high-quality whole-person care.
  • Increase population health by building healthier communities and connecting local and regional partners.
  • Bend the cost curve across all payers.

The CHART Model period is from October 2021–December 2028. CHART begins with a pre-implementation year from October 2021–September 2022, which allows time to recruit participating hospitals, design a new payment model for Medicaid, convene an Advisory Council, and develop a Care Transformation Plan.