; (II) deliberately redesign the delivery of care to improve quality of care and meet the needs of their local communities; (III) receive an upfront, fixed payment for infrastructure redesign, in an amount to be recovered over a period of time as set forth by the Secretary; (IV) receive annual global budget payment adjustments based on an amount determined in conjunction with the Secretary; and (V) partner with non-hospital providers such as physicians, behavioral health providers, schools, and community based organizations to create a comprehensive care delivery system. (iii) Definitions In this subparagraph: (I) Implementing State The term implementing State means a State whose application to begin testing such model is approved by the Secretary under clause (i). (II) Rural hospital The term rural hospital means the following: (aa) A critical access hospital (as defined in section 1861(mm)(1)). (bb) A sole community hospital (as defined in section 1886(d)(5)(D)(iii)). (cc) A medicare-dependent, small rural hospital (as defined in section 1886(d)(5)(G)(iv)). (dd) Any other hospital that is located in a rural area (as defined in section 1886(d)(2)(D)) or is treated as being located in a rural area pursuant to section 1886(d)(8)(E). (iv) Requirements for participating hospitals (I) In general In order to participate in the model in an implementing State, a rural hospital must— (aa) subject to subclause (II), conduct a community health needs assessment survey to determine the condition and health needs in their community, including those needs with respect to mental or behavioral health