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Rural Health Information Hub

Critical Access Hospitals (CAHs) – Resources

Selected recent or important resources focusing on Critical Access Hospitals (CAHs).

State Operations Manual Appendix Z - Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance
Interpretive guidelines clarifying several provisions of the emergency preparedness final rule for Medicare- and Medicaid-participating providers, which affects Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and other rural facilities.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MBQIP Monthly
A monthly electronic newsletter providing Critical Access Hospitals (CAHs) information and support for quality reporting and improvement. Includes news items about the Medicare Beneficiary Quality Improvement Project (MBQIP). Last issue was published in September 2023.
Type: Journal/Newsletter
Sponsoring organization: Stratis Health
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Core Competencies for State Flex Program Excellence Guide
A framework of tools, resources, and training developed for state Medicare Rural Hospital Flexibility Programs (Flex) to help them develop and maintain core competencies. Includes a program self-assessment, process improvement tools, and guides to understanding policies and regulations, quality improvement, and systems of care, among others.
Type: Website
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Population Health Toolkit
Provides tools and resources to help Critical Access Hospitals (CAHs), Flex Coordinators, and rural health networks use a systems-based approach to move towards population health. Includes a readiness assessment tool to identify strengths and needs, and a data tool for accessing public health and hospital data by county and state.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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CAH Financial Indicators Primer and Calculator Resources
Introduces the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) financial indicators and provides editable templates and calculators CAHs can use to assess their facility's financial performance and compare it to peer facilities.
Type: Tool
Sponsoring organization: Flex Monitoring Team
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W), and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Swing Bed Services
Provides information about the requirements Critical Access Hospitals must meet in order to enter into a swing bed agreement under which they can use beds, as needed, to provide either acute or Skilled Nursing Facility care.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Care Coordination Toolkit
Provides supporting resources and best practices designed to help identify and implement a rural care coordination program. Consists of several modules each concentrating on different aspects of care coordination programs.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Medicare Learning Network: Rural Providers & Suppliers Billing
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Information for Critical Access Hospitals
Booklet providing information about Critical Access Hospital (CAH) designation and payments. Discusses the use of CAH beds for general inpatient hospice care and conversion to Rural Emergency Hospital (REH) status. Includes a list of CAH resources and helpful websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 2/29/2024