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Rural Health Information Hub

Rural Hospitals – Resources

Selected recent or important resources focusing on Rural Hospitals.

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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Community Hospital Demonstration
An overview of a CMS demonstration project which provides cost-based reimbursement for small rural hospitals too large to be Critical Access Hospitals. Examines the community benefits and financial impact for participating hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Hospital Closures
Interactive maps displaying the location of rural hospital closures and conversions across the U.S. from January 2005 to present. Provides sortable and downloadable lists containing important facility information about each closed hospital.
Sponsoring organization: North Carolina Rural Health Research Program
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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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Regional Office Rural Health Coordinators
The list of CMS regional rural health coordinators who provide technical, policy, and operational assistance on rural health issues. Located below information on Rural Health Open Door Forums and Medicare Learning Network publications.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health.mil Rates and Reimbursement: Hospital Classifications
Identifies TRICARE reimbursement methodologies for Sole Community Hospitals (SCH) and Critical Access Hospitals (CAHs). Also lists CAH inpatient and outpatient cost-to-charge ratios (CCRs).
Sponsoring organization: Military Health System
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National Hospital Care Survey (NHCS)
Discusses the National Hospital Care Survey (NHCS). Tracks trends and healthcare delivery in hospitals, including emergency, outpatient departments, and ambulatory surgery centers.
Sponsoring organization: Centers for Disease Control and Prevention
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PubMed Search: Rural Hospitals
Searches PubMed's collection of journal article citations on the topic of rural hospitals.
Sponsoring organization: U.S. National Library of Medicine
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AHA Quality and Patient Safety
Lists resources from the American Hospital Association (AHA) to assist hospitals accelerate their quality and performance improvement processes. Features tools, articles, case studies, and news.
Sponsoring organization: American Hospital Association
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CMS Medicare Administrative Contractors
Provides information and links to resources concerning the Part A/Part B Medicare Administrative Contractors (MACs).
Sponsoring organization: Centers for Medicare and Medicaid Services
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 6/9/2025