A Critical Access Hospital (or “CAH”) is a particular type of rural hospital (or one grandfathered in as rural) that is designated as such by the Centers for Medicare and Medicaid Services (CMS). For more information on CAH designation, payments, grants and resources, see this Critical Access Hospital Fact Sheet.
- General information on Critical Access Hospitals.
- State Operations Manual: Chapter 2— The Certification Process: This document from the Centers for Medicare and Medicaid Services (CMS) reviews the requirements for initial certification as well as guidance for relocating CAHs.
- Appendix W of the State Operations Manual: Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs
- CMS Transmittals: CMS communications on new or changed policies and procedures.
- A “Swing Bed” is a hospital room that can switch from acute care status to skilled care status. Here is a fact sheet about swing beds.
Location and Distance Regulations:
- Critical Access Hospital Compliance with Location and Distance Requirements
- Critical Access Hospital Re-classification from Urban to Rural
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