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Rural Health Information Hub

Rural Health
Resources by Topic: Critical Access Hospitals

Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter B, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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ValView 2022 MIPS Estimator
Web-based tool allows providers to calculate a composite Merit-Based Incentive Payment System (MIPS) score. Presents data submission methods to produce the highest base-line score and enables workflow adjustments to improve patient outcomes.
Type: Tool
Sponsoring organization: Valview by Marsden Advisors
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Texas Rural Hospitals
A table identifying rural hospitals in the state of Texas, including contact information and whether they are designated a Critical Access Hospital (CAH).
Type: Directory
Sponsoring organization: Texas State Office of Rural Health
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Medicare Learning Network: Health Professional Shortage Area Physician Bonus Program
Provides an overview of the Health Professional Shortage Area (HPSA) Physician Bonus Program and explains how bonus payments are calculated and paid. Includes information related to Critical Access Hospitals (CAHs) as well as primary care and mental health HPSAs.
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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RHIhub Rural Healthcare Facility State Maps
Individual state maps showing each state's Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers.
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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