Critical Access Hospitals (CAHs) – News

CMS: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment Federal Register

Jan 13, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographic corrections to the November 27, 2024, final rule. This correcting amendment is effective January 8, 2025, and is applicable beginning January 1, 2025.

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CMS: Medicare and Medicaid Programs: Approval of Application by the DNV Healthcare USA, Inc. for Continued CMS-Approval of Its Critical Access Hospital Accreditation Program Federal Register

Dec 11, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of DNV Healthcare USA, Inc. (DNV) as a national accrediting organization for Critical Access Hospitals that wish to participate in the Medicare or Medicaid programs. This approval is applicable from December 23, 2024, through December 23, 2028.

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CMS: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program, etc. Federal Register

Nov 27, 2024 - Notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This rule also updates the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, Ambulatory Surgical Center Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and finalizes updates to the Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule summarizes comments received in response to an information request on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. This rule also finalizes exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. The provisions of this rule are effective January 1, 2025. Comments are due by December 31, 2024.

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CMS: Agency Information Collection Activities: Proposed Collection; Comment Request Federal Register

Nov 25, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on revisions to an information collection titled "Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the collection of data related to the Patient-Driven Payment Model and the Skilled Nursing Facility Quality Reporting Program (QRP)." Revisions include four new items as standardized patient assessment data elements, one modified item collected as a standardized patient assessment data element, and twenty-two removed items that are not needed for case-mix adjusting the SNF per diem payment for PDPM. Comments are due by January 24, 2025.

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On National Rural Health Day, Reps. Sewell and Miller Introduce Bipartisan Legislation to Support Rural Hospitals

Nov 21, 2024 - Announces proposed legislation to reauthorize the Medicare Rural Hospital Flexibility Program, which funds Critical Access Hospitals.

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