Alaska Administrative Code
Title 7 - Health and Social Services
Part 1 - Administration
Chapter 12 - Facilities and Local Units
Article 3 - General Acute Care, Rural Primary Care, Long-term Acute Care, and Critical Access Hospitals
7 AAC 12.190 - Designation of critical access hospital under medicare

(a) The department will designate a hospital that is licensed under this chapter as a critical access hospital under Medicare if the hospital meets the conditions of participation set out at 42 C.F.R. 485.601 - 42 C.F.R. 485.645, as amended through July 1, 1999 and adopted by reference, and the requirements of this section.

(b) To be eligible for designation as a critical access hospital under Medicare, a hospital must satisfy the criteria set out at 42 U.S.C. 1395 i - 4(c)(2)(B) and hold a license under 7 AAC 12 as a hospital. An eligible hospital that wishes to be designated as a critical access hospital under Medicare must submit to the department

(c) Within 30 days after receipt of an application for designation as a critical access hospital under Medicare, the department will review the application for completeness. If the application is complete, the department will evaluate the application and designate the hospital as a critical access hospital under Medicare if the department determines that the applicant meets the requirements of this section.

(d) If the application submitted under (b) of this section is not complete or an applicant does not meet the requirements of this section, the department will

(e) The department will, in its discretion, certify a hospital as a "necessary provider of health care services" for the purposes of 42 U.S.C. 1395 i - 4(c)(2)(B)(i)(II) if the hospital is less than a 35-mile drive from another hospital or, in the case of mountainous terrain or in areas with only secondary roads available, is less than a 15-mile drive from another hospital, and if the other hospital provides services only to a certain population group or subgroup and does not routinely provide services to all members of the community in which it is located.

(f) In this section, "critical access hospital under Medicare" means a critical access hospital under 42 U.S.C. 1395i-4 (Medicare Rural Hospital Flexibility Program).