Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 76 - Medicare Rural Hospital Flexibility Program (MRHF)
Subchapter A - Critical Access Hospitals
Section I-7601 - Definitions
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following word and terms, when used in this Chapter 76 shall have the following meanings, unless the context clearly indicates otherwise.
BPCRH-Department of Health and Hospital, Office of the Secretary, Bureau of Primary Care and Rural Health.
CAH- Critical Access Hospital.
CMS- Centers for Medicare and Medicaid Services.
EACH/RPCH- Essential Access Community Hospital/Rural Primary Care Hospital-a limited service rural hospital program.
EMS- Emergency Medical Services.
Health Care Network- an organization consisting of at least one CAH and one acute care hospital with agreements for patient referrals, emergency/non-emergency transportation and other services as feasible.
HPSA- Health Professional Shortage Area.
HSS- Department of Health and Hospitals, Bureau of Health Services Financing, Health Standards Section.
MRHF- Medicare Rural Hospital Flexibility Program.
MSA- Metropolitan Statistical Area.
MUA- Medically Underserved Area designated by the federal Office of Shortage Designations.
Necessary Provider- a facility located in a primary care HPSA or MUA; or located in a parish in which the percentage of Medicare beneficiaries is higher than the percentage of Medicare beneficiaries residing in the state; or a facility located in a parish in which the percentage of the population under 100 percent of the federal poverty level is higher than the percentage of the state population under 100 percent of the federal poverty level or qualifies as a "rural hospital" under the Louisiana Rural Preservation Act.
Not-for Profit- incorporated as a non-profit corporate entity.
Primary Care- basic ambulatory health services that provide preventive, diagnostic and therapeutic care.
Primary Care Physicians- includes general, family and internal medicine, pediatrics and obstetrics/gynecology.
QIO- Quality Improvement Organization
Public Hospital- hospital supported by public funds including city, service district and state hospitals.
Rural- The CAH is located outside any area that is a Metropolitan Statistical Area, as defined by the Office of Management and Budget or qualifies as a rural hospital under the Louisiana Rural Preservation Act.
AUTHORITY NOTE: Promulgated in accordance with the Balanced Budget Act of 1997 (P.L. 105-33) and Title XVIII of the Social Security Act; amended by Medicare, Medicaid, SCHIP Balance Budget Refinement Act of 1999.
