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-7603 - Criteria for Designation as a CAH
Universal Citation: LA Admin Code I-7603
Current through Register Vol. 50, No. 9, September 20, 2024
A. A hospital must submit an application to the BPCRH and must meet the following criteria, or affirm that it can meet these criteria at the time of certification, to be designated as a CAH:
1. be a licensed hospital;
2. be currently participating in the Medicare
program and meet applicable conditions of participation;
3. be located in a rural area:
a. may be a rural census tract in a
Metropolitan Statistical Area as determined under the Goldsmith Modification,
originally published in the Federal Register on February 27,
1992 and updated October 1, 2004; or
b. qualifies as a "rural hospital" under the
Rural Preservation Act, RS 40:100.143;
4.
a. be
located more than a 35-mile drive or a 15-mile drive in mountainous terrain or
areas with secondary roads, from the nearest hospital or CAH; or
b. be certified as a necessary provider by
qualifying as a "rural hospital" under the Louisiana Rural Hospital
Preservation Act RS 40:1300.143; and meeting at least one of the following:
i. be located in a primary care health
professional shortage area (HPSA) or a medically underserved area (MUA);
or
ii. be located in a parish in
which the percentage of Medicare beneficiaries is higher than the percentage of
Medicare beneficiaries residing in the state; or
iii. be 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;
c. provide not more than 25 acute care
inpatient beds or swing-beds, meeting such standards as the secretary may
establish, for providing inpatient care that does not exceed, as determined on
an annual, average basis, 96 hours per patient.
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.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
