New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 800 - RESIDENTIAL CARE AND HEALTH FACILITY RULES
Part He-P 802 - RULES FOR HOSPITALS
Section He-P 802.35 - Critical Access Hospital

Universal Citation: NH Admin Rules He-P 802.35

Current through Register No. 40, October 3, 2024

A critical access hospital (CAH), as defined in He-P 802.03(r) , shall meet the criteria set forth in He-P 802, except as follows:

(a) A CAH may also be granted swing-bed approval to provide post-hospital skilled nursing facility-level care in inpatient beds, which are not counted in the 96-hour calculation;

(b) A CAH may contract with a licensed hospice to provide hospice care;

(c) The CAH may dedicate beds to the hospice, but the beds shall be counted toward the 25-bed maximum;

(d) The hospice patient shall not be included in the calculation of the 96-hour annual average length of stay;

(e) The hospice patient may be admitted to the CAH for any care involved in their treatment plan or for respite care;

(f) In addition to the 25-inpatient CAH beds, a CAH may also operate a psychiatric or a rehabilitation distinct part unit of up to 10 beds each;

(g) A CAH shall notify the department when it receives CAH status;

(h) The department shall issue a license to a CAH, which shall designate the number of staffed beds, up to the maximum allowed under critical access;

(i) The CAH shall be exempt from He-P 802.33(f) and instead may have a certified registered nurse anesthetist;

(j) If a CAH wishes to change its critical access status, the hospital shall notify the department; and

(k) The CAH shall be exempt from He-P 802.34(a) and (c) .

#9580, eff 10-24-09

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