{"id":313,"date":"2016-06-07T21:20:02","date_gmt":"2016-06-07T21:20:02","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/health-equity\/?page_id=313"},"modified":"2024-10-11T15:16:09","modified_gmt":"2024-10-11T19:16:09","slug":"critical-access-hospitals-cah","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/health-equity\/critical-access-hospitals-cah\/","title":{"rendered":"Critical Access Hospitals (CAH)"},"content":{"rendered":"<h3 style=\"text-align: left;\" align=\"center\"><a href=\"https:\/\/www.vdh.virginia.gov\/health-equity\/critical-access-hospitals-resources\/\">Critical Access Hospital<\/a><\/h3>\n<p>The Critical Access Hospital (CAH) program is a federal designation given to healthcare facilities that meet certain federal criteria. The program was established through legislation enacted as part of the <a href=\"http:\/\/www.ssa.gov\/OP_Home\/ssact\/title18\/1820.htm\" target=\"_blank\" rel=\"noopener\">Balanced Budget Act (BBA) of 1997<\/a> through the State Medicare Rural Hospital Flexibility Program (Flex). The criteria include:<\/p>\n<div class=\"Content_Secondary\" style=\"text-align: left;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Located in a state with an established FLEX program;<\/li>\n<li>Located in a rural area or an area treated as rural under federal guidelines;<\/li>\n<li>Provide 24-hour emergency care services;<\/li>\n<li>Furnish no more than 25 acute care inpatient beds <em>and<\/em> include the following provisions:\n<ul>\n<li>That the facility provides no more than 25 inpatient beds that can be used for either inpatient or swing bed services, and\/or;<\/li>\n<li>To include a separate provision for up to 10 additional rehab or psych beds in a \u201cdistinct part unit.\u201d<\/li>\n<\/ul>\n<\/li>\n<li>Possess a length of stay averaging no more than 96 hours; and<\/li>\n<li>Meet Geographic conditions.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Critical Access Hospitals (CAH) are designated healthcare facilities that are exempt from the prospective payment system (PPS) and receive cost-based reimbursement for most Medicare beneficiary inpatient and outpatient services at 101 percent of their allowable and reasonable costs. This enables small rural hospitals to:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Maintain quality access to primary and emergency health care services;<\/li>\n<li>Offer adequate health care services that meet the needs of the community citizens (such as radiology, laboratory services, outpatient rehab and surgery; and<\/li>\n<li>Assist in ensuring the financial viability of small rural hospitals through enhanced reimbursements.<\/li>\n<li>Participate in FTO assessment improvement coaching.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Virginia currently has eight (8) designated <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/76\/2016\/06\/CAH-Hospital-Update.pdf\">CAH Hospital Update<\/a><\/p>\n<div class=\"RowWithColumns\">\n<div class=\"Column\">\n<div class=\"Cell\">\n<p><a href=\"https:\/\/bathhospital.org\/\" target=\"_blank\" rel=\"noopener\">Bath Community Hospital<\/a>\u00a0in Hot Springs<\/p>\n<\/div>\n<div class=\"Cell\">\n<p><a href=\"http:\/\/www.carilionclinic.org\/cgch\/giles-community-hospital\" target=\"_blank\" rel=\"noopener\">Carilion Giles Community Hospital<\/a> in Pearisburg<\/p>\n<\/div>\n<div class=\"Cell\">\n<p><a href=\"https:\/\/www.balladhealth.org\/locations\/hospitals\/dickenson-community\" target=\"_blank\" rel=\"noopener\">Dickenson Community Hospital <\/a>in Clintwood<\/p>\n<p><a href=\"https:\/\/www.balladhealth.org\/hospitals\/lee-county-community\">Lee County Community Hospital<\/a> in Pennington Gap<\/p>\n<\/div>\n<div class=\"Cell\">\n<p><a href=\"http:\/\/www.valleyhealthlink.com\/?id=385&amp;sid=1\" target=\"_blank\" rel=\"noopener\">Page Memorial Hospital<\/a> in Luray<\/p>\n<\/div>\n<\/div>\n<div class=\"Column\">\n<div class=\"Cell\">\n<p><a href=\"http:\/\/www.valleyhealthlink.com\/default.aspx?tabid=512\" target=\"_blank\" rel=\"noopener\">Shenandoah Memorial Hospital <\/a>in Winchester<\/p>\n<\/div>\n<div class=\"Cell\">\n<p><a href=\"https:\/\/www.carilionclinic.org\/locations\/carilion-rockbridge-community-hospital\" target=\"_blank\" rel=\"noopener\">Carilion Rockbridge Community Hospital <\/a>in Lexington<\/p>\n<\/div>\n<p><a href=\"https:\/\/bonsecours.com\/richmond\/find-a-facility\/rappahannock-general-hospital\" target=\"_blank\" rel=\"noopener\">Bon Secours Rappahannock General Hospital<\/a> in Kilmarnock<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<p>For more information on Virginia&#8217;s Critical Access Hospital program and if you are interested in your facility being designated as a CAH, the VA-SORH can assist you. Contact Brandon Rivenbark at <a href=\"mailto:brandon.rivenbark@vdh.virginia.gov\">brandon.rivenbark@vdh.virginia.gov<\/a>.<\/p>\n<\/div>\n<h3 style=\"text-align: left;\" align=\"center\"><\/h3>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Critical Access Hospital The Critical Access Hospital (CAH) program is a federal designation given to healthcare facilities that meet certain federal criteria. The program was established through legislation enacted as [&hellip;]<\/p>\n","protected":false},"author":326,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-313","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Critical Access Hospitals (CAH) - Health Equity<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/health-equity\/critical-access-hospitals-cah\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Critical Access Hospitals (CAH) - Health Equity\" \/>\n<meta property=\"og:description\" content=\"Critical Access Hospital The Critical Access Hospital (CAH) program is a federal designation given to healthcare facilities that meet certain federal criteria. 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