(iii) If a sole community hospital or rural referral center loses its special status as a result of redesignation, the hospital is considered to retain its special status for the purpose of applicability of the special rules in paragraph (a)(3) of this section. (ii) If a hospital was ever approved as a rural referral center, it is required to meet only the criterion that applies to rural hospitals under paragraph (d)(1)(iv) of this section, regardless of its actual location in an urban or rural area. Community Health Needs Assessments (CHNA)Work with us to set a course toward value-based payment and population health. The Rural Referral Center (RRC) program was established by Congress to support high-volume rural hospitals that treat a large number of complicated cases and function as regional referral centers. The requirements of paragraph (d)(1)(i) and (d)(1)(iii) of this section do not apply if a hospital meets the following criteria: (i) Its average hourly wage is at least 108 percent of the average hourly wage of all other hospitals in the area in which the hospital is located. (iii) Beginning with wage index reclassification applications for FY 2003, if a hospital is already reclassified to a given geographic area for wage index purposes for a 3-year period, and submits an application for reclassification to the same area for either the second or third year of the 3-year period, that application will not be approved. In this fourth webinar of the 8-part series, Communication Strategies for Community Outreach and Education, learn to customize messages based on generational and cultural backgrounds. (iii) It was approved for redesignation under this paragraph (d) for each year from fiscal year 1992 through fiscal year 1997. Rural Health Path to ValueRural Health Innovations offers services to help you climb toward population health and improve the health status of your community. Criteria and Conditions for Redesignation. For a wage index change, the hospital must submit appropriate wage data as follows: (i) For redesignations effective through FY 2002: (A) For hospital-specific data, the hospital must provide data from the CMS hospital wage survey used to construct the wage index in effect for prospective payment purposes during the fiscal year prior to the fiscal year for which the hospital requests reclassification.

(d) Use of urban or other rural area's wage index -.

To be redesignated under the special rules in this paragraph, a hospital must be approved as a sole community hospital or a rural referral center as of the date of the MGCRB's review. Eligibility and Registration

About Rural Health InnovationsLearn more about Rural Health Innovations, The Center’s small business subsidiary. EventsFind information about upcoming webinars, workshops and more hosted by The Center or Rural Health Innovations. �\x)��0�Jg��*N&�q��o����q�ѥ��͛bt2U�u]�O���꾚��P?���u��[�~�Vm]�*�[>$��o��zV/ZQz[L��_�������:���yu��=^.��x����I�cBi+������f���I5o���W�����,�➳�.~�0�|y�:�r��]���[(u]�����I��hq;��,�m}���2��T)�U��.W���/���T�'}��-o��mq�,F�uӷ��պ��U�nՏ�Zɇ*�(���/-r�3��Η��j`���@1�M{�����A9. (iv) For purposes of this paragraph (d)(2), if a new owner does not accept assignment of the existing hospital's provider agreement in accordance with § 489.18 of this chapter, the hospital will be treated as a new provider with a new provider number. Resource LibraryThe Center's Resource Library features webinars, presentations, articles and toolkits developed by trusted industry leaders to guide and support rural health stakeholders. Allied Health WebinarsFind recordings and resources from recent technical assistance webinars for Rural Network Allied Health Training grantees. In this second webinar of the 8-part series, Communication Strategies for Community Outreach and Education, learn to elevate your role as a communicator in your organization.

180 0 obj <>stream PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES, Subpart L. The Medicare Geographic Classification Review Board, Subjgrp 55. %PDF-1.7 %���� Network Technical Assistance (TA)RHI provides technical assistance (TA) to over 60 networks in the Development and Allied Health rural health network grant programs. (D) With respect to redesignations for fiscal year 2010, the hospital's average hourly wage is equal to, in the case of a hospital located in a rural area, at least 84 percent, and in the case of a hospital located in an urban area, at least 86 percent of the average hourly wage of hospitals in the area to which it seeks redesignation.

(C) With respect to redesignations for Federal fiscal year 2006 and subsequent years, the hospital's average hourly wage is, in the case of a hospital located in a rural area, at least 106 percent and in the case of a hospital located in an urban area, at least 108 percent of the average hourly wage of all other hospitals in the area in which the hospital is located; (iv) One of the following conditions apply: (A) For redesignations effective before fiscal year 1999, the hospital's average hourly wage weighted for occupational categories is at least 90 percent of the average hourly wages of hospitals in the area to which it seeks redesignation. (B) For data for other hospitals, the hospital must provide a weighted 3-year average of the average hourly wage in the area in which the hospital is located and a weighted 3-year average of the average hourly wage in the area to which the hospital seeks reclassification. (c) Appropriate proximity data. (2) At least 50 percent of the hospital's employees reside in the area. For redesignation to an area, the hospital must submit appropriate data relating to its proximity to that area. Except as specified in paragraph (a)(5) -. (1) For the limited purpose of qualifying for geographic reclassification based on wage data from cost reporting periods beginning prior to FY 2000, a hospital may request that its wage data be revised if the hospital is in an urban area that was subject to the rural floor for the period during which the wage data the hospital wishes to revise were used to calculate its wage index.

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