Are there resources to help prepare for the survey?

Before your CAH survey

  1. The purpose of the CAH survey is to examine facility compliance with the Medicare Conditions of Participation (CoPs). Contact your fiscal intermediary and have them calculate your interim rate.

  2. Make sure you have your written agreements complete with your referring hospital. Agreement(s) must cover at a minimum:
    Referral and Transfer of patients
    Transportation services, both emergency and non-emergency
    Communications
    Agreement for credentialing and quality assurance

  3. Policies and procedures in place for all CAH requirements (i.e. infections control, pharmacy, emergency department, dietary, nursing, medical records and outpatient/clinics)

  4. There are sample documents on the Rural Health Resource Center web site.

  5. There is grant money available for technical assistance to help with conversion to CAH. Your facility must match the grant with 20%. So, if you asked for $20,000 to perform a needs assessment/strategic planning, you would need to put up $4,000. You may get the application from the Colorado Rural Health Center at
    1-800-851-6782 or 303-832-7493 or email - info@coruralhealth.org.

  6. Technical assistance with Quality Assurance is available at no cost to your facility from the QIO, the Colorado Foundation for Medical Care, and Beth Katzenberg (303-784-5702).