- Contact CRHC for information and to help arrange a financial feasibility study to determine if cost-based reimbursement under CAH status will be advantageous: firstname.lastname@example.org
- The hospital administration, board, and medical staff should review the results of the financial feasibility study to determine whether or not it is appropriate to convert to CAH status. At this point, it is also recommended that the local community members become educated regarding CAH status either through town meetings, newspaper articles, or printed brochures. CRHC can provide assistance with community education.
- If it is determined that it is appropriate for the facility to convert to CAH status, a letter signed by the facility's administrator must be submitted requesting "designation as a Critical Access Hospital" to:
Colorado Rural Health Center
Attn: Critical Access Hospital Program Staff
3033 S. Parker Rd., Suite 606
Aurora, CO 80014
- The request will be forwarded to the Health Facilities Division (HFD) of the Colorado Department of Public Health and Environment (CDPHE). The HFD will send a packet to the facility containing information for the survey. Specific documents will be requested BEFORE the survey is scheduled. The HFD will review the information, and then schedule the survey.
- The survey will include a Life and Safety code (physical plant) survey, and the policy survey. The survey will be unannounced.
- Upon satisfactory completion of the survey and/or submitting an acceptable "Plan of Correction", the HFD will send paperwork to the Centers for Medicare & Medicaid Services (CMS) Regional Office.
- CMS will send a CAH certification letter to the facility, which will include the effective date of conversion and a new provider number. CMS will forward a copy of this letter to the facility's fiscal intermediary (FI). The facility should also immediately forward a copy of the letter to the FI. In Colorado, the FI is TrailBlazer Health Enterprises (www.trailblazerhealth.com).
- The certification date will be the date of a completed, deficiency-free survey OR the date the facility administrator signs the acceptable Plan of Correction (POC). If your facility wants a certification date LATER than the date of the survey or POC you MUST request the date in writing to CMS. A certification date on the first of the month, or the beginning of the year is optimal. This prevents the submission of multiple cost reports for partial months/years.
- VERY IMPORTANT: Throughout the conversion process, the facility should remain in close contact with the FI. A representative from the hospital should be designated to communicate with an FI representative who is familiar with CAH conversion. Ask for written instructions and timeframes for how to communicate with the FI. For Electronic Data Interchange (EDI), the facility must file a new application with the new provider number. Stay in close communication with the FI to find out when the new number is in the system and the facility may begin billing. If you would like assistance in communicating with the FI, please contact CRHC at email@example.com.
Please do not hesitate to ask questions! Contact CRHC’s CAH staff at firstname.lastname@example.org
or call us at 800.851.6782.