CHA News Article

CMS Extends Two Programs for Small, Rural Hospitals

The Centers for Medicare & Medicaid Services (CMS) has decided to extend the low-volume payment adjustment and Medicare-dependent hospital (MDH) programs an additional six months beyond their October 2013 expiration. To qualify for the low-volume adjustment for discharges occurring before April 1, a hospital must have fewer than 1,600 Medicare discharges annually and be located 15 miles or more from the nearest IPPS hospital. To receive the adjustment, hospitals must notify their Medicare Administrative Contractor before March 31 and provide documentation that they meet the 15-mile criterion. Hospitals participating in the MDH program when it expired will be reinstated as an MDH effective Oct. 1, 2013, through March 31, 2014, if they have not been reclassified as a sole community hospital or requested a cancellation of their rural classification. CMS will accept comments on the attached interim final rule for 60 days.