Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-6 - Criteria

Current through July 13, 2024
(a) Critical Access Hospital Requirements.
(i) Each Critical Access Hospital shall
				comply with criteria set forth in Social Security Act Section 1820. [
				42 U.S.C.
				1395i-4 ](c). This document is available at
				the website http://www.ssa.gov/OP_Home/ssact/title18/1820.htm.
(ii) Key Criteria for designation include:
(A) A facility shall be currently
				participating Medicare hospital, a hospital that ceased operation on or after
				November 29, 1989, or a health care clinic or health center that ceased
				operation as a hospital before being downsized to a health clinic or health
				center.
(B) A facility located more
				than 35-mile drive from any other hospital (or, in the case of mountainous
				terrain or in areas with only secondary roads available, a 15-mile drive) or
				Critical Access Hospital unless designated by the Department of Health, prior
				to January 1, 2006 to be a necessary provider.
(C) The facility makes available 24-hour
				emergency medical services that the State determines are necessary for ensuring
				access to emergency care services in each area served by a Critical Access
				Hospital (consistent with the Wyoming Trauma Plan).
(D) The facility provides not more than
				twenty five (25) acute care inpatient beds or in the case of a Critical Access
				Hospital with a swing bed agreement, swing beds.
(E) The facility provides inpatient care for
				a period that does not exceed, as determined on an annual, average basis,
				ninety-six (96) hours per patient, unless a longer period is required because:
(I) Transfer to a hospital is precluded
				because of inclement weather or other emergency conditions, or;
(II) A peer review organization or equivalent
				entity, upon request, waives the 96-hour restriction on a case-by-case
				basis;
(F) The facility
				meets such staffing requirements as would apply to a hospital located in a
				rural area, except that:
(I) The facility
				need not meet hospital standards relating to the number of hours during a day,
				or days during a week, in which it must be open and fully staffed, except as
				required to make available emergency medical care services as described above
				and must have nursing services available on a 24-hour basis, but need not
				otherwise staff the facility except when an inpatient is present;
(G) The facility may provide the
				services of a dietitian, pharmacist, laboratory technician, medical
				technologist, and/or radiological technologist on a part-time, off site basis;
				and
(H) The inpatient care
				described may be provided by a Physician Assistant, Nurse Practitioner, or
				Clinical Nurse Specialist subject to the oversight of a physician who need not
				be present in the facility.
(I)
				Documentation of agreements for the following services with one or more
				hospitals for;
(I) Patient referral and
				transfer;
(II) Development and use
				of communications systems including telemetry systems and systems for
				electronic sharing of patient data;
(III) Provision of emergency and
				non-emergency transportation; and
(IV) Documentation of agreement with respect
				to credentialing and quality assurance with one or more hospitals or a peer
				review organization or equivalent entity.