Accredited Hospitals
Revised Medicare CoPs for Acute-Care Hospitals, Restraint and Seclusion
(posted January 2007)

Critical Access Hospitals
CAH Self-Assessment Checklists
Updated State Operations Manual Appendix W (3/3/08)
Revised Interpretive Guidelines for Location or Relocation of CAHs (updated January 2008)
Demo of Quality Health Indicators

CMS Issues Revised Guidelines For CAH Observation Beds
In a recent transmittal, the Centers for Medicare & Medicaid Services made substantial changes to the way beds are counted against the 25-bed maximum for a critical access hospital. Under the new changes, a CAH can maintain beds used solely for outpatient observation services without counting them toward the statutory maximum of 25 inpatient beds.

Hospital-Based Skilled Nursing Units
CMS Revised Continuity Assessment Record and Evaluation (CARE) Tool
CMS' Survey and Certification Memo on Revised Guidance for Nursing Homes: Accidents and Supervision
CMS' Survey and Certification Memo On Using Physical Restraints in Long-term Care Facilities

Long-Term Care Hospitals
AHA Regulatory Advisory: Long-term Care Hospitals: The Proposed Rule for 2009
Meeting Minutes from March 13
March 13 Presentation
CMS Revised Continuity Assessment Record and Evaluation (CARE) Tool
Issues and Updates — Office of Inspector General Report

Psychiatric Hospitals and Units
June 24 Conference Call

Agenda
Federal Update
State Legislative and Regulatory Update
MO HealthNet Managed Care Expansion - Managed Care Map
EMSystem Psychiatric Bed Capacity Screen Update
Psychiatric Core Measures Update

Issues and Updates

• Overview of Inpatient Psychiatric Facilities PPS 2007 Final Rule
• CMS' Memo on Psychiatric Residential Treatment Facilities
• Revised Medicare CoPs for Restraint and Seclusion

Rehabilitation Hospitals and Units
Study: Medicare Pay Denied To Inpatient Rehabilitation Hospitals
A study from the American Hospital Association concludes inpatient rehabilitation hospitals and units are inappropriately denied Medicare payment for care, and a high percentage of those denials are overturned on appeal.

Issues and Updates

• CMS' 2007 U.S. House and Senate Notification
• CMS' Electronic Signatures
• CMS' "Special Open Door Forum"

CMS Inpatient Rehabilitation Facility Prospective Payment System Update

CMS Revised Continuity Assessment Record and Evaluation (CARE) Tool

"The Impact of the 75% Rule on Patient Outcomes and Medicare Expenditures in IRFs and SNFs"
(Source: RehabCare Group Inc. Study)

Presentations

Meeting Minutes: Nov. 8, 2007

Swing Bed Hospitals — Not Critical Access Hospitals
CMS' Survey and Certification Memo on Revised Guidance for Nursing Homes: Accidents and Supervision

Other MHA Constituency Groups (Information will be posted when it's available.)
Hospital-Based Home Health Agencies
Obstetrics and Women's Health

Other Areas of Interest
Federal Regulations
State Regulations (includes links for "Self-Assessment Checklist")
MHA Advocate
MHA Regulatory News