The Center
for Medicare and Medicaid Services (CMS) announced a demonstration
of the FESC model and Request for Proposals in the Federal Register
on August 25, 2006. Congress established The Frontier Extended Stay
Clinic (FESC) Demonstration Project under section 434 of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003. The
CMS FESC demonstration addresses the needs of seriously or critically
ill or injured patients who, due to adverse weather conditions or
other reasons, cannot be transferred to acute care referral centers,
or patients who need monitoring and observation for a limited period
of time. The FESC must be located in a community which is at least
75 miles away from the nearest acute care hospital or critical access
hospital, or which is inaccessible by public road. The FESC demonstration
will last for three years. The demonstration must be budget neutral.
The following link includes the announcement in the Federal Register,
a Fact Sheet, the Request for Proposals, and a Medicare Waiver Demonstration
Application: Centers
for Medicare & Medicaid Services
The
RFP and Conditions of Participation for the CMS FESC demonstration
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