- Title
- CAHs: Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation
- Memo #
- 07-35
- Posting Date
- 09/07/2007
- Fiscal Year
- 2007
- Summary
- This letter supersedes the November 14, 2005 guidance found in S&C-06-04 regarding the interpretation of 42 CFR 485.610(c), concerning CAH location relative to other hospitals or CAHs, and 42 CFR 485.610(d), concerning relocation of CAHs with a necessary provider designation. This revised guidance explains the criteria to be used by the CMS ROs in determining whether or not a CAH applicant satisfies the regulatory requirement to be located more than 35 miles from another CAH or hospital, and how to determine whether the CAH is eligible for application of the shorter, 15-mile standard due to mountainous terrain or lack of primary roads.
