Frequently-Asked Questions Related to Critical Access Conversion

What does it mean to be designated as a Critical Access Hospital?

• The Critical Access Hospital (CAH) program works to improve access to rural health care. CAHs provide essential services to a community and are reimbursed by Medicare on a reasonable costs basis.

• There are 1,368 certified CAHs located throughout the United States. Six CAHs are currently located in Alabama.

What are the benefits of CAH status?

• Cost-based reimbursement from Medicare. This has the potential to increase revenues.

• Focus on community needs.

• Capital improvement costs included in allowable costs for determining Medicare reimbursement.

• Access to Flex Program grant money.

Is CAH conversion a downgrade for a facility?

• No. CAH is a change in provider designation and not a downgrade. Conversion to CAH status does not mean losing services. Wiregrass will continue to operate as it does today providing the same continuum of care it currently delivers including all of its outpatient services, surgeries and its 24/7 emergency department. The CAH designation will not limit Wiregrass’s ability to care for its patients. And in some instances, hospitals that have converted and improved their financial position have expanded their range of services.

• CAHs must provide 24-hour emergency services.