Medicare Swing Bed Agreement

The critical access hospital (CAH) rocking bed supply is regulated by both the CAH requirements and the rocking bed requirements in 42 CFR Part 485. The actual requirements of the rocking bed survey are referenced in the Medicare Nursing Homes requirements at 42 CFR Part 483. Section 18883 of the Act authorizes payments made under Medicare for postclinical SNSF services provided by a CAH that meets certain requirements. CAH should not exceed 25 stationary acute beds. For CAH with rocking bed agreements, each of their beds can be used for acute hospital care or for rocking bed services. Any hospital bed located in or next to any place where the hospital bed could be used for hospital care is part of the 25-bed limit. Please read the CMS regulations for critical access hospitals that have rocking beds? Even if a CAH does not have another health facility, it can also benefit from cooperation and network agreements. A manual of effective cooperation between hospitals with critical access and state-qualified health centers explains how cooperation with QQHCs can lead to subsidies, shared recruitment costs and a reduction in labor costs through transfers to primary QQC providers for the uninsured. Demonstration of hospital value for critical access: A guide for potential partnerships identifies potential partners for caHs and discusses how CAHs can demonstrate their value to them. The National Resource Center for Rural Health also provides a number of examples of networks that have included caHs in their network spotlights. For these reasons, tracking of rocking beds is common in rural health facilities. According to trends in skilled care facilities and the use of rocking beds in rural areas The Medicare Modernization Act of 2003 offers rocking bed service in most rural counties.

To add rocking bed services, a hospital must confirm the CMS: For more information about the rocking bed program, see the Medicare Learning Network: Swing Bed Services Fact Sheet. The rocking bed requirements apply to any patient licensed from a hospital or CAH and admitted to a swing bed for qualified care services. The requirements for acute CAH also apply to patients with Swing Bed. As a general rule, only some small rural hospitals can enter into a swing bed agreement under which the hospital can use its beds when needed to provide acute care or SNSFs. However, under this waiver, the following eligibility requirements for the use of rocking beds are removed: this waiver applies to all medicare-registered hospitals, with the exception of psychiatric and long-term care hospitals. The hospital cannot charge for SNF-PPS payment by rocking beds if patients require acute care or acute care at any time, while this waiver is in effect.. . . .