Long-term Care Hospital (LTCH) Moratorium – Preliminary Instructions
New LTCH Moratorium: A new statutory moratorium prohibits, with certain exceptions outlined in a proposed rule, the establishment
of new LTCHs or new LTCH satellites of existing LTCHs. Additionally, the moratorium prohibits, with no exceptions, an increase
in the number of an LTCH’s certified beds. The moratorium is effective April 1, 2014 to September 30, 2017.
• Determinations for Exceptions Must Await Further Guidance: Centers for Medicare & Medicaid Services (CMS) Regional Office
(RO) staff must defer making determinations on whether a proposed new LTCH or LTCH satellite meets any exceptions to the moratorium
until the implementation of those exceptio