Implementing the New Moratorium on Establishment of New Long-Term Care Hospitals (LTCH) or New LTCH Satellites, or Increases
in LTCH Beds
Memo updated on January 9, 2015 and changes to the memo are indicated in red font color.
• New LTCH Moratorium: A new statutory moratorium prohibits, with certain exceptions, 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.
• LTCH Determinations: Centers for Medicare & Medicaid Services (CMS) Regional Offices (ROs) will determine whether a hospital
seeking to convert to LTCH status, or an LTCH seeking to add a satellite, qualifies for an exception to the moratorium.