Critical Access Hospital (CAH) Recertification Checklist for Evaluation of Compliance with the Location and Distance Requirements
REVISED 09.02.16:To Clarify Type of Hospital when Evaluating Distance Requirements
CAH Recertification Checklist: In order to routinely re-evaluate the compliance of currently certified CAHs with the status
and location requirements at 42 CFR 485.610, the Centers for Medicare & Medicaid Services (CMS) has revised the attached CAH
Recertification Checklist: Rural and Distance or Necessary Provider Verification for use by the CMS Regional Office (RO) staff
when processing CAH recertifications. The revised checklist includes:
• Procedures on determining whether a CAH that was certified by CMS prior to January 1, 2006 had been designated by the State
as a necessary provider.
• Examples of documentary evidence to demonstrate necessary provider designation prior to January 1, 2006.