RHC Temporary Staffing Waivers

30.2 - RHC Temporary Staffing Waivers (Rev. 239, Issued: 01-09-18, Effective: 1-22-18, Implementation: 1-22-18) An existing RHC may request a temporary staffing waiver if the RHC met the staffing requirements before seeking the waiver, and either or both of the following occur: • An NP or PA is not currently employed by the RHC. • An NP, PA, or CNM is not furnishing patient care at least 50 percent of the time the RHC operates. To receive a temporary staffing waiver, an RHC must demonstrate that it has made a good faith effort to recruit and retain the required practitioner(s) in the 90 day period prior to the waiver request. Recruitment activities should begin as soon as the RHC becomes aware that they will no longer be in compliance with this requirement. Good faith efforts can include activities such as advertising in an appropriate newspaper or professional journal, conducting outreach to an NP, PA, or CNM school, or other activities. Staffing waivers are for a period not to exceed 1 year. The waiver cannot be extended beyond 1 year, and another waiver cannot be granted until a minimum of 6 months have elapsed since the prior waiver expired. RHCs should continue their recruitment activities during the waiver period to avoid termination when the waiver period ends. An RHC will be terminated if any of the following occur: • The RHC does not meet the staffing requirements and does not request a temporary staffing waiver; • The RHC requests a temporary staffing waiver and the request is denied due to a lack of good faith effort to meet the requirements; • The RHC does not meet the staffing requirements and is not eligible for a temporary staffing waiver because less than 6 months have passed since the expiration of the previous waiver; • The RHC reaches the expiration date of the temporary staffing waiver and has not come into compliance; or • Other non-compliance issue.