Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.7
A/B MAC (A) - Critical Access Hospital (CAH) Inpatient -
100.7 - A/B MAC (A) - Critical Access Hospital (CAH) Inpatient -
Medicare Part A - Payment Policy
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
The IHS CAHs are paid 101 percent of the all inclusive facility specific per diem rate
established on a yearly basis from the most recently filed cost report information for
covered inpatient services (on and after January 1, 2004). An average of 96 hours of
acute inpatient care in a CAH shall be paid by Medicare Part A.
See Chapter 3, §30.1.1.1 of Pub. 100-04, Medicare Claims Processing Manual, for more
information on the payment of inpatient CAH claims.