Hospital Merger/Multiple Campus Criteria

2024 - Hospital Merger/Multiple Campus Criteria (Rev. 1, 05-21-04) When two or more hospitals merge, the SA ascertains whether to continue to certify the hospitals separately or to certify them as a single hospital (i.e., hospital with a main campus and an additional location). Also, when a hospital establishes an additional hospital facility, geographically separate but in the same metropolitan area, the SA determines whether the additional hospital facility will be certified as a separate hospital or whether it can be considered a single hospital. A hospital may establish an additional hospital facility so organizationally or geographically separate as to make it impossible to operate as a multi-campus hospital. Each location of a single hospital must meet the applicable CoPs. A certification of non- compliance at the CoP level at any of the hospital locations affects the certification of the hospital as a whole. Consequently, when noncompliance at the CoP level is found, the hospital will either be denied participation or terminated from participation in the Medicare/Medicaid program. When a hospital is to be terminated, the SA follows the termination procedures contained in §3010 and 3012. In addition, all locations of a single hospital must comply with applicable State licensure laws. When it is determined that any of the hospital locations does not comply with State licensure laws, the hospital as a whole will either be denied participation or terminated from participation in the Medicare/Medicaid program. Where two or more previously separate hospitals merge, all locations of the surviving hospital must meet the criteria found in §2004. In addition, all non-hospital providers of service under Medicare that state they are part of a single hospital must meet the criteria for provider based designation in §2004 in order to be treated as a single hospital for payment purposes.