Requirements Assessed Prior to Survey for Swing-Bed Approval

2037 - Requirements Assessed Prior to Survey for Swing-Bed Approval (Rev. 1, 05-21-04) 2037A - Request from a Medicare Participating Hospital to Add Swing- Bed Approval (Rev. 1, 05-21-04) The request can be initiated on the provider’s letterhead stationery and sent to the SA. Acknowledgement and request for further information can be sent from the SA to the provider in a letter, see Exhibit 81, “Letter Transmitting Materials to a Hospital Requesting Swing-bed Approval.” 2037B - Screening (Rev. 1, 05-21-04) Prior to scheduling a survey, the SA reviews the provider file as well as any other information maintained on the hospital to ascertain whether the six basic requirements are met. If these requirements are met and the hospital has begun to provide swing-bed services, the SA schedules a survey. No hospital may receive initial swing-bed approval without an onsite survey of the actual provision of such services. The SA may send a letter to the provider notifying them of the required documents for a future survey, see Exhibit 82, “Notification to a Hospital Regarding an Initial Survey for Swing-bed Approval.” This notice acknowledges that a survey is required and the expectation for certain information that will be needed, but it does not disclose the date of the survey. 2037C - Provider Agreement (Rev. 1, 05-21-04) Prior to survey the SA verifies that the hospital has a valid Medicare provider agreement. 2037D - Calculation of Bed Count (Rev. 1, 05-21-04) Exclude from the bed count newborn and intensive care beds. A hospital licensed for more than 100 beds may be eligible for swing-bed approval if it utilizes and staffs for fewer than 100 beds. The SA forwards to the RO documentation that the hospital is operating within the bed category. Include in the packet floor plans, bed assignments by room number, staffing schedules, and census information for the previous 12 months. The SA obtains written assurance from appropriate hospital officials that the hospital will not operate with a greater number of inpatient hospital beds than permitted by the category for which approval is requested. 2037E - Rural Area (Rev. 1, 05-21-04) The SA includes as eligible those facilities that are not located in an “urbanized area” based on the most recent census of the Census Bureau. Before concluding that a hospital is ineligible on the basis of location, the SA telephones the Census Bureau RO for verification. 2037F - Certificate Of Need (CON) Approval (Rev. 1, 05-21-04) States that have a CON requirement for the initiation or expansion of long-term care services may require a CON for a limited number of beds for LTC use. There is no federal requirement for a CON but CMS will not intervene if there is a state requirement.