Core Competency: Understanding Policies and Regulations

There are a variety of ways policies and regulations can impact rural health facilities and care delivery; these changes may come at a local, state, or federal level. While state Flex Programs are not expected to know and understand every bit of legislation that is brought forward, it is good to be aware of trends and new approaches. Having a pulse on policies and regulations helps programs to better understand what providers and health systems may currently be up against, how changes could impact their function, and can encourage preparedness as there may be increased communication with partners to share resources

PROFICIENCIES: 

• Recognize and communicate how policies and legislation affect rural providers
• Develop a relationship with CMS regional representative
• Follow e-mail list serves and participate in national rural calls and listening sessions
• Develop relationships with state hospital, health, and EMS association staff with expertise in policy and regulations
• Maintain relationships with risk managers at CAHs

Related Resources: 

Rural Health Open Door Forum

Centers for Medicare & Medicaid Services

CMS Regional Offices

Centers for Medicare & Medicaid Services

Critical Access Hospital Conditions of Participation (COPs)

Centers for Medicare & Medicaid Services

Rural Health Initiatives

U.S. Centers for Medicare & Medicaid Services