Mississippi Rural Emergency Hospital Conversion Process

The guidelines below have just been released by the Mississippi State Department of Health regarding the process of investigating and seeking approval for conversion to a Rural Emergency Hospital model.


  1. Notification:  Notify the MSDH Office of Licensure of the intent to convert to a REH on facility letterhead.   
  2. Required Documents (The following documents must  be included with CMS Federal Enrollment application [CMS PECOS] and State Licensure application):
    • EXHIBIT Model Attestation 
    • EXHIBIT Model REH Action Plan
    • Copy of executed Transfer Agreement(s) with Level I and/or Level II Trauma Center as required by 42 CFR § 485.538 Condition of Participation: Agreements (See QSO-23-07-REH for full details).
  1. Federal Application:  Prior to completing the licensure application, facilities should complete the CMS enrollment process to convert to a REH.  See the following enclosures for enrollment steps:
    • QSO-23-07-REH final.pdf
    • REH Medicare Provider Instructions
    • MLN2259384 CMS Rural Emergency Hospital Enrollment
    • Complete CMS Enrollment through the CMS PECOS Website at: https://pecos.cms.hhs.gov.  See REH Enrollment Instructions PECOS or 855A (attached).
  1. REH Initial Survey:  Eligible facilities that are existing CAHs and hospitals converting to an REH may attest to meeting the REH CoPs and will not require an automatic on-site initial survey as eligible facilities are expected to be in full compliance with the existing CAH and hospital requirements (as applicable) at the time of the request for conversion (See QSO-23-07-REH for full details).
  2. License Application:   After CMS has approved the conversion to a REH and the facility has received their new CMS REH provider number with effective date, click the following link to complete the MSDH Rural Emergency Hospital License application:   https://app.smartsheet.com/b/form/e688589dd5304695a4c78efaebfcd38e
  3. Fees:  There are no licensure fees to convert to a REH.
  4. License Effective Date:  Upon approval of the licensure application, the MSDH License Administrator will issue a REH License backdated to the effective CMS REH Certification date.
  5. Certificate of Need (CON):  CON approval is NOT required to convert to a REH, however, after receiving CMS Certification as an REH, your facility must contact the MSDH Office of Health Policy and Planning (CON) at (601) 576-7874 to request placing inpatient beds in abeyance (do not include acute beds allocated for a SNF Unit). 
  6. SNF Unit – Facilities considering adding SNF services in a Distinct Part Unit: 
    • Contact the CON office for a Determination 
    • Complete the CMS enrollment process – Contact the MSDH Long Term Care Division for additional information at 601-364-1110.
  1. License Renewal:  REH License year is January 1 – December 31.  
    • Renewal notices are sent in October. 
    • Annual renewal fee of $661.25.  

Contact the MSDH License Administrator at (601) 364-2722 with any questions.

Butler, Lane Elected to MRHA Board for 2023-2025 Term

The Mississippi Rural Health Association is pleased to announce the results of its recent board election. The association enjoyed a very competitive election of highly qualified and experienced candidates for the board. The top two candidates to receive votes were Toby Butler and Shana Lane.

Toby Butler is the Managing Partner of the Trilogy Healthcare Solutions LLC, a Partner in Trilogy Revenue Cycle Solutions LLC, and a Partner in Trilogy Care Connect LLC.  Toby is a proven healthcare executive with over 25 years of healthcare financial and operational leadership experience in the publicly traded, for profit environment, as well as the community based not for profit environment.  He has a passion for rural communities and has dedicated his career to helping rural hospitals and health systems identify and execute strategies to ensure the provision of quality, sustainable healthcare for the communities they serve.  Toby and his team at Trilogy are specifically dedicated to helping rural communities and their hospitals and health systems navigate the many changes and challenges facing rural hospitals and health systems.

Shana Lane, RN, CPHQ has been employed at Simpson General Hospital for 29 years. She is the Director of Quality, Infection Control, and Risk Management at the facility.  Shana currently serves on the HPIC Claims and Risk Management Committee, as well as the Compass Rural Health Advisory Panel. In addition, Shana has been elected to her third term on the Board of Alderman for the Town of New Hebron and has been appointed to the 2022-2023 MS Municipal League Health Committee.

Butler and Lane will fill the roles vacated by Michael Nester of H.C. Watkins Hospital, and Paula Turner of North Mississippi Medical Center. Both Nester and Turner completed their maximum terms on the board. Butler and Lane will join the remaining eleven directors on the board to begin the term in January, 2023.

For more information on the Board of Directors of the association, visit us at http://www.msrha.org.

TrueCare Announced as a New MississippiCAN and CHIP Administrator

TrueCare has awarded a notice of intent from the Mississippi Division of Medicaid to administer the statewide Mississippi Coordinated Access Network (MississippiCan) and the Mississippi Children’s Health Insurance Program (CHIP) with a proposed go live date of 07-01-2023. Please see the announcement from the state of MS Update on Mississippi Coordinated Care Procurement – Mississippi Division of Medicaid (ms.gov). 

Attached is the contract, roster template, HIE form and W9 that we would need to have reviewed, signed and filled out in their entirety. If you have any questions as you go through the process, please feel free to outreach to Dana Drew at Dana.Drew@caresource.com or her direct phone number is 717-701-6607. If faxing is a better option for you, please utilize 937-396-3825 for faxing.

Provider Agreement Signature Page

New Provider Contract

Roster Template


Mississippi Rural Health Association Recognizes Awardees at Annual Conference

The Mississippi Rural Health Association recognized significant individuals and hospitals for dedication to excellence during the Mississippi Rural Health Annual Conference held on November 17-18, 2022 in Jackson, MS. Held during Mississippi / National Rural Health Day, these awards are presented to symbolize and recognize the superior work performed by providers, administrators and facilities that makeup Mississippi rural health care system.

Awardees are as follows:

State Legislator of the Year: Sen. Ben Suber
Senator Suber, among many bills, sponsored the Rural Emergency Hospital bill that will allow hospitals to convert to a new model that emphases emergency care in rural communities.

National Legislator of the Year: US Senator Cindy Hyde-Smith
Senator Hyde-Smith has once again received this award from the association due to her continued support of national legislation supporting rural health practice, including hospital funding, telehealth, reducing administrative burden, and more.

Mary Ann Sones Distinguished Leadership Award: Paula Turner, MRHF
The Association’s top leadership award was presented to Paula Turner of North Mississippi Health Systems. Paula is a past president of the association and has been an active member for more than a decade. She has led substantial membership growth in the association and has been active in legislative support and advice to the association.

One Rural Award: Michael Nester
The One Rural Award is presented to Michael Nester, administrator of H.C. Watkins Hospital in Quitman, for his consistent work with the association as treasurer of the organization as well as having been very active in legislative advocacy, often traveling with the Association and MHA to Washington D.C. for legislative visits.

Hospital Quality Awards
Each year, the Chartis Group recognizes the top quartile of hospitals in the nation based on quality outcomes from CMS data. The following hospitals were recognized and awarded by the Association for this exceptional quality:

Baptist Memorial Hospital – Booneville
Baptist Memorial Hospital – Calhoun
Baptist Memorial Hospital – Leake
North Mississippi Medical Center – Eupora
North Mississippi Medical Center – Iuka
Baptist Memorial Hospital – Attala
Scott Regional Hospital
Neshoba County General Hospital
North Mississippi Medical Center – Pontotoc
HC Watkins Memorial Hospital
Laird Hospital
North Mississippi Medical Center – West Point

All award recipients received a recognition piece for their accomplishment. For questions or more information, please contact Ryan Kelly at 601-898-3001 or ryan.kelly@mississippirural.org.

5 Tips for Improving Efficiencies in the Health Information Management Department 

Rural hospitals are an integral part of our nation’s healthcare infrastructure providing critical services – from primary to long-term care – for nearly 57 million Americans. Recent years have presented countless challenges for rural hospitals. Factors such as rising cost of care, increased competition, lower reimbursement rates, unbalanced payer populations, reduced patient volume, uncompensated care, increasing labor costs and increased regulation have constricted operating margins for rural hospitals.

These challenges require hospitals to focus on efficiency to survive. While most savings initiatives focus on revenue cycle and care partnerships, our experience working with hospitals has uncovered innovative approaches to reducing the administrative load of Health Information Management (HIM) departments.

Click here to view five ideas rural hospitals should consider to reduce their Information Management expense.

2022 Legislative Summary

By Anthony Whisenant, policy intern –

The Mississippi Rural Health Association is pleased to report a successful legislative session this year. We have been supporting and tracking multiple bills throughout the year, working with lawmakers and supplying information to assist with successful passage. The following is a description of legislation that passed this year that the MRHA has been watching and supporting:

Mississippi House Bill 365 (top supported bill by the MRHA)

House bill 365 establishes the Mississippi Rural Hospital Loan Program in the state department of health to assist rural hospitals in providing needed direct healthcare services.  This increased funding will allow rural hospitals to offer additional services in their community that are not currently available there now, maintain or increase their staffing levels, and keep up with necessary facility maintenance.  For rural hospitals to be eligible for loans they must submit a financial audit proving they are in a good financial position.  The loan they receive may not be less than twenty-five thousand dollars or more than one-hundred thousand dollars.  The department will determine terms, conditions, and requirements for loans.  This loan program will be funded through a state appropriated $2.5 million in support. Note: the MRHA would love to have seen the loan amount increase to a cap of $1 million per facility, but this is a great start. A big thank you to Rep. Sam Mims for his sponsorship of this bill.

Mississippi House Bill 732

House bill 732 provides legislative intent to assure all Mississippians receive a consistent level of 9-8-8 and crisis behavioral service no matter where they live.  The purpose for the signing of this bill is to save lives of Mississippi residents by providing them better access to services pertaining to the behavioral health crisis.  This bill authorizes the state department of mental health to use technology that is interoperable across emergency response systems in Mississippi and to deploy crisis and outgoing services. 

Mississippi House Bill 1421

House bill 1421 establishes a grant program known as the Arpa Rural Water Infrastructure Grant Program in order to assist rural water associations in the construction of eligible drinking water infrastructure projects.  Upon approval, the department will enter into a project grant agreement with each guarantee to establish the terms of the grant for the project, including the amount of the grant.  In the first fiscal year after the effective date of this act, twenty percent of the funds appropriated to the department for the program will be obligated to projects that have completed plans and specifications, acquired all necessary land and/or easements, and are ready to proceed to construction. 

Mississippi House Bill 1538

House bill 1538 provides additional appropriation to the state department of health for the purpose of funding the Arpa Rural Water Associations Infrastructure Grant Program establishes under house bill 1421.  As a condition of receiving and expending the funds appropriated to the department under this act, the department shall certify to the Department of Finance and Administration that each expenditure of the funds appropriated to the department under this act complies with the guidelines, guidance, rules, regulations and/or other criteria.  It states that the money appropriated by the act will be paid by the State Treasurer out of any money in the Coronavirus State Fiscal Recovery Fund. 

Mississippi House Bill 1613

House bill 1613 makes appropriation to the Governor’s Office-Division of Medicaid for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expense of that law for the fiscal year 2023.  With this bill, the Governor’s Office – Division of Medicaid will provide statistical and financial reports monthly to the Legislative Budget Office and the PEER Committee.  These reports include an accounting of all funds spent in the medical program, the CHIP program, the Dialysis Transportation program, and each of the Home and Community Based Waiver programs.  The reports will also include an accounting of all funds spent in the administrative program, participant statistics, and any other information requested by the Legislative Budget Office and the PEER Committee. 

Mississippi Senate Bill 2738 (top supported bill by the MRHA)

The purpose of senate bill 2738 is to revise the definition of telemedicine as it is used in the statute requiring health insurance plans to provide coverage for telemedicine services.  It requires health insurance and employee benefit plans to reimburse providers for telemedicine services using the proper medical codes.  It provides that all health insurance and employee benefit plans in Mississippi must provide coverage for telemedicine services to the same extent that the services would be covered if they were provided through in-person consultation.  All health insurance and employee benefit plans in this state must reimburse providers who are out-of-network for telemedicine services under the same reimbursement policies applicable to other out-of-network providers of healthcare services.  A big thank you to Senators Boyd and Michel for their sponsorship of this bill.

Mississippi Senate Bill 2739

Senate bill 2739 requires nonemergency medical transportation (NEMT) providers to have a permit from the state department of health before they may provide NEMT transportation services in Mississippi.  It requires the department to adopt rules providing for applications of permits, issuance of permits, renewal of permits, and revocation of permits.  The bill authorizes the department to provide for the payment of fees for the issuance and renewal of permits.  It requires the department to adopt standards for the operation of vehicles used to provide NEMT transportation services.  The bill also authorizes the department to revoke the permit of or impose fines on any NEMT provider who is found to not follow the requirements and standards set by the department. 

Mississippi Senate Bill 2865           

Senate bill 2865 makes appropriation from the Coronavirus State Fiscal Recovery Fund to the Department of Mental Health for the purpose of assisting with behavioral and mental health needs.  The legislation intends that no funds under this act should be used to pay employee premium payments.  The bill states that as a condition of receiving the funds appropriated in this act, the Department of Mental Health shall obtain advice from the Office of the Coordinator of Mental Health Accessibility when determining the utilization of funds. 

Unfortunately one bill that did not pass this year was a bill sponsored by both the House and Senate to remove the Medicaid rate freeze, which was originally established in the Medicaid Technical Bill in 2021. This bill made it to conference, but unfortunately was not able to pass out of conference. We are hopeful that this rate freeze will be removed soon.

Note: The Mississippi Rural Health Association would like to thank its policy intern Anthony Whisenant for his work tracking this legislation and providing summaries to the MRHA membership.

Medical Robotics and Telemedicine

By: Andrea Casiano, Beverly Banez, Sunitha Dharman, & Trentan Pecorelli

University of St. Augustine for Health Sciences

Instructor: Dr. Ellen Jones

Although medical robots made their first appearance about 34 years ago to obtain a biopsy specimen, recent years of research using artificial intelligence and computer technology have led to diversified strategic uses of these robots in healthcare (Gyles, 2019). Today, medical robots are being deployed in surgical suites to assist with surgery, facilitate hospital logistical movements, and improve patient and provider experience. The CoVID experience has increased the burden to rural emergency departments, need for immediate triage, provide mental health services, and minimize the risk of contagion transmission in congested areas.  

Robotic telemedicine allows remote patient monitoring, improves access to care without exposure to contagions, and is smart enough to learn and be taught how to take vitals, deliver samples to the lab, and many other tasks (Zubrog, 2020). It can be leveraged to offload various exams and tasks, leading to more efficient and timely care.

Specialists are especially stretched in rural areas.  Presently, 39.5% of radiology consults, 27.8% of mental health consults, and 24.1% of cardiology consults take place via telehealth or telemedicine platforms.

Costs for robotic equipment include $50,000 for startup costs and $6,000 of maintenance costs.  This will result in an estimated reduction of operational costs of approximately $1,508 per patient served annually (Gkegkes et al., 2017; Jang, 2020).  

Medicaid has implemented the Quality Incentive Payment Program, whereby hospitals are compensated for improving quality benchmarks by reducing readmissions and improving population health, which can be achieved with the assistance of robotic telemedicine.The North American medical robot market is expected to see significant growth between 2022 and 2029, estimated to reach $5.67 billion (Data Bridge Market Research, 2022).

As part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Congress  approved 200 million dollars in funding for telehealth programs (Federal Communications Commission, 2021). The Connected Care Pilot Program, a $100 million dollar project, is another federal initiative that provides up to 85% funding for pilot programs to cover network and broadband connectivity costs intended to improve connected care services to patients requiring care (Federal Communications Commission, 2021).

The COVID-19 pandemic has changed healthcare utilization, and we must analyze and explore all available resources to implement robotic telemedicine to support current healthcare and improve future care and outreach.


Association of American Medical Colleges. (2021, June 11). AAMC Report Reinforces Mounting Physician Shortage. AAMC. Retrieved March 01, 2022, from https://www.aamc.org/news-insights/press-releases/aamc-report-reinforces-mounting-physician-shortage.

Centers for Disease Control. (n.d.). Health equity guiding principles for inclusive

communication. https://www.cdc.gov/healthcommunication/Health_Equity.html

Centers for Medicare and Medicaid Services. (2022). Historical. CMS. Retrieved March 2, 2022, from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical

Data Bridge Market Research. (2022). North America medical robots market report – Industry trends and forecast to 2029. https://www.databridgemarketresearch.com/reports/north-america-medical-robots-market

Data USA. (2019). Greenwood, MS. Data USA. Retrieved February 18, 2022, from https://datausa.io/profile/geo/greenwood-ms/#about 

Federal Communications Commission. (2021). Connected care pilot program. https://www.fcc.gov/wireline-competition/telecommunications-access-policy-division/connected-care-pilot-program

Federal Communications Commission. (2021). COVID-19 Telehealth program (Invoices & reimbursements). https://www.fcc.gov/covid-19-telehealth-program-invoices-reimbursements

Gyles C. (2019). Robots in medicine. The Canadian veterinary journal = La revue veterinaire canadienne, 60(8), 819–820. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625162/

Healthcare Financial Management Association. (2021). Revenue cycle innovation: How automation can mitigate the financial impact of COVID-19. https://www.hfma.org/topics/hfm/2021/november/revenue-cycle-innovation-how-automation-can-mitigate-the-financial-impact-of-covid-19.html

IFR. (2021). The role of robots in healthcare. IFR International Federation of Robotics. https://ifr.org/post/the-role-of-robots-in-healthcare-part2

Mississippi Division of Medicaid. (2021). Comprehensive quality strategyhttps://medicaid.ms.gov/wp-content/uploads/2021/09/MS-DOM-                                                   Comprehensive-Quality-Strategy-2021.pdf   

Rice, J. C. (2015). Healthcare information technology: A correlational study of governance maturity and patient costs. ResearchGate, 1–108. https://doi.org/10.13140 

Robnezieks, A. (2019, January 11). Which medical specialties use telemedicine the most? Retrieved March 6, 2022, from https://www.ama-assn.org/practice-management/digital/which-medical-specialties-use-telemedicine-most

SHRM. (2022). What is the difference between mission, vision, and values statements? SHRM. Retrieved February 17, 2022, from https://www.shrm.org/resourcesandtools/tools-and-samples/hr-qa/pages/isthereadifferencebetweenacompany%E2%80%99smission,visionandvaluestatements.aspx?_ga=2.1809329.1275640098.1627228177-151836398.1626106211

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal Of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298

Walston, S.L. (2018). Strategic healthcare management: Planning and execution, second edition (2nd Edition). Health Administration Press. https://bookshelf.vitalsource.com/books/9781567939606

World Health Day and COVID-19 Equity

As COVID-19 has shown, good health is not universal. Some communities face challenges that leave them more vulnerable to health risks than other groups. Each year on April 7, the World Health Organization, along with other related organizations, observes World Health Day to raise awareness of global health inequities, such as COVID-19’s disproportionate impact on minority communities.

According to data from the Centers for Disease Control and Prevention (CDC), people of color experience significantly higher rates of COVID-19 infection, hospitalization, and death, with Black and Hispanic people being hospitalized for COVID-19 at over double the rate of non-Hispanic white people. Various social, geographic, economic, and environmental factors – such as lack of health care access and increased exposure due to occupational settings –  have contributed to increased health risks in these communities.

Some of the same factors that are related to health disparities also affect COVID-19 vaccine equity. Across the U.S. vaccination rates are lower in the Black population when compared to rates in the white population. Many communities mistrust the health care system due to mistreatment by the medical community. Because they haven’t always been included in the research used to create treatment and prevention strategies, it can be difficult to trust those in the health care system even in moments when help is offered.

But the All of Us Research Program is looking to change that. If you are also looking for ways to help our community fight COVID-19, one way you can do your part is by participating in research. The All of Us Research Program is gathering health information from one million or more people across the U.S. from all different backgrounds to help build one of the most diverse health databases in history. Researchers can then use this information for important health studies.   COVID-19’s disproportionate impact on communities of color, those with disabilities, and others make the All of Us Research Program’s contributions especially important to efforts to learn more about the virus and related health disparities. While the health data contributed to the program may help with future treatment, All of Us implemented several initiatives to provide immediate insights into the impacts of the pandemic. The COVID-19 Participant Experience (COPE) Survey helps researchers understand how the pandemic has affected all aspects of people’s lives, like mental and physical health, housing, and job security. The Minute Survey can help researchers understand barriers to people receiving the COVID-19 vaccine by finding out who, when, and why people do or don’t get vaccinated. Sharing your story can help researchers learn more about COVID-19 and other diseases, which could lead to better treatment and disease prevention for all of us.

Make sure your community is included in health research and join All of Us at bit.ly/togetherAoU.

The Behind the Scenes Work Before Your Tax Election Goes Public

11 Steps that will Help You Sleep at Night!

As a firm who has a demonstrated record of success in hospital tax elections and won $180 million for clients, we have a unique perspective on how to begin the process. These steps are work that you do before you start the real work of public information and outreach. Hospitals who prepare well in the beginning are more successful.

First, research your messaging in the last election and see what promises you made and collect data on the promises you kept.

This step provides you with information that you can use to show that the hospital is trustworthy of another investment by the community. Use photos and descriptions of these completed projects. Get a testimonial from a popular physician on how this progress has helped deliver quality care in your hospital.  

Second, research how other public entities like school boards, city or county or fire departments have succeeded or failed in their recent tax elections. 

This information gives you an idea of the willingness of the voters to support public entities. Look for organized opposition in these past elections because those same folks may oppose your proposition. If this is your first election, this step is critical because you do not have a hospital track record to review. 

Third, determine the capital needs of the hospital that the funds will address. 

Perhaps, technology upgrades, lab expansion, a new clinic, new services like infusion or outpatient surgery are needed. Maybe you actually need a new hospital facility. Even if you are using other funding for your new facility, supplementing it with a community investment is important. Compile a list of your needs and most importantly prioritize them.  

If your funds will be to build a new hospital, you will need to demonstrate why this is necessary and how the community investment fits with the overall funding. 

Fourth, quantify the capital required to meet the needs that you have identified.

You need more than one global number. Today’s voters want to see an itemized list. Make sure that you know the schedule on which you will address the needs and account for any escalation in price. Currently construction costs are considerably higher than they were two years ago. 

Fifth, determine the amount and term of the property or sales tax that is realistic to attain the capital required.  

Get the input of the hospital’s bond counsel. The amount and term of the tax must meet bond obligations. 

Sixth, learn the required schedule of legal events that need to happen in relationship to the various election date options.  

Your bond counsel can provide the schedule. This action begins your decision sequence on which date would be best for your election. It also helps you to plan the public outreach information schedule.  

Seventh, determine what other items or candidates may be on the ballot on your most likely date of the election.  

Voters are influenced by other propositions and candidate elections.  For example – If the school system is unpopular and they have a proposition on the same ballot it may increase your unfavorable votes. 

Eighth, test the favorability of your proposed use of funds and other variables with the voters.   In the preparation phase, you can modify your proposal to ensure your success. Once decisions are made and there is information in the public domain, changes are impossible.  An accurate public opinion survey guides many key decisions in an election effort. 

Ninth, bring key physicians into the decision making process when you feel It’s appropriate.

You need “buy-in” from physicians to be successful. Having a discussion with physicians and getting their input is ensuring that your use of funds is aligned with the needs that they believe are important. It also makes them part of the team rather than part of the spectators to the process. 

Tenth, as you work through this preparatory process, look for allies. 

Some members of your leadership and hospital team have deep roots in the community.  Quietly make a list of those people. As you proceed through the entire community education and outreach process at a later time you will need these allies. 

Eleventh, develop a board strategy to persuade board members to approve your proposition.  

Board members are fearful of losing tax elections and raising taxes in general. If this is a renewal it is easier for board members to approve.  In all cases, board members need information and data to help them make ballot decisions. Survey results are very helpful. Major points must stand on as much data as possible. Preparing your messaging and timing your presentation to your board is extremely important. Questions must be anticipated and nothing must be left to chance.

After you have completed these 11 steps successfully, you are ready to prepare for the next phase, which is gaining the approval of your county board, state bond commission and educating the many stakeholders of the hospital and the public.   TCI can guide the leadership team through this preparation process and provide the research and messaging that you need. We want you to be successful in your next election!

We Help Our Clients Understand Their Environment and to Find Solutions.   Call Us 888-922-2824 or Email barbara@tciconsults.com

HRSA Looks to Reduce a Large Number of HPSAs

The US Health Resources and Services Administration (HRSA) has released a list of Health Professional Shortage Areas (HPSAs) slated for removal. Each year HRSA adds and reduces HPSAs based on the result of survey data from providers that determines how many are located in different counties compared to the population of those counties.

HPSAs are designated for shortages of primary care, dental or mental health professionals in certain geographic areas, population groups and/or facilities. The lists of designated HPSAs are reviewed, revised and published annually on the HRSA Data Warehouse shortage area topic web page.

The most recent pull of HPSAs “proposed for withdrawal” is staggering compered to previous years. And this is not just for Mississippi. More than 15% of primary care and 8% of mental health HPSAs nationwide are slated for withdrawal

Simply put, the removal of the HPSA designation and the loss of the federal funds that is allows in our state will have a large impact on providers. This will affect not only enhanced 10% bonus to physicians who provide Medicare service in these areas, but it will also affect National Health Service Corps, Nurse Corp program, and J-1 Visa Waiver programs.

Click here to view the full report of HPSAs slated proposed for withdrawal.

We are closely watching this situation and are working with the Mississippi State Department of Health to see what can be done about this situation.