About Us

Critical Access Hospital

What Makes Us A Critical Access Hospital

Clarinda Regional Health Center has been designated a Critical Access Hospital, as defined by the Office of Rural Health Policy part of The Health Resources & Services Administration of the U.S. Department of Health & Human Services.

The Critical Access Hospital (CAH) Program was established to aid in the continuation of healthcare services for rural residents.

  • Aids in the continuation of health care services for rural residents
  • Enables hospitals to be eligible for cost-based Medicare reimbursement for inpatient and outpatient services
  • With a signed Memorandum of Agreement, hospitals are eligible to receive enhanced reimbursement from Medicaid and the State Health Benefit Plan (SHBP)


A Critical Access Hospital:

  • Can limit services and utilize physician assistants and /or nurse practitioners in an effort to reduce their expenses

  • May choose to maintain its current services; however, the hospital must agree to the bed size and annual inpatient length of stay limits

  • Provides small, rural hospitals with a range of opportunities for service enhancement, quality of care improvement, and certain economies of scale through network participation



  • Receive enhanced Medicare reimbursement for covered in-patient services
  • Receive 100% of allowable costs for Medicaid out-patient services
  • Retain any Medicaid payment for inpatient services in excess of charges
  • Receive 100% of charges for outpatient services by the State Health Benefit Plan and Board of Regents Health Plan
  • May enroll with SHBP as their group insurance provider.


Critical Access Hospital Fact Sheet