Michigan behavioral hospital loses Medicare status

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CMS will terminate Kalamazoo (Mich.) Behavioral Health Hospital’s Medicare provider agreement, effective Nov. 16, according to an Oct. 30 public notice from the agency.

CMS found the hospital was not compliant with conditions for Medicare participation, specifically related to patients’ rights, nursing services, physical environment and special medical record and staff requirements for psychiatric hospitals.

The behavioral hospital, owned by South Bend, Ind.-based Neuropsychiatric Hospitals, is being investigated by the Michigan Department of Licensing and Regulatory Affairs over alleged violations, according to an Oct. 12 WMMT report. 

Records obtained by WMMT show patients were sent to another hospital at least 57 times between January and May. State officials are reviewing 43 of those transfers, including 24 that occurred in April and May. The April and May transfers involved falls, assaults, unexplained injuries and patients found unresponsive.

CMS will not make payments for inpatient hospital services for patients admitted on or after Nov. 16. For patients admitted before Nov. 16, Medicare may continue paying for up to 30 days of covered services provided on or after that date.

At the Becker's Fall Behavioral Health Summit, taking place November 4–5 in Chicago, behavioral health leaders and executives will explore strategies for expanding access to care, integrating services, addressing workforce challenges and leveraging innovation to improve outcomes across the behavioral health continuum. Apply for complimentary registration now.

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