Critical Access Hospitals

CHA offers a full continuum of care including Acute Care, Cardiopulmonary Services, Convenient Care, Emergency Services, Laboratory Services, Medical Imaging, Nutrition Therapy, Rehabilitation Services, Pharmacy, Surgery, and multiple ambulatory care clinics with services including Internal Medicine, Family Medicine, Pediatrics and Obstetrics/Gynecology. CHA also offers Home Health, Hospice, Long-term Care, and a Surgical Clinic encompassing the specialties of General, Orthopedic, Brain and Spine. CHA will continue to assess community needs and will expand services as needed to meet those needs.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Critical Access Hospital
•Emergency care
•Acute-care hospitalization
•Laboratory testing
•Radiology
•Physical therapy
•Skilled Nursing care
•Long Term care
•Rural Health Clinic

A Rural Health Clinic staffed by physician assistants and nurse practitioners

Acute Care
Swing Care/Skilled Care
Laboratory Services
Radiology Services

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

A Rural Health Clinic staffed by RNs, LPNs, and CNAs. Visiting Specialists on a regular basis

◦Emergent Care
◦24-hour Care
◦Cardiac Monitoring
◦Respiratory Care
◦Specific Pharmaceutical Therapies, including IV Therapy and Transfusions
◦Respite Care
◦Restorative Care
◦Clinical Monitoring

Judy E Borland, MD; Stephanie Catron, FNP; Teresa Smith, FNP

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Patti Wittkopp, PA-C

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Peter Barrah, MD
Jay Taylor, MD
Patricia Grena, DO
Visiting Specialists

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Dr. Aadron Medley, MD, general surgery; Dr. Randy Webb, MD, Family Practice; Dr. Robert Cole;

Emergency Medical Assistance, Critical Access Hospital and Walk-In Clinic

Emergency Medicine:
Michael Clarke, M.D.
Paul MacMillan, PA-C, MPAS
Greg Moore, MD, FACP, FAWM
Ramona Potter, MD

Hospitalists:
Anna Loge, M.D.
Thomas Murray, MD

Walk-In Clinic:
Anna Loge, M.D.
Burke Hansen, M.D.
Casey Rasch, M.D.
Danielle Maxfield, FNP-C
Hallie Tipton, M.D.
Jana Barnes, PA-C
John Madany, M.D.
John Pickens, M.D.
Judy Wilson, M.D.
Karen Weed, M.D.
Kelly H. Smith, M.D.
Mary Reindollar, PA-C
Mick Lifson, M.D., FACOG
Ron Loge, M.D., M.A.C.P.
Sandra McIntyre, M.D., FACP
Shafi Shafaieh, M.D.

Critical Access Hospital
Rural Health Clinic

A Rural Health Clinic staffed by a PA-C, RNs, LPNs, and CNAs.

Emergency Services
Clinic
Hospital

R.D. Marks, M.D.  Family Practice  Chief of Staff; Curtis Blake, M.D.  Family Practice; Patricia Moran, M.D.  Family Practice; Patrick Holland, M.D.  GYN; Marty Hensel, PA-C  Family Practice; Morgan Stearns,PA-C  Family Practice

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Angel Johnson, FNP; Dr. Jace A Bird, DO; Sonya Gilson, APNP; Sharon Lyons, FNP

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

We are fully staffed with four Family Practice Physicians, one Specialist in Internal Medicine, two Family Nurse Practitioners, as well as an ample amount of nursing and administrative staff.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Penny Denning, PA-C; Krzysztof Dygulski, MD; Janice E. Griffin, MD; Richard A. Wells, DO; Charlene Pontoriero, FNP; Carleen Gaub, PA-C;

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Critical Access Hospital, Rural Health Clinic

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Jay Pottenger, Administrator

Dr. Randall Rauh, Medical Director

Sarah Nordlund, Director of Nursing

Char Herbold, Bookkeeping

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Roundup Memorial Healthcare is a not-for-profit 25 bed critical access hospital organization which provides general medical, emergency services and rural health clinic.

Services Include:

• Emergency Services
• Intermediate Swing
• Lab Services
• Outpatient Services
• Palliative Care
• Pediatrics
• Physical Therapy
• Primary Care
• Radiology
• Short Term Care
• Transitional Care

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Services Offered inside of Fort Belknap Service Unit
Administrated by Indian Health Service:
• Outpatient Ambulatory Care – Fort Belknap Critical Care Hospital ◦8:00am - 11:30am & 12:30pm - 4:00pm on Mon. Tues. Thurs. Fri.
◦12:30pm - 7:00pm on Wed.
◦Appointments Phone: 406-353-3137

• Outpatient Ambulatory Care – Eagle Child Health Center ◦8:00am – 4:00pm on Mon. Tues. Thurs. Fri
◦12:30pm – 4:00pm on Wed.
◦Appointments Phone: 406- 673-3777

• Inpatient Care ◦3-5 days at the Fort Belknap CAH. Patients requiring further hospitalization are referred or transported to one of the regional hospitals in Billings or Great Falls, Montana.

• Urgent Care at the Fort Belknap CAH ◦24 hour emergency care, 7 days a week Phone: 406-353-3222
◦Weekend urgent care staffed by contract locum tenens
◦911 Emergency/Ambulance

• Pharmacy ◦9:00am – 12:00pm & 1:00pm – 5:00pm on Mon. Tues. Thurs. Fri.
◦1:00pm – 5:00pm on Wed.
◦Refill Phone Line: 406-353-3105

• Compliance Phone Hotline – 406-353-3187
• Dental
• Optometry
• Physical Therapy
• Behavioral Health – Mental Health and Social Services
• Men’s Health
• Women’s Health
• Well Child Health
• Full lab and radiology services during clinic hours
• Ultra-sound and mammography
• Public health nutrition
• Hospice Team
• Emergency Medical Services
• Pharmacy
• Outreach/Referrals
• OB/GYN
• Contract Health Services
• Family planning
• Transportation Services
• Specialty Clinics – Monthly to twice a month ◦Dermatology
◦ENT
◦Orthopedics
◦Podiatry
◦Urology


Administrated by Tribal Health Department
inside of Fort Belknap Service Unit The Fort Belknap Tribal Health Department, under P.L. 93-638, Self-Determination Law, administers programs under contract from Indian Health Service. The goal of P.L. 93-638 is to have Tribes become more involved and self-sufficient by participating in the administration and responsibility of providing care to the Native people. The Tribal Health Department administers:


• Chemical Dependency Treatment Program
• Community Health Representative Program
• Family Planning Program
• FAS/FAE Program
• Health Education Program
• Public Health Nursing Program
• Women, Infant and Children Nutrition Program – WIC
• Diabetes Program
• Personal Care Attendants
• Sanitation/Environmental Program
• Nutrition

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Acute care services, clinic & extended care, support services

For WIC call:
M, Tu, W 9-5
406-266-5209

MMC provides inpatient, outpatient, long term care, diagnostics and emergency services in a contemporary environment.

Specialty clinics are held on a regular basis and include diabetes self management, endoscopy, prolotherapy, family planning and mental health.

Women’s health services are available through the Bair Medical Clinic.

For WIC call:
First Wednesday 9am to 3pm
406-266-5209

Full time Medical Staff includes one Medical Doctor, one Physician's Assistant, one Family Nurse Practitioner.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.

Services offered include:

• Critical Access Hospital
• Rural Health Clinic
• Pediatric Healthcare
• Family Healthcare
• Chiropractic
• Non-Surgical Pain Management
• Geriatric Healthcare
• Women's Healthcare

Roman Hendrickson, MD
Molly Biehl, DO
Kathy Tetrault, PA-C
Chris Hartsfield, NP
Dayna Leavens, CPNP
Kathy Meyer, DC
Paula Christensen, NP
Judy Weitzel, PMHNP
Scott Rigdon, CRNA

"Critical Access Hospitals" are limited service hospitals designed to provide essential services to rural communities. The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (RHFP) which provided grants to States for designation of hospitals as Critical Access Hospitals or CAH. Because of relaxed staffing requirements and cost-based reimbursement for Medicare and Montana Medicaid patients, converting a struggling rural hospital to a CAH can allow the community to stabilize and maintain local health care access. A current listing on Montana CAHs is available by clicking here.
Key criteria for designation of CAHs include:
• located more than 35 road miles or, in the case of a facility located in mountainous terrain or where only secondary roads exist, more than 15 road miles from a hospital or another critical access hospital; or be certified by the State as a necessary provider of health care services to residents in the area (in Montana, this includes all hospitals located in a frontier county or a non-IHS hospital located within the boundaries of an Indian Reservation)
• provide 24-hour emergency care that is necessary for ensuring access to emergency care services in the area served by the facility.
• has no more than 15 acute care inpatient beds or in the case of a facility with swing beds, 25 acute care inpatient beds, of which no more than 15 are used for acute care at any one time.
• provide inpatient care for a period not exceeding 96 hours, as determined on an average, annual basis for each patient.
• operates a quality assessment and performance improvement program and follows appropriate procedures for review of utilization of services.
Besides designation of CAHs, the RHFP addresses four major goals:
1. Creation and maintenance of a State Rural Health Plan.
2. Development and implementation of Rural Health Networks.
3. Improvement and integration of Emergency Medical Services.
4. Ability to address Quality of Care issues.