Rosebud Indian Health Service Hospital to Lose Medicare & Medicaid Services: Effective March 16

Rosebud Hospital on Rosebud Indian Reservation

Rosebud Hospital on Rosebud Indian Reservation

Published March 3, 2016

ROSEBUD INDIAN RESERVATION – Rosebud Indian Health Service Hospital officials received a letter from the Centers for Medicare and Medicaid Services (CMS) that indicated CMS plans to terminate its agreement with the hospital effective March 16, unless the Rosebud can prove in the next two weeks it can provide safe health care for its patients.

The letter comes after a long series of site visits that determined Rosebud Indian Health Service Hospital was not in compliance with regulatory requirements. The emergency room was closed in December at the 35-bed hospital that serves some 12,000 that live on the Rosebud Indian Reservation.

rosebud-siouxAccording to a statement released by Indian Health Service, based in Rockville, Maryland, IHS and CMS are meeting the Rosebud Sioux Tribe to discuss next steps.

The IHS statement reads, in part:

IHS plans to propose to CMS that the agencies develop and enter into a Systems Improvement Agreement (SIA) designed to improve services at Rosebud Hospital to fully meet safety and quality of care standards, overcome systemic barriers to quality care, and resume all services at Rosebud Hospital as soon as possible.

IHS’ goal is to work with CMS as expeditiously as possible to reach agreement on an SIA so that the date of the proposed termination is extended while the Rosebud Hospital works under the terms of the SIA.  If an SIA is approved, Rosebud would be able to continue billing Medicare and Medicaid.

It is important to know that patients continue to receive care at Rosebud Hospital. The hospital remains open to provide outpatient services and urgent care services.  Due to lack of staff and limited resources, the emergency room at Rosebud Hospital is diverting patients to other facilities. If individuals are having a medical emergency, they should call 911 for possible ambulance dispatch, call the Rosebud Sioux Tribe Police Department, or go to the nearest 24 hour Emergency Room. If an individual’s medical condition is not an emergency, the Rosebud Service Unit Urgent Care Clinic is open from 7:00 a.m. to 11:00 p.m. daily.




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  1. Lena Toledo 4 years ago
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