There are 39 hospitals in Washington that are certified as critical access hospitals by the Centers for Medicare and Medicaid Services (CMS). These are hospitals with 25 beds or less that are generally located in rural areas. They must deliver continuous emergency department services, and they may not have an average length of stay of more than 96 hours per patient. The Critical Access Hospital program allows hospitals under Washington's medical assistance programs to receive payment for hospital services based on allowable costs and to have more flexibility in staffing.
A hospital located on an island in Skagit County, upon certification by CMS, is eligible for payment as a critical access hospital.