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Centers for Medicare & Medicaid Services

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CMS Releases Revised Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation

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The Centers for Medicaid Services & Medicaid Services (CMS) has released guidance regarding the enrollment and conversion process for eligible facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH).

Rural Emergency Hospitals (REHs) are a new provider type established by the Consolidated Appropriations Act of 2021 to address concerns over rural hospital closures. REHs provide emergency and outpatient medical and health services to patients that generally stay less than 24 hours.

As of January 1, 2023, Medicare pays REHs an additional 5% over the Hospital Outpatient Prospective Payment System (OPPS) rate to deliver emergency hospital, observation, and other outpatient services to Medicare patients. Medicare-covered REH services include all covered out-patient services, including radiology, laboratory, outpatient rehabilitation, surgical, maternal health, and behavioral health. Copayments for REH services are based on the standard OPPS rate (excluding the 5% increase). 

For more information and links to the final rule, visit the CMS webpage for Rural Emergency Hospitals [ https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-guidance-laws-regulations/hospitals/rural-emergency-hospitals ]. To view the Rural Emergency Hospital factsheet, visit: https://www.cms.gov/files/document/rural-emergency-hospitals-factsheet-september-2024.pdf

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Centers for Medicare & Medicaid Services



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