Regulations last checked for updates: May 03, 2025

Title 42 - Public Health last revised: Apr 15, 2025
§ 485.506 - Designation and certification of REHs.

CMS certifies a facility as an REH if the facility was, as of December 27, 2020—

(a) A critical access hospital; or

(b) A hospital as defined in section 1886(d)(1)(B) of the Act with not more than 50 beds located in a county (or equivalent unit of local government) that is considered rural (as defined in section 1886(d)(2)(D) of the Act); or

(c) A hospital as defined in section 1886(d)(1)(B) of the Act with not more than 50 beds that was treated as being located in a rural area that has had an active reclassification from urban to rural status as specified in § 412.103 of this chapter as of December 27, 2020.

[87 FR 72293, Nov. 23, 2022, as amended at 88 FR 82183, Nov. 22, 2023]
authority: 42 U.S.C. 1302 and 1395(hh)
source: 48 FR 56293, Dec. 15, 1982, unless otherwise noted. Redesignated at 50 FR 33034, Aug. 16, 1985.
cite as: 42 CFR 485.506