Resources

• CMS Fact Sheet regarding the CY 2023 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1772-FC) Rural Emergency Hospitals — New Medicare Provider Type. This resource provides detail on payment policies, conditions of participation, the REH Quality Reporting Program and other relevant details.
• Rural Health Information Hub Webpage on Rural Emergency Hospitals – This webpage provides a variety of resources related to eligibility, benefits, services provided, and financials.
• The National Conference of State Legislators is tracking state legislative activity and information on Rural Emergency Hospitals and will provide ongoing tracking for enacted legislation.
• MI Senate Bill 183 establishes licensure for Rural Emergency Hospitals in Michigan.
• Key Considerations for conversion to REH
• REH LARA Application
• CMS Standards for Quality and Safety
• Rural Emergency Hospital Map and Data
• Rural Hospital Closures
• Key Considerations for a Rural Hospital Assessing Conversion to REH
• Characteristics of Rural Hospitals Eligible for Conversion to REH
• Oversight of Rural Emergency Hospitals (REHs) | CMS
• Quality Reporting Requirements for the REHQR Program
• REH Quality Measure Reporting
• OPPS Final Rule Fact Sheet
• CMS Abstraction & Reporting Tool
• REH_4_PopSamplingSpecs_v1.0.pdf
• CMS Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation QSO-24-20-REH
• Rural Emergency Hospital Specifications Manual Encounter Dates 01-01-2026 (1Q26) through 12-31-2026 (Q426) v3.0

HRSA designated the Rural Health Redesign Center as the National Technical Assistance Provider for Rural Emergency Hospitals. See below for resources deployed by the Rural Health Redesign Center. 

• Rural Health Redesign Home Page
• Orientation Webinar Slide Deck - The Rural Health Redesign Center (RHRC) and Mathematica, in partnership with the Health Resources and Services Administration (HRSA), hosted the Orientation to Rural Emergency Hospital (REH) Conversion and Technical Assistance webinar on January 18, 2023
• CMS Memo
  • A webinar highlighting key points from that memo in a short webinar recording (under 15 minutes). Specifically, 1.) highlighting details from the memo about three documents that are required to accompany the REH application (the action plan, transfer agreement, and conditions of participation attestation), 2.) REH distance requirements and 3.) an updated resource list for those seeking more information.
• FAQ

Questions? Contact

Amanda Saint Martin

Hospital Programs Manager/FLEX Coordinator

amanda.saintmartin@affiliate.msu.edu