42 CFR §485.506
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
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.