42 CFR § 485.506 - Designation and certification of REHs.
---
identifier: "/us/cfr/t42/s485.506"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 485.506 - Designation and certification of REHs."
title_number: 42
title_name: "Public Health"
section_number: "485.506"
section_name: "Designation and certification of REHs."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "485"
part_name: "CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395(hh)."
regulatory_source: "48 FR 56293, Dec. 15, 1982, unless otherwise noted. Redesignated at 50 FR 33034, Aug. 16, 1985."
cfr_part: "485"
---
# 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]