---
kind: "section"
citation: "42 C.F.R. § 485.506"
title: "42"
number: "485.506"
heading: "Designation and certification of REHs."
url: "https://uscodex.org/cfr/42/485.506"
---

# §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](/cfr/42/412.103.md) of this chapter as of December 27, 2020.

## Notes

### Amendments

[87 FR 72293, Nov. 23, 2022, as amended at 88 FR 82183, Nov. 22, 2023]

### Source

Source: 87 FR 72293, Nov. 23, 2022, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395(hh).

### Source

Source: 48 FR 56293, Dec. 15, 1982, unless otherwise noted. Redesignated at 50 FR 33034, Aug. 16, 1985.

### Amendments

[87 FR 72293, Nov. 23, 2022, as amended at 88 FR 82183, Nov. 22, 2023]