Provider Requirements

Provider Requirements A. Rural Emergency Hospitals (REH) applying for enrollment in the Medicaid program must satisfy all requirements set forth in Part 200, Chapter 4, Rule 4.8 in addition to the following provider type specific requirements: 1. Be a Medicare Rural Emergency Hospital provider. 2. Have a transfer agreement in effect with a Level I or Level II trauma center. 3. Not exceed an annual per patient length of stay of 24 hours. 4. Not provide any acute care inpatient services, other than post-hospital extended care services provided in a distinct unit licensed as a skilled nursing facility. 5. Meet the definition of a REH as defined in Rule 6.1 at the time of enrollment. B. REH providers must meet the following staffing requirements: 1. The emergency department of a REH must be staffed 24 hours a day, 7 days a week. 2. A Doctor of Medicine (MD) or doctor of osteopathy (DO), a physician assistant, a nurse practitioner, or a clinical nurse specialist with training or expertise in emergency care must always be onsite or on-call and available onsite within 30 minutes, or within 60 minutes if certain frontier or remote area criteria are met. 3. The governing body of the REH may also elect to grant nurse practitioners and physician assistants with medical staff privileges in accordance with state scope-of-practice laws.