No facility shall operate as a REH unless:

1. (1) The facility satisfies the emergency department requirements for a critical access hospital set forth in OAC 310:667-39-14;
2. (2) The facility satisfies the emergency department requirements for a REH as promulgated by CMS;
3. (3) The facility provides rural emergency hospital services;
4. (4) The facility has in effect a transfer agreement with a level I or level II trauma center that meets the requirements of OAC 310:667-59, Classification of Hospital Emergency Services;
5. (5) The facility complies with state and federal law, CMS staffing requirements and all CMS conditions of participation;
6. (6) The facility may not have inpatient beds, except that such hospital may have a unit that is a distinct part of such hospital and that is licensed as a skilled nursing facility to provide post-hospital extended care services; and
7. (7) The facility may own and operate an entity that provides ambulance services.

Added at 41 Ok Reg, Number 22, effective 8-11-24