Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 63 - Rural Emergency Hospitals › Section 310:667-63-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words and terms, when used in this Chapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise.
"CMS"
means the Centers for Medicare &
				  Medicaid Services, a part of the United States Department of Health and Human
				  Services.
"Code of federal regulations"
or
"CFR"
means the codification of the general and permanent rules
				  published by the departments and agencies of the federal government.
"Conditions of participation"
means certain CMS
				  regulations setting minimum health and safety standards for healthcare
				  organizations to meet to participate in federally funded healthcare programs,
				  such as Medicare and Medicaid.
"Facility"
means:
(A)
was a critical access hospital;
				or
(B)
was a
				subsection (d) hospital (as defined in section 1395ww(d)(1)(B) of
Title 42 U.S.C.)
with not more than 50 beds located in a county (or
				equivalent unit of local government) in a rural area (as defined in section
				1395ww(d)(2)(D)
				of
Title 42 U.S.C.),
or was a subsection (d) hospital (as so
				defined) with not more than 50 beds that was treated as being located in a
				rural area pursuant to section
				1395ww(d)(8)(E)
				of
Title 42 U.S.C. [Title
				42 U.S.C.
				1395x]
"Rural emergency hospital"
or
"REH"
means a facility, as defined above, that:
(A)
is enrolled under
Title
				42 U.S. C. §
											1395cc(j), which relates to
				the enrollment process for providers of services and suppliers,
submits
				the additional information described in paragraph
1395x(kkk)(4)(A) of
				Title 42 U.S.C., related to providing an action plan, describing any outpatient
				services offered and the proposed use of the additional facility payment to
				REHs,
for purposes of such enrollment, and makes the detailed
				transition plan described in clause (i) of such paragraph available to the
				public, in a form and manner determined appropriate by the
U.S.
Secretary
of Health & Human Services
				("Secretary");
(B)
does not
				provide any acute care inpatient services, other than those described in
				paragraph
Title 42
				U.S.C. 1395x(kkk)(6)(A),
				related a skilled nursing facility to furnish post-hospital extended care
				services;
(C)
has in effect
				a transfer agreement with a level I or level II trauma
				center;
(D)
meets-
(i)
licensure
				requirements as described in paragraph
Title
				42 U.S.C.
				1395x(kkk)(5);
(ii)
the requirements of a staffed
				emergency department as described in paragraph
Title
				42 U.S.C.
				1395x(kkk)(1)(B);
(iii)
such staff training and
				certification requirements as the Secretary may require;
(iv)
conditions of participation
				applicable to-
(I)
critical
				access hospitals, with respect to emergency services under section
				485.618 of title 42, Code of
				Federal Regulations
("CFR")
(or any successor regulation);
				and
(II)
hospital
				emergency departments under this subchapter, as determined applicable by the
				Secretary;
[Title 42 U.S.C.
				1395x(kkk)]
				and
(E)
means an entity that operates for the purpose of providing emergency
				department services, observation care, and other outpatient medical and health
				services specified by the Secretary in which the annual per patient average
				length of stay does not exceed 24 hours
. [42 CFR Part 485, §
											485.502]
"Rural emergency hospital services"
means
the following services furnished by a rural emergency hospital that do
				  not exceed an annual per patient average of 24 hours in such rural emergency
				  hospital:
(A)
Emergency department services and observation care; and
(B)
At the election of the
				rural emergency hospital, with respect to services furnished on an outpatient
				basis, other medical and health services as specified by the Secretary through
				rulemaking.
[Title 42 U.S.C.
				1395x(kkk)(1)]
"Twenty-four hours"
or
"24 hours"
means
the time calculation for determining the length of stay of a
				  patient receiving REH services,
which
begins with the
				  registration, check-in or triage of the patient (whichever occurs first) and
				  ends with the discharge of the patient from the REH.
[42 CFR Part 485, §
													485.502]
"U.S.C."
means the United States Code, a
				  consolidation and codification by subject matter of the general and permanent
				  laws of the United States.