Ohio § 3701.073

§ 3701.073.

(A) The department of health is hereby designated as the state agency responsible for

administering the medicare rural hospital flexibility program, as established in 42 U.S.C. 1395i-4 , as amended. (B) The director of health shall designate as a critical access hospital a hospital registered

as an acute care hospital with the department under section 3701.07 of the Revised Code if the hospital meets the following requirements: (1) Has not more than twenty-five acute care and swing beds in use at any time for the

furnishing of extended care or acute care inpatient services; (2) Has a length of stay not more than ninety-six hours per patient, on an annual average

basis; (3) Provides inpatient, outpatient, emergency, laboratory, radiology, and twenty-four

hour emergency care services; (4) Has network agreements in place for patient referral and transfer, a communication

system for telemetry systems, electronic sharing of patient data, provision for emergency

and non-emergency transportation, and assures credentialing and quality assurance; (5) Was certified as a critical access hospital by the centers for medicare and medicaid

services between January 1, 2001, and December 31, 2005, or is located in a rural

area as identified below: (a) An area within an Ohio metropolitan area designated as a rural area by the United

States department of health and human services, office of rural health policy, in

accordance with 42 C.F.R. 412.103 regarding rural urban commuting area codes four through ten in effect on the effective

date of this section; (b) A non-metropolitan county as designated in United States office of management and

budget bulletin no. 93-17, June 30, 1993, and its attachments; (c) A rural zip code within a metropolitan county as designated in United States office

of management and budget bulletin no. 93-17, June 30, 1993, and its attachments.