Kentucky CHFS Medicaid · October 24, 2026 · Primary source
Public Notice regarding Rural Emergency Hospitals ( March 31, 2025)
Summary
Kentucky Medicaid issued a public notice under 42 CFR 447.205 announcing the addition of reimbursement language for Rural Emergency Hospitals in the State Plan, effective April 1, 2025. REHs will be reimbursed using the same cost settlement methodology applied to outpatient hospitals. The estimated fiscal impact is zero.
What this may mean
Rural Emergency Hospitals in Kentucky gain a defined outpatient cost settlement reimbursement methodology under the State Plan effective April 1, 2025, building on the 2024 enrollment classification notice. The zero fiscal impact suggests the cost settlement approach tracks existing outpatient hospital payment levels without a new rate premium.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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