| (a) The department will accept a request for designation
only by letter.
(b) The request must include the following:
(1) name of the hospital as it appears on its hospital
license;
(2) an explanation of how the hospital meets the criteria
that constitute the basis of the request for designation set forth
in §30.121 of this subchapter (relating to Definitions), including
data and documentation necessary to support the request; and
(3) signature of the chief administrative officer or
chairperson of the hospital's board of directors.
(c) The department will review each request and notify
the requesting hospital of its final decision.
(d) Once a hospital has received its designation as
a rural hospital from the department, the hospital is responsible
for applying directly to the Centers for Medicare and Medicaid Services
for reclassification under Medicare provisions.
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