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Medicare/CMS - TransmittalsTraditional Medicare · Reimbursement · CMS Transmittal · Emergency MedicineMedium impact

R14017CP: January 2027 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount

Effective date
Jan 1, 2027
Identified
Oct 23, 2026

Summary

CMS has established the January 2027 monthly facility payment amount for Rural Emergency Hospitals (REHs) at $304,492.86 (after sequestration removal). Medicare Administrative Contractors must apply this updated payment amount to all REH providers effective January 1, 2027, with implementation by January 4, 2027.

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What to do

Action · 3 steps
01Effective January 1, 2027: Billing team and Medicare Administrative Contractors shall verify that billing systems are configured to apply the CY 2027 REH monthly facility payment amount of $304,492.86 (post-sequestration) to all REH provider claims beginning January 1, 2027, with implementation by January 4, 2027.
02If your practice operates as or bills through an REH, confirm with your MAC that the updated payment amount has been implemented in their claims processing system.
03No prior authorization or documentation changes are required; this is a rate update only.

Original notice

R14017CP: January 2027 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
cms.gov · Always check the source before changing claims.
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