A rural emergency hospital is a health care facility previously licensed as a hospital that provides emergency care on a twenty-four-hour basis, is located in a municipality under fifty thousand population that has no acute inpatient services, and that has in effect a transfer agreement with a level I or II trauma hospital, as designated by the Department of Health, to accept patients from the rural emergency hospital.

Health Facility Complaints        Health Facility Incident Reporting

List of Hospital Providers/Facilities in South Dakota

Rural Emergency Hospital Regulations

Centers for Medicare and Medicaid Services (CMS), SD Codified Statute, and SD Administrative rural emergency hospital regulations.

  • CMS Acute Care Hospital Regulations Appendix O (Currently Under Construction)
  • Emergency Preparedness Manual
  • Licensing Application (Currently Under Construction)

Rural Emergency Hospital Resources


For South Dakota requirements to become a certified rural emergency hospital (REH) provider contact:

Jean Koch, Public Health Advisor