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A critical access hospital (CAH) in the United States is a type of Medicare facility designation for certain rural hospitals, available through a state's rural hospital flexibility program. These programs allow states to designate small rural hospitals as CAHs if they are sufficiently distant from other facilities, provide 24-hour emergency services, and meet limits on inpatient beds and length of stay. The programs and designations were first authorized by the Balanced Budget Act of 1997.
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