; and there are letters of support from key State payers such as Medicaid and private insurance; and (ii) the applicant describes in detail how the transition of the health care provider or providers will better meet local needs and be sustainable. (D) Eligible rural health care provider defined For purposes of this paragraph, the term eligible rural health care provider includes a critical access hospital, a certified rural health clinic, a rural nursing home, skilled nursing facility, emergency care provider, or other entity identified by the Secretary. An eligible rural health care provider may include other entities applying on behalf of a group of providers such as a State Office of Rural Health, a State or local health care authority, a rural health network, or other entity identified by the Secretary. .