; and (7) meets all State requirements applicable to facilities which furnish emergency medical services to individuals but do not typically provide for stays in excess of 24 hours, and meets such other requirements as the Secretary may prescribe not in excess of the conditions of participation under this title that are specifically applicable to off campus dedicated emergency departments of hospitals (as described in section 482.55 of title 42, Code of Federal Regulations (or any successor regulation)), and not the conditions of participation under this title that are applicable to hospitals (as defined in subsection (e)), including rural emergency hospitals (as defined in subsection (kkk)(2)), other than with respect to compliance with the requirements described in section 1867; . (c) Payment under Medicare Section 1833(t)(21) of the Social Security Act ( 42 U.S.C. 1395l(t)(21) ) is amended by adding at the end the following new subparagraph: (F) Treatment of freestanding emergency centers The facility payment rate for services of a freestanding emergency center (as defined in section 1861(nnn)) for higher acuity evaluation or management level services (as represented by HCPCS codes 99283–99285, or any successor codes) shall be in an amount equal to the payment that would otherwise apply to a hospital outpatient department under this subsection, including the application of the geographic adjustment under paragraph (2)(D) and the OPD fee schedule increase factor under paragraph (3)(C)(iv). . (d) Coverage under Medicaid Section 1905(a)(2)(A) of the Social Security Act ( 42 U.S.C. 1396d(a)(2)(A) ) is amended by inserting , including the services of freestanding emergency centers (as defined in section 1861(nnn)) after outpatient hospital services . (e) Effective date The amendments made by this Act shall apply with respect to items and services furnished on or after May 11, 2023.