US · guidance
CMS Pub. 100-04, ch. 3, § 30.1.3
Costs of Emergency Room On-Call Providers
For dates of service on or after January 1, 2005, the reasonable costs of outpatient CAH
services may include the reasonable compensation and related costs for an emergency room
provider who is on call but not present at the premises of the CAH, if the provider is not
otherwise furnishing provider services and is not on call at any other provider or facility.
The costs are allowable only if they are incurred under a written contract that requires the
provider to come to the CAH when the provider’s presence is medically required. An
emergency room provider must be a doctor of medicine or osteopathy, physician assistant,
nurse practitioner, or clinical nurse specialist who is immediately available by telephone or
radio contact, and available on site, on a 24-hour a day basis, within 30 minutes, or within 60
minutes in areas described in 42 CFR 1395(g)(5).
For dates of service from October 1, 2001, through December 31, 2004, this provision covers
only emergency room physicians. An emergency room physician must be a doctor of
medicine or osteopathy.
History
(Rev. 803, Issued: 01-03-06, Effective: 04-03-06, Implementation: 04-03-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ca8c87b81cc8af52f75ef5679905403025fa6efb6dd1abb3161e8767195bde33
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