US · guidance
CMS SOM App. A, Tag A-0084
§482.12(e)(1) The governing body must ensure that the services performed under a contract
are provided in a safe and effective manner.
Interpretive Guidelines §482.12(e)(1)
Indirect arrangements may take into consideration services provided through formal contracts, joint
ventures, informal agreements, shared services, or lease arrangements. The patient care services, and all
other services, provided under contract are subject to the same hospital-wide quality assessment and
performance improvement (QAPI) evaluation as other services provided directly by the hospital.
Survey Procedures §482.12(e)(1)
• Determine if the hospital has a mechanism to evaluate the quality of each contracted service and
ensures that each contracted service is provided in a safe and effective manner.
• Review the QAPI plan to ensure that every contracted service is evaluated.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
3604931e83233f09c93150d85a03923ca89c77f243687f7a5e396c44265f5d09
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