US · guidance
CMS SOM App. A, Tag A-1153
§482.57(a)(1) - There must be a director of respiratory care services who is a doctor
of medicine or osteopathy with the knowledge, experience and capabilities to
supervise and administer the service properly. The director may serve on either a
full-time or part-time basis.
Interpretive Guidelines §482.57(a)(1)
The service director must be a doctor of medicine or osteopathy and must demonstrate
through education, experience and specialized training that he/she has the qualifications
necessary to supervise and administer the service properly, appropriate to the scope and
complexity of services offered.
If the director serves on a part-time basis, the time spent directing the department should
be appropriate to the scope and complexity of services provided.
Survey Procedures §482.57(a)(1)
• Verify that a director has been appointed and that he/she has fixed lines of
authority and delegated responsibility for operation of the service.
• Interview staff regarding the role and oversight activities conducted by the
director.
• Review the service director’s credentialing file to determine that he/she is a M.D.
or D.O. and has the necessary education, experience and specialized training to
supervise and administer the service properly.
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
086c29452e20838113a5295c60b4bc2c89fa2e2d5881cc56af21e9319886a3f9
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