CMS SOM App. PP, Tag F840

§483.70(f)(1) If the facility does not employ a qualified professional person to

furnish a specific service to be provided by the facility, the facility must have that

service furnished to residents by a person or agency outside the facility under an

arrangement described in section 1861(w) of the Act or (with respect to services

furnished to NF residents and dental services furnished to SNF residents) an

agreement described in paragraph (g)(2) of this section.

§483.70(f)(2) Arrangements as described in section 1861(w) of the Act or agreements

pertaining to services furnished by outside resources must specify in writing that the

facility assumes responsibility for—

(i) Obtaining services that meet professional standards and principles that apply

to professionals providing services in such a facility; and

(ii) The timeliness of the services.

DEFINITIONS §483.70(f)

“Timeliness” means that services are completed and results are provided within the

timeframe(s) specified in accordance with facility policies and procedures, the medical

orders, or professional standards of practice; and that facility staff notifies the resident’s

physician, dentist, physician assistant, nurse practitioner or clinical nurse specialist as

directed in the medical order.