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US · guidance

CMS SOM App. W, Tag C-1012

§485.635(a)(3) [The policies include the following:]

activein force · 2026-07-22 – presentas-observed

(ii) Policies and procedures for emergency medical services.

Interpretive Guidelines §485.635(a)(3)(ii)

The CAH’s written patient care policies must include its policies and procedures for

providing emergency services, addressing all of the requirements at 42 CFR 485.618.

See the interpretive guidelines for §485.618.

Survey Procedures §485.635(a)(3)(ii)

Verify that written policies and procedures detail how the CAH plans to comply with the

requirements of 42 CFR 485.618. Do the written policies and procedures address the

following:

• How the CAH provides 24 hour emergency care to its patients?

• What equipment, supplies, medications, blood and blood products are maintained

onsite and which are readily available for treating emergency cases by agreement

at other facilities?

• What types of personnel are available to provide emergency services and what are

their required onsite response times?

Do they address how the CAH coordinates with local emergency response systems?

History

Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
f7215eb99d9a4661afa582dd90d8e5232e7f6c973163397dd26c2a76904e829d
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