CMS SOM App. W, Tag C-1042

arrangements or agreements. The list describes the nature and scope of the services

provided.

Interpretive Guidelines §485.635(c)(3)

The CAH must maintain a list of all patient care services furnished by the CAH through

arrangements or agreements. The list must be updated each time a contracted service is

added or removed. For each service the list must include, at a minimum, the following

information:

• The service(s) being offered;

• The individual(s) or entity providing the service(s);

• Whether the services are offered on- or off-site;

• Whether there is any limit on the volume or frequency of the services provided;

and

• When the service(s) are available.

Survey Procedures §485.635(c)(3)

• Review the list of contracted services and verify that it contains all required

information.

• Ask the CAH for evidence that the list is updated whenever there are changes.

• Ask various CAH staff during the course of the survey whether they work directly

for the CAH or some other entity; check that services provided by staff employed

by outside entities are on the list of contracted services.