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Ambulatory Surgical Centers (ASCs)

Guidance for Conditions for Coverage (CfCs) and Conditions of Participations (CoPs) for Ambulatory Surgical Centers (ASCs).

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 11, 2020

Provider/Supplier/Other:

Ambulatory Surgical Centers (ASCs)

Publication Dates:

August 5, 1982

November 18, 2008

April 23, 2010

October 24, 2011

Effective Dates:

September 7, 1982

May 18, 2009

December 23, 2011

CFR section numbers:

Effective Date 1982:     42 CFR 416.2; 416.40-49

Effective Date 2009:  42 CFR 416.2; 416.41-43; 416.49-52

Effective Date 2011:  42 CFR 416

CFR section descriptions:

Effective Date 1982:     Definition, Conditions for Coverage

Effective Date 2009:  Definition, Revised/New Conditions for Coverage

Brief Description of Document(s):

Effective Date 1982:     42 CFR 416.2 (Definition):  This section includes a definition for the following terms:  Ambulatory surgical center, covered surgical procedures, and Facility services.

42 CFR 416.40-49 (CfCs):  These sections contain the health and safety standards that all ASCs must meet.  Covered topics include; but are not limited to, requirements for the ASC's governing body and management, the provision of surgical services, and the keeping of medical records.

Effective Date 2009:  42 CFR 416.2 (Definition):  This section includes a definition for the following term:  Ambulatory surgical center

42 CFR 416.2; 42 CFR 416.41-43; 416.49-52:  These sections contain the health and safety standards that all ASCs must meet.  Covered topics include, but are not limited to: requirements for the ASC's governing body and management; the provision of surgical services; patient rights; infection control; and patient admission, assessment and discharge.

Effective Date 2011: 42 CFR 416: This section contains the patients' rights requirements for ASCs. Covered topics include timing of patients' rights information, grievance procedures, and disclosure of physician financial interest or ownership in the ASC facility.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.