30 States require that the ASC either have a transfer agreement in place with a hospital or physicians performing surgery have admitting privileges at the hospital.14 states require an established transfer agreement.
Medicaid Agency; and
b. All physicians performing surgery in the center shall have admitting privileges at the hospital.
emergency care beyond the scope of the ability or license of the facility.
nature which can’t be handled by the ASC.
the hospital and ensured timely admission to the hospital when physician determines it is
transportation, sharing of services, equipment and personnel, provision of total care or portions
thereof in relation to facility and agency capability, and patient record confidentiality.
time from the hospital for patients requiring attention for an emergency or other condition
- New York
hospitalization is indicated.
- North Carolina
ASC is still considered to be in compliance if it has documentation to support its efforts to
establish a transfer agreement with a hospital and has been unable to secure an agreement.
emergency situations, and for other needs as they arise.
- South Dakota
ambulatory surgical facility’s medical staff.
provide the level of care necessary to meet the needs of the patient.
b.The ASC shall have a written agreement with any and each licensed facility that admits patients
for post surgical care.
14 states require either an established transfer agreement or physicians performing
surgery to have hospital admitting privileges.
physicians performing surgery in the ASC shall have admitting privileges at the hospital.
b.The ASC shall be allowed to have offsite pre-planned transfers to other licensed facilities that
can provide the level of care necessary to meet the needs of the patient.
performed at the ASC at a licensed hospital within reasonable proximity, a transfer agreement
needs to be in place with a local hospital within reasonable proximity (not to exceed 30 minutes
from the facility; or
b. The medical staff at the center has admitting privileges or other acceptable documented
arrangement to ensure the necessary backup for the center for medical complications.
c. The center must have the capability to transfer a patient immediately to a hospital within a
reasonable distance from the facility with adequate emergency room services.
d. Hospitals shall not unreasonably deny a transfer agreement to the center.
who directs/supervises the administration of anesthesia, must have:
a. Admitting privileges at a nearby hospital
b. Transfer agreement with another practitioner who has admitting privileges at a nearby
c. An emergency transfer agreement with a nearby hospital.
b. Practitioners are privileged to perform these procedures in at least one licensed hospital in the
community in which the ASC is located.
hospital that meets the requirements for payments for emergency services under 42
Code of Federal Regulations, Section 482.2.; or
b. All physicians must have admitting privileges at such a hospital.
b. All practitioners performing surgery in the ASC are required to have admitting privileges at a
b. Physicians with surgical privileges at the center must have admitting privileges at the hospital
c. The hospital must be a Medicaid-participating provider, and must be licensed to operate in
accordance with 105 CMR 130,000 or with its own state’s licensing agency.
procedures in at least one licensed hospital in the community in which the ASC is located;
b. Alternatively, need a working agreement with at least one licensed hospital in the community
in which the ASC is located, guaranteeing the transfer for emergency treatment whenever
b. All physicians performing surgery in the ASC shall have admitting privileges at a general
hospital located not more than 20 minutes travel distance from the center.
b. Physicians performing surgery in the ASF shall have admitting privileges at a hospital in close
proximity to the ASF, to which patients may be transferred.
- Rhode Island
b. Permit elective surgery only by licensed practitioners who have similar privileges at a nearby
licensed hospital and approved by the ASC’s governing body.
- South Carolina
agreements with other facilities, as applicable.
b. All physicians performing surgery at the ASC shall have admitting privileges at a local hospital.
b. Shall have a written transfer agreement with one or more full-service licensed hospitals located
within an overall travel time of 15 minutes or less from the facility.