CMS Issues Guidance on Co-Located Hospitals

Guidance provides clarification about requirements related to space, contracted services, staffing, and emergency services

By HFT Editorial Staff
November 23, 2021

Joshua Rainey Photography /

The Centers for Medicare & Medicaid Services (CMS) recently released final guidance for evaluation of compliance with Medicare conditions of participation (CoPs) related to shared space and services for hospitals co-located with other hospitals. Co-location occurs when two Medicare-certified hospitals or a Medicare-certified hospital and another healthcare entity are on the same campus or in the same building and share space, staff, or services.

For example, an outpatient department of one hospital is located on the same campus of or in the same building as another hospital or separate Medicare-certified provider, such as an ambulatory surgical center. All co-located hospitals must demonstrate independent compliance with the CoPs.

The long-awaited guidance provides clarification about requirements related to space, contracted services, staffing, and emergency services. For example, CMS specifies that whether employed or contracted, staff providing services in each facility must receive training and education on their facilities’ policies and procedures, undergo periodic evaluation, and adhere to quality and performance improvement standards of the individual hospital.

The final guidance is not as prescriptive as the draft version released on May 3, 2019. But examples in the draft guidance could still be useful when assessing the appropriateness of co-located provider space and staffing arrangements.

CMS notes that, if both facilities use the same space, noncompliance in the surveyed space would be cited for the hospital undergoing the survey and could trigger a complaint in the co-located facility.

See the latest posts on our homepage Share

Topic Area: Construction , Industry News

Recent Posts
Recent Posts

Hospitals Address Recent String of Gun Violence

St. Louis Children’s Hospital has begun distributing free gun locks to anyone who needs them.


Strawberry Fields REIT Acquires The Landmark of Breathitt County Rehabilitation & Nursing Center

The acquired facility offers 120 beds and a range of services for its residents.


Furniture's Role in Healthcare Facilities

Managers are creating environments that support patient healing and ease the workload and physical strain on clinicians.


Striving for Better Cleaning in Hospitals 

Cleaning patient rooms is more efficient when workers follow a set pattern.


St. Jude Children's Research Hospital Unveils First Ever Family Commons

The 45,000 square-foot commons area provides a space for facilities to find comfort between appointments.



News & Updates • Webcast Alerts • Building Technologies

All fields are required.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

You Might Like