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CMS-1403-FC
in the proposed regulation. However, each alone would not
be the single issue in determining appropriateness as a sole
means for approving an extension location. We have decided
to leave it to the rehabilitation agency to prove to the
State survey agency that the rehabilitation agency is close
enough to the extension location to provide supervision of
staff during its hours of operation. Supervision of the
extension location staff must be adequate to support the
care needs of the patients. We believe that our proposed
definition for an extension location is adequate, as it has
been used successfully in our State Operations Manual for
other provider types. We are not making any changes to our
proposed revisions based on public comments, and are
finalizing them as proposed.
5. Emergency Care
We proposed to revise §485.711(c), Standard: Emergency
care, to reflect current medical practice. We proposed to
remove the requirement that the rehabilitation agency
provide for one or more doctors of medicine or osteopathy
to be available on call to furnish necessary medical care
in case of an emergency. We do not believe that the
patients serviced by rehabilitation agencies regularly
experience medical emergencies that necessitate the
retention of an on-call physician.
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