CMS emergency preparedness final rule guidance

Summaries of Conditions of Participation (CoP) by facility type.
Affected provider types.
Basic provisions for participating Medicare facilities emergency preparedness rule:
  • Emergency plan
  • Policy procedure
  • Communication
  • Training / Testing
  • Integrated health system provision
  • Emergency standby power for specific provider types
    • Critical Access Hospitals
    • Hospitals (including Transplant Centers)
    • Long Term Care


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Effective July 1, 2017, health care coalition boundaries are changing to reflect regional health care coalitions.


Things to know

On September 16, 2016, the Centers for Medicare and Medicaid Services (CMS) released the final rule on Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers

This final rule establishes national emergency preparedness requirements for Medicare- and Medicaid-participating providers and suppliers to plan adequately for both natural and man-made disasters, and coordinate with federal, state, tribal, regional, and local emergency preparedness systems. It will also assist providers and suppliers to adequately prepare to meet the needs of patients, residents, clients, and participants during disasters and emergency situations. Despite some variations, our regulations will provide consistent emergency preparedness requirements, enhance patient safety during emergencies for persons served by Medicare and Medicaid participating facilities, and establish a more coordinated and defined response to natural and man-made disasters.

Effective date: 11/15/2016

Date providers have to be compliant: 11/15/2017

CMS final rule

CMS emergency preparedness resources website


Additional resources

Yale New Haven Health System Center CoP and Accrediting Organization crosswalk

Overview of the rule presentation

Resources identified in the rule