CMS Final Rule

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CMS Final Rule

 The Centers for Medicare and Medicaid Services (CMS) finalized a rule to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters.

The CMS final rule requires Medicare and Medicaid participating providers and suppliers to meet the following four common best practice standards. 

  1. Emergency plan:  Based on a risk assessment, develop an emergency plan using an all-hazards approach focusing on capacities and capabilities that are critical to preparedness for a full spectrum of emergencies or disasters specific to the location of a provider or supplier.
  2. Policies and procedures:  Develop and implement policies and procedures based on the plan and risk assessment.
  3. Communication plan:  Develop and maintain a communication plan that complies with both Federal and State law.  Patient care must be well-coordinated within the facility, across health care providers, and with State and local public health departments and emergency systems. 
  4. Training and testing program:  Develop and maintain training and testing programs, including initial and annual trainings, and conduct drills and exercises or participate in an actual incident that tests the plan. 

Health care providers and suppliers affected by the CMS final rule must comply and implement all regulations one year after the effective date, November 15, 2016

We created a workgroup to focus discussion and activity around the CMS final rule.  The workgroup is an opportunity to integrate with other community partners to establish communication and explore plans, policies, and procedures frequently used by other entities within the jurisdiction.  To be added to the workgroup please contact Michele Milton at (618) 296-6080 or




Centers for Medicare and Medicaid