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Patient receiving short term surgical care.
Photo courtesy of WSHA

Doing Business in
Washington

For further assistance with your Washington State business requirements, visit the Learn about Doing Business in Washington Web site.

AMBULATORY SURGICAL CENTERS

Ambulatory Surgical Centers (ASC) are distinct facilities that provide short-term surgical services to patients not requiring hospitalization.  ASCs are not licensed by the state.  Some ASCs are required to obtain a license from the State Board of Pharmacy as written in RCW 18.64

 


ASC services are those that generally do not exceed 90 minutes in length and do not require more than four hours recovery time.  An overnight stay may occur after unanticipated medical circumstances. However, when extended care is anticipated, the surgical procedure should be performed in a hospital. 

ASC services are performed by licensed physicians in a safe and sanitary environment. Each Center has emergency equipment and trained personnel. Nurses are available to assure that patient needs are met. Pharmacy services are also available. Laboratory and radiological services may be performed on site or through agreements with other approved facilities.

Medicare pays for services provided in ASCs who voluntarily seek certification and are approved by the federal Health and Human Services, Centers for Medicare and Medicaid Services (CMS).  CMS contracts with the State Department of Health to evaluate compliance with the federal regulations by periodically conducting unannounced surveys in these centers.

 

FEDERAL MEDICARE REGULATIONS:  ASC

Regulations:     42 CFR 416 Part B  
                  

APPLICATION FOR MEDICARE CERTIFICATION:

For persons interested in the application process for Federal Medicare certification of these centers, here are steps to follow.

  1. Request a copy of the federal Medicare regulations for ASC's.  How to Contact Us. 

  2. Contact the Department of Health Certificate of Need Unit (CON) at (360) 236-2955 to determine if CON requirements pertain to a special ASC. 

  3. Contact Department of Health Construction Review Services (CRS) at (360) 236-2944 to determine if review of construction documents pertain to a special ASC.

  4. After completing steps 1-3, contact Office of Health Care Survey to request an application for certification as an ASC identifying: the location; free-standing or hospital-based; the availability of doctors on staff; and the type of surgical procedures to be performed.

  5. Submit completed application to Office of Health Care Survey.

After review and acceptance of application, DOH conducts on-site survey before recommending the ASC for Medicare certification.

For further assistance with your Washington State business requirements, visit the Learn about Doing Business in Washington Web page.

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Washington State Department of Health
Facility Services Licensing
P.O. Box 47852
Olympia, WA 98504-7852
Phone: (360) 236-2905
Fax: (360) 236-2901

Last Update : 03/02/2006 04:04 PM
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