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CMS Issues Guidance to State Surveyors and FAQs on ADT Notifications

May 14, 2021

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CONTACTS
Gayle Lee, Director, Physician Payment & Quality

The Centers for Medicare and Medicaid Services issued on May 10 interpretive guidance and frequently asked questions (FAQs) to state survey agencies and providers on the hospital admission, discharge, and transfer (ADT) notification requirements that were established in the interoperability and patient access final rule.

The rule, which is effective May 1, 2021 requires hospitals, psychiatric hospitals, and critical access hospitals to send electronic patient event notifications of patient’s admission, discharge, and/or transfer to another health care facility or practitioner [refer to Washington Highlights, March 13].

In the notifications, hospitals must include, at a minimum, the name of the patient, treating practitioner and sending institution. The hospital must make a reasonable effort to ensure that notifications are sent to all applicable post-acute care service providers and suppliers, and to the patient’s primary care practitioner or practice group, or other practitioner identified by the patient or person  primarily responsible for his/her care. A patient may request that the hospital not share patient information with other providers through the ADT notification.

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