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CMS Waivers ITM

CMS has issued guidance on waivers for inspection, testing and maintenance for health care  facilities with a Waiver ITM Recommendations Table and a  Waiver Template for Testing and Maintenance  to be submitted together.

Regarding medical gas systems, we are recommending the healthcare organization issue a “state of emergency” organizational policy. This policy would defer all testing except master alarms, operating rooms, and a code review for the systems including any temporary installations or setups. Maintenance of medical gas outlets would be continued on an as-needed basis.

  • Medical Gas system: Testing and maintenance in section EC.02.05.09, EP 7

    • Dependent on HCO policy: If test was due during SOE, add 60-day grace period after lifting SOE

  • Air Ventilation Testing: Testing and maintenance in section EC.02.05.01, EP 15

    • No deferment

  • Anesthesia Machine: Testing and maintenance in section EC0.02.04.03. EP 2

    • No deferment

Downloads for Waiver Application Template and Waiver ITM Recommendations

Other CMS Blanket Waivers COVID 19

Credit: Thank you to ASHE for providing information on their web site that helped to make this article.

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