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      • Outpatient Surgical
      • Outpatient Procedural
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    • Medicare Programs
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© AAAASF, Inc.

MEDICARE RURAL HEALTH DOCUMENTS

Begin or maintain your accreditation process by downloading the materials below.

The following documents are available for facilities to download, as part of the accreditation process.  Additional facility information may be required, as listed in the accreditation process for this program.

New Application Materials

  • Application (RHC)
  • RHC Standards and Checklist V2.3
  • Authorization to Release
  • Staff Schedule (RHC 30 Day)
  • Accreditation Agreement (RHC)
  • Medical Director's Attestation
  • Clinic Identification Form (RHC)
  • HIPAA Business Associate Agreement
  • Staff Identification Form (RHC)
  • COVID-19 Surveyor Worksheet Instructions
  • COVID-19 RHC Surveyor Worksheet

Self Survey Materials

  • RHC Standards and Checklist V2.3
  • Medical Director Attestation
  • Clinic Identification Form (RHC)
  • Staff Identification Form (RHC)
  • Add Provider (RHC)
  • Remove Provider (RHC)
  • COVID-19 Surveyor Worksheet Instructions
  • COVID-19 RHC Surveyor Worksheet

Re-Survey Materials

  • RHC Standards and Checklist V2.3
  • Authorization to Release
  • Staff Schedule (RHC 30 Day)
  • Medical Director's Attestation
  • Clinic Identification Form
  • Staff Identification Form
  • Add Provider
  • Remove Provider (RHC)
  • COVID-19 Surveyor Worksheet Instructions
  • COVID-19 RHC Surveyor Worksheet

AAAASF values your feedback!

Please send comments or suggestions about AAAASF standards to Jeanne Henry, Director of Accreditation. Be sure to indicate the program(s) and standard number(s) to which your comments apply.

American Association for Accreditation of Ambulatory Surgery Facilities

American Association for Accreditation
of Ambulatory Surgery Facilities

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