Inpatient Prospective Payment System (IPPS) 2009 Final Rule Revisions to EMTALA Regulations
The Fiscal Year (FY) 2009 IPPS final rule included EMTALA revisions, effective October 1, 2008. The regulatory provisions
have been revised and reorganized. Key changes include introduction of a shared community call (CCP) plan option and elimination
of ambiguous language concerning on-call list criteria. Technical corrections were made to track the statutory language. A
hospital with specialized capabilities is not required under EMTALA to accept the transfer of a hospital inpatient who presented
to the admitting hospital under EMTALA. The Interpretative Guidelines in the State Operations Manual Appendix V that correspond
to these changes are attached.