{"id":"FED-158","kind":"order","level":"federal","jurisdiction":"United States (all healthcare facilities and clinicians)","state":"","metro":"","industry":"","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services, HHS","authority":"Recommendations (CMS press and guidance under the PHE); adopted by State orders","instrument":"CMS, Non-Emergent, Elective Medical Services, and Treatment Recommendations (Apr. 7, 2020) (tiered framework; supplements the Adult Elective Surgery and Procedures Recommendations of Mar. 18, 2020)","title":"Non-Emergent, Elective Medical Services, and Treatment Recommendations","dateIssued":"2020-04-07","effective":"2020-04-07","end":"succeeded by the Phase I reopening recommendations of Apr. 19, 2020 (FED-159) and Phase II (June 8, 2020)","startDate":"2020-04-07","endDate":"2020-04-19","quarters":["2020Q2"],"types":["HC","CLOSE"],"addressees":["healthcare facilities and clinicians (hospitals, ASCs, physician and dental practices)"],"clause":"CMS, in collaboration with medical societies and associations, recently created recommendations to postpone non-essential surgeries and other procedures. This document provides recommendations to limit those medical services that could be deferred, such as non-emergent, elective treatment, and preventive medical services for patients of all ages. A tiered framework is recommended to prioritize services and care to those who require emergent or urgent attention to save a life, manage severe disease, or avoid further harms from an underlying condition.... CMS urges healthcare facilities and clinicians to consider the following tiered approach to curtailing non-emergent, elective medical services and treatment.","enforcement":"Recommendations; made mandatory by State elective-procedure orders and referenced in CMS survey guidance","functions":["SX surgery and elective procedures (hospitals)","PR procedures and elective visits (physician practices)","PR/CH elective and aerosol-generating dental procedures","DX diagnostics and preventive services","CB patient volumes"],"notes":"The federal template for the March-May 2020 elective-procedure shutdown; the Mar. 18, 2020 Adult Elective Surgery recommendations (referred to in this document and in FED-159: \u0027on March 18 the Centers for Medicare \u0026 Medicaid Services (CMS) recommended limiting non-essential care\u0027) could not be retrieved at its original URL and is pleaded from this document\u0027s recital.","sourceUrl":"https://www.cms.gov/files/document/cms-non-emergent-elective-medical-recommendations.pdf","snapshot":"","fileExists":true,"fileBytes":264121,"grade":"primary","character":"","description":"","collection":"FED-A","url":"/library/FED-158","exhibitUrl":"/exhibit/FED-158","citation":"Centers for Medicare \u0026 Medicaid Services, HHS, CMS, Non-Emergent, Elective Medical Services, and Treatment Recommendations (Apr. 7, 2020) (tiered framework; supplements the Adult Elective Surgery and Procedures Recommendations of Mar. 18, 2020) (Ex. FED-158)","stateName":"","related":["FED-159","FED-090","FED-091","FED-160"]}