State Operations Manual (Pub. 100-07), Ch. 2 § 2050
Medical-Surgical Unit of Psychiatric Hospitals
2050 - Medical-Surgical Unit of Psychiatric Hospitals
(Rev. 1, 05-21-04)
A medical-surgical unit of a psychiatric hospital may qualify for participation as a general
hospital independent of the institution as a whole, regardless of whether the remainder of
the institution is participating. The unit is regarded as a separate institution for this
purpose since the law does not provide for the participation of a “distinct part general
hospital.” It must be a separate, functioning entity that is a distinct and identifiable unit
within the institutional complex and be in compliance with all the CoPs for hospitals.
Although a medical-surgical unit may find it necessary to share some services with the
nonparticipating part of the institution, the location of shared services in relation to the
medical-surgical unit must clearly show that the latter meets the CoPs.