System for Referral

(A) The birth center shall develop a written policy for the provision of 24-hour consultation, referral and transfer to appropriate hospital facilities for obstetric/newborn care. (B) Each hospital-affiliated birth center shall develop a written policy for the provision of 24- hour consultation with an obstetrician/gynecologist and a pediatrician or neonatologist with clinical privileges at the parent hospital. If the parent hospital does not provide obstetrics and newborn services, the birth center must meet the requirements set forth in105 CMR 130.817(A).