10-144-125 Me. Code R. § 4.C
The Ambulatory Surgical Facility must have a governing body that assumes full legal responsibility for determining, implementing and monitoring policies governing the Ambulatory Surgical Facility's total operation and for ensuring that these policies are administered so as to provide quality health care in a safe environment. When services are provided through a contract with an outside resource, the Ambulatory Surgical Facility must assure that these services are provided in a safe and effective manner.
The Ambulatory Surgical Facility must have an effective procedure for the immediate transfer, to a hospital, of patients requiring emergency care beyond the capabilities of the Ambulatory Surgical Facility. This hospital must be a local, Medicare participating hospital or a local, non-participating hospital that meets the requirements for payment for emergency services under 42 Code of Federal Regulations, Section 482.2. The Ambulatory Surgical Facility must have a written transfer agreement with such a hospital, or all physicians performing surgery in the Ambulatory Surgical Facility must have admitting privileges at such a hospital. The Ambulatory Surgical Facility must also have a written agreement with an ambulance service.
10-144 C.M.R. ch. 125, § 4.C