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Code of Massachusetts Regulations (CMR)
Title 105
Chapter 140.00
105 C.M.R. 140.00
Licensure of clinics
MGL c. 111, §§ 3, and 51 through 56
Department of Public Health
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140.001
Purpose
140.010
Scope
140.020
Definitions
140.025
Special Projects
140.099
Waiver of Requirements Imposed on Clinics
140.101
Requirement of License
140.102
Application for a License
140.103
Other Licensing Requirements
140.104
Timing of Application
140.105
Transfer of Ownership and Change in Location
140.106
Acceptance of Application
140.107
Updating of Information
140.108
Evaluation of Application
140.109
Evidence of Responsibility and Suitability
140.110
Right to Visit and Inspect
140.111
Frequency of Inspection
140.112
Deficiency Statements
140.113
Plan of Correction
140.120
Issuance of License
140.121
Period of License
140.122
Coverage of License
140.123
Posting of Clinic License
140.130
Grounds for Suspension of License or Part of License
140.131
Grounds for Denial, Refusal to Renew or Revocation of a License or Part of License
140.132
Hearings: Procedure
140.133
Hearings: Scope of Review
140.134
Judicial Review of Agency Decision
140.140
Closing of a Clinic
140.141
Temporary Interruption of Service
140.150
Requirement for Personnel to Be Vaccinated against Influenza Virus and Coronavirus Disease 2019 (COVID-19) Caused by the Virus SARS-CoV-2
140.201
General Physical Environment
140.202
Reception and Office Areas
140.203
Consultation, Examination and Treatment Areas
140.204
Clean Storage and Soiled Holding Areas
140.205
Handwashing and Toilet Facilities
140.206
Utility Closet
140.208
Ventilation
140.209
Accessibility to Individuals with Disabilities
140.210
Supplies and Equipment
140.211
Maintenance and Sanitation of Supplies and Equipment
140.212
Linen and Laundry
140.220
Emergency Plan
140.221
Fire Drills
140.301
Administrative Records
140.302
Patient Records
140.303
Posting of Notice of Patients’ Rights
140.304
Off-hour Coverage
140.305
Emergency Transfer
140.306
Serious Complaint Procedure
140.307
Serious Incident Reports
140.308
Ambulatory Surgery Center Reporting of Serious Reportable Events and Serious Adverse Drug Events
140.309
Ambulatory Surgery Center Healthcare-associated Infection Data Collection, Submission and Reporting
140.310
Clinic Administrator
140.311
Professional Services Director
140.312
Dual Appointment
140.313
Physician Staff and Responsibility for Practice of Medicine
140.314
Nursing Staff
140.315
Health Care Staff
140.316
Nutrition Services
140.317
Social Services
140.318
In-service Training for Health Care Staff
140.330
Satellite Clinics
140.340
Limitation on Dispensing and Administration of Controlled Substances
140.341
Compliance with Applicable Laws and Regulations
140.342
Clinic Pharmacy Staffing
140.343
Clinic Pharmacy Policies
140.344
Pharmacy and Therapeutics Committee
140.345
Drug Handling and Administration
140.346
Facilities and Equipment
140.347
Pharmacy Services by Clinics without Clinic Pharmacies
140.350
Approval of In-house Clinical Laboratory Services
140.351
Contracting for Outside Clinical Laboratory Services
140.360
Compliance with Applicable Laws and Regulations
140.361
Radiologist
140.362
Radiologic Technologist
140.363
Diagnostic Radiology Facilities
140.364
Mammography Facility – Licensure
140.370
Evaluation of Quality
140.380
Procurement, Storage and Administration of Blood
140.381
Autologous Hematopoietic Progenitor/Stem Cell Transplantation
140.400
Applicability of 105 CMR 140.401 through 140.405
140.401
Minimum Dental Services
140.402
Dental Services Staff
140.403
Dental Policies and Procedures
140.404
Anesthesia
140.405
Dental Surgery
140.450
Applicability of 105 CMR 140.451 through 140.453
140.451
Host Sites for Mobile Services
140.452
Medications for Mobile Services
140.453
Signage for Mobile Services
140.500
Applicability of 105 CMR 140.510 through 140.560
140.510
Mental Health Services
140.520
Adequate Mental Health Services
140.530
Staffing
140.540
Case Review
140.550
Additional Recordkeeping Requirements
140.560
Mental Health Outreach Programs
140.600
Applicability of 105 CMR 140.600 through 140.614
140.601
Incorporation of Medicare Conditions of Participation for Ambulatory Surgical Services
140.602
Surgical and Anesthesia Privileges
140.603
Surgery Director
140.604
Procedures
140.605
Preoperative Evaluation
140.606
Anesthesia Director
140.607
Adequate Assistance
140.608
Surgical Area
140.609
Specimens
140.610
Recovery Procedures
140.612
Physical Environment and Safety Provisions
140.613
Evaluation of Quality
140.614
Limitation on Transfusions
140.620
Surgical Technology Definitions
140.621
Surgical Technology
140.700
Applicability of 105 CMR 140.701 through 140.702
140.701
Physician’s Direction and Plan of Care
140.702
Rehabilitation Staff
140.801
Substance Use Disorder Treatment Services
140.901
Birth Center Written Policies and Procedures
140.902
Staffing
140.903
Equipment and Supplies
140.904
Patient Records
140.905
Care and Services
140.906
Prohibited Practices
140.907
Off-hour Coverage
140.908
System for Referral
140.909
Reporting Requirements
140.911
Lithotripsy
140.1000
Applicability of 105 CMR 140.1001 and 140.1002
140.1001
Policies and Procedures for Limited Services Clinics
140.1002
Physical Plant Environment Requirements in Limited Services Clinics
140.1100
continued
140.1200
Definitions Applicable to 105 CMR140.1201
140.1201
Provision of Information on Palliative Care and End-of-life Options
140.1300
Severability