Non-Adoption Explanation Document
EMTALA Transportation Compliance — Official Institutional Disclosure
Pursuant to the National EMTALA Compliance Certification Program administered by The Taya Foundation, healthcare institutions that have not adopted the EMTALA Compliance Certification are required to submit this formal explanation by May 30, 2026, which is ten (10) days following the opening of Phase II on May 20, 2026. This document must demonstrate the institution's existing transportation compliance methodology for High-Risk Discharge and Behavioral Health patient transport.
Mandatory Compliance Notice: Institutions that neither adopt the Certification nor submit this explanation by May 30, 2026 will be documented as having an unresolved EMTALA exposure. This record may be referenced during CMS Corrective Review proceedings. Submission must also be independently transmitted to your State Survey Agency (SSA).
Instructions for Completion
This document is to be completed by an authorized institutional representative — typically the Facility Administrator, Chief Compliance Officer, or Director of Patient Transport Services. All fields marked with an asterisk (*) are mandatory.
Upon submission, this document is automatically transmitted to:
- The Taya Foundation — National EMTALA Compliance Review Desk (info@tayafoundation.org)
- You are independently responsible for carbon-copying your State Survey Agency (SSA).
Submissions received after May 30, 2026 will be recorded as late and may not preclude escalation to Corrective Review.
🔒 Confidentiality Assurance
All submissions to this program — including this Non-Adoption Explanation — are held in strict confidence. The identity of submitting institutions, their adoption status, and the contents of this document will not be disclosed to any external party, competitor institution, or public registry.
Confirmation of receipt and any follow-up communications will be transmitted exclusively to the authorized contact named in this document. No cross-institutional comparisons, public adoption lists, or institutional rankings will be published without explicit written consent from the institution's authorized representative.
This confidentiality protection applies equally to institutions that have adopted the Certification and those that have not. Participation in this review process — in any form — will not be publicly reported.
Supporting Documents (Optional)
Upload policies, contracts, or any supporting files. Multiple files allowed.
Official Attestation
By checking the box below, the undersigned authorized institutional representative attests, under penalty of institutional record, that all information contained in this Non-Adoption Explanation is accurate, complete, and reflective of the institution's actual operational practices. The representative acknowledges that this document will be reviewed by The Taya Foundation — National EMTALA Compliance Review Desk and may be referenced in any subsequent CMS Corrective Review proceedings.
