For practice managers, healthcare providers, and owners, navigating urgent care certification categories is essential for compliance and operational planning. This guide outlines the distinct requirements for Category 1 and 2 certifications, along with the baseline standards all facilities must meet.
Staffing Requirements by Certification Category
Category 1 Certification
- Requires an on-site licensed physician (MD/DO) during all operating hours
- Typically commands higher reimbursement rates from payers
Category 2 Certification
- Permits an on-site licensed provider (MD/DO, NP, or PA) during all operating hours
- Offers more staffing flexibility while maintaining quality care
Minimum Operational Standards for All Certified Urgent Care Centers
- Patient Care Scope
- Must accept walk-in patients of all ages
- Capable of treating a broad range of illnesses, injuries, and conditions
- Diagnostic and Treatment Capabilities
- On-site X-ray equipment
- Phlebotomy services
- EKG capabilities
- Minor procedure capacity (sutures, splinting, etc.)
- Essential Equipment
- Automated External Defibrillator (AED)
- Oxygen supply
- Fully stocked emergency drug cart
Facility Requirements
- Minimum of two exam rooms
- Dedicated waiting area
- Restricted-access restrooms
- Operating hours:
- Open 7 days per week
- Minimum 4 hours per day
- Annual total of 3,000 operational hours
Additional Certification Requirements
- Medical Director Oversight: A licensed physician must supervise clinical quality
- Ethical Operations: Compliance with medical and business practice standards
- Exclusions: Retail clinics, limited walk-in physician offices, and specialty clinics are ineligible
Pre-Opening Certification Process
Facilities may apply for certification before opening, receiving temporary approval while completing final requirements. This allows for:
- Staff credentialing completion
- Equipment installation and testing
- Final inspections
Key Consideration: Certification standards may vary slightly by state or accrediting body. Always verify local requirements.