[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR442.1]



[Page 285-286]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 442_STANDARDS FOR PAYMENT TO NURSING FACILITIES AND INTERMEDIATE 

CARE FACILITIES FOR THE MENTALLY RETARDED--Table of Contents

 

                      Subpart A_General Provisions

 

Sec. 442.1  Basis and purpose.









                      Subpart A_General Provisions



Sec.

442.1 Basis and purpose.

442.2 Terms.



                      Subpart B_Provider Agreements



442.10 State plan requirement.

442.12 Provider agreement: General requirements.

442.13 Effective date of provider agreement.

442.14 Effect of change of ownership.

442.15 Duration of agreement for ICFs/MR.

442.16 Extension of agreement for ICFs/MR.

442.30 Agreement as evidence of certification.

442.40 Availability of FFP during appeals for ICFs/MR.

442.42 FFP under a retroactive provider agreement following appeal.



                   Subpart C_Certification of ICFs/MR



442.100 State plan requirements.

442.101 Obtaining certification.

442.105 Certification of ICFs/MR with deficiencies: General provisions.

442.109 Certification period for ICFs/MR: General provisions.

442.110 Certification period for ICFs/MR with standard-level 

          deficiencies.

442.117 Termination of certification for ICFs/MR whose deficiencies pose 

          immediate jeopardy.

442.118 Denial of payments for new admissions to an ICF/MR.

442.119 Duration of denial of payments and subsequent termination of an 

          ICF/MR.



Subparts D-F [Reserved]



    Authority: Sec. 1102 of the Social Security Act (42 U.S.C. 1302), 

unless otherwise noted.



    Source: 43 FR 45233, Sept. 29, 1978, unless otherwise noted.



[[Page 286]]







    (a) This part states requirements for provider agreements for 

facility certification relating to the provision of services furnished 

by nursing facilities and intermediate care facilities for the mentally 

retarded. This part is based on the following sections of the Act:



Section 1902(a)(4), administrative methods for proper and efficient 

operation of the State plan;

Section 1902(a)(27), provider agreements;

Section 1902(a)(28), nursing facility standards;

Section 1902(a)(33)(B), State survey agency functions; Section 1902(i), 

circumstances and procedures for denial of payment and termination of 

provider agreements in certain cases;

Section 1905(c), definition of nursing facility;

Section 1905(d), definition of intermediate care facility for the 

mentally retarded;

Section 1905 (f), definition of nursing facility services;

Section 1910, certification and approval of ICFs/MR and of RHCs;

Section 1913, hospital providers of nursing facility services;

Section 1919 (g) and (h), survey, certification and enforcement of 

nursing facilities; and

Section 1922, correction and reduction plans for intermediate care 

facilities for the mentally retarded.



    (b) Section 431.610 of this subchapter contains requirements for 

designating the State licensing agency to survey these facilities and 

for certain survey agency responsibilities.



[43 FR 45233, Sept. 29, 1978, as amended at 47 FR 31533, July 20, 1982; 

59 FR 56235, Nov. 10, 1994]