[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR488.6]



[Page 661]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 488_SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES--Table of 

 

                      Subpart A_General Provisions

 

Sec.  488.6  Other national accreditation programs for hospitals 



and other providers and suppliers.



    (a) In accordance with the requirements of this subpart, a national 

accreditation program for hospitals; psychiatric hospitals; SNFs; HHAs; 

ASCs; RHCs; CORFs; hospices; religious nonmedical health care 

institutions; screening mammography services; critical access hospitals; 

or clinic, rehabilitation agency, or public health agency providers of 

outpatient physical therapy, occupational therapy or speech pathology 

services may provide reasonable assurance to CMS that it requires the 

providers or suppliers it accredits to meet requirements that are at 

least as stringent as the Medicare conditions when taken as a whole. In 

such a case, CMS may deem the providers or suppliers the program 

accredits to be in compliance with the appropriate Medicare conditions. 

These providers and suppliers are subject to validation surveys under 

Sec.  488.7 of this subpart. CMS will publish notices in the Federal 

Register in accordance with Sec.  488.8(b) identifying the programs and 

deeming authority of any national accreditation program and the 

providers or suppliers it accredits. The notice will describe how the 

accreditation organization's accreditation program provides reasonable 

assurance that entities accredited by the organization meet Medicare 

requirements. (See Sec.  488.5 for requirements concerning hospitals 

accredited by JCAHO or AOA.)

    (b) Eligibility for Medicaid participation can be established 

through Medicare deemed status for providers and suppliers that are not 

required under Medicaid regulations to comply with any requirements 

other than Medicare participation requirements for that provider or 

supplier type.

    (c)(1) A provider or supplier deemed to meet program requirements 

under paragraph (a) of this section must authorize its accreditation 

organization to release to CMS and the State survey agency a copy of its 

most current accreditation survey, together with any information related 

to the survey that CMS may require (including corrective action plans).

    (2) CMS may determine that a provider or supplier does not meet the 

Medicare conditions on the basis of its own investigation of the 

accreditation survey or any other information related to the survey.

    (3) Upon written request, CMS may disclose the survey and 

information related to the survey--

    (i) Of any HHA; or

    (ii) Of any other provider or supplier specified at paragraph (a) of 

this section if the accreditation survey and related survey information 

relate to an enforcement action taken by CMS.



[58 FR 61840, Nov. 23, 1993, as amended at 62 FR 46037, Aug. 29, 1997; 

64 FR 67052, Nov. 30, 1999]