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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter G - Standards and Certification |
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Part 488 - Survey, Certification, and Enforcement Procedures |
| Subpart A - General Provisions |
| § 488.1 - Definitions. |
| § 488.2 - Statutory basis. |
| § 488.3 - Conditions of participation, conditions for coverage, conditions for certification and long term care requirements. |
| § 488.4 - General rules for a CMS-approved accreditation program for providers and suppliers. |
| § 488.5 - Application and re-application procedures for national accrediting organizations. |
| § 488.6 - Providers or suppliers that participate in the Medicaid program under a CMS-approved accreditation program. |
| § 488.7 - Release and use of accreditation surveys. |
| § 488.8 - Ongoing review of accrediting organizations. |
| § 488.9 - Validation surveys. |
| § 488.10 - State survey agency review: Statutory provisions. |
| § 488.11 - State survey agency functions. |
| § 488.12 - Effect of survey agency certification. |
| § 488.13 - Loss of accreditation. |
| § 488.14 - Effect of QIO review. |
| § 488.18 - Documentation of findings. |
| § 488.20 - Periodic review of compliance and approval. |
| § 488.24 - Certification of noncompliance. |
| § 488.26 - Determining compliance. |
| § 488.28 - Providers or suppliers, other than SNFs, NFs, HHAs, and Hospice programs with deficiencies. |
| § 488.30 - Revisit user fee for revisit surveys. |
| Subpart B - Special Requirements |
| § 488.52 - [Reserved] |
| § 488.54 - Temporary waivers applicable to hospitals. |
| § 488.56 - Temporary waivers applicable to skilled nursing facilities. |
| § 488.60 - Special procedures for approving end stage renal disease facilities. |
| § 488.61 - Special procedures for approval and re-approval of organ transplant programs. |
| § 488.64 - Remote facility variances for utilization review requirements. |
| § 488.68 - State Agency responsibilities for OASIS collection and data base requirements. |
| § 488.70 - Special requirements for rural emergency hospitals (REHs). |
| Subpart C - Survey Forms and Procedures |
| § 488.100 - Long term care survey forms, Part A. |
| § 488.105 - Long term care survey forms, Part B. |
| § 488.110 - Procedural guidelines. |
| § 488.115 - Care guidelines. |
| Subpart D - Reconsideration of Adverse Determinations - Deeming Authority for Accreditation Organizations and CLIA Exemption of Laboratories Under State Programs |
| § 488.201 - Reconsideration. |
| § 488.203 - Withdrawal of request for reconsideration. |
| § 488.205 - Right to informal hearing. |
| § 488.207 - Informal hearing procedures. |
| § 488.209 - Hearing officer's findings. |
| § 488.211 - Final reconsideration determination. |
| Subpart E - Survey and Certification of Long-Term Care Facilities |
| § 488.300 - Statutory basis. |
| § 488.301 - Definitions. |
| § 488.303 - State plan requirement. |
| § 488.305 - Standard surveys. |
| § 488.307 - Unannounced surveys. |
| § 488.308 - Survey frequency. |
| § 488.310 - Extended survey. |
| § 488.312 - Consistency of survey results. |
| § 488.314 - Survey teams. |
| § 488.318 - Inadequate survey performance. |
| § 488.320 - Sanctions for inadequate survey performance. |
| § 488.325 - Disclosure of results of surveys and activities. |
| § 488.330 - Certification of compliance or noncompliance. |
| § 488.331 - Informal dispute resolution. |
| § 488.332 - Investigation of complaints of violations and monitoring of compliance. |
| § 488.334 - Educational programs. |
| § 488.335 - Action on complaints of resident neglect and abuse, and misappropriation of resident property. |
| Subpart F - Enforcement of Compliance for Long-Term Care Facilities with Deficiencies |
| § 488.400 - Statutory basis. |
| § 488.401 - Definitions. |
| § 488.402 - General provisions. |
| § 488.404 - Factors to be considered in selecting remedies. |
| § 488.406 - Available remedies. |
| § 488.408 - Selection of remedies. |
| § 488.410 - Action when there is immediate jeopardy. |
| § 488.412 - Action when there is no immediate jeopardy. |
| § 488.414 - Action when there is repeated substandard quality of care. |
| § 488.415 - Temporary management. |
| § 488.417 - Denial of payment for all new admissions. |
| § 488.418 - Secretarial authority to deny all payments. |
| § 488.422 - State monitoring. |
| § 488.424 - Directed plan of correction. |
| § 488.425 - Directed inservice training. |
| § 488.426 - Transfer of residents, or closure of the facility and transfer of residents. |
| § 488.430 - Civil money penalties: Basis for imposing penalty. |
| § 488.431 - Civil money penalties imposed by CMS and independent informal dispute resolution: for SNFS, dually-participating SNF/NFs, and NF-only facilities. |
| § 488.432 - Civil money penalties imposed by the State: NF-only. |
| § 488.433 - Civil money penalties: Uses and approval of civil money penalties imposed by CMS. |
| § 488.434 - Civil money penalties: Notice of penalty. |
| § 488.436 - Civil money penalties: Waiver of hearing, reduction of penalty amount. |
| § 488.438 - Civil money penalties: Amount of penalty. |
| § 488.440 - Civil money penalties: Effective date and duration of penalty. |
| § 488.442 - Civil money penalties: Due date for payment of penalty. |
| § 488.444 - Civil money penalties: Settlement of penalties. |
| § 488.446 - Administrator sanctions: long-term care facility closures. |
| § 488.447 - Civil Money Penalties imposed for failure to comply with 42 CFR 483.80(g)(1) and (2). |
| § 488.450 - Continuation of payments to a facility with deficiencies. |
| § 488.452 - State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no immediate jeopardy. |
| § 488.454 - Duration of remedies. |
| § 488.456 - Termination of provider agreement. |
| Subpart G - XXX |
| Subpart H - Termination of Medicare Coverage and Alternative Sanctions for End-Stage Renal Disease (ESRD) Facilities |
| § 488.604 - Termination of Medicare coverage. |
| § 488.606 - Alternative sanctions. |
| § 488.608 - Notice of alternative sanction and appeal rights: Termination of coverage. |
| § 488.610 - Notice of appeal rights: Alternative sanctions. |
| Subpart I - Survey and Certification of Home Health Agencies |
| § 488.700 - Basis and scope. |
| § 488.705 - Definitions. |
| § 488.710 - Standard surveys. |
| § 488.715 - Partial extended surveys. |
| § 488.720 - Extended surveys. |
| § 488.725 - Unannounced surveys. |
| § 488.730 - Survey frequency and content. |
| § 488.735 - Surveyor qualifications. |
| § 488.740 - Certification of compliance or noncompliance. |
| § 488.745 - Informal Dispute Resolution (IDR). |
| Subpart J - Alternative Sanctions for Home Health Agencies With Deficiencies |
| § 488.800 - Statutory basis. |
| § 488.805 - Definitions. |
| § 488.810 - General provisions. |
| § 488.815 - Factors to be considered in selecting sanctions. |
| § 488.820 - Available sanctions. |
| § 488.825 - Action when deficiencies pose immediate jeopardy. |
| § 488.830 - Action when deficiencies are at the condition-level but do not pose immediate jeopardy. |
| § 488.835 - Temporary management. |
| § 488.840 - Suspension of payment for all new patient admissions. |
| § 488.845 - Civil money penalties. |
| § 488.850 - Directed plan of correction. |
| § 488.855 - Directed in-service training. |
| § 488.860 - Continuation of payments to an HHA with deficiencies. |
| § 488.865 - Termination of provider agreement. |
| Subpart K - [Reserved] |
| Subparts K--L - XXX |
| Subpart L - Accreditation of Home Infusion Therapy Suppliers |
| Approval and Oversight of Home Infusion Therapy Supplier Accrediting Organizations |
| § 488.1010 - Application and reapplication procedures for national home infusion therapy accrediting organizations. |
| § 488.1015 - Resubmitting a request for reapproval. |
| § 488.1020 - Public notice and comment. |
| § 488.1025 - Release and use of home infusion therapy accreditation surveys. |
| § 488.1030 - Ongoing review of home infusion therapy accrediting organizations. |
| § 488.1035 - Ongoing responsibilities of a CMS-approved home infusion therapy accrediting organization. |
| § 488.1040 - Onsite observations of home infusion therapy accrediting organization operations. |
| § 488.1045 - Voluntary and involuntary termination. |
| § 488.1050 - Reconsideration. |
| General Provisions |
| § 488.1000 - Basis and scope. |
| § 488.1005 - Definitions. |
| Subpart M - Survey and Certification of Hospice Programs |
| § 488.1100 - Basis and scope. |
| § 488.1105 - Definitions. |
| § 488.1110 - Hospice program: surveys and hotline. |
| § 488.1115 - Surveyor qualifications and prohibition of conflicts of interest. |
| § 488.1120 - Survey teams. |
| § 488.1125 - Consistency of survey results. |
| § 488.1130 - Informal dispute resolution (IDR). |
| § 488.1135 - Hospice Special Focus Program (SFP). |
| Subpart N - Enforcement Remedies for Hospice Programs With Deficiencies |
| § 488.1200 - Statutory basis. |
| § 488.1205 - Definitions. |
| § 488.1210 - General provisions. |
| § 488.1215 - Factors to be considered in selecting remedies. |
| § 488.1220 - Available remedies. |
| § 488.1225 - Action when deficiencies pose immediate jeopardy. |
| § 488.1230 - Action when deficiencies are at the condition-level but do not pose immediate jeopardy. |
| § 488.1235 - Temporary management. |
| § 488.1240 - Suspension of payment for all new patient admissions. |
| § 488.1245 - Civil money penalties. |
| § 488.1250 - Directed plan of correction. |
| § 488.1255 - Directed in-service training. |
| § 488.1260 - Continuation of payments to a hospice program with deficiencies. |
| § 488.1265 - Termination of provider agreement. |