Statutes, codes, and regulations
Code of Federal Regulations
Title 42 - PUBLIC HEALTHChapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESSubchapter G - STANDARDS AND CERTIFICATIONPart 498 - APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFS/IID AND CERTAIN NFS IN THE MEDICAID PROGRAM
Subpart A - GENERAL PROVISIONS
Section 498.4 - NFs subject to appeals process in part 498

42 C.F.R. § 498.4

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Section 498.4 - NFs subject to appeals process in part 498

A NF is considered a provider for purposes of this part when it has in effect an agreement to participate in Medicaid, including an agreement to participate in both Medicaid and Medicare and it is a-

(a) State-operated NF; or
(b) Non State-operated NF that is subject to compliance action as a result of-
(1) A validation survey by CMS; or
(2) CMS's review of the State's survey findings.

42 C.F.R. §498.4

59 FR 56252, Nov. 10, 1994