42 CFR Part 488
PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
- PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter G—Standards and Certification
- 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 [Reserved]
- 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]
- Subpart L—Accreditation of Home Infusion Therapy Suppliers
- General Provisions
- § 488.1000 Basis and scope.
- § 488.1005 Definitions.
- 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.
- 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.
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