In this official print edition 42 CFR, Ch. Parts 482-end, you will find continued coverage about rules, regulations, procedures and administrative procedures associated with the Center for Medicare & Medicaid Services, Department of Health and Human Services.
Key themes and topics covered in this volume include:
- HOME HEALTH SERVICES
- CERTIFICATION OF CERTAIN HEALTH FACILITIES
- PROGRAM INTEGRITY—MEDICARE AND STATE HEALTH CARE PROGRAMS
- ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE IMPROVEMENT PROGRAM
- STATE MEDICAID FRAUD CONTROL UNITS
- AND MORE.
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482
482.1 to 482.104
CONDITIONS OF PARTICIPATION FOR HOSPITALS
483
483.1 to 483.480
REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES
484
484.1 to 484.335
HOME HEALTH SERVICES
485
485.50 to 485.920
CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS
486
486.1 to 486.525
CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS
488
488.1 to 488.1050
SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
489
489.1 to 489.104
PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
491
491.1 to 491.12
CERTIFICATION OF CERTAIN HEALTH FACILITIES
493
493.1 to 493.2001
LABORATORY REQUIREMENTS
494
494.1 to 494.180
CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES
495
495.2 to 495.370
STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM
498
498.1 to 498.103
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
SUBCHAPTER H—HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS
505
505.1 to 505.19
ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE IMPROVEMENT PROGRAM
510
510.1 to 510.900
COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL
512
[RESERVED]
SUBCHAPTER I—BASIC HEALTH PROGRAM
600
600.1 to 600.715
ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION
601-699
[RESERVED]
CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER A—GENERAL PROVISIONS
1000
1000.10
INTRODUCTION; GENERAL DEFINITIONS
SUBCHAPTER B—OIG AUTHORITIES
1001
1001.1 to 1001.3005
PROGRAM INTEGRITY—MEDICARE AND STATE HEALTH CARE PROGRAMS
1002
1002.1 to 1002.230
PROGRAM INTEGRITY—STATE-INITIATED EXCLUSIONS FROM MEDICAID
1003
1003.100 to 1003.1600
CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS
1004
1004.1 to 1004.140
IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION
1005
1005.1 to 1005.23
APPEALS OF EXCLUSIONS, CIVIL MONEY PENALTIES AND ASSESSMENTS
1006
1006.1 to 1006.5
INVESTIGATIONAL INQUIRIES
1007
1007.1 to 1007.23
STATE MEDICAID FRAUD CONTROL UNITS
1008
1008.1 to 1008.59
ADVISORY OPINIONS BY THE OIG
1009-1099
[RESERVED]
The following individuals concerned or engaged in the Center for Medicare & Medicaid Services, Department of Health and Human Services, operational issues such as federal, state, and local lawyers, law librarians and law students should be familiar with Title 42 Code of Federal Regulations. In addition, members of government and policymakers, members of Congress with oversight of the Center for Medicare & Medicaid Services, Department of Health and Human Services, relevant contractors, and health professionals, especially state personnel for health care program oversight may find this publication useful.
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