C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 416—AMBULATORY SURGICAL SERVICES › Subpart C—Specific Conditions for Coverage

42 C.F.R. § 416.40

Condition for coverage—Compliance with State licensure law

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The ASC must comply with State licensure requirements.

Notes of Decisions
Cited in 2 cases (1 in the last 5 years), 2020–2024 · leading case: v. Surgery Ctr., 2020 COA 145 (Colo. Ct. App. 2020).
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v. Surgery Ctr., 2020 COA 145 (Colo. Ct. App. 2020). · cites it 2× “Relevant Facts ¶ 41 The Smiths assert that “[t]wo sets of regulations supported Plaintiffs’ negligence per se claims: 6 CCR 1011-1 Chap 20 (Colorado ASC Regulations); and 42 CFR 416.40, 41, 42 (Federal ASC Regulations).”
David Stebbins v. Maraposa Surgical Inc (3rd Cir. 2024). “” 42 C.F.R. § 416.40 . States have authority to identify the types of medical services that are reimbursable.”
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