42 C.F.R. § 488.6
Providers or suppliers that participate in the Medicaid program under a CMS-approved accreditation program
A provider or supplier that has been granted “deemed status” by CMS by virtue of its accreditation from a CMS-approved accreditation program is eligible to participate in the Medicaid program if they are not required under Medicaid regulations to comply with any requirements other than Medicare participation requirements.
Notes of Decisions
Cited in 3
cases (1 in the last 5 years), 1993–2024 · leading case: United States Ex Rel. Ortega v. Columbia Healthcare, Inc., 240 F. Supp. 2d 8 (D.D.C. 2003).
United States Ex Rel. Ortega v. Columbia Healthcare, Inc., 240 F. Supp. 2d 8 (D.D.C. 2003). “The entities authorized to determine compliance include private national accreditation programs, 42 C.F.R. § 488.6 , states, 42 C.F.R. § 488.”
Evelyn v. v. Kings Cnty. Hosp. Ctr., 819 F. Supp. 183 (E.D.N.Y 1993). “” 42 C.F.R. § 488.6 (a) (1992). In short, such surveys, and the regulations that pertain to them, are relevant to the Secretary’s consideration of whether an accredited hospital qualifies for participation in a Medicaid or Medicare program.”
Tower Health v. CHS Cmty. Health Sys. Inc (3rd Cir. 2024). “§ 1395bb(a), surveyed the Hospital, found the same, and accredited it effective May 16, 2015 to May 16, 2018,3 which resulted in CMS designating the Hospital with a “deemed status,”4 42 C.F.R. § 488.6 (internal quotation 3 A TJC survey can satisfy both the COP certification…”
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