Agency

Centers for Medicare & Medicaid Services (CMS)

The federal agency behind Medicare/Medicaid certification and the Conditions of Participation.

CMS sets and enforces the federal Conditions of Participation (e.g. 42 CFR ยง 482.13) that a facility must meet to bill Medicare, typically acting through the state survey agency. Federal certification concerns escalate here.

Contact & jurisdiction
Jurisdiction: federal Medicare/Medicaid certification & Conditions of Participation.

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