Long-Term Care Facilities – Virginia

Code of Federal Regulations

 

Jump to Subchapter G

Electronic Code of Federal Regulations

Title 01 - General Provisions

Title 02 - Grants and Agreements

Title 03 - The President

Title 04 - Accounts

Title 05 - Administrative Personnel

Title 06 - Domestic Security

Title 07 - Agriculture

Title 08 - Aliens and Nationality

Title 09 - Animals and Animal Products

Title 10 - Energy

Title 11 - Federal Elections

Title 12 - Banks and Banking

Title 13 - Business Credit and Assistance

Title 14 - Aeronautics and Space

Title 15 - Commerce and Foreign Trade

Title 16 - Commercial Practices

Title 17 - Commodity and Securities Exchanges

Title 18 - Conservation of Power and Water Resources

Title 19 - Customs Duties

Title 20 - Employees' Benefits

Title 21 - Food and Drugs

Title 22 - Foreign Relations

Title 23 - Highways

Title 24 - Housing and Urban Development

Title 25 - Indians

Title 26 - Internal Revenue

Title 27 - Alcohol, Tobacco Products and Firearms

Title 28 - Judicial Administration

Title 29 - Labor

Title 30 - Mineral Resources

Title 31 - Money and Finance: Treasury

Title 32 - National Defense

Title 33 - Navigation and Navigable Waters

Title 34 - Education

Title 35 - [Reserved]

Title 36 - Parks, Forests, and Public Property

Title 37 - Patents, Trademarks, and Copyrights

Title 38 - Pensions, Bonuses, and Veterans' Relief

Title 39 - Postal Service

Title 40 - Protection of Environment

Title 41 - Public Contracts and Property Management

Title 42 - Public Health

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CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES (CONTINUED)

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IV

SUBCHAPTER A -

GENERAL PROVISIONS (Parts 400 - 403)

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IV

SUBCHAPTER B -

MEDICARE PROGRAM (Parts 405 - 427-429)

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IV

SUBCHAPTER C -

MEDICAL ASSISTANCE PROGRAMS (Parts 430 - 456)

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IV

SUBCHAPTER D -

STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) (Part 457)

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IV

SUBCHAPTER E -

PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) (Part 460)

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IV

SUBCHAPTER F -

QUALITY IMPROVEMENT ORGANIZATIONS (Parts 475 - 481)

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IV

SUBCHAPTER G—

STANDARDS AND CERTIFICATION (Parts 482 - 498)

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IV

G

Part 482

CONDITIONS OF PARTICIPATION FOR HOSPITALS (§§ 482.1 - 482.104)

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IV

G

Part 483

REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES (§§ 483.1 - 483.480)

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IV

G

483

Subpart A—

[RESERVED]

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IV

G

483

Subpart B—

REQUIREMENTS FOR LONG TERM CARE FACILITIES (§§ 483.1 - 483.95)

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IV

G

483

B

§483.1

Basis and scope.

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IV

G

483

B

§483.5

Definitions.

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IV

G

483

B

§483.10

Resident rights.

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IV

G

483

B

§483.12

Freedom from abuse, neglect, and exploitation.

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IV

G

483

B

§483.15

Admission, transfer, and discharge rights.

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IV

G

483

B

§483.20

Resident assessment.

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IV

G

483

B

§483.21

Comprehensive person-centered care planning.

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IV

G

483

B

§483.24

Quality of life.

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IV

G

483

B

§483.25

Quality of care.

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IV

G

483

B

§483.30

Physician services.

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IV

G

483

B

§483.35

Nursing services.

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IV

G

483

B

§483.40

Behavioral health services.

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IV

G

483

B

§483.45

Pharmacy services.

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IV

G

483

B

§483.50

Laboratory, radiology, and other diagnostic services.

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IV

G

483

B

§483.55

Dental services.

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IV

G

483

B

§483.60

Food and nutrition services.

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IV

G

483

B

§483.65

Specialized rehabilitative services.

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IV

G

483

B

§483.70

Administration.

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IV

G

483

B

§483.73

Emergency preparedness.

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IV

G

483

B

§483.75

Quality assurance and performance improvement.

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IV

G

483

B

§483.80

Infection control.

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IV

G

483

B

§483.85

Compliance and ethics program.

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IV

G

483

B

§483.90

Physical environment.

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IV

G

483

B

§483.95

Training requirements.

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IV

G

483

Subpart C—

PREADMISSION SCREENING, ANNUAL REVIEW OF MENTALLY ILL AND RETARDED (§§ 483.100 - 483.138)

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IV

G

483

Subpart D—

REQUIREMENTS STATES AND STATE AGENCIES NURSE AIDE, FEEDING ASSISTANTS (§§ 483.150 - 483.160)

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IV

G

483

D

§483.150

Statutory basis; Deemed meeting or waiver of requirements.

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IV

G

483

D

§483.151

State review and approval of nurse aide training and competency evaluation.

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IV

G

483

D

§483.152

Requirements for approval of a nurse aide training and competency evaluation.

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IV

G

483

D

§483.154

Nurse aide competency evaluation.

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IV

G

483

D

§483.156

Registry of nurse aides.

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IV

G

483

D

§483.158

FFP for nurse aide training and competency evaluation.

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IV

G

483

D

§483.160

Requirements for training of paid feeding assistants.

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IV

G

483

Subpart E—

APPEALS OF DISCHARGES, TRANSFERS, PREADMISSION, REVIEW (PASARR)  (§§ 483.200 - 483.206)

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IV

G

483

E

§483.200

Statutory basis.

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IV

G

483

E

§483.202

Definitions.

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IV

G

483

E

§483.204

Provision of a hearing and appeal system.

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IV

G

483

E

§483.206

Transfers, discharges and relocations subject to appeal.

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IV

G

483

Subpart F—

REQUIREMENTS STATES AND STATE AGENCIES, RESIDENT ASSESSMENT (§ 483.315)

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IV

G

483

F

§483.315

Specification of resident assessment instrument.

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IV

G

483

Subpart G—

CONDITION USE RESTRAINT OR SECLUSION IN PSYCHIATRIC FACILITIES  UNDER 21 (§§ 483.350 - 483.376)

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IV

G

483

Subpart H—

[RESERVED]

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IV

G

483

Subpart I—

CONDITIONS INTERMEDIATE CARE INDIVIDUALS INTELLECTUAL DISABILITIES (§§ 483.400 - 483.480)

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IV

G

Part 484

HOME HEALTH SERVICES (§§ 484.1 - 484.335)

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IV

G

Part 485

CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS (§§ 485.50 - 485.920)

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IV

G

Part 486

CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS (§§ 486.1 - 486.360)

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IV

G

Part 488

SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES (§§ 488.1 - 488.865)

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IV

G

488

Subpart A—

GENERAL PROVISIONS (§§ 488.1 - 488.30)

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IV

G

488

A

§488.1

Definitions.

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IV

G

488

A

§488.2

Statutory basis.

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IV

G

488

A

§488.3

Conditions of participation, coverage, certification, requirements.

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IV

G

488

A

§488.4

General rules for a CMS-approved accreditation program

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IV

G

488

A

§488.5

Application and re-application procedures for national accrediting organizations.

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IV

G

488

A

§488.6

Providers or suppliers that participate in the Medicaid program.

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IV

G

488

A

§488.7

Release and use of accreditation surveys.

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IV

G

488

A

§488.8

Ongoing review of accrediting organizations.

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IV

G

488

A

§488.9

Validation surveys.

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IV

G

488

A

§488.10

State survey agency review: Statutory provisions.

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IV

G

488

A

§488.11

State survey agency functions.

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IV

G

488

A

§488.12

Effect of survey agency certification.

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IV

G

488

A

§488.13

Loss of accreditation.

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IV

G

488

A

§488.14

Effect of QIO review.

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IV

G

488

A

§488.18

Documentation of findings.

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IV

G

488

A

§488.20

Periodic review of compliance and approval.

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IV

G

488

A

§488.24

Certification of noncompliance.

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IV

G

488

A

§488.26

Determining compliance.

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IV

G

488

A

§488.28

Providers or suppliers, other than SNFs, NFs, and HHAs with deficiencies.

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IV

G

488

A

§488.30

Revisit user fee for revisit surveys.

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IV

G

488

Subpart B—

SPECIAL REQUIREMENTS (§§ 488.52 - 488.68)

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IV

G

488

Subpart C—

SURVEY FORMS AND PROCEDURES (§§ 488.100 - 488.115)

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IV

G

488

C

§488.100

Long term care survey forms, Part A.

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IV

G

488

C

§488.105

Long term care survey forms, Part B.

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IV

G

488

C

§488.110

Procedural guidelines.

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IV

G

488

C

§488.115

Care guidelines.

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IV

G

488

Subpart D—

RECONSIDERATION OF ADVERSE DETERMINATIONS LABORATORIES (§§ 488.201 - 488.211)

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IV

G

488

Subpart E—

SURVEY AND CERTIFICATION OF LONG-TERM CARE FACILITIES (§§ 488.300 - 488.335)

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IV

G

488

E

§488.300

Statutory basis.

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IV

G

488

E

§488.301

Definitions.

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IV

G

488

E

§488.303

State plan requirement.

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IV

G

488

E

§488.305

Standard surveys.

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IV

G

488

E

§488.307

Unannounced surveys.

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IV

G

488

E

§488.308

Survey frequency.

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IV

G

488

E

§488.310

Extended survey.

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IV

G

488

E

§488.312

Consistency of survey results.

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IV

G

488

E

§488.314

Survey teams.

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IV

G

488

E

§488.318

Inadequate survey performance.

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IV

G

488

E

§488.320

Sanctions for inadequate survey performance.

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IV

G

488

E

§488.325

Disclosure of results of surveys and activities.

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IV

G

488

E

§488.330

Certification of compliance or noncompliance.

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IV

G

488

E

§488.331

Informal dispute resolution.

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IV

G

488

E

§488.332

Investigation of complaints of violations and monitoring of compliance.

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IV

G

488

E

§488.334

Educational programs.

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IV

G

488

E

§488.335

Action on complaints of resident neglect and abuse, and misappropriation

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IV

G

488

Subpart F—

ENFORCEMENT OF COMPLIANCE FOR  FACILITIES WITH DEFICIENCIES (§§ 488.400 - 488.456)

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IV

G

488

F

§488.400

Statutory basis.

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IV

G

488

F

§488.401

Definitions.

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IV

G

488

F

§488.402

General provisions.

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IV

G

488

F

§488.404

Factors to be considered in selecting remedies.

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IV

G

488

F

§488.406

Available remedies.

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IV

G

488

F

§488.408

Selection of remedies.

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IV

G

488

F

§488.410

Action when there is immediate jeopardy.

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IV

G

488

F

§488.412

Action when there is no immediate jeopardy.

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IV

G

488

F

§488.414

Action when there is repeated substandard quality of care.

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IV

G

488

F

§488.415

Temporary management.

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IV

G

488

F

§488.417

Denial of payment for all new admissions.

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IV

G

488

F

§488.418

Secretarial authority to deny all payments.

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IV

G

488

F

§488.422

State monitoring.

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IV

G

488

F

§488.424

Directed plan of correction.

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IV

G

488

F

§488.425

Directed inservice training.

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IV

G

488

F

§488.426

Transfer of residents, or closure of the facility and transfer of residents.

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IV

G

488

F

§488.430

Civil money penalties: Basis for imposing penalty.

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IV

G

488

F

§488.431

Civil money penalties and independent informal dispute resolution

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IV

G

488

F

§488.432

Civil money penalties imposed by the State: NF-only.

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IV

G

488

F

§488.433

Civil money penalties: Uses and approval of civil money

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IV

G

488

F

§488.434

Civil money penalties: Notice of penalty.

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IV

G

488

F

§488.436

Civil money penalties: Waiver of hearing, reduction of penalty amount.

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IV

G

488

F

§488.438

Civil money penalties: Amount of penalty.

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IV

G

488

F

§488.440

Civil money penalties: Effective date and duration of penalty.

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IV

G

488

F

§488.442

Civil money penalties: Due date for payment of penalty.

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IV

G

488

F

§488.444

Civil money penalties: Settlement of penalties.

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IV

G

488

F

§488.446

Administrator sanctions: long-term care facility closures.

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IV

G

488

F

§488.450

Continuation of payments to a facility with deficiencies.

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IV

G

488

F

§488.452

State and Federal disagreements non-State operated facilities

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IV

G

488

F

§488.454

Duration of remedies.

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IV

G

488

F

§488.456

Termination of provider agreement.

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IV

G

488

Subpart G—

[RESERVED]

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IV

G

488

Subpart H—

TERMINATION OF COVERAGE AND SANCTIONS END-STAGE RENAL FACILITIES (§§ 488.604 - 488.610)

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IV

G

488

Subpart I—

SURVEY AND CERTIFICATION OF HOME HEALTH AGENCIES (§§ 488.700 - 488.745)

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IV

G

488

Subpart J—

ALTERNATIVE SANCTIONS FOR HOME HEALTH AGENCIES WITH DEFICIENCIES (§§ 488.800 - 488.865)

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IV

G

Part 489

PROVIDER AGREEMENTS AND SUPPLIER APPROVAL (§§ 489.1 - 489.104)

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IV

G

Part 491

CERTIFICATION OF CERTAIN HEALTH FACILITIES (§§ 491.1 - 491.12)

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IV

G

Part 493

LABORATORY REQUIREMENTS (§§ 493.1 - 493.2001)

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IV

G

Part 494

CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES (§§ 494.1 - 494.180)

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IV

G

Part 495

STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY  (§§ 495.2 - 495.370)

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IV

G

Part 498

APPEALS PROCEDURES

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IV

SUBCHAPTER H—

HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS

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IV

H

Part 505

ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE

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IV

H

Part 510

COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL

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IV

H

Part 512

[RESERVED]

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IV

SUBCHAPTER I—

BASIC HEALTH PROGRAM

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IV

I

Part 600

ADMINISTRATION, ELIGIBILITY,  BENEFITS, STANDARDS, REQUIREMENTS,

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IV

I

Part 601

[RESERVED]

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CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN

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V

SUBCHAPTER A—

GENERAL PROVISIONS

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V

A

§1000.1

INTRODUCTION; GENERAL DEFINITIONS

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V

SUBCHAPTER B—

OIG AUTHORITIES

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V

B

Part 1001

PROGRAM INTEGRITY—MEDICARE AND STATE PROGRAMS

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V

B

Part 1002

PROGRAM INTEGRITY—STATE-INITIATED EXCLUSIONS FROM MEDICAID

42

V

B

Part 1003

CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS

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V

B

Part 1004

IMPOSITION OF SANCTIONS

42

V

B

Part 1005

APPEALS OF EXCLUSIONS, CIVIL MONEY PENALTIES AND ASSESSMENTS

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V

B

Part 1006

INVESTIGATIONAL INQUIRIES

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V

B

Part 1007

STATE MEDICAID FRAUD CONTROL UNITS

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V

B

Part 1008

ADVISORY OPINIONS BY THE OIG

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V

B

Part 1009

[RESERVED]

Title 43 - Public Lands: Interior

Title 44 - Emergency Management and Assistance

Title 45 - Public Welfare

Title 46 - Shipping

Title 47 - Telecommunication

Title 48 - Federal Acquisition Regulations System

Title 49 - Transportation

Title 50 - Wildlife and Fisheries