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Hospitals

To view the Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital Conditions of Participation (CMS-3244-F), please see the “Downloads” section near the bottom of this webpage and click on “CMS-3244-F—Reform of Hospital and Critical Access Hospital Conditions of Participation.” 

Critical Access Hospitals (CAHs)

Publication date:

     Original publication date: May 26, 1993 (58 FR 30671); effective June 25, 1993

Amendments on:

September 1, 1994 (59 FR 45403); August 29, 1997 (62 FR 46036); May 12, 1998 (63 FR 26359); July 30, 1999 (64 FR 41544); August 1, 2001 (66 FR 39938); December 31, 2002 (67 FR 80041); August 11, 2004 (69 FR 49271); October 7, 2004 (69 FR 60252); August 12, 2005 (70 FR 47490); September 22, 2006 (71 FR 55341); November 27, 2007 (72 FR 66408); February 22, 2008 (73 FR 9862); November 19, 2010 (75 FR 70831); May 5, 2011 (75 FR 25550); May 16, 2012 (77 FR 29034).

Effective date:

     Existing CoPs are currently in effect.

CFR section numbers:

     42 CFR Part 485
     42 CFR 485.601

CFR section descriptions:

     42 CFR 485.601 Conditions of Participation: Critical Access Hospitals

Hospitals

Important publication and effective dates:

  • Original publication date - June 17, 1986 (51 FR 22010); effective September 15, 1986
  • Hospital Conditions of Participation: Quality Assessment & Performance Improvement Final Rule (68 FR 3435); published January 24, 2003; effective March 25, 2003
  • Hospital Conditions of Participation: Patients' Rights Final Rule (71 FR 71378); published December 8, 2006; effective January 8, 2007
  • Changes to the Hospital and Critical Access Hospital Conditions of Participation To Ensure Visitation Rights for All Patients Final Rule (75 FR 70831); published November 19, 2010; effective January 18, 2011
  • Changes Affecting Hospital and Critical Access Hospital Conditions of Participation: Telemedicine Credentialing and Privileging Final Rule (76 FR 25550); published May 5, 2011; effective July 5, 2011
  • Reform of Hospital and Critical Access Hospital Conditions of Participation; (77 FR 29034); published May 16, 2012; effective July 16, 2012

CFR section numbers:

     42 CFR 482

CFR section descriptions:

     Conditions of Participation for Hospitals

Brief description of document(s):

42 CFR 482 contains the health and safety requirements that hospitals must meet to participate in the Medicare and Medicaid programs. Social Security Act Title XVIII, §1861 Definitions of Services, Institutions, etc.

Psychiatric Hospitals

Publication Date:

      June 17, 1986

Effective Date:

     August 4, 1986

CFR section numbers:

     42 CFR §482.60
     42 CFR §482.61
     42 CFR§482.62

CFR section descriptions:

     42 CFR §482.60 Special Provisions applying to psychiatric hospitals.
     42 CFR §482.61 Condition of participation: Special medical record requirements for psychiatric hospitals.
     42CFR §482.62 Condition of participation: Special staff requirements for psychiatric hospitals.

Brief description of documents:

These CoPs describe the definitions under the standards related to special medical record and special staffing requirements. Additional document that users could refer to is §1861(f) of the Act.