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Conditions for Coverage (CfCs) & Conditions of Participations (CoPs)

CMS develops Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs. These health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries. CMS also ensures that the standards of accrediting organizations recognized by CMS (through a process called "deeming") meet or exceed the Medicare standards set forth in the CoPs / CfCs.

CoPs and CfCs apply to the following health care organizations:

  • Ambulatory Surgical Centers (ASCs)
  • Community Mental Health Centers (CMHCs)
  • Comprehensive Outpatient Rehabilitation Facilities (CORFs)
  • Critical Access Hospitals (CAHs)
  • End-Stage Renal Disease Facilities
  • Federally Qualified Health Centers
  • Home Health Agencies
  • Hospices
  • Hospitals
  • Hospital Swing Beds
  • Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
  • Organ Procurement Organizations (OPOs)
  • Portable X-Ray Suppliers
  • Programs for All-Inclusive Care for the Elderly Organizations (PACE)
  • Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services
  • Psychiatric Hospitals
  • Religious Nonmedical Health Care Institutions
  • Rural Health Clinics
  • Long Term Care Facilities
  • Transplant Centers
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