42 C.F.R. § 488.456

Current through November 30, 2024
Section 488.456 - Termination of provider agreement
(a)Effect of termination. Termination of the provider agreement ends-
(1) Payment to the facility; and
(2) Any alternative remedy.
(b)Basis for termination.
(1) CMS and the State may terminate a facility's provider agreement if a facility-
(i) Is not in substantial compliance with the requirements of participation, regardless of whether or not immediate jeopardy is present; or
(ii) Fails to submit an acceptable plan of correction within the timeframe specified by CMS or the State.
(2) CMS and the State terminate a facility's provider agreement if a facility-
(i) Fails to relinquish control to the temporary manager, if that remedy is imposed by CMS or the State; or
(ii) Does not meet the eligibility criteria for continuation of payment as set forth in § 488.412(a)(1) .
(c)Notice of termination. Before terminating a provider agreement, CMS does and the State must notify the facility and the public-
(1) At least 2 calendar days before the effective date of termination for a facility with immediate jeopardy deficiencies; and
(2) At least 15 calendar days before the effective date of termination for a facility with non-immediate jeopardy deficiencies that constitute noncompliance.
(d)Procedures for termination.
(1) CMS terminates the provider agreement in accordance with procedures set forth in § 489.53 of this chapter; and
(2) The State must terminate the provider agreement of a NF in accordance with procedures specified in parts 431 and 442 of this chapter.

42 C.F.R. §488.456