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Thursday 10:43 CST, July 31, 2014

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Facts about federal deemed status and state recognition

November 20, 2013

In order for a health care organization to participate in and receive payment from the Medicare or Medicaid programs, it must meet the eligibility requirements for program participation, including a certification of compliance with the Conditions of Participation (CoPs) (or Conditions for Coverage, CfCs, for health care suppliers), which are set forth in federal regulations. The certification is based on a survey conducted by a state agency on behalf of the Centers for Medicare & Medicaid Services (CMS) or a national accrediting organization, such as The Joint Commission, that has been approved by CMS as having standards and a survey process that meets or exceeds Medicare’s CoPs (or CfCs) and federal survey requirements. Health care organizations that achieve accreditation through a Joint Commission deemed status survey are determined to meet Medicare and Medicaid requirements. For most types of health care providers or suppliers, accreditation is voluntary and seeking deemed status through accreditation is an option, not a requirement.


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