Non-deemed Hospitals

2021 – Non-deemed Hospitals (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) 2021A – Recertification of Non- deemed Hospitals (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) Hospitals that are certified for Medicare participation based on a SA survey should be recertified on a schedule consistent with the survey guidelines for non-deemed hospitals issued by CMS each fiscal year. A recertification packet for each hospital is to be sent to the RO by the SA. Exhibit 63 has a complete list of documents to be completed and included in the recertification packet. The Certification & Transmittal Form, CMS-1539 (C&T), which is part of the recertification packet, should indicate in the “remarks” section that the C&T is transmitting a non-deemed hospital recertification. If the hospital has undergone a change of ownership with acceptance of assignment of the Medicare provider agreement by the new owner since the last recertification survey, also indicate if a Change of Ownership (CHOW) package was forwarded to the hospital by the SA. In addition, the SA also updates Exhibit 286, the Hospital/CAH Medicare Database Worksheet, with any new information regarding the hospital. It is not permissible to forward the Hospital/CAH Medicare Database Worksheet to the hospital for completion. The SAs are not expected to conduct an onsite visit of the hospital solely to obtain information for the worksheet. However, the SAs may be able to use State licensure data to update the worksheet. The updated Hospital/CAH Medicare Database Worksheet should be forwarded with the recertification packet to the RO. The ASPEN system must also be updated to reflect any changes to the information on the Hospital/CAH Medicare Database Worksheet. This policy applies to ALL non-deemed hospitals.