Certification of Parts of Institutions as Hospitals

2026 - Certification of Parts of Institutions as Hospitals (Rev. 1, 05-21-04) 2026A - Hospitals (Other Than Psychiatric Hospitals) (Rev. 1, 05-21-04) The SA evaluates each general hospital as a whole for compliance with the CoPs and certify it as a single provider institution including all components: ● Under the legal control of the hospital governing body and part of the same corporation or governmental administrative entity; and ● Subject to the direction of the hospital administrator and medical staff organization. The SA evaluates and certifies the whole hospital even when the components are separately housed. It is not permissible to certify only part of a general hospital. However, the following are not considered parts of the hospital and are not to be included in the evaluation of the hospital’s compliance: ● Components appropriately certified as other kinds of providers or suppliers. i.e., a distinct part SNF and/or distinct part NF, HHA, RHC or hospice; and ● Excluded residential, custodial, and non-service units not meeting the definitions in §1861(e)(1) or (j)(1) of the Act. 2026B - Excluded Non-Service Units May be Appropriate (Rev. 1, 05-21-04) The hospital ordinarily requests exclusion of a unit by a letter to the RO through the fiscal intermediary. The RO may then ask the SA to certify information it needs to make the exclusion. Otherwise, the SA excludes from any regular certification those portions of a hospital that are separately identifiable units that do not meet the §1861(e)(1) or (j)(1) definitions.