State Operations Manual (Pub. 100-07), Ch. 2 § 2054
Religious Nonmedical Health Care Institutions (RNHCIs)
2054 - Religious Nonmedical Health Care Institutions (RNHCIs)
(Rev. 1, 05-21-04)
Section 4454 of the Balanced Budget Act of 1997 (BBA’97, Public Law No. 105-33,
enacted August 5, 1997) deletes statutory references to Christian Science Sanatoria and
amended the following sections of the Act: §§1821, 1861(e), (y) and (ss), 1869, and 1878
(Medicare provisions); 1902(a) and 1908(e)(1) (Medicaid provisions); and
1122 (h) and 1162 (conforming provisions). Additionally, §4454 provides for coverage of
inpatient services furnished in qualified RNHCIs under Medicare and as a State Plan
option under Medicaid. The new amendments make it possible for RNHCIs meeting the
defining criteria in §4454 of BBA’97 or §1861(ss)(1), to participate in the Medicare
and/or Medicaid program. The RNHCI provider is responsible for meeting both
Conditions of Coverage and Conditions of Participation to qualify as a Medicare provider
and that portion of the Conditions of Coverage that define an RNHCI and the Conditions
of Participation to qualify as a Medicaid provider.