State Operations Manual (Pub. 100-07), Ch. 2 § 2813
Re-Certification Cycle (42 CFR 486.309)
2813 – Re-Certification Cycle (42 CFR 486.309)
(Rev. 111, Issued: 04-11-14, Effective: 04-11-14, Implemetation: 04-11-14)
An OPO is considered re-certified if it meets the standards of a qualified OPO within the
4-year period beginning from August 1, 2006 through July 31, 2010; August 1, 2010
through July 31, 2014; August 1, 2014 through July 31, 2018; August 1, 2018 through
July 31, 2022; and onwards.
An OPO is surveyed once every four years and its service area is not opened for
competition when the OPO:
• Meets all 3 outcome measure requirements at 42 CFR 486.318; and
• Has been shown by the results of a survey to be in compliance with the certification
requirements at 42 CFR 486.303, including the conditions for coverage at 42 CFR
486.320 through 486.348.