Activities With Accredited Entities Deemed to Meet Participation

4102 - Activities With Accredited Entities Deemed to Meet Participation Requirements (Rev. 1, 05-21-04) Section 1865 of the Act allows CMS to find that if the accreditation of the following entities by any national accreditation organization provides reasonable assurance that the CoPs or Conditions for Coverage(CoCs), or requirements for SNFs, are met for these entities, then CMS may deem these entities by virtue of their accreditation as meeting the Medicare conditions. The entities covered by the law that can be deemed are hospitals, psychiatric hospitals, ASCs, RHCs, laboratories, hospices, HHAs, SNFs, CORFs, and clinic rehabilitation agencies or public health agency providers of OPT (including speech pathology services) or occupational therapy services. Section 353 of the Public Health Service Act (PHSA) also provides the same recognition for accreditation organizations and State licensure programs of CLIA laboratories. The CMS published a notice in the Federal Register” to notify the public of any organizations whose accredited specified types of providers or suppliers are deemed to meet Medicare or CLIA participation requirements. Sample validation or substantial allegation surveys of entities accredited by accreditation organizations approved by CMS are acceptable reimbursement activity. See §1018 for those facilities that may participate by virtue of their accreditation by an approved accrediting body.