US lawFederal (United States)RegulationsTitle 42 CFR — Public HealthChapter IV — CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESPart 489 — PROVIDER AGREEMENTS AND SUPPLIER APPROVALSubpart I — Advance Directives489.10442 C.F.R. § 489.104Effective dates.Last amended: 2017Year: 2026Length: 35 wordsOfficial source Cite as 42 C.F.R. § 489.104 (2026)These provisions apply to services furnished on or after December 1, 1991 payments made under section 1833(a)(1)(A) of the Act on or after December 1, 1991, and contracts effective on or after December 1, 1991.Previous42 C.F.R. § 489.102