Federal
Decision to deny an agreement.
42 CFR § 489.12
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42 CFR § 489.12
42 CFR § 489.12
Decision to deny an agreement.
(a)
Bases for denial. CMS may refuse to enter into an agreement for any of the following reasons:
(1)
Principals of the prospective provider have been convicted of fraud (see § 420.204 of this chapter);
(2)
The prospective provider has failed to disclose ownership and control interests in accordance with § 420.206 of this chapter;
(3)
The prospective provider is a physician-owned hospital as defined in § 489.3 and does not have procedures in place for making physician ownership disclosures to patients in accordance with § 489.20(u); or
(4)
The prospective provider is unable to give satisfactory assurance of compliance with the requirements of title XVIII of the Act.
(b)
[Reserved]
(c)
Compliance with civil rights requirements. CMS will not enter into a provider agreement if the provider fails to comply with civil rights requirements set forth in 45 CFR parts 80, 84, and 90, subject to the provisions of § 489.10.
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