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  CMS Home > Regulations and Guidance > Conditions for Coverage (CfCs) & Conditions of Participations (CoPs) > Overview


CMS develops Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs. These minimum health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries. CMS also ensures that the standards of accrediting organizations recognized by CMS (through a process called "deeming") meet or exceed the Medicare standards set forth in the CoPs / CfCs.

Conditions of Participation (CoP) and Conditions for Coverage (CfC) are the minimum health and safety standards that providers and suppliers must meet in order to be Medicare and Medicaid certified.  CoPs and CfCs apply to the following health care organizations:

  • Ambulatory Surgical Centers
  • Comprehensive Outpatient Rehabilitation Facilities
  • Critical Access Hospitals
  • End-Stage Renal Disease Facilities
  • Federally Qualified Health Centers
  • Home Health Agencies
  • Hospices
  • Hospitals
  • Hospital Swing Beds
  • Intermediate Care Facilities for Persons with Mental Retardation(ICF/MR)
  • Nursing Facilities
  • Organ Procurement Organizations
  • Portable X-Ray Suppliers
  • Programs for All-Inclusive Care for the Elderly Organizations (PACE)
  • Providers of Outpatient Services (physical and occupational therapists in independent practice; outpatient physical therapy, occupational therapy, and speech pathology services)
  • Psychiatric Hospitals
  • Religious Nonmedical Health Care Institutions
  • Rural Health Clinics
  • Skilled Nursing Facilities
  • Transplant Hospitals
Proposed Rule:  Ambulatory Surgical Centers, Conditions for Coverage [PDF, 243 KB]

Final Rule: Hospital Conditions of Participation: Requirements for Approval and Re-approval of Transplant Centers to Perform Organ Transplants [PDF, 606 KB]
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Page Last Modified: 12/12/2008 10:37:15 AM
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