For · healthcare & hospice
The condition of participation, and the manual the surveyor reads it through.
42 C.F.R. Part 418 says what a hospice must do. It does not say what a surveyor will cite you for, how a claim has to be coded, or what counts as unrelated to the terminal illness. Those live in the CMS manuals — which are guidance, which is not binding law, and which is nonetheless where the decision gets made. Both are here, kept apart on purpose, and both carry dates.
“What must the election statement contain?”
corpus=regulations · citation=42-418.24 → 42 C.F.R. § 418.24
“What did it require before the FY2027 wage index rule rewrote it?”
add asOf — the pre-amendment text keeps its own window and its own hash
“How does CMS tell its contractors to read that?”
corpus=guidance · 100-02-bp102c13-220 → CMS Pub. 100-02, ch. 13, § 220
“Is this binding, or is it a manual?”
the corpus answers it: guidance carries the sub-regulatory disclaimer on every record
What it takes
The corpora this runs on, named.
Regulations
1,066,551
read 2026-09-26
Agency guidance
20,436
read 2026-09-20
Statutes
1,946,798
read 2026-09-26
The whole Code of Federal Regulations is carried, so Title 42 is not an excerpt: Part 418 sits next to Part 482 and Part 483 under the same keys and the same monthly refresh. Alongside it, the CMS Internet-Only Manuals, the State Operations Manual with its survey appendices, the Medicare Coverage Database, the HOPE assessment guidance and the hospice change-request transmittals.
The split matters more here than almost anywhere else. A model that quotes a manual section as though it were the regulation has told a provider something that will not survive an appeal — so the manuals are a separate corpus, and every response from it says what it is.
Worked
Real calls, real records.
(a) Election statement. An individual who meets the eligibility requirement of § 418.20 may file an election statement with a particular hospice. If the individual is physically or mentally incapacitated, his or her representative (as defined in § 418.3) may file the election statement.
- citation.display
- 42 C.F.R. § 418.24
- catchline
- Election of hospice care
- status
- active
- validFrom → validTo
- 2026-08-03 → present
- temporalBasis
- act-effective-date
- provenance.sourceSystem
- ecfr.gov
- provenance.versionLabel
- 2026-08-31
- provenance.retrievedAt
- 2026-09-11
The C.F.R. carries act-effective-date validity, so this window is the real one — not an approximation from a publication date.
check this record →RHCs and FQHCs are paid for the professional component of allowable preventive services when all of the program requirements are met and frequency limits (where applicable) have not been exceeded.
- citation.display
- CMS Pub. 100-02, ch. 13, § 220
- catchline
- Preventive Health Services
- status
- active
- validFrom → validTo
- 2026-08-25 → present
- temporalBasis
- as-observed
- historyNote
- (Rev. 230, Issued: 12-09-16, Effective: 03-09-17, Implementation: 03-09-17)
- provenance.sourceSystem
- cms.gov
- provenance.versionLabel
- iom-2026-08-25
Guidance is sub-regulatory and every response in this corpus says so in its disclaimer. CMS republishes a manual chapter wholesale, so validity here is as-observed: the boundary is when we saw it change, not an act's effective date.
check this record →What this does not do
This is the practice that produced the corpus's own worst near-miss. On 2026-09-02 a drafting tool pulled 42 C.F.R. § 418.24 for a condition-of-payment document and got the pre-amendment “addendum on request” text, because the FY 2027 Hospice Wage Index final rule had rewritten §418.24(b)(6), (c), (d), §418.26(b) and §418.309 and nothing had re-read the title. The C.F.R. now refreshes monthly for exactly that reason, and the date it last did is on the coverage endpoint where you can check it.
The CMS manual ingests are run deliberately rather than on a cron, because a manual republishes wholesale and a blind refresh would rewrite thousands of validity windows on a formatting change. Their validity is therefore as-observed, and every record says so instead of implying an effective date CMS never printed.