US · guidance
CMS Pub. 100-11, ch. 9, § 30.3
Requirements of Institutional Contractors, and Practitioners or
Suppliers
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Institutional providers include, but are not limited to:
• Acute care hospitals;
• Rehabilitation hospitals and distinct part rehabilitation units of acute care
hospitals;
• Psychiatric hospitals and distinct part psychiatric units of acute care hospitals;
and
• Critical access hospitals, nursing facilities and skilled nursing facilities.
The PACE organization must contract only with institutional entities that meet all
applicable Federal and State requirements as well as meet the Medicare and Medicaid
participation requirements. There is provider specific Conditions of Participation for
institutions that participate in the Medicare program. Therefore, all institutional
contractors must be in compliance with their respective Conditions of Participation.
A practitioner or supplier must meet Medicare or Medicaid requirements applicable to the
services it furnishes.
[42 CFR § 460.70]
History
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
7f0c09d1c563a71f0ec190baaef17b5f0c310071e8afe253ec979da9c1368c38
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