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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B: MEDICARE PROGRAM
PART 405: FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Subpart U: Conditions for Coverage of Suppliers of End-Stage Renal Disease (ESRD) Services
405.2180 - Termination of Medicare coverage.
Link to an amendment published at 73 FR 20474, Apr. 15, 2008.
(a) Except as provided in ? 405.2181, failure of a supplier of ESRD services to meet one or more of the conditions for coverage set forth in this subpart U will result in termination of Medicare coverage of the services furnished by that supplier.
(b) If termination of coverage is based solely on a supplier's failure to participate in network activities and pursue network goals, as required by ? 405.2134, coverage may be reinstated when CMS determines that the supplier is making reasonable and appropriate efforts to meet that condition.
(c) If termination of coverage is based on failure to meet any of the other conditions specified in this subpart, coverage will not be reinstated until CMS finds that the reason for termination has been removed and there is reasonable assurance that it will not recur.
[53 FR 36277, Sept. 19, 1988]
Effective Date Note:
At 73 FR 20474, Apr. 15, 2008, ? 405.2180 was removed and reserved, effective Oct. 14, 2008.
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