Common use of Other Applicable Rules Clause in Contracts

Other Applicable Rules. The termi- nation of a provider agreement by the OIG is subject to the additional proce- dures specified in §§ 1001.105 through 1001.109 of this title for notice and ap- peals. [51 FR 24492, July 3, 1986, as amended at 51 FR 34788, Sept. 30, 1986] (a) Payment is available for up to 30 days after the effective date of termi- nation for: (1) Inpatient hospital services (in- cluding inpatient psychiatric hospital services) and posthospital extended care services (except as specified in paragraph (b) of this section with re- spect to LTC facilities) furnished to a beneficiary who was admitted before the effective date of termination; and (2) Home health services and hospice care furnished under a plan established before the effective date of termi- nation. (b) The Secretary may, as the Sec- retary determines is appropriate, con- tinue to make payments with respect to residents of a long-term care facility that has submitted a notification of closure as required at § 483.75(r) of this chapter during the period beginning on the date such notification is submitted and ending on the date on which the residents are successfully relocated. [76 FR 9512, Feb. 18, 2011 When a provider agreement has been terminated by CMS under § 489.53, or by the OIG under § 489.54, a new agreement with that provider will not be accepted unless CMS or the OIG, as appropriate, finds— (a) That the reason for termination of the previous agreement has been re- moved and there is reasonable assur- ance that it will not recur; and (b) That the provider has fulfilled, or has made satisfactory arrangements to fulfill, all of the statutory and regu- latory responsibilities of its previous agreement. [51 FR 24493, July 3, 1986] SOURCE: 63 FR 313, Jan. 5, 1998, unless oth- erwise noted.

Other Applicable Rules. The termi- nation of a provider agreement by the OIG is subject to the additional proce- dures specified in §§ 1001.105 through 1001.109 of this title for notice and ap- peals. [51 FR 24492, July 3, 1986, as amended at 51 FR 34788, Sept. 30, 1986] (a) Payment is available for up to 30 days after the effective date of termi- nation for: (1) Inpatient hospital services (in- cluding inpatient psychiatric hospital services) and posthospital post hospital extended care services (except as specified in paragraph (b) of this section with re- spect to LTC facilities) furnished to a beneficiary who was admitted before the effective date of termination; and (2) Home health services and hospice care furnished under a plan established before the effective date of termi- nation. (b) The Secretary may, as the Sec- retary determines is appropriate, con- tinue to make payments with respect to residents of a long-term care facility that has submitted a notification of closure as required at § 483.75(r) of this chapter during the period beginning on the date such notification is submitted and ending on the date on which the residents are successfully relocated. [76 FR 9512, Feb. 18, 2011 2011, as amended at 78 FR 16805, Mar. 19, 2013] When a provider agreement has been terminated by CMS under § 489.53, or by the OIG under § 489.54, a new agreement with that provider will not be accepted unless CMS or the OIG, as appropriate, finds— (a) That the reason for termination of the previous agreement has been re- moved and there is reasonable assur- ance that it will not recur; and (b) That the provider has fulfilled, or has made satisfactory arrangements to fulfill, all of the statutory and regu- latory responsibilities of its previous agreement. [51 FR 24493, July 3, 1986] SOURCE: 63 FR 313, Jan. 5, 1998, unless oth- erwise noted.