---
kind: "section"
citation: "42 C.F.R. § 410.145"
title: "42"
number: "410.145"
heading: "Requirements for entities."
url: "https://uscodex.org/cfr/42/410.145"
---

# §410.145. Requirements for entities.

- (a) **Deemed entities.**
  - (1) Except as permitted in [paragraph (a)(2)](#a-2) of this section, an entity may be deemed to meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md) if the following conditions are met:
    - (i) The entity has submitted necessary documentation and is fully accredited (and periodically reaccredited) by an organization approved by CMS under [§ 410.142](/cfr/42/410.142.md).
    - (ii) **The entity is not accredited by an organization that owns or controls the entity.**
  - (2) Before August 27, 2002 CMS may deem an entity to meet the NSDSMEP quality standards described in [§ 410.144(b)](/cfr/42/410.144.md?p=b), if the entity provides the Medicare contractor that will process its claims with a copy of a current certificate the entity received from the ADA that verifies the training program it furnishes meets the NSDSMEP quality standards described in [§ 410.144(b)](/cfr/42/410.144.md?p=b).
- (b) **Approved entities.** An entity may be approved to furnish training if the entity meets the following conditions:
  - (1) Before submitting a claim for Medicare payment, forwards a copy of its certificate or proof of accreditation from an organization approved by CMS under [§ 410.142](/cfr/42/410.142.md) indicating that the entity meets a set of quality standards described in [§ 410.144](/cfr/42/410.144.md), or before August 27, 2002, submits documentation of its current ADA recognition status.
  - (2) Agrees to submit to evaluation (including onsite inspections) by CMS (or its agent) to validate its approved organization's accreditation process.
  - (3) Authorizes its approved organization to release to CMS a copy of its most recent accreditation evaluation, and any accreditation-related information that CMS may require.
  - (4) At a minimum, allows the QIO (under a contract with CMS) access to beneficiary or group training records.
- (c) **Effective dates—**
  - (1) **Deemed to meet quality standards.** Except as permitted in [paragraph (c)(2)](#c-2) of this section, the date on which an entity is deemed to meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md) is the later of one of the following dates:
    - (i) The date CMS approves and recognizes the accreditation organization to accredit entities to furnish training.
    - (ii) The date an organization accredits the entity to meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md).
  - (2) **Approved to furnish training.** CMS covers the training furnished by an entity beginning on the later of one of the following dates:
    - (i) The date CMS approves the deemed entity as meeting the conditions for coverage in [§ 410.141(e)](/cfr/42/410.141.md?p=e).
    - (ii) The date the entity is deemed to meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md).
- (d) **Removal of approved status—**
  - (1) **General rule.** CMS removes an entity's approved status for any of the following reasons:
    - (i) CMS determines, on the basis of its own evaluation or the results of the accreditation evaluation, that the entity does not meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md).
    - (ii) CMS withdraws its approval of the organization that deemed the entity to meet a set of quality standards described in [§ 410.144](/cfr/42/410.144.md).
    - (iii) **The entity fails to meet the requirements of paragraphs (a) and (b) of this section.**
  - (2) **Effective date.** The effective date of CMS's removal of an entity's approved status is 60 days after the date of CMS's notice to the entity.

## Notes

### Source

Source: 65 FR 83148, Dec. 29, 2000, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395m, 1395hh, 1395rr, and 1395ddd.

### Source

Source: 51 FR 41339, Nov. 14, 1986, unless otherwise noted.