---
kind: "section"
citation: "42 C.F.R. § 483.1"
title: "42"
number: "483.1"
heading: "Basis and scope."
url: "https://uscodex.org/cfr/42/483.1"
---

# §483.1. Basis and scope.

- (a) **Statutory basis.**
  - (1) **Sections 1819(a), (b), (c), (d), and (f) of the Act provide that—**
    - (i) Skilled nursing facilities participating in Medicare must meet certain specified requirements; and
    - (ii) The Secretary may impose additional requirements (see [section 1819(d)(4)(B)](/cfr/42/1819.md?p=d-4-B)) if they are necessary for the health and safety of individuals to whom services are furnished in the facilities.
  - (2) Section 1861(l) of the Act requires the facility to have in effect a transfer agreement with a hospital.
  - (3) Sections 1919(a), (b), (c), (d), and (f) of the Act provide that nursing facilities participating in Medicaid must meet certain specific requirements.
  - (4) **Sections 1128I(b) and (c) require that—**
    - (i) Skilled nursing facilities or nursing facility have in operation a compliance and ethics program that is effective in preventing and detecting criminal, civil, and administrative violations.
    - (ii) The Secretary establish and implement a quality assurance and performance improvement program for facilities, including multi-unit chains of facilities.
  - (5) [Section 1150B](/cfr/42/1150B.md) establishes requirements for reporting to law enforcement crimes occurring in federally funded LTC facilities.
- (b) **Scope.** The provisions of this part contain the requirements that an institution must meet in order to qualify to participate as a Skilled Nursing Facility in the Medicare program, and as a nursing facility in the Medicaid program. They serve as the basis for survey activities for the purpose of determining whether a facility meets the requirements for participation in Medicare and Medicaid.

## Notes

### Amendments

[56 FR 48867, Sept. 26, 1991, as amended at 57 FR 43924, Sept. 23, 1992; 60 FR 50443, Sept. 29, 1995; 81 FR 68848, Oct. 4, 2016]

### Source

Source: 54 FR 5359, Feb. 2, 1989, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1320a-7, 1395i, 1395hh and 1396r.

### Amendments

[56 FR 48867, Sept. 26, 1991, as amended at 57 FR 43924, Sept. 23, 1992; 60 FR 50443, Sept. 29, 1995; 81 FR 68848, Oct. 4, 2016]