---
kind: "section"
citation: "42 C.F.R. § 488.3"
title: "42"
number: "488.3"
heading: "Conditions of participation, conditions for coverage, conditions for certification and long term care requirements."
url: "https://uscodex.org/cfr/42/488.3"
---

# §488.3. Conditions of participation, conditions for coverage, conditions for certification and long term care requirements.

- (a) **Basic rules.** To be approved for participation in, or coverage under, the Medicare program, a prospective provider or supplier must meet the following:
  - (1) Meet the applicable statutory definitions in section [1138(b)](/cfr/42/1138.md?p=b), [1819](/cfr/42/1819.md), [1820](/cfr/42/1820.md), [1832(a)(2)(C)](/cfr/42/1832.md?p=a-2-C), [1832(a)(2)(F)](/cfr/42/1832.md?p=a-2-F), [1832(a)(2)(J)](/cfr/42/1832.md?p=a-2-J), [1834(e)](/cfr/42/1834.md?p=e), [1861](/cfr/42/1861.md), [1881](/cfr/42/1881.md), [1883](/cfr/42/1883.md), [1891](/cfr/42/1891.md), [1913](/cfr/42/1913.md) or [1919](/cfr/42/1919.md) of the Act.
  - (2) Be in compliance with the applicable conditions, certification requirements, or long term care requirements prescribed in [part 405](/cfr/42/part405.md) subparts [U](/cfr/42/subpartU.md) or [X](/cfr/42/subpartX.md), [part 410](/cfr/42/part410.md) [subpart E](/cfr/42/subpartE.md), [part 416](/cfr/42/part416.md), [part 418](/cfr/42/part418.md) [subpart C](/cfr/42/subpartC.md), parts [482](/cfr/42/part482.md) through [486](/cfr/42/part486.md), [part 491](/cfr/42/part491.md) [subpart A](/cfr/42/subpartA.md), or [part 494](/cfr/42/part494.md) of this chapter.
- (b) **Special conditions.** The Secretary shall consult with state agencies and national AOs, as applicable, to develop CoP, CfC, conditions for certification and long term care requirements.
  - (1) The Secretary may, at a state's request, approve health and safety requirements for providers or suppliers in the state that exceed Medicare program requirements.
  - (2) If a state or political subdivision imposes requirements on institutions (that exceed the Medicare program requirements) as a condition for the purchase of health services under a state Medicaid plan approved under title XIX of the Act, (or if Guam, Puerto Rico, or the Virgin Islands does so under a state plan for Old Age Assistance under title I of the Act, or for Aid to the Aged, Blind, and Disabled under the original title XVI of the Act), the Secretary imposes similar requirements as a condition for payment under Medicare in that state or political subdivision.

## Notes

### Amendments

[80 FR 29835, May 22, 2015]

### Authority

Authority: 42 U.S.C 1302 and 1395hh.

### Source

Source: 53 FR 22859, June 17, 1988, unless otherwise noted.

### Amendments

[80 FR 29835, May 22, 2015]