StacksVerified U.S. regulatory reference

42 CFR §489.12

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
  1. (a)Bases for denial. CMS may refuse to enter into an agreement for any of the following reasons:
    1. (1)Principals of the prospective provider have been convicted of fraud (see § 420.204 of this chapter);
    2. (2)The prospective provider has failed to disclose ownership and control interests in accordance with § 420.206 of this chapter;
    3. (3)The prospective provider is a physician-owned hospital as defined in § 489.3 and does not have procedures in place for making physician ownership disclosures to patients in accordance with § 489.20(u); or
    4. (4)The prospective provider is unable to give satisfactory assurance of compliance with the requirements of title XVIII of the Act.
  2. (b)[Reserved]
  3. (c)Compliance with civil rights requirements. CMS will not enter into a provider agreement if the provider fails to comply with civil rights requirements set forth in 45 CFR parts 80, 84, and 90, subject to the provisions of § 489.10.