{"data":{"id":"us/42-cfr-489.12","jurisdiction":"us","citation":"42 CFR 489.12","heading":"Decision to deny an agreement.","body":"(a) Bases for denial. CMS may refuse to enter into an agreement for any of the following reasons:\n(1) Principals of the prospective provider have been convicted of fraud (see § 420.204 of this chapter);\n(2) The prospective provider has failed to disclose ownership and control interests in accordance with § 420.206 of this chapter;\n(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\n(4) The prospective provider is unable to give satisfactory assurance of compliance with the requirements of title XVIII of the Act.\n(b) [Reserved]\n(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.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL","Subpart A—General Provisions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"79a1f23817498e1b4b561badf85261f0c6c9fc9d407e7214fe5172ba7daaa718","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-489.11","next":"us/42-cfr-489.13"},"notice":"GroundRules: Original legal text. Not legal advice."}