{"data":{"id":"us/42-cfr-498.4","jurisdiction":"us","citation":"42 CFR 498.4","heading":"NFs subject to appeals process in part 498.","body":"A NF is considered a provider for purposes of this part when it has in effect an agreement to participate in Medicaid, including an agreement to participate in both Medicaid and Medicare and it is a—\n(a) State-operated NF; or\n(b) Non State-operated NF that is subject to compliance action as a result of—\n(1) A validation survey by CMS; or\n(2) CMS's review of the State's survey findings.","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 498—APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/IID AND CERTAIN NFs IN THE MEDICAID PROGRAM","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":"6788b4d0d8aad2902508883aa8fbc58c240de0d8bfd3f9ae9123cbdc1b47b508","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-498.3","next":"us/42-cfr-498.5"},"notice":"GroundRules: Original legal text. Not legal advice."}