When healthcare providers and suppliers show that they are in compliance with their applicable Medicare and Medicaid CoPs or CfCs, they are issued a certification of compliance
To qualify for Medicare and Medicaid certification and reimbursement, providers and suppliers of health services must comply with minimum health and safety standards termed 'Conditions of Participation' (CoPs) and Conditions for Coverage (CfC).
In 1946, Congress passed the Hill-Burton Hospital Survey and Construction Act, which included application of uniform healthcare standards. To receive Hill-Burton funding, states were required to license hospitals to ensure they adhered to several quality of service requirements. The standards could only be placed on states that chose to accept Hill-Burton funding.
With the establishment of Medicare and Medicaid under Title XVIII and Title XIX of the Social Security Act in 1965, Congress had to decide whether control of the quality of medical care provided by individual hospitals would be based on uniform federal standards – as they did under Hill-Burton – or remain under state supervision and control. Congress chose to establish uniform minimum national standards to be certified by state health agencies. The minimum national standards are the CoPs that states are required to enforce upon healthcare providers who participate in the programs.
Since their inception, CoPs for emergency preparedness have been developed independently by subject matter experts operating within programs overseeing specific provider types within CMS. There was little concern for consistency within CMS or with national preparedness programs managed by the Federal Emergency Management Agency (FEMA), the Centers for Disease Control and Prevention (CDC), or the Assistant Secretary for Preparedness and Response (ASPR). The effort to connect the Nation's healthcare preparedness regulatory strategy with the Nation's overarching preparedness efforts can be found in the proposed CMS Emergency Preparedness Rule.