# 42 C.F.R. § 498.4 (2026): NFs subject to appeals process in part 498

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_4

## Section

- **Citation:** 42 C.F.R. § 498.4 (2026)
- **Heading:** NFs subject to appeals process in part 498
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES / 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 / § 498.4: § 498.4   NFs subject to appeals process in part 498.

## Text

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—
(a) State-operated NF; or
(b) Non State-operated NF that is subject to compliance action as a result of—
(1) A validation survey by CMS; or
(2) CMS's review of the State's survey findings.
[59 FR 56252, Nov. 10, 1994]

## Nearby sections

- [42 C.F.R. § 498.1 (2026) § 498.1   Statutory basis.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_1.md)
- [42 C.F.R. § 498.2 (2026) § 498.2   Definitions.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_2.md)
- [42 C.F.R. § 498.3 (2026) § 498.3   Scope and applicability.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_3.md)
- [42 C.F.R. § 498.4 (2026) § 498.4   NFs subject to appeals process in part 498.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_4.md)
- [42 C.F.R. § 498.5 (2026) § 498.5   Appeal rights.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_5.md)
- [42 C.F.R. § 498.10 (2026) § 498.10   Appointment of representatives.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_10.md)
- [42 C.F.R. § 498.11 (2026) § 498.11   Authority of representatives.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_11.md)
- [42 C.F.R. § 498.13 (2026) § 498.13   Fees for services of representatives.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_13.md)
- [42 C.F.R. § 498.15 (2026) § 498.15   Charge for transcripts.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_15.md)
- [42 C.F.R. § 498.17 (2026) § 498.17   Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_17.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P498_S498_4. Check the current official text before relying on it. Not legal advice.
