# 42 CFR § 489.12: Decision to deny an agreement

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-489.12

## Section

- **Citation:** 42 CFR § 489.12
- **Heading:** Decision to deny an agreement
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER G—STANDARDS AND CERTIFICATION > PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL > Subpart A—General Provisions

## Text

(a) Bases for denial. CMS may refuse to enter into an agreement for any of the following reasons:
(1) Principals of the prospective provider have been convicted of fraud (see § 420.204 of this chapter);
(2) The prospective provider has failed to disclose ownership and control interests in accordance with § 420.206 of this chapter;
(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) The prospective provider is unable to give satisfactory assurance of compliance with the requirements of title XVIII of the Act.
(b) [Reserved]
(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.
[45 FR 22937, Apr. 4, 1980, as amended at 51 FR 34833, Sept. 30, 1986; 54 FR 4027, Jan. 27, 1989; 59 FR 6578, Feb. 11, 1994; 59 FR 56251, Nov. 10, 1994; 72 FR 47413, Aug. 22, 2007]

## Nearby sections

- [42 CFR § 489.1 § 489.1 Statutory basis.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.1.md)
- [42 CFR § 489.2 § 489.2 Scope of part.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.2.md)
- [42 CFR § 489.3 § 489.3 Definitions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.3.md)
- [42 CFR § 489.10 § 489.10 Basic requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.10.md)
- [42 CFR § 489.11 § 489.11 Acceptance of a provider as a participant.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.11.md)
- [42 CFR § 489.12 § 489.12 Decision to deny an agreement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.12.md)
- [42 CFR § 489.13 § 489.13 Effective date of agreement or approval.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.13.md)
- [42 CFR § 489.18 § 489.18 Change of ownership or leasing: Effect on provider agreement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.18.md)
- [42 CFR § 489.20 § 489.20 Basic commitments.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.20.md)
- [42 CFR § 489.21 § 489.21 Specific limitations on charges.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.21.md)
- [42 CFR § 489.22 § 489.22 Special provisions applicable to prepayment requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.22.md)
- [42 CFR § 489.23 § 489.23 Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.23.md)
- [42 CFR § 489.24 § 489.24 Special responsibilities of Medicare hospitals in emergency cases.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.24.md)
- [42 CFR § 489.25 § 489.25 Special requirements concerning CHAMPUS and CHAMPVA programs.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.25.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-489.12. Check the current official text before relying on it. Not legal advice.