Healthcare: Medicare and Medicaid Conditions and Requirements for Participation

Our team has far-reaching experience helping clients operationalize the minimum standards required to maintain good standing with federal and state healthcare programs.

Venable attorneys advise providers and suppliers participating in Medicare and Medicaid on how to comply with the conditions or requirements of participation. We know which sections of Title 42 of the Code of Federal Regulations and parallel state regulatory requirements apply to which providers or suppliers. We understand the regulatory inspection process and what a CMS-2567 Statement of Deficiencies is and how to manage it. When necessary, we help our clients navigate the consequences of not meeting the conditions or requirements of participation. We anticipate how a provider or supplier's enrollment may be impacted and the various sanctions and enforcement penalties that may be imposed, including termination from government healthcare programs.