Facilities certified to receive Medicare and Medicaid reimbursement must submit to what type of inspections?

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Facilities that seek certification to receive Medicare and Medicaid reimbursement are required to undergo state and federal inspections. These inspections are critical to ensure compliance with the comprehensive regulations set forth by both the Centers for Medicare & Medicaid Services (CMS) and state health departments. The inspections assess various aspects of facility operations, including safety, resident care, staffing, and adherence to health standards.

The state inspections focus on compliance with state laws and regulations, while federal inspections ensure conformity with the national standards established by CMS. This dual requirement helps maintain high standards of care and operational efficiency in facilities that provide services to beneficiaries of these federal programs. By achieving and maintaining compliance, facilities not only meet regulatory requirements but also help guarantee quality services to their residents.

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