Fed Regist. 1982 May 27;47(103):23404-14.
These regulations would simplify and streamline the procedures by which a health care facility is approved for participation in Medicare and Medicaid. The changes are necessary because many of the current procedures have proved cumbersome and expensive for the Federal and State agencies to administer, and, in many aspects, either unnecessary or ineffective in ensuring the quality of health care services. The elimination or modification of those requirements that have been identified as unnecessary or ineffective would also eliminate any unnecessary burdens on providers. The procedures that have proved effective in the past in protecting the health and safety of patients would be retained. This would permit available resources to be targeted on facilities with compliance problems. These regulations also would implement a recent statutory amendment that removes the 12-month limit on provider agreement with skilled nursing facilities.
这些规定将简化并精简医疗保健机构参与医疗保险和医疗补助计划的审批程序。之所以做出这些改变，是因为事实证明，目前的许多程序对于联邦和州机构来说管理起来既繁琐又昂贵，而且在许多方面，这些程序要么不必要，要么在确保医疗服务质量方面无效。消除或修改那些被认定为不必要或无效的要求，也将消除对医疗服务提供者的任何不必要负担。过去已证明在保护患者健康和安全方面有效的程序将予以保留。这将使可用资源能够针对存在合规问题的机构。这些规定还将实施一项近期的法律修正案，该修正案取消了与专业护理机构签订提供者协议的12个月期限限制。
