42 CFR § 491.3 - Certification procedures.
---
identifier: "/us/cfr/t42/s491.3"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 491.3 - Certification procedures."
title_number: 42
title_name: "Public Health"
section_number: "491.3"
section_name: "Certification procedures."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "491"
part_name: "CERTIFICATION OF CERTAIN HEALTH FACILITIES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 263a and 1302."
cfr_part: "491"
---
# 491.3 Certification procedures.
A rural health clinic will be certified for participation in Medicare in accordance with subpart S of 42 CFR part 405. The Secretary will notify the State Medicaid agency whenever he has certified or denied certification under Medicare for a prospective rural health clinic in that State. A clinic certified under Medicare will be deemed to meet the standards for certification under Medicaid.
[71 FR 55346, Sept. 22, 2006]