skip to Main Content
Written by: Darlene D'Altorio-Jones (1959-2015) on Monday, October 10, 2011 Posted in: Inpatient Rehab

The CFR, or Code of Federal Regulations is the official legal record of the United States Government that guides legal judgement. Title 42 is the Public Health section of the CFR, which is divided by volumes, chapters, sub-chapters, parts and subparts.  Title 42 covers healthcare law and ultimately how healthcare is practiced to meet Hospital Conditions of Participation (COP) and Conditions for Coverage (CfC).

In short, becoming familiar with Title 42 increases your awareness of the legal responsibilities in leading and managing healthcare.  Title 42 of the Electronic version of the Government Printing Office provides access to regulations.


Once regulations are made final, Medicare provides transmittals and change requests that are published into the Internet Only Online Manuals (IOM)  .  The Internet only manuals were created in 2003 as Web-based to offer day-to-day operating instructions, policies and procedures based on statutes and regulations, guidelines, models and directives. Manuals are updated when sections of the Federal Register are published and are often communicated through the use of transmittals.

Program transmittals are used to communicate new or changed policies, and/or procedures that are being incorporated into a specific Centers for Medicare & Medicaid Services (CMS) program manual. The cover page (or transmittal page) summarizes those changes.

When asked a question about health care policy – start here to find the answer!

Back to top