Reasonable Assurance Will Apply to Providers and Suppliers Who Voluntarily Terminate and Seek New Certification If a Termination Action by the State Agency Had Been Initiated

?Reasonable assurance will be applied to providers and suppliers once a terminationaction has been initiated by a State Survey Agency and the entity was allowed toterminate Medicare participation voluntarily before the termination action wasmade effective. See Section 2016 and 2017 of the State Operations Manual (SOM).