42 C.F.R. § 489.62
An HHA operated by a Federal, State, local, or tribal government agency is deemed to have provided CMS with a comparable surety bond under State law, and CMS therefore waives the requirements of this subpart with respect to such an HHA if, during the preceding 5 years the HHA has—
[63 FR 313, Jan. 5, 1998, as amended at 63 FR 29655, June 1, 1998]