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Policy & Memos to States and Regions

CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

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Title Memo # Posting Date Fiscal Year
Clarification of Appeal of Nurse Aide Training and Competency Evaluation Programs 01-01 02/15/2001 2001
OASIS Considerations for HHAs Seeking Initial Certification 01-02 02/02/2001 2001
Application of OASIS Requirements to Medicare Beneficiaries 01-03 02/12/2001 2001
Revisions to CMHC Instructions as a Result of BIPA 01-04 02/16/2001 2001
Implementation of the OBQM Reports as Part of the HHA Survey Process 01-06 03/06/2001 2001
Instructions Regarding Implementation 506(a)(1) of BIPA - HHA Branches 01-08 03/09/2001 2001
Off-Hour Surveys--Clarification 01-09 03/23/2001 2001
Policies about Verification of Compliance and Setting 3 and 6 month Remedy Effective Dates 01-10 05/03/2001 2001
New OASIS Correction Policy for HHAs 01-12 04/20/2001 2001
Hospice Questions and Answers 01-13 04/21/2001 2001
Sharing State Licensure Information 01-16 05/03/2001 2001
Monthly Quality Indicator Comparison Reports 01-17 05/03/2001 2001
Response to Questions from the National Hospice and Palliative Care Organization (NHPCO) 01-18 05/03/2001 2001
Reporting Requirements: Use of Restraint and Seclusion in PRTFs 01-19 06/01/2001 2001
Clarification of Nurse Aide Training Requirements for Transfer/Transport of NH Patients 01-20 07/05/2001 2001
Wound Ostomy Continence Nurses Society (WOCN) OASIS Guidance Document 01-21 08/06/2001 2001
New HCFA-855(A) and (B) Applications and Procedures 01-22 08/15/2001 2001
Response to Questions about Verification Policy (S and C01-10) 01-23 08/15/2001 2001
Clarification: Monthly Quality Indicator Comparison Reports Policy 01-24 09/20/2001 2001
Abuse and Neglect Detection and Prevention Training 02-01 10/10/2001 2002
OASIS Requirements in New HHAs Seeking Medicare Certification 02-02 10/16/2001 2002
Training Request for CMS's Nutrition/Hydration Awareness Campaign 02-03 10/30/2001 2002
Alert and Action: End Stage Renal Disease (ESRD) Dialyzer Recall by Baxter 02-05 11/14/2001 2002
Hospital Capacity-EMTALA 02-06 11/29/2001 2002
On-Call Requirements-EMTALA 02-07 01/28/2002 2002
ICF/MR Federal Monitoring and Oversight Survey Data 02-08 12/21/2002 2002
Discontinuance of Contract with Integriguard to visit CMHCs after 1/15/02 02-09 12/20/2001 2002
Comparative Surveys for Fiscal Year 2002 02-10 12/20/2001 2002
Nursing Home Off-Hour Data Indicator in OSCAR 02-11 12/20/2001 2002
Implementation of Outcome-Based Quality Improvement (OBQI) Reports 02-12 01/09/2002 2002
Services Provided by Home Health Agencies (HHAs) 02-13 01/07/2001 2002
Requests for Home Health Agency Branch Office Approval and the Use of a Reciprocal Agreement 02-30 05/10/2002 2002
Certification of False Labor-EMTALA 02-14 01/16/2002 2002
Clarification of CMS Policies Regarding Ambulatory Surgical Centers 02-16 02/01/2002 2002
Completion of MDS in CAHs 02-17 02/01/2002 2002
ICFs/MR Form 3070G Revisions 02-18 02/06/2002 2002
Recalled Sprinkler Heads 02-19 03/08/2002 2002
Reporting Abuse 02-20 03/28/2002 2002
Resolving Disagreements Resulting from Federal Oversight and Support Surveys 02-21 03/25/2002 2002
Initiating On-Site Visits To Facilities Enrolled In the CLIA Program That Have Waiver Certificates 02-22 04/01/2002 2002
CLARIFICATION OF MEMO S&C-02-19 - Recalled Sprinkler Heads 02-24 04/29/2002 2002
Voluntary Termination of a SNF or NF 02-23 04/29/2002 2002
Onsite Versus Paper Revisits-Applicability to May 3, 2001 Revisit Policy 02-25 04/29/2002 2002
ICFs/MR Form 3070-G Revisions 02-26 04/29/2002 2002
Update to Data Posted on Nursing Home Compare Website 02-27 04/29/2002 2002
Promising Practices for Implementing the Medicare Hospice Benefit for Nursing Home (NH) Resident 02-29 05/10/2002 2002
Home Health Agency (HHA) Questions and Answers-INFORMATION 01-14 04/23/2001 2001
Mandatory Viewing of Satellite and Webcast Training Program 02-31 05/10/2002 2002
RAI Coordinator Responsibilities in MDS Training of Swing Bed Hospital Staff 02-32 05/10/2002 2002
Interim Guidance to Support Implementation of the ASPEN Complaints/Incidents Tracking System (ACTS) 02-33 06/06/2002 2002
On-Call Requirements-EMTALA 02-34 06/13/2002 2002
Simultaneously On-Call 02-35 06/13/2002 2002
Privacy of Medical Record Information in Rural Health Clinics 02-36 06/13/2002 2002
Assigning Provider Identification Numbers To Home Health Agency Branches 02-37 08/08/2002 2002
Final Guidance Package for CLIA Federal Monitoring Survey Process 02-38 08/08/2002 2002
Nursing Home That Has No Arrangement to Provide Dialysis Services 02-39 08/08/2002 2002
Fiscal Year (FY) 2003 State Survey and Certification Budget Call Letter 02-40 07/02/2002 2002
Proposed Changes to the Outcome and Assessment Information Set (OASIS) 02-41 08/08/2002 2002
Use of Civil Money Penalty (CMP) Funds by States 02-42 08/08/2002 2002
CDC Revised Recommendations for Single-Use Intravenous Medication Vials in ESRD Facilities 02-43 09/12/2002 2002
Impact of Nursing Shortage on Hospice Care 02-44 09/12/2002 2002
Comparative Surveys for Fiscal Year 2003 02-45 09/12/2002 2002
Policy and Procedures for Conducting the Fedl Comparative Survey, FY 2003 03-01 10/10/2002 2003
Change in requirement for signed physician's order for influenza and pneumonia vaccine 03-02 10/10/2002 2003
BIPA 941 Nursing Home Requirement Effective January 1, 2003 03-03 10/10/2002 2003
Interim Guidance to Support National Pilot of the ACTS 03-04 11/14/2002 2003
FY 2003 Training Requirements for ESRD, HHA, Hospice and ICF/MR Surveyors 03-05 11/14/2002 2003
Conversion of SMQT From A Two-Day to A One-Day Test 03-06 12/12/2002 2003
CLIA State Agency Performance Review (SAPR)-Introductory Version for FY 2003 03-07 12/12/2002 2003
Information Exchange by Surveyors During the Nursing Home Survey Process 03-08 12/12/2002 2003
Revised Resident Assessment Instrument User's Manual Release Effective 1/1/03 03-09 01/09/2003 2003
Attachment to CLIA State Agency Performance Review (SAPR)-Introductory Version for Fiscal Year 2003 03-07att 12/12/2002 2003
Binding Arbitration in Nursing Homes 03-10 01/09/2003 2003
Home Health Survey Protocol Enhancements 03-13 02/13/2003 2003
Coordinated Survey Approach For Critical Access Hospitals Having Multiple Affiliated Providers 03-12 02/13/2003 2003
Clarification of Instructions for form CMS-671, LTC Facility Application for Medicare and Medicaid 03-14 02/13/2003 2003
Review of Protected Health Under HIPAA for the Purposes of Survey and Certification 03-15 03/14/2003 2003
Interim Guidance for the Hospital Quality Assessment and Performance Improvement COP 03-16 04/10/2003 2003
Physician delegation of tasks in SNFs and NFs 03-18 04/10/2003 2003
Policy for Interim Period Between the Effective Date of CMS-2226-F and Publication of Guidelines 03-19 05/08/2003 2003
Medicare Identification Number Assignment for ESRD Facilities 03-20 05/08/2003 2003
New Fire Safety Requirements for RNHCIs, ASCs, Hospice, PACE, Hospitals, LTC, ICFs/MR, and CAHs 03-21 05/08/2003 2003
Clarification of Payment Policies Regarding ASCs/IDTFs Conducting Business From the Same Location 03-22 06/12/2003 2003
Long Term Care Medication Pass Survey Requirement Clarification 03-24 06/12/2003 2003
Clarification of Issues Related to Informal Dispute Resolution 03-25 06/12/2003 2003
Impact of the HIPAA on the Nursing Home Requirement for Posting Survey Results 03-26 06/12/2003 2003
State Survey Agency Performance Standards for Fiscal Year (FY) 2003 03-27 07/10/2003 2003
Automation of SMQT and Clarification of Survey Activities 03-28 07/10/2003 2003
Discontinuance of Forms HCFA-1513 and HCFA-2572 03-29 08/14/2003 2003
CLIA Policy Letters for First Survey Cycle Following the Effective Date of CMS-2226-F 03-30 08/14/2003 2003
Pilot Program for Surveyor Technical Assistant for Renal Disease (STAR) 03-32 08/14/2003 2003
Correction Policy for HHA Administrative Data on the HH Compare Web Site 03-33 09/11/2003 2003
Mandatory On-Line Prerequisites for Basic Long Term Care Training 04-01 10/09/2003 2004
Use of Mapping to Determine Rural Eligibility for Rural Health Clinics 04-02 10/09/2003 2004
Comparative Surveys for Fiscal Year 2004 04-04 10/09/2003 2004
Guidance On Test Systems That Are Categorized as Either Waived or Moderate Complexity Under CLIA 04-05 11/13/2003 2004
Minimum System Requirements 04-07 11/13/2003 2004
Physician Delegation of Tasks in SNFs and NFs 04-08 11/13/2003 2004
Guidelines to Support National Implementation of the ACTS 04-09 11/13/2003 2004
EMTALA Interim Guidance 04-10 11/07/2003 2004
State Survey Agency Performance Standards for Fiscal Year (FY) 2004 04-11 11/19/2003 2004
Collection and Transmission of the OASIS Data for Private Pay Patients (non-Medicare/non-Medicaid) 04-12 12/11/2003 2004
Validation, Complaint, and Reporting Requirements: Use of Restraint and Seclusion in PRTFs 04-13 12/11/2003 2004
Implementation of Critical Access Hospital Bed Size Increase 04-14 12/11/2003 2004
Definitions of Terms Used in the LSC of the NFPA 04-15 12/11/2003 2004
Clarification on NHs Requiring Promissory Notes or Deposit Fees as a Condition of Admission 04-17 01/04/2004 2005
Impact of HIPAA on the Nursing Home Requirement for Posting Survey Results 04-18 02/12/2004 2005
Calendar Year 2004 Revised Release Schedule for Automated ASPEN Software 04-19 02/12/2004 2004
Impact of Section 946 of the MMA on the Hospice Core Services Requirement 04-21 02/12/2004 2004
Overnight Stays in Ambulatory Surgical Centers - Clarification Effective Immediately 04-22 03/11/2004 2004
Procedures in the Event of a Fire in a Medicare- or Medicaid-Certified Health Care Facility 04-23 03/11/2004 2004
Upcoming Criminal Background Checks Pilot Project 04-25 04/08/2004 2004
Clarification of the Medicare Prescription Drug, MMA of 2003 for Non-Medicare/Non-Medicaid Patients 04-26 04/08/2004 2004
Pilot Program for the Pharmaceutical and Herbal Products Database-Part 2 04-28 05/13/2004 2004
Clarification of the Scoring for Measure 5 of the FOSS Protocol for LTC 04-30 05/13/2004 2004
Status of Form CMS-1514 04-31 05/13/2004 2004
Rollout of New Surveyor Aptitude Test and In-Service Training Guide 04-32 05/13/2004 2004
Life Safety Code (LSC) and State Performance Standards 04-33 05/13/2004 2004
Physician's Rubber Stamp Signature 04-35 07/08/2004 2004
Corrections to Appendix H of SOM Web Version 04-36 07/08/2004 2004
Additional Language Required In Initial Notice To Nursing Homes 04-38 08/12/2004 2005
CLIA State Agency Performance Review (SAPR)-Fiscal Year 2004 04-39 08/12/2004 2004
Resident Assessment Instrument (RAI) Training Program 04-40 08/12/2004 2005
Status of the December 24, 2003 Final Rule: Rural Health Clinics 04-42 08/12/2004 2004
October 4, 2004 National Transition Date - Automated ASPEN and AEM for Nursing Homes 04-43 08/12/2004 2004
Availability and Implementation of the Pharmaceutical and Herbal Products Database 04-44 09/09/2004 2004
HHAs: Clarification Comprehensive Assessment On Pediatric And Maternity Patients and Personal Care 04-45 09/09/2004 2005
Electronic Signature Guidance 04-46 09/09/2004 2004
Revised EMTALA Interpretive Guidelines 04-34 05/13/2004 2004
Implementation of CAH DPUs for Psychiatric and Rehabilitation Services 04-48 09/29/2004 2004
Guidance on Working with Quality Improvement Organizations 05-01 10/14/2004 2005
Impact of Nursing Shortage on Hospice Care 05-02 10/14/2004 2005
FY 2005 State Performance Review Protocol Guidance 05-03 10/14/2004 2005
CMS Requirements for Hospital Medical Staff Privileging 05-04 11/12/2004 2005
Nurse Aide Registry Requirements 05-05 11/12/2004 2005
Application of the HHA CoPs to Patients Receiving Chore Services Exclusively 05-06 11/12/2004 2005
Home Health Agency (HHA) Drop Sites 05-07 11/12/2004 2005
SA Responsibilities in Obtaining Information For CHOW 05-08 11/12/2004 2005
Clarification of Nursing Home Reporting Requirements for Alleged Violations 05-09 12/16/2004 2005
Federal Requirements for the IDR Process for Nursing Homes 05-10 12/16/2004 2005
SA Responsibilities in Enforcing the Gynecologic Cytology PT Requirements under the CLIA 05-11 12/16/2004 2005
Public Entities Alleging Noncompliance with Federal Nursing Home Requirements 05-12 12/16/2004 2005
Improving Enforcement via the SFF Program for Nursing Homes 05-13 12/16/2004 2005
Electronic Signature Guidance - Clarification 05-14 01/13/2005 2005
Renewal of the AAAASF's Deeming Authority for Ambulatory Surgical Centers 05-15 01/13/2005 2005
Needs Assessment Survey - Identification and Documentation of Abuse and Neglect 05-16 02/10/2005 2005
Description of Recent Changes Made to SOM, Appendix PP 05-17 02/10/2005 2005
Pressure Ulcer Prevention & Treatment Pilot - Invitation 05-18 02/10/2005 2005
Release of LTC/MDS Data to SMA, Section 1915 Waiver Programs 05-19 02/18/2005 2005
All Provider Types - Independent but Associated Deficiency Citations 05-20 03/10/2005 2005
Surveyor Guidance for Incontinence and Catheters 05-21 03/10/2005 2005
NH and HHA - Updated Facility Computer Specifications 05-22 03/10/2005 2005
Nursing Homes: Delay in Effective Date SOM, Surveyor Guidance for Incontinence and Catheters 05-23 04/15/2005 2005
Interim Timeliness Guidelines to Support the Entry of Data into ASPEN Central Office (ACO) 05-27 05/12/2005 2005
Renewal of Deeming Authority for Hospitals Accredited 05-28 05/12/2005 2005
Advance Issuance of Revised Interpretive Guidelines for Tag F501, Medical Director 05-29 06/09/2005 2005
Multiple Providers - The National Provider Identifier (NPI) 05-30 06/09/2005 2005
Adoption of a New Fire Safety Amendment for the Use of Alcohol Based Hand Rubs (ABHRs) 05-33 06/09/2005 2005
Assigning Provider Identification Numbers to Extension Locations of Outpatient Physical Therapy 05-36 06/22/2005 2005
Suspension of Processing New Provider Enrollment Applications 05-35 06/09/2005 2005
Interaction of the EMTALA and the Born-Alive Infants Protection Act of 2002 05-26 04/22/2005 2005
Promising Practices to Support the Intake of Nursing Home Complaints 05-31 06/09/2005 2005
Potential Impact of the Home Health Prospective Payment System (HHPPS) on Services Provided by HHAs 01-15 04/30/2001 2001
Responsible State Agency for Psychiatric Residential Treatment Facility (PRTF) Surveys 05-37 07/04/2005 2005
Clarification of Life Safety Code Survey Issues in Nursing Homes 05-38 07/14/2005 2005
Extension of the CLIA Educational Period 05-39 07/14/2005 2005
Eligibility for Conversion to Critical Access Hospital (CAH) 05-40 08/18/2005 2005
Corrections to Appendix PP, SOM, Survey Protocol for LTC Facilities 05-41 08/18/2005 2005
Revisions to Interpretive Guidelines for CMS Hospital COPs 05-42 08/18/2005 2005
Survey and Certification Issues Related to Hurricane Katrina 05-43 09/02/2005 2005
Doctors of Optometry and/or Ophthalmology serving as Laboratory Directors under CLIA 05-44 09/22/2005 2005
Updates to the SOM for OPTs and CORFs 05-45 09/22/2005 2005
Nursing Home Compliance with the Requirements Related to Preventing Abuse 05-46 09/22/2005 2005
Issuance of Revisions to Appendix P, SOM, Survey Protocol for Long Term Care 05-34 06/09/2005 2005
CAH Requirement for MD/DO Review of Medical Records for Mid-Level Practitioners 05-32 06/09/2005 2005
05-01 Attachment 05-01 Att 10/14/2004 2005
FY 2004 State Performance Review Protocol Guidance 04-47 09/09/2004 2005
Coordination of Care for Residents of LTC Facilities Who Receive ESRD Services 04-24 03/19/2004 2005
Opening of CMS Web Site Resource for Long Term Care (LTC) Surveyors and Providers 04-27 05/13/2004 2005
CLIA Policy and Data Reporting Guidance for First Survey Cycle Following Effective Date of CMS-2226F 04-16 01/08/2004 2005
Resource Materials for Death Reporting in PRTFs 04-20 02/12/2004 2005
Adoption of a New Fire Safety Requirement for LTC Facilities 05-25 04/14/2005 2005
Changes to Staffing Data on the Nursing Home Compare Web Site 05-24 04/14/2005 2005
Qs and As Relating to Bioterrorism and the EMTALA 02--04 11/08/2004 2004
Life Safety Code (LSC) Surveyor Reference Materials 04-29 05/13/2004 2005
Corridor Width and Corridor Mounted Computer Touch Screens in Health Care Facilities 04-41 08/12/2004 2005
Addendum I to SC Letter 04-24: Care for Residents of LTC Facilities Who Receive ESRD Services 04-37 07/08/2004 2005
BIPA 941 Nursing Home Requirement Effective 1/1/03; Follow-up to SC-03-03 Memo of 10/12/2002 03-11 01/09/2003 2003
Personnel Provision of the CAH Emergency Services Requirement for Frontier Areas and Remote Location 03-17 04/10/2003 2003
State Agency Performance Standards for Fiscal Year (FY) 2001 01-11 04/06/2001 2001
State Agency Performance Standards for Fiscal Year (FY) 2002 - REVISED 02-28 04/29/2002 2002
Clarification of Designations of Distinct Part in the SOM 03-23 06/12/2003 2003
Transfer of Data from ACTS to State Systems 03-31 08/14/2003 2003
Clarification of Hospital Admission and Presurgical History and Physical Requirements 02-15 01/28/2002 2002
Input Instructions for Comparative Surveys for FY 2004 04-03 10/09/2003 2004
Definition of Significant Differences for FOSS and LTC Comparative Surveys 04-06 11/13/2003 2004
Nursing Homes - Citations of Past Noncompliance, Revised Guidance 06-01 10/20/2005 2006
Nursing Home Immunization Requirement 06-03 11/17/2005 2006
Location and Relocation of CAHs and Relocation of Necessary Provider CAHs 06-04 11/14/2005 2006
Revised Nursing Home Medical Director Tag and Accompanying Training Materials 06-05 11/14/2005 2006
The Use of Foreign Acquired Drugs in Long-Term Care Facilities 06-06 11/14/2005 2006
SA Responsibilities for 2006 Regarding Gynecologic Cytology (PT) under CLIA - Update 06-07 01/23/2006 2006
Compliance Date for Installation of Emergency Lighting and Replacement of Existing Roller Latches 06-08 03/10/2006 2006
Issuance of Revised Activities Guidance (Tags F248 and F249) as Part of Appendix PP, SOM 06-09 03/10/2006 2006
Issuance of the New Psychosocial Outcome Severity Guide as Part of Appendix P, SOM 06-10 03/10/2006 2006
Issuance of Revised Surveyor Guidance for QAA (Tags F520 and F521) as Part of App PP, SOM 06-11 03/10/2006 2006
State Operations Manual (SOM) Chapter 5, Complaints 06-12 03/22/2006 2006
Issuance of Revised Appendix P, SOM, Survey Protocol for LTC Facilities 06-13 05/01/2006 2006
Approval of Deeming Authority of the Accreditation Commission for Healthcare (ACHC) for HHAs 06-14 05/01/2006 2006
Clarification of Physical Therapy Service Requirements for Rehabilitation Agency Providers 06-15 05/11/2006 2006
Nursing Homes and Medicare Part D 06-16 05/11/2006 2006
Sunset of Policies for Provider Nominations for an Intermediary 06-17 05/11/2006 2006
Clarification of the Amount of Air Movement Allowed Between Corridors and Resident Rooms 06-18 05/26/2006 2006
Nursing Homes - Issuance of New Tag F356 06-19 05/26/2006 2006
Implementation of the New Psychosocial Outcome Severity Guide 06-20 06/15/2006 2006
Doctors of Optometry serving as Directors and/or Technical Consultants Under CLIA 06-27 09/14/2006 2006
Impact of Nursing Shortage on Hospice Care 06-28 09/14/2006 2006
Privacy and Security of Beneficiary Information 06-22 07/14/2006 2006
Hospital Death Reporting Requirements Related to Behavior Management Restraint and Seclusion 06-31 09/29/2006 2006
Some Basic Principles of Using Photography During the Survey 06-33 09/29/2006 2006
Clarification of 42 CFR Section 485.711(c) Standard: Emergency Care 06-23 07/27/2006 2006
Revisions to Special Responsibilities of Hospitals under EMTALA 06-32 09/29/2006 2006
Final Timeliness Guidelines to Support the Entry of Data into ACO and ASPEN 06-25 09/14/2006 2006
Revisions to Tasks 2 and 5 as Part of App P, SOM, and New Tag F334 (Flu and Pneumonia), App PP 06-24 09/14/2006 2006
Revisions to Special Responsibilities of Hospitals under EMTALA 06-21 07/13/2006 2006
Clarification of Tag 58 on Form CMS-437A 06-26 09/14/2006 2006
Exceptions to the Observation Requirement When Determining Significant Medication Errors 06-30 09/29/2006 2006
CLIA Additional Topics Concerning Proficiency Testing Policies 07-02 11/17/2006 2007
Resident Assessment Instrument (RAI) Minimum Data Set (MDS) 2.0 Web-based Training (WBT) 07-03 12/07/2006 2007
SA Responsibilities for 2007 Regarding Cytology PT) under CLIA and Additional Program Information 07-04 12/07/2006 2007
Life Safety Code - Exit Discharge Requirements and the Fire Safety Evaluation System (FSES) 07-05 12/07/2006 2007
Hours of Operation for Rural Health Clinics (RHC) 07-06 12/07/2006 2007
Nursing Home Culture Change Regulatory Compliance Questions and Answers 07-07 12/21/2006 2007
Forms CMS-1856 and 1893E for Occupational Therapy Services 07-08 12/21/2006 2007
Solicitation of State Survey Agency Participation in Quality Indicator Survey (QIS) Implementation 07-09 12/21/2006 2007
Medical Gas Storage and Usage Considerations 07-10 01/12/2007 2007
Use of Alcohol-based Skin Preparations in Anesthetizing Locations 07-11 01/12/2007 2007
New and Revised CLIA Policies and Procedures 07-12 01/12/2007 2007
Electronic Signature Guidance in Inpatient Rehabilitation Facilities (IRFs) 07-14 01/26/2007 2007
Clarification of Self-Administration of Medications 11-14-ICF/MR 03/18/2011 2011
Clarification of Reporting Mistreatment, Neglect and 11-15-ICF/MR 03/18/2011 2011
Publication of Final Rule Civil Money Penalties for Nursing Homes 11-16-NH 03/18/2011 2011
April and July 2011 Changes to Nursing Home Compare 11-17-NH 03/18/2011 2011
Approval of State and National Certification Programs for Dialysis Technicians Under New ESRD CFCs 10-03-ESRD 10/30/2009 2010
Waiver to Allow Hospitals to Use the NFPA 6-Year Damper Testing Interval 10-04-LSC 10/30/2009 2010
ESRD Program Survey Guidance on Patient Care Dialysis Technicians Certification 10-17-ESRD 04/23/2010 2010
Outcome Deficiencies in Medicare-Certified Transplant Program: Procedures for Citation 10-16-Transplant 04/16/2010 2010
Consolidation of Personnel Policies for Individuals Directing or Performing Non-waived Tests 10-07-CLIA 11/06/2009 2010
Advance Copy: Revisions to Appendix PP, State OpeGuidance to Surveyors for Long Term Care Facilities 10-33-NH 09/24/2010 2010
Presidential Emergency Declaration and HHS Section 1135 Waiver Authorization 10-06-ALL 11/06/2009 2010
Waivers and Phase-In Time Extensions for the Implementation of the New ESRD Conditions for Coverage 09-13 11/21/2008 2009
Interim Guidance Regarding the Survey and Certification of RHCs and FQHCs 09-14 11/21/2008 2009
New CAH requirements under 42 CFR 485.610(e) related to CAH Co-location and provider-based locations 09-15 11/21/2008 2009
Additional Revision of SOM - Federally Qualified Health Centers (FQHCs) 09-16 11/26/2008 2009
Launching of Five Star Rating System on the Nursing Home Compare Website 09-17 12/05/2008 2009
EMTALA Regulation Changes and H1N1 Pandemic Flu and EMTALA Waivers 10-05-EMTALA 10/06/2009 2010
State Operations Manual (SOM) Appendix L, Ambulatory Surgical Centers (ASC) Comprehensive Revision 09-37 05/15/2009 2009
One-Time Cash Benefit to Nursing Home Residents 09-38 05/15/2009 2009
Change to the 5 Star Monthly Provider Preview 10-15-NH 04/16/2010 2010
Hospital Patients' Rights to Delegate Decisions to Representatives 11-36-Hospital/CAH 09/07/2011 2011
Clarification of Rural Eligibility Status for Hospital Swing Beds, Critical Access Hospitals 11-33-Hospital/CAH/RHC 07/15/2011 2011
Compliance with Food Procurement Requirements for Nursing Homes with Gardens 11-38-NH 09/07/2011 2011
Guidance for State Survey Agencies Responding to Requests for Survey Documents 11-39-ALL 09/16/2011 2011
One-time Cash Benefit to ICF/MR Clients 09-40 05/29/2009 2009
Survey and Certification Issues Related to Iowa and Indiana Flooding Disasters 08-27 06/17/2008 2008
Nursing Homes - Citations of Past Noncompliance, Revised Guidance 06-01 10/20/2005 2005
The Use of Foreign Acquired Drugs in Long-Term Care Facilities 06-06 11/14/2005 2005
FYI - Release of Brochure Describing the Quality Indicator Survey (QIS) Demonstration Project 06-02 10/20/2005 2005
Nursing Home Immunization Requirement 06-03 11/17/2005 2005
SA Responsibilities for 2006 Regarding Gynecologic Cytology (PT) under CLIA - Update 06-07 01/23/2006 2005
Publication of the Hospital CoPs: Requirements for H and P; Authentication of Verbal Orders; etc. 07-13 (revised) 01/26/2007 2007
Surveying Facilities that Receive Food Prepared by Off-Site Kitchens 08-09 01/11/2008 2008
Issuance of Revised Nutrition and Sanitary Conditions as Part of Appendix PP, SOM 08-28 06/20/2008 2008
Nursing Home Requirements for Food Procurement, Self Determination, and Participation 09-39 05/29/2009 2009
Phasing Implementation of Life Safety Code Surveys in ESRD Facilities for CY 2010 10-08-ESRD 11/20/2009 2010
Final Rule for Skilled Nursing Facilities (SNF) and Nursing Facilities (NF) 11-18-NH 04/01/2011 2011
Contingency Plans - State Survey & Certification 11-20-ALL 04/08/2011 2011
QAPI Initiatives related to Section 6102 (c) 11-22-NH 04/08/2011 2011
Clarifications to the ASC Interpretive Guidelines 11-21-ASC 04/08/2011 2011
Notification of Withdrawal of CMS 2252-P -Cytology 11-19-CLIA 04/08/2011 2011
End Stage Renal Disease (ESRD) Update of 11-13-ESRD 03/18/2011 2011
Living Donor Services Occurring in Transplant Programs Other than that of the Organ Recipient 11-40-Transplant 09/30/2011 2011
Affordable Care Act Section 6103: Guidance for State Consumer Oriented Websites 11-41-NHs 09/30/2011 2011
Use of Civil Money Penalty (CMP) Funds by States 11-42-NH 09/30/2011 2011
Impact of Submission Issues with the Minimum Submission and Processing (ASAP) System on the Long 11-02-NH 10/29/2010 2011
Survey and Certification of Chemical Toxicity Public Health Laboratories (CT PHL's) under the 11-03-CLIA 10/29/2010 2011
Policy Regarding Unannounced Surveys 09-41 06/05/2009 2009
June 30, 2009 Healthcare Associated Infections Professional Stakeholder Meeting 09-42 06/05/2009 2009
Recovery Act Ambulatory Surgical Center Healthcare Associated Infection Prevention Initiative 09-43 06/12/2009 2009
The Five Star Nursing Home Rating System Questions and Answers 09-18 12/19/2008 2009
Revision of SC-04-41, Corridor Width ands Corridor Mounted Computer Touch Screens in Facilities 10-18-LSC 05/14/2010 2010
Posting of Quality of Care and Quality of Life Indicators 10-19-NHQIS 05/21/2010 2010
Ambulatory Surgical Center (ASC) Waiting Area Separation Requirements 10-20-ASC 05/21/2010 2010
Use of Civil Money Penalty (CMP) Funds by States and Reporting of CMP Funds Returned to the State 09-44 06/19/2009 2009
North Dakota and Minnesota Flooding Public Health Emergency and 1135 Waiver Termination 09-45 06/19/2009 2009
Advance Copy Hospice Program Interpretive Guidance Version 1.1 09-19 01/02/2009 2009
Use of Interpretive Guidance by Surveyors for Long Term Care Facilities 08-10 01/18/2008 2008
S and C Issues Related to Liability Notices and Beneficiary Appeal Rights in Nursing Homes 09-20 01/09/2009 2009
Release of Report Evaluation of the Quality Indicator Survey (QIS) 09-46 06/24/2009 2009
Notice - Third Opportunity National Background 11-23-NH 04/22/2011 2011
New Initiative: Partnership for Patients: Better Care, 11-24-ALL 04/22/2011 2011
Revised Hospital Anesthesia Services Interpretive Guidelines SOM Appendix A 10-09-Hospital 12/11/2009 2010
Federal Requirements for the Independent Informal Dispute Resolution (Independent IDR) Process for N 12-02-NH 10/14/2011 2012
Survey & Certification Focus on Patient Safety and Quality - Draft Surveyor Worksheets 12-01-Hospital 10/14/2011 2012
Clarification of 482.61(b (3): Requirements for a Screening Neurological 11-25-PSYCH 04/29/2011 2011
Approval of Deeming Authority of the Joint Commission for Psychiatric 11-26-AO 05/06/2011 2011
Approval of Deeming Authority of the American Association for Accreditation of Ambulatory Surgery 11-27-AO 05/06/2011 2011
Issuance of Revisions to Interpretive Guidance at F tag 322, as Part of Appendix PP, State Operations Manual (SOM) 11-37-NH 10/21/2011 2011
Copy of Chapter 7 - Survey and Enforcement Processes for Skilled Nursing Facilities and Nursing Faci 11-01-NH 10/15/2010 2011
FY 2011 Inpatient Prospective Payment System (IPPS) Rule Changes Affecting Survey and Certification 11-04 -ALL 11/26/2010 2011
State Operations Manual (SOM) Hospital Appendix A Update 11-28-Hospitals 05/13/2011 2011
Revisions to the Hospital Interpretive Guidelines for Infection Control 08-04 11/21/2007 2008
Clarification of Provider Number Nomenclature 07-16 03/02/2007 2007
Accreditation Option for Critical Access Hospital (CAH) Distinct Part Units 08-11 02/08/2008 2008
2009 Physician Fee Schedule Changes Affecting the Survey & Certification of Rehabilitation Programs 09-21 01/16/2009 2009
Provider Survey & Certification Declared Public Health Emergency FAQs For All Hazards 08-01 10/24/2007 2008
Requirements for Provider-based Off-campus Emergency Departments 08-08 01/11/2008 2008
Revised Quality of Care Guidance at F309, including Pain Management as Part of Appendix PP SOM 09-22 01/23/2009 2009
2008 Physician Fee Schedule Changes Affecting Survey & Certification 08-30 08/01/2008 2008
Revision of Publication 100-07, State Operations Manual (SOM) - FQHCs 08-29 08/01/2008 2008
Draft Interpretive Guidance for the Survey Process of the New ESRD Conditions for Coverage 08-31 08/08/2008 2008
ICFMR Clarification of Protection of Client's Rights 09-47 07/10/2009 2009
Critical Access Hospital (CAH) Regulatory Changes 10-10-CAH 12/31/2009 2010
Advance Notice - Upcoming Solicitation - National Background Check Program for Direct Patient Access 10-21-NH 05/28/2010 2010
Initial Plans and Policy Implementation for Clinical and Laboratory Standards Institute (CLSI) 12-03-CLIA 11/04/2011 2012
Verification of Recipient and Donor Blood Type and Other Vital Data 11-29-Transplant 05/27/2011 2011
Clarifications to the Ambulatory Surgical Center (ASC) Interpretive Guidelines - Comprehensive Medic 11-06-ASC 12/17/2010 2011
Interior Finish Documentation Requirements for Multiple Providers -Hospitals, Ambulatory Surgical Ce 11-07-LSC 12/17/2010 2011
Alert: Smoking Safety in Long Term Care Facilities 12-04-NH 11/10/2011 2012
State Selection of SFFs for Technical Assistance by QIOs - New 9th Scope of Work Item 08-32 08/15/2008 2008
Guidance for New Home Hemodialysis Water Treatment Device 07-34 08/24/2007 2007
Release of Report Study of Paid Feeding Assistant Programs 07-36 09/14/2007 2007
Initial Surveys of RHCs and SNFs - Raised to Tier 3 Priority 08-13 03/07/2008 2008
Revised Nursing Home Medical Director Tag and Accompanying Training Materials 06-05 11/14/2005 2005
Location and Relocation of CAHs and Relocation of Necessary Provider CAHs 06-04 11/14/2005 2005
Psychiatric Residential Treatment Facilities (PRTF) Clarification 07-15 02/16/2007 2007
New CLIA Loss of Accreditation (LoA) Procedures 07-31 08/24/2007 2007
Clarification and Standardization of CLIA Complaint Closeouts to Complainants 07-32 08/24/2007 2007
Revised Interpretive Guidelines for Hospital Conditions of Participation 08-12 02/08/2008 2008
Continuation and Revision of the Components of the CLIA Educational Period Regarding QC 07-33 08/24/2007 2007
Issuance of New Tag F373 (Paid Feeding Assistants) as Part of Appendix PP, State Operations Manual 07-30 (revised) 08/10/2007 2007
Entities with One CLIA Certificate for Multiple Sites 09-23 02/06/2009 2009
Issuance of Revised Surveyor Guidance for Unnecessary Medications (F329) and entire Pharmacy section 06-29 (revised) 09/15/2006 2006
Implementation of the Life Safety Code Component for the New ESRD Conditions for Coverage 09-24 02/11/2009 2009
CLIA Policy on November 2009 CLIA Basic Training 09-48 N/A 2009
Priority Order of Quality Indicator Survey (QIS) National Implementation in States 09-50 08/07/2009 2009
Initial Surveys of CAH Distinct Part Units (DPUs) Changed to Tier 4 Priority Status 09-49 08/07/2009 2009
Enforcement of Amended Requirements for Certain Hospital and CAH Disclosures To Patients 09-25 02/13/2009 2009
Survey and Certification Issues Related to Hurricane Gustav 08-33 09/02/2008 2008
Pre-Admission Screening and Resident Review (PASRR) and the Nursing Home Survey Process 07-38 09/28/2007 2007
Medication Pass Clarification for Surveying F Tags 332 and 333 During Nursing Home Surveys 07-39 09/28/2007 2007
Revisions to the Hospital Interpretive Guidelines for Informed Consent 07-17 04/13/2007 2007
Permitted Gaps in Corridor Doors and Doors in Smoke Barriers 07-18 04/20/2007 2007
Provision of Emergency Services - Important Requirements for Hospitals 07-19 04/26/2007 2007
EMTALA Issues Related to Emergency Transport Services 07-20 04/27/2007 2007
Generators in Ambulatory Surgical Centers (ASCs) 07-21 05/04/2007 2007
Federal Minimum Qualification Standards for LTC Registered QIS Surveyors 08-14 03/21/2008 2008
Instructions for Completing Exhibit 286, Hospital/Critical Access Hospital (CAH) Database Worksheet 12-06- Hospitals/CAHs 12/02/2011 2012
Clarification of Hospital Equipment Maintenance Requirements 12-07-Hospital 12/02/2011 2012
Federal Requirements for the Independent Informal Dispute Resolution (Independent IDR) Process for 12-08-NH 12/02/2011 2012
Certificate and Regulatory Multiple Site Exceptions under CLIA 12-09-CLIA 12/02/2011 2012
Updated Guidance on Medication Administration, Hospital Appendix A of the State Operations Manual 12-05-Hospital 11/18/2011 2012
Affordable Care Act and Implications for Certification of Physician-owned Hospitals 12-10-Hospital/CAH 12/09/2011 2012
Prudent Action for the FY 2012 Medicare Survey & Certification (S&C) Budget 12-12-ALL 12/09/2011 2012
Provision of Observation Services in Critical Access Hospitals (CAHs) 08-16 04/04/2008 2008
Transplant Surveys: Guidance for Citing Condition and Standard-Level Deficiencies 08-17 04/04/2008 2008
Compliance With State Fire and Safety Code in Lieu of Life Safety Code 08-34 09/05/2008 2008
Drug or Alcohol Screening/Testing and CLIA Certification 08-35 09/05/2008 2008
New Fire Safety Requirements for the Use of (ABHRs) and Installation of Battery Powered Smoke Alarms 07-01 11/01/2006 2007
Issuance of Revised Guidance for Nursing Homes: Accidents and Supervision 07-25 07/06/2007 2007
Requirement to Provide Medicare Beneficiaries Notice of Their Rights, Including Discharge Appeal 07-28 (revised) 07/13/2007 2007
Emergency Medical Screening in Critical Access Hospitals 07-27 07/13/2007 2007
Inpatient Prospective Payment System (IPPS) 2009 Final Rule Revisions to EMTALA Regulations 09-26 03/06/2009 2009
Survey and Certification Issues Related to Hurricane Ike 08-36 09/12/2008 2008
Impact of Nursing Shortage on Hospice 08-37 09/19/2008 2008
Clarification of Ambulatory Surgical Center (ASC) Interpretive Guidelines 09-51 08/14/2009 2009
EMTALA Requirements and Options for Hospitals in a Disaster 09-52 08/14/2009 2009
Surveying Facilities That Use Electronic Health Records (EHR) 09-53 08/14/2009 2009
Issuance of Revisions to Interpretive Guidance at F Tag 441, as Part of Appendix PP, SOM 09-54 08/14/2009 2009
Questions Related to State Agency (SA) Records Management Policy for Paper and Electronic Formats 10-22-ALL 07/12/2010 2010
Publication of Proposed Rule Civil Money Penalties for Nursing Homes CMS-2435-P 10-23-NH 07/12/2010 2010
Use of the Name of the Laboratory Director and EIN listed in the CLIA Data System 10-11-CLIA 01/29/2010 2010
COLA Pathology Withdrawal : Transition Procedures under the Clinical Laboratory Improvement Amendmen 10-24-CLIA 07/27/2010 2010
Extension of Long-Term Care Hospital (LTCH) Moratorium 10-25-Hospitals 07/27/2010 2010
42CFR 483.470(i)(2)(i) Evacuation Drills for IMentally Retarded (ICFs/MR) Certified 10-26-LSC 07/27/2010 2010
Advance Copy - Description of Temporary Changes to Appendix P, State Operations Manual (SOM), 10-27-NH 07/30/2010 2010
Clinical Laboratory Improvement Amendments of 1988 (CLIA) 11-08-CLIA 01/13/2011 2011
Changes to the Minimum Data Set Version 3.0 (MDS 3.0) Assessment Modification 11-31-NH 07/01/2011 2011
Frequently Asked Questions (FAQs) Related to the New ESRD Conditions for Coverage 09-56 09/04/2009 2009
Flash Sterilization Clarification - FY 2010 Ambulatory Surgical Center (ASC) Surveys 09-55 09/04/2009 2009
Approval of Deeming Authority of Det Norske Veritas Healthcare (DNVHC) for Critical Access Hospitals 11-09-AO-CAHs 01/14/2011 2011
Revised Hospital Anesthesia Services Interpretive Guidelines - State Operations Manual Appendix 11-10-Hospitals 01/14/2011 2011
Notice - Fifth Opportunity National Background Check Program Funding 12-11-NH 12/09/2011 2012
Use of Federally Imposed Civil Money Penalty (CMP) Funds by States 12-13-NH 12/16/2011 2012
Telemedicine Services in Hospitals and Critical Access Hospitals 11-32- Hospital/CAH 07/15/2011 2011
Updated Interim Guidance Regarding the Temporary Mid-Level Staffing Waiver for RHCs 09-27 03/13/2009 2009
Publication of Proposed Regulations for Gynecologic Cytology Proficiency Testing (PT) under CLIA 09-28 03/13/2009 2009
Hospital and Laboratory Verbal Order Authentication Requirements Guidance 07-37 09/14/2007 2007
Advance Copy ESRD Program Interpretive Guidance Version 1.1 09-01 10/03/2008 2009
Restraint/Seclusion Interpretive Guidelines & Updated SOM Appendix A 08-18 04/11/2008 2008
CAHs: Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation 07-35 09/07/2007 2007
Revised State Operations Manual Appendix V - EMTALA 08-15 03/21/2008 2008
Approval of Deeming Authority of Det Norske Veritas Healthcare, Inc. for Hospitals 09-02 10/03/2008 2009
Enforcement of Section 506, MMA, Acceptance of Medicare-like Rates 09-03 10/03/2008 2009
Adoption of New Fire Safety Requirements for LTC, Mandatory Sprinkler Installation Requirement 09-04 10/03/2008 2009
Obtaining Civil Rights Clearances for Initial Certifications and CHOWs- Please see new update to this memo-S&C:13-46-ALL, dated July 12, 2013. 09-57 09/11/2009 2009
CLIA Update for Electronic Exchange of Laboratory Information 10-12-CLIA 03/01/2010 2010
Advance Copy - Hospice State Operations Manual (SOM) Sections 2080-2089 09-58 09/18/2009 2009
FDA Warning to Nursing Homes Regarding Recalled Food Products Containing Peanuts 09-29 03/27/2009 2009
Survey and Certification Issues Related to North Dakota and Minnesota Flooding 09-30 03/27/2009 2009
Revised CLIA Policy on Quality Control for Commercially Available Microbial Identification Systems 09-06 10/17/2008 2009
Special Focus Facility (SFF) Program Survey Scoring Methodology 09-05 10/10/2008 2009
New Web Feature: Laboratories Demographic Look-Up 09-07 10/17/2008 2009
Accreditation and its Impact on Various Survey and Certification Scenarios 09-08 10/17/2008 2009
Advance Copy - Organ Transplant Program State Operations Manual (SOM) and Survey Protocol 09-09 10/24/2008 2009
Standing Orders in Hospitals Revisions to SandC Memoranda 09-10 10/24/2008 2009
Initial Surveys for New Medicare Providers 08-03 11/05/2007 2008
Home Health Survey and Certification Activities Related to Program 12-14-HHA 12/23/2011 2012
Revised Initial Certification Process for Home Health Agencies 12-15-HHA 12/23/2011 2012
Survey and Certification Responsibilities Related to Provider Enrollment Revocations 12-16-ALL 12/23/2011 2012
The Use of Video Cameras in Common Areas in Intermediate Care Facilities for 11-34-ICF/MR 07/29/2011 2011
Revised Home Health Survey Protocols 11-11-HHA 02/11/2011 2011
Issuance of Revisions to Interpretive Guidance at Several Tags, as Part of Appendix PP, SOM 09-31 04/10/2009 2009
Expansion of Moratorium Exception on Classification of Long Term Care Hospitals or Satellites 09-32 04/17/2009 2009
State Survey Agency Treatment of Subpoenas Duces Tecum for Federal and Joint Federal/State Documents 10-01-ALL 10/02/2009 2010
Point of Care Devices and Infection Control in Nursing Homes 10-28-NH 08/27/2010 2010
Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility 11-30-NH 06/17/2011 2011
Hospital and Critical Access Hospital (CAH) Facility Life Safety Code (LSC) Occupancy Classification 11-05-LSC 02/18/2011 2011
H1N1 Flu Vaccinations or Other Emergency Activities 10-02-ALL 10/16/2009 2010
End Stage Renal Disease (ESRD) Program Keeping Informed about Survey 10-30-ESRD 09/10/2010 2010
Advance Notice - Second Opportunity National Background Check Program Funding 10-29-ALL 09/10/2010 2010
Approval of Deeming Authority of the Accreditation Commission for Health Care (ACHC) for Hospices 10-13-AO 04/02/2010 2010
Alert: Food and Drug Administration (FDA) Heparin Recall For All Provider Types 08-19 05/09/2008 2008
Safe Injection Practices in Ambulatory Surgical Centers (ASCs) 08-20 05/16/2008 2008
Updated Brochure Describing the Quality Indicator Survey (QIS) 08-21 05/16/2008 2008
SOM Chapter 5 Update - Release of Person-Identifiable Data Related to Restraint/Seclusion Deaths 09-12 11/07/2008 2009
Impact of Nursing Shortage on Hospice Care 10-31-Hospice 09/17/2010 2010
Release of Report - Freedom from Unnecessary Physical Restraints: Two Decades of National Progress 09-11 11/07/2008 2009
H1N1 Flu State Survey Agency Guidance and Provider Tracking Tools 09-36 05/06/2009 2009
Revisions to State Operations Manual (SOM) Exhibits 08-06 12/07/2007 2008
National Special Focus Facility Program Improvements for Nursing Facilities, Notice Requirements 08-02 (revised 12/7/07) 11/02/2007 2008
Clarification of 'Physical Restraints' as Applied to the Requirements for LTC Facilities 07-22 06/22/2007 2007
Utilization Review Condition of Participation for Hospitals 07-24 07/22/2007 2007
EMTALA On-Call Requirements and Remote Consultation Utilizing Telecommunications Media 07-23 06/22/2007 2007
Enforcement of Requirements for Certain Hospital and CAH Disclosures to Patients 08-07 12/14/2007 2008
Survey and Certification Issues Related to Swine Flu Outbreak 09-33 04/28/2009 2009
Release of Form CMS-2567 (Statement of Deficiencies) by State Survey Agencies (SAs) 09-34 04/30/2009 2009
Clinical Laboratory Improvement Amendments (CLIA) -- Impact of A/H1N1 Swine Flu on CLIA Operations 09-35 05/06/2009 2009
Waiver of EMTALA Sanctions in Hospitals Located in Areas Covered by a Public Health Emergency 08-05 (revised) 12/07/2007 2008
Signature Stamps for Home Health Agencies and Hospices 08-22 05/30/2008 2008
SOM Chapter 5/Release of Person-Identifiable Data Related to Restraint/Seclusion Deaths to PA and As 08-23 05/30/2008 2008
Communication between State Survey Agencies and State Long-Term Care Ombudsman 07-26 07/06/2007 2007
Canopy and Overhang Sprinkler Requirements and the Use of the Fire Safety Evaluation System 07-29 07/13/2007 2007
Advance Copy - Organ Transplant Program Interpretive Guidelines 08-25 06/13/2008 2008
Moratorium on Classification of Long-Term Care Hospitals 08-26 06/13/2008 2008
Guidance to Surveyors Regarding the STERIS SYSTEM 1 Sterile Processing System (SS1) 10-14-ALL 04/02/2010 2010
Special Focus Facilities (SFF) Procedures 10-32-NH 09/17/2010 2010
Mandate of Section 6121 of the Affordable Care Act for Nurse Aide Training in Nursing Homes 11-35-NH 08/12/2011 2011
Relationship Between Civil Money Penalty Funds Paid by Nursing Homes and the Money Follows the Perso 11-12-NH 03/11/2011 2011
Referring Practitioners Ordering Outpatient Services in Hospitals 12-17-Hospitals 2012-02-17 2012
Hospital Patient Privacy and Medical Record Confidentiality 12-18-Hospitals 2012-03-02 2012
Instructions Concerning Waivers of Specific Requirements of the 2012 Edition of the National Fire 12-21-LSC 2012-03-09 2012
Implementing the Individualized Quality Control Plan (IQCP) for Clinical Laboratory Improvement Amen 12-20-CLIA 2012-03-09 2012
Living Donor Services Occurring in Transplant Programs Other than that of the Organ Recipient: Requi 12-19-Transplant 2012-03-09 2012
INFORMATION: Reducing Avoidable Hospitalizations among Nursing Facility Residents; State Survey 12-23-ALL 2012-03-16 2012
Healthcare Associated Infections (HAI) Prevention Program Environmental Scan of State Survey Agency 12-22-NH 2012-03-16 2012
Revisions to Ambulatory Surgical Center (ASC) Patient Rights Regulation 12-24-ASC 2012-03-30 2012
Revisions to the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual and Item Subsets 12-25-NH 2012-03-30 2012
Home Health Survey and Certification Activities Related to Program Safeguards: Deactivation 12-26-HHA 2012-04-06 2012
Utilizing the US Bureau of the Census’ (Census Bureau) American FactFinder Database when making a Rural Area Location Determination 12-27-Hospital/RHC 2012-04-20 2012
Process Change for Histocompatibility Laboratories 12-28-CLIA 2012-05-11 2012
Publication of Two Final Rules “Medicare and Medicaid Program; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction CMS-9070-F” and “Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital Conditions of Participation CMS-3244-F” 12-29-ALL 2012-05-11 2012
Use of Insulin Pens in Health Care Facilities 12-30-ALL 2012-05-18 2012
Environmental Scan of State Survey Agency Training Coordinators and Healthcare Associated Infections (HAI) Coordinators Nursing Home HAI Prevention programs 12-31-HAI 2012-05-18 2012
Patient Safety Initiative Pilot Phase – Revised Draft Surveyor Worksheets 12-32-Hospital 2012-05-18 2012
Approval of the American Association for Accreditation of Ambulatory Surgery Facilities’ (AAAASFs’) Rural Health Clinic (RHC) Accreditation Program 12-33-AO 2012-05-25 2012
Clarification and revisions to Interpretive Guidance at F Tag 492, as Part of Appendix PP, State Operations Manual (SOM) for Long Term Care (LTC) Facilities 12-34-NH 2012-06-01 2012
Safe Use of Single Dose/Single Use Medications to Prevent Healthcare-associated Infections 12-35-ALL 2012-06-15 2012
Revised Hospital Conditions of Participation (CoPs) – Governing 12-36-HOSPITAL 2012-06-15 2012
Redesign Updates to the Nursing Home Compare Website 12-37-NH 2012-06-22 2012
Quality Assurance and Performance Improvement (QAPI) in Nursing Homes- Activities Related to QAPI Implementation 12-38-NH 2012-06-29 2012
2012 Centers for Medicare & Medicaid Services (CMS) Nursing Home Action Plan 12-39-NH 2012-07-06 2012
Notice - Seventh Opportunity National Background Check Program Funding 12-40 - NH 2012-07-13 2012
Pilot Surveys Begin for the Survey & Certification (S&C) Quality Assurance Efficiency & Effectiveness (QAEE) Initiative #1: The End Stage Renal Disease (ESRD) Core Survey Process 12-41-ESRD 2012-07-27 2012
Request to Convey Information: Partnership to Improve Dementia Care in Nursing Homes 12-42-NH 2012-08-24 2012
Impact of Nursing Shortage on Hospice Care 12-43-Hospice 2012-09-14 2012
“Hand in Hand: A Training Series for Nursing Homes,” on Person-Centered Care of Persons with Dementia and Prevention of Abuse 12-44-NH 2012-09-14 2012
Advance Copy of Interim Guidance - Revisions to State Operations Manual (SOM), Appendix P-Traditional Survey Protocol for Long-Term Care (LTC) Facilities and Chapter 9/Exhibits including Survey Forms 672, 802, 802S and 802P 12-45-NH 2012-09-27 2012
F tag 322—Feeding Tubes-Advance Copy 12-46-NH 2012-09-27 2012
F tag 155-- Advance Directives- Advance Copy 12-47- NH 2012-09-27 2012
F tag 309—Quality of Care- Advance Copy 12-48-NH 2012-09-27 2012
The Roll-Out of the New End Stage Renal Disease (ESRD) Core Survey Process 13-01-ESRD 2012-11-02 2013
Nursing Homes - Clarification of Guidance related to Medication Errors and Pharmacy Services 13-02-NH 2012-11-02 2013
Patient Safety Initiative FY 2013 Pilot Phase – Revised Draft Surveyor Worksheets 13-03-Hospital 2012-11-09 2013
Collection of Information from Inpatient Rehabilitation Facilities (IRFs) 13-04-IRF 2012-11-30 2013
Notice - Eighth Opportunity National Background Check Program Funding 13-06 - NH 2012-12-14 2013
Preview of Nursing Home Quality Assurance & Performance Improvement (QAPI) Guide – QAPI at a Glance 13-05-NH 2012-12-14 2013
Release of CLIA Brochure 10, What Do I Need to Do to Assess Personnel Competency? 13-07-CLIA 2012-12-21 2013
Expiration of the Long-Term Care Hospital (LTCH) Moratorium 13-08--Hospitals 2013-01-25 2013
Clarification of Interpretive Guidance at F Tag 441-Laundry and Infection Control 13-09-NH 2013-01-25 2013
Crosswalk Guide to the Organ Procurement and Transplant Network (OPTN) and the Centers for Medicare & Medicaid Services (CMS) Oversight of Organ Transplant Programs 13-10-Transplant 2013-02-01 2013
Intermediate Care Facilities for the Intellectually Disabled (ICF/IID) No Longer Certified Under Time-Limited Agreements 13-11- ICF/IID 2013-02-08 2013
Notice -Ninth Opportunity National Background Check Program Funding 13-12- NH 2013-03-01 2013
Information Only: New Dining Standards of Practice Resources are Available Now 13-13-NH 2013-03-01 2013
Luer Misconnection Adverse Events 13-14-ALL 2013-03-08 2013
Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) 13-15-NH 2013-03-08 2013
F tag 155-- Advance Directives- Revised Advance Copy 13-16-NH 2013-03-08 2013
F tag 322—Naso-Gastric Tubes - Revised Advance Copy 13-17-NH 2013-03-08 2013
Revised Roll-Out of the New End Stage Renal Disease (ESRD) Core Survey Process 13-18-ESRD 2013-03-08 2013
AHRQ Common Formats - Information for Hospitals and State Survey Agencies (SAs) - Comprehensive Patient Safety Reporting Using AHRQ Common Formats 13-19-HOSPITALS 2013-03-15 2013
Guidance for Hospitals, Critical Access Hospitals (CAHs) and Ambulatory Surgical Centers (ASCs) Related to Various Rules Reducing Provider/Supplier Burden 13-20-Acute Care 2013-03-15 2013
Access to Statements of Deficiencies (CMS-2567) on the Web for Skilled Nursing Facilities, Nursing Facilities, Hospitals,& Critical Access Hospitals 13-21-ALL 2013-03-22 2013
FY2013 Sequestration Adjustments for Survey & Certification (S&C) 13-23-ALL 2013-04-05 2013
Life Safety Code (LSC) Short Form Survey for Nursing Homes – Limited Option 13-22-NH 2013-04-05 2013
Report of the National Background Check Program (NBCP) Long-Term Care (LTC) Criminal Convictions Work Group 13-24-NH 2013-04-12 2013
Relative Humidity (RH): Waiver of Life Safety Code (LSC) Anesthetizing Location Requirements; Discussion of Ambulatory Surgical Center (ASC) Operating Room Requirements 13-25-LSC & ASC 2013-04-22 2013
Clarification of the Critical Access Hospital (CAH) Criteria for Rural Location and Mountainous Terrain Distance Standard 13-26-CAH 2013-04-22 2013
Update of State Operations Manual (SOM) Chapter 5, Complaint Investigation 13-27-Deemed Providers/Suppliers & Hospitals 2013-04-22 2013
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) –Nomenclature Change (Qualified Intellectual Disabilities Professional (QIDP) 13-28- ICF/IID-QIDP 2013-05-03 2013
Delayed Publication of Scientific Registry for Transplant Recipients (SRTR) Program Specific Reports (PSR) and Implications for Centers for Medicare & Medicaid Services (CMS) Transplant Program Oversight 13-29-Transplant 2013-05-10 2013
Utilizing the US Bureau of the Census’ (Census Bureau) American FactFinder 2010 Census Data for Rural Area Location Determinations - Hospital Swing Beds & Rural Health Clinics (RHC) 13-30-Hospital/RHC 2013-05-10 2013
Cost Allocations for Surveys of Home Health Agencies (HHAs) 13-31-HHA 2013-05-17 2013
Revision to State Operations Manual (SOM), Hospital Appendix A - Interpretive Guidelines for 42 CFR 482.43, Discharge Planning 13-32- HOSPITAL 2013-05-17 2013
Federally Qualified Health Center (FQHC) Medicare Enrollment Guidance Updated 13-33-FQHC 2013-05-17 2013
Release of Mandatory Surveyor Training Program on Care of Persons with Dementia and Unnecessary Antipsychotic Medication Use – Release of Third Video 13-34-ALL 2013-05-24 2013
Advanced Copy: Dementia Care in Nursing Homes: Clarification to Appendix P State Operations Manual (SOM) and Appendix PP in the SOM for F309 – Quality of Care and F329 – Unnecessary Drugs 13-35-NH 2013-05-24 2013
Advance Copy– Changes for Sub-Task 5E, Medication Pass Observation Protocol for Long Term Care (LTC) Facilities 13-36-NH 2013-06-07 2013
Rollout of Quality Assurance and Performance Improvement (QAPI) Materials for Nursing Homes 13-37-NH 2013-06-07 2013
Critical Access Hospital (CAH) Emergency Services and Telemedicine: Implications for Emergency Services Condition of Participation (CoPs) and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance 13-38-CAH/EMTALA 2013-06-07 2013
Guidance Regarding the Deployment of the Emergency Use Approval (EUA) Bird Flu Test (H7N9) to State Public Health Laboratories (PHLs) by the Centers for Disease Control and Prevention (CDC) 13-39-CLIA 2013-06-14 2013
End Stage Renal Disease (ESRD) Home Dialysis Only Facilities Offering Home Hemodialysis (HHD), Home Peritoneal Dialysis (PD), or Both HHD and PD Modalities 13-40-ESRD 2013-06-21 2013
Notice –Revision to the Ninth Opportunity National Background Check Program Funding 13-41-NH 2013-06-21 2013
Reminder: Access and Visitation Rights in Long Term Care (LTC) Facilities 13-42-NH 2013-06-28 2013
Changes to the Nursing Home Compare Website Data that is Available for Download on the Medicare.gov Website (Effective July 2013) 13-43-NH 2013-06-28 2013
Public Release of the Five-Star Quality Rating System Three-Year Report 13-44-NH 2013-06-28 2013
Provision of Inpatient Psychiatric Services to Individuals Under the Age of 21(Psych Under 21 Benefit) in Out-of-State Psychiatric Residential Treatment Facilities (PRTFs) 13-45-PRTF 2013-07-03 2013
Office for Civil Rights (OCR) Clearance Process– Changes to State Survey Agency Responsibilities in Obtaining Information for Civil Rights Clearances for Initial Certifications and Changes of Ownership (CHOWs) 13-46-ALL 2013-07-12 2013
Compliance with the Life Safety Code (LSC) in End Stage Renal Disease (ESRD) Facilities 13-47-LSC/ESRD 2013-07-12 2013
Organ Procurement Organizations (OPO) Agreements with Hospitals 13-48-OPO 2013-07-26 2013
Surveyor Technical Assistant for Renal Disease (STAR) automated End Stage Renal Disease (ESRD) survey program upgrade release to coordinate with the ESRD Core Survey process roll-out Purpose: 13-49 2013-07-26 2013
Notification of Facility Closure: Revisions to Tags F203 and F204 and Issuance of New Tags F523 and F524 in the State Operations Manual (SOM), Appendix PP 13-50-NH 2013-08-02 2013
Pilot-Test: Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only 13-51-Transplant Programs 2013-08-02 2013
Approval of the Center for Improvement in Healthcare Quality’s (CIHQ) Hospital Accreditation Program 13-52-AO 2013-08-09 2013
Temporary Moratorium on Home Health Agency (HHA) Enrollment-Metropolitan Areas of Miami and Chicago 13-53-HHA 2013-08-09 2013
Enforcement Actions - Installation of Automatic Sprinkler Systems in Nursing Homes - August 13, 2013 Deadline 13-55-LSC 2013-08-16 2013
Individualized Quality Control Plan (IQCP): A New Quality Control (QC) Option 13-54-CLIA 2013-08-16 2013
Minimum Data Set (MDS) 3.0 Discharge Assessments that Have Not Been Completed and/or Submitted 13-56-NH 2013-08-23 2013
Escrow and Independent Informal Dispute Resolution (Independent IDR) Process for Nursing Homes – Applicable to All Civil Money Penalties (CMPs) 13-57-NH 2013-08-30 2013
2000 Edition National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) Waivers 13-58-LSC 2013-08-30 2013
Release of Clinical Laboratory Improvement Amendment’s (CLIA) Brochure #11, CLIA Individualized Quality Control Plan Introduction 13-59-CLIA 2013-08-30 2013
Acquisitions of Providers/Suppliers with Rejection of Automatic Assignment of the Medicare Provider Agreement: Implications for Timing of Surveys and Participation Effective Date 13-60-ALL 2013-09-06 2013
Cardiopulmonary Resuscitation (CPR) in Nursing Homes 14-01-NH 2013-10-18 2014
Contingency Plans – State Survey & Certification Activities in the Event of Federal Government Shutdown 14-02-ALL 2013-10-01 2014
Citations at F Tag 454 – 42 CFR §483.70 Physical Environment, §483.70(a) Life Safety from Fire 14-03-NH/LSC 2013-10-25 2014
Questions + Answers for State Recovery after the Federal Government Shutdown 14-04-ALL 2013-10-25 2014
Use of Direct for the Secure Transmission of Laboratory Test Results 14-05-CLIA 2013-11-08 2014
Emergency Medical Treatment and Labor Act (EMTALA) Requirements & Conflicting Payor Requirements or Collection Practices 14-06-Hospitals /CAHs 2013-12-13 2014
Hospital Equipment Maintenance Requirements 14-07-Hospital 2013-12-20 2014
QAPI Condition-Level Deficiency in Transplant Re-approval, Complaint and Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only 14-08-Transplant Programs 2013-12-20 2014
Publication of NPRM for Emergency Preparedness – Informational Only 14-09-Emergency Preparedness 2014-01-03 2014
Moratoria on Home Health Agency (HHA) Enrollment- Phase 2 - Metropolitan Areas of Fort Lauderdale, Detroit, Dallas and Houston and Extension of Moratoria on Metropolitan Areas of Miami and Chicago 14-10-HHA 2014-02-04 2014
Publication of Final Rule “Clinical Laboratory Improvement Amendments (CLIA) Program and Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule; Patients’ Access to Test Reports” 14-11-CLIA 2014-02-07 2014
Survey and Certification Emergency Preparedness Initiative: S&C Emergency Preparedness Checklist Revision 14-12-ALL 2014-02-28 2014
For Information Only: Public Comments on the Report of the National Background Check Program (NBCP) Long-Term Care Criminal Convictions (LTCCC) Work Group 14-13-NH 2014-03-07 2014
Home Health Agency (HHA) State Operations Manual (SOM) revisions: Appendix B, HHA Enforcement Guidance and revisions to Chapter 2, Certification Process 14-14-HHA 2014-03-14 2014
Requirements for Hospital Medication Administration, Particularly Intravenous (IV) Medications and Post-Operative Care of Patients Receiving IV Opioids 14-15-Hospital 2014-03-14 2014
Interpretive Guidance for the Survey Process of the Organ Procurement Organization (OPO) Conditions for Coverage, published May 31, 2006, in the Federal Register – Interim Final 14-16-OPO 2014-03-14 2014
Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014 14-17-HHA 2014-03-21 2014
Advance Copy: Update of State Operations Manual (SOM) Chapter 7 and Survey Process Timeframe Reminder 14-18-NH 2014-03-28 2014
Interim report on the CMS National Partnership to Improve Dementia Care in Nursing Homes: Q4 2011 – Q1 2014 14-19-NH 2014-04-11 2014
Fiscal Year (FY) 2014 Post Sequester Adjustment for Special Focus Facility (SFF) Nursing Homes 14-20-NH 2014-04-18 2014
Publication of Notice of Proposed Rulemaking (NPRM) for Fire Safety Requirements – Informational Only 14-21- LSC 2014-04-18 2014
Focused Minimum Data Set (MDS) and Dementia Care Surveys 14-22-NH 2014-04-18 2014
Publication of Final Rule CLIA ‘TEST ACT” for Proficiency Testing (PT) Referral - Informational Only 14-23-CLIA 2014-05-02 2014
State Operations Manual (SOM) Chapters 1, 2 & 3 Selected Updates: Medicare Effective Date Determination for Initial Applicants; Survey & Certification Process for Initial Medicare Applicants; Medicaid-only Hospitals; & Deemed Providers/Suppliers 14-24-ALL 2014-05-02 2014
Advance Copy – Single Use Device Reprocessing under Tag F441, Revisions to Interpretive Guidance in Appendix PP, State Operations Manual (SOM) on Infection Control 14-25-NH 2014-05-16 2014
Long-term Care Hospital (LTCH) Moratorium – Preliminary Instructions 14-26- Hospitals 2014-05-09 2014
Hospital Restraint/Seclusion Deaths to be Reported Using the Centers for Medicare and Medicaid Services (CMS) Form CMS-10455, Report of a Hospital Death Associated with Restraint or Seclusion 14-27-Hospital-CAH/DPU 2014-05-09 2014
Publication of Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015 – Nursing Home Civil Monetary Penalties - Informational Only 14-28-NH 2014-05-09 2014
Information for Applications to Extend the Due Date for the Installation of Automatic Sprinkler Systems in Existing Nursing Homes 14-29-LSC 2014-05-16 2014
Grant Solicitation for the Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents 14-30- NH 2014-05-16 2014
Provision of Electronic Health Record (EHR) “Navigators” during Hospital and Critical Access Hospital (CAH) Surveys 14-31-Hospitals/CAHs 2014-05-16 2014
The CMS Mitigating Factors Process for Solid Organ Transplant Programs – Notice of Proposed Rule-Making (NPRM) - Informational Only 14-32-Transplant 2014-05-16 2014
Final Rule - Promoting Program Efficiency, Transparency, and Burden Reduction; Part II - Informational Only 14-33-ALL 2014-05-20 2014
Advance Copy of Revised F371; Interpretive guidance and Procedures for Sanitary Conditions, Preparation of Eggs in Nursing Homes 14-34-NH 2014-05-20 2014
Update of State Operations Manual (SOM) Chapter 5, Triaging Complaints & Referral of Complainants to Accrediting Organizations 14-35-ALL 2014-05-20 2014
Infection Control Breaches Which Warrant Referral to Public Health Authorities 14-36-All 2014-05-30 2014
Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4 14-37-NH 2014-07-03 2014
Rehabilitation Agencies: Fire Alarm Systems, SOM Appendix E Revision - Advance Copy 14-38-OPT 2014-07-03 2014
Approval of The Compliance Team’s (TCT’s) Rural Health Clinic (RHC) Accreditation Program 14-39-AO/RHCs 2014-07-25 2014
Outcome and Assessment Information Set (OASIS)-C1/International Classification of Diseases (ICD)-9 Webinar: September 3, 2014 14-40-HHA 2014-07-25 2014
Critical Access Hospital (CAH) Equipment Maintenance Requirements 14-41-CAH 2014-08-08 2014
Release of Learning Tool on Building Respect for Lesbian, Gay, Bisexual, Transgender (LGBT) Older Adults 14-42-NH 2014-08-22 2014
Completion of Minimum Data Set (MDS) 3.0 Discharge Assessments for Resident Transfers from a Medicare- and/or Medicaid-Certified Bed to a Non-Certified Bed 14-43-NH 2014-08-25 2014
Change in Terminology and Update of Survey and Certification (S&C) Memorandum 09-55 Regarding Immediate Use Steam Sterilization (IUSS) in Surgical Settings 14-44-Hospital/CAH/ASC 2014-08-29 2014
Revised Guidance Related to New & Revised Hospital Governing Body and Medical Staff Regulations 14-45-Hospital 2014-09-15 2014
Categorical Waiver for Power Strips Use in Patient Care Areas Various 14-46-LSC 2014-09-26 2014
Impact of Nursing Shortage on Hospice Care 15-01-Hospice 2014-10-03 2015
Information for Hospitals and Critical Access Hospitals (CAHs) Concerning Possible Ebola Virus Disease 15-02-Hospitals/CAHs 2014-10-10 2015
Implementing the New Moratorium on Establishment of New Long-Term Care Hospitals (LTCH) or New LTCH Satellites, or Increases in LTCH Beds 15-03 Hospitals 2014-10-10 2015