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Survey & Certification - General Information

Policy & Memos to States and Regions

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

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 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