Home Health Agency (HHA) Survey Protocol – State Operations Manual (SOM) Appendix B Revised
This memorandum revises Appendix B of the SOM pursuant to new Conditions of Participation (CoPs) for HHA which are effective
January 13, 2018:
New Aspen tags for each condition and standard for the new CoPs are attached to this memorandum. These tags will be used by
the surveyors to enter survey data into the system as of January 13, 2018.
Revised Level I and Level II standards, based on the new CoPs, are attached to this memorandum. The surveyors must use Level
I and II standards to conduct standard and partially extended HHA surveys per Appendix B of the SOM.
***Revised Attachments A & B to Reflect Removal of Tags G670, G700, G848 and G940; Addition of G956 and G984***