Guidance Related to New State Operating Manual and Appendix N for Psychiatric Residential Treatment Facilities (PRTF)
• Guidance Updated: The Centers for Medicare & Medicaid Services (CMS) has a new State Operating Manual and interpretive guidelines
in the following State Operations Manual (SOM) Appendices to reflect recent amendments to the applicable Conditions of Participation
o Appendix N – PRTF
• Effective Dates: The revised regulations and their associated guidance were effective July 11, 2014, with the exception
of the RHC change concerning the requirement to employ at least one Nurse Practitioner (NP) or Physician’s Assistant (PA);
this latter change was effective July 1, 2014.