Revised Guidance Related to New & Revised Regulations for Hospitals, Ambulatory Surgical Centers (ASCs), Rural Health Clinics
(RHCs) and Federally Qualified Health Centers (FQHCs)
• Guidance Updated: The Centers for Medicare & Medicaid Services (CMS) has updated its interpretive guidelines in the following
State Operations Manual (SOM) Appendices to reflect recent amendments to the applicable Conditions of Participation (CoPs),
Conditions for Coverage (CfCs) and Conditions for Certification:
o Appendix A – Hospitals
o Appendix T - Hospital Swing Beds
o Appendix L – ASCs
o Appendix G – RHCs and FQHCs
We are also taking this opportunity to update and clarify some portions of the existing guidance.
• 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.