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Implementation Issues, Long-Term Care Regulatory Changes: Substandard Quality of Care (SQC) and Clarification of Notice before Transfer or Discharge Requirements
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• New Definition for SQC: A new regulatory definition was published in the Centers for Medicare & Medicaid Services (CMS) 2016 Final Long-term Care Rule and became effective on November 28, 2016. • Implementing SQC: The new regulatory definition will affect which F-tags and regulatory groupings are considered to be SQC in both Phase 1 and Phase 2 of the Final Rule implementation process. • Notice Before Transfer or Discharge Requirements: CMS is also providing clarification in advance of formal interpretive guidance of 42 CFR §483.15(c)(3)(i) which requires facilities to send a copy of the notice of transfer or discharge to the Office of the State Long-Term Care Ombudsman.