Revision to State Operations Manual (SOM) Appendix PP for Phase 2, F-Tag Revisions, and Related Issues
• Revised Interpretive Guidance: In September 2016, the Centers for Medicare & Medicaid Services (CMS) released revised Requirements
for Participation under the Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities rule. CMS
is releasing revised Interpretive Guidance to be effective November 28, 2017.
• Revised F Tags: The revisions to the regulations caused many of the prior regulatory citations to be re-designated. As such,
CMS was required to re-number the F-Tags used to identify each regulatory part. Those new F-Tags are described here.
• Training Resources: CMS is providing several training resources on our website and on an MLN Connect call on July 25, 2017
from 1:30 to 3:00pm EST.
• Enforcement and Nursing Home Compare Considerations: To address concerns related to the scope and timing of the changes,
CMS will be providing limited enforcement remedies for certain Phase 2 provisions and will be holding constant the Nursing
Home Compare health inspection rating for one year.