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Policy & Memos to States and Regions

CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

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Title Memo # Posting Date Fiscal Year
Clarification of Self-Administration of Medications 11-14-ICF/MR 03/18/2011 2011
Clarification of Reporting Mistreatment, Neglect and 11-15-ICF/MR 03/18/2011 2011
Publication of Final Rule Civil Money Penalties for Nursing Homes 11-16-NH 03/18/2011 2011
April and July 2011 Changes to Nursing Home Compare 11-17-NH 03/18/2011 2011
Approval of State and National Certification Programs for Dialysis Technicians Under New ESRD CFCs 10-03-ESRD 10/30/2009 2010
Waiver to Allow Hospitals to Use the NFPA 6-Year Damper Testing Interval 10-04-LSC 10/30/2009 2010
ESRD Program Survey Guidance on Patient Care Dialysis Technicians Certification 10-17-ESRD 04/23/2010 2010
Outcome Deficiencies in Medicare-Certified Transplant Program: Procedures for Citation 10-16-Transplant 04/16/2010 2010
Consolidation of Personnel Policies for Individuals Directing or Performing Non-waived Tests 10-07-CLIA 11/06/2009 2010
Advance Copy: Revisions to Appendix PP, State OpeGuidance to Surveyors for Long Term Care Facilities 10-33-NH 09/24/2010 2010
Presidential Emergency Declaration and HHS Section 1135 Waiver Authorization 10-06-ALL 11/06/2009 2010
Waivers and Phase-In Time Extensions for the Implementation of the New ESRD Conditions for Coverage 09-13 11/21/2008 2009
Interim Guidance Regarding the Survey and Certification of RHCs and FQHCs 09-14 11/21/2008 2009
New CAH requirements under 42 CFR 485.610(e) related to CAH Co-location and provider-based locations 09-15 11/21/2008 2009
Additional Revision of SOM - Federally Qualified Health Centers (FQHCs) 09-16 11/26/2008 2009
Launching of Five Star Rating System on the Nursing Home Compare Website 09-17 12/05/2008 2009
EMTALA Regulation Changes and H1N1 Pandemic Flu and EMTALA Waivers 10-05-EMTALA 10/06/2009 2010
State Operations Manual (SOM) Appendix L, Ambulatory Surgical Centers (ASC) Comprehensive Revision 09-37 05/15/2009 2009
One-Time Cash Benefit to Nursing Home Residents 09-38 05/15/2009 2009
Change to the 5 Star Monthly Provider Preview 10-15-NH 04/16/2010 2010
Hospital Patients' Rights to Delegate Decisions to Representatives 11-36-Hospital/CAH 09/07/2011 2011
Clarification of Rural Eligibility Status for Hospital Swing Beds, Critical Access Hospitals 11-33-Hospital/CAH/RHC 07/15/2011 2011
Compliance with Food Procurement Requirements for Nursing Homes with Gardens 11-38-NH 09/07/2011 2011
Guidance for State Survey Agencies Responding to Requests for Survey Documents 11-39-ALL 09/16/2011 2011
One-time Cash Benefit to ICF/MR Clients 09-40 05/29/2009 2009
Survey and Certification Issues Related to Iowa and Indiana Flooding Disasters 08-27 06/17/2008 2008
Surveying Facilities that Receive Food Prepared by Off-Site Kitchens 08-09 01/11/2008 2008
Issuance of Revised Nutrition and Sanitary Conditions as Part of Appendix PP, SOM 08-28 06/20/2008 2008
Nursing Home Requirements for Food Procurement, Self Determination, and Participation 09-39 05/29/2009 2009
Phasing Implementation of Life Safety Code Surveys in ESRD Facilities for CY 2010 10-08-ESRD 11/20/2009 2010
Final Rule for Skilled Nursing Facilities (SNF) and Nursing Facilities (NF) 11-18-NH 04/01/2011 2011
Contingency Plans - State Survey & Certification 11-20-ALL 04/08/2011 2011
QAPI Initiatives related to Section 6102 (c) 11-22-NH 04/08/2011 2011
Clarifications to the ASC Interpretive Guidelines 11-21-ASC 04/08/2011 2011
Notification of Withdrawal of CMS 2252-P -Cytology 11-19-CLIA 04/08/2011 2011
End Stage Renal Disease (ESRD) Update of 11-13-ESRD 03/18/2011 2011
Living Donor Services Occurring in Transplant Programs Other than that of the Organ Recipient 11-40-Transplant 09/30/2011 2011
Affordable Care Act Section 6103: Guidance for State Consumer Oriented Websites 11-41-NHs 09/30/2011 2011
Use of Civil Money Penalty (CMP) Funds by States 11-42-NH 09/30/2011 2011
Impact of Submission Issues with the Minimum Submission and Processing (ASAP) System on the Long 11-02-NH 10/29/2010 2011
Survey and Certification of Chemical Toxicity Public Health Laboratories (CT PHL's) under the 11-03-CLIA 10/29/2010 2011
Policy Regarding Unannounced Surveys 09-41 06/05/2009 2009
June 30, 2009 Healthcare Associated Infections Professional Stakeholder Meeting 09-42 06/05/2009 2009
Recovery Act Ambulatory Surgical Center Healthcare Associated Infection Prevention Initiative 09-43 06/12/2009 2009
The Five Star Nursing Home Rating System Questions and Answers 09-18 12/19/2008 2009
Revision of SC-04-41, Corridor Width ands Corridor Mounted Computer Touch Screens in Facilities 10-18-LSC 05/14/2010 2010
Posting of Quality of Care and Quality of Life Indicators 10-19-NHQIS 05/21/2010 2010
Ambulatory Surgical Center (ASC) Waiting Area Separation Requirements 10-20-ASC 05/21/2010 2010
Use of Civil Money Penalty (CMP) Funds by States and Reporting of CMP Funds Returned to the State 09-44 06/19/2009 2009
North Dakota and Minnesota Flooding Public Health Emergency and 1135 Waiver Termination 09-45 06/19/2009 2009
Advance Copy Hospice Program Interpretive Guidance Version 1.1 09-19 01/02/2009 2009
Use of Interpretive Guidance by Surveyors for Long Term Care Facilities 08-10 01/18/2008 2008
S and C Issues Related to Liability Notices and Beneficiary Appeal Rights in Nursing Homes 09-20 01/09/2009 2009
Release of Report Evaluation of the Quality Indicator Survey (QIS) 09-46 06/24/2009 2009
Notice - Third Opportunity National Background 11-23-NH 04/22/2011 2011
New Initiative: Partnership for Patients: Better Care, 11-24-ALL 04/22/2011 2011
Revised Hospital Anesthesia Services Interpretive Guidelines SOM Appendix A 10-09-Hospital 12/11/2009 2010
Federal Requirements for the Independent Informal Dispute Resolution (Independent IDR) Process for N 12-02-NH 10/14/2011 2012
Survey & Certification Focus on Patient Safety and Quality - Draft Surveyor Worksheets 12-01-Hospital 10/14/2011 2012
Clarification of 482.61(b (3): Requirements for a Screening Neurological 11-25-PSYCH 04/29/2011 2011
Approval of Deeming Authority of the Joint Commission for Psychiatric 11-26-AO 05/06/2011 2011
Approval of Deeming Authority of the American Association for Accreditation of Ambulatory Surgery 11-27-AO 05/06/2011 2011
Issuance of Revisions to Interpretive Guidance at F tag 322, as Part of Appendix PP, State Operations Manual (SOM) 11-37-NH 10/21/2011 2011
Copy of Chapter 7 - Survey and Enforcement Processes for Skilled Nursing Facilities and Nursing Faci 11-01-NH 10/15/2010 2011
FY 2011 Inpatient Prospective Payment System (IPPS) Rule Changes Affecting Survey and Certification 11-04 -ALL 11/26/2010 2011
State Operations Manual (SOM) Hospital Appendix A Update 11-28-Hospitals 05/13/2011 2011
Accreditation Option for Critical Access Hospital (CAH) Distinct Part Units 08-11 02/08/2008 2008
2009 Physician Fee Schedule Changes Affecting the Survey & Certification of Rehabilitation Programs 09-21 01/16/2009 2009
Requirements for Provider-based Off-campus Emergency Departments 08-08 01/11/2008 2008
Revised Quality of Care Guidance at F309, including Pain Management as Part of Appendix PP SOM 09-22 01/23/2009 2009
2008 Physician Fee Schedule Changes Affecting Survey & Certification 08-30 08/01/2008 2008
Revision of Publication 100-07, State Operations Manual (SOM) - FQHCs 08-29 08/01/2008 2008
Draft Interpretive Guidance for the Survey Process of the New ESRD Conditions for Coverage 08-31 08/08/2008 2008
ICFMR Clarification of Protection of Client's Rights 09-47 07/10/2009 2009
Critical Access Hospital (CAH) Regulatory Changes 10-10-CAH 12/31/2009 2010
Advance Notice - Upcoming Solicitation - National Background Check Program for Direct Patient Access 10-21-NH 05/28/2010 2010
Initial Plans and Policy Implementation for Clinical and Laboratory Standards Institute (CLSI) 12-03-CLIA 11/04/2011 2012
Verification of Recipient and Donor Blood Type and Other Vital Data 11-29-Transplant 05/27/2011 2011
Clarifications to the Ambulatory Surgical Center (ASC) Interpretive Guidelines - Comprehensive Medic 11-06-ASC 12/17/2010 2011
Interior Finish Documentation Requirements for Multiple Providers -Hospitals, Ambulatory Surgical Ce 11-07-LSC 12/17/2010 2011
Alert: Smoking Safety in Long Term Care Facilities 12-04-NH 11/10/2011 2012
State Selection of SFFs for Technical Assistance by QIOs - New 9th Scope of Work Item 08-32 08/15/2008 2008
Initial Surveys of RHCs and SNFs - Raised to Tier 3 Priority 08-13 03/07/2008 2008
Revised Interpretive Guidelines for Hospital Conditions of Participation 08-12 02/08/2008 2008
Entities with One CLIA Certificate for Multiple Sites 09-23 02/06/2009 2009
Implementation of the Life Safety Code Component for the New ESRD Conditions for Coverage 09-24 02/11/2009 2009
CLIA Policy on November 2009 CLIA Basic Training 09-48 2009-07-31 2009
Priority Order of Quality Indicator Survey (QIS) National Implementation in States 09-50 08/07/2009 2009
Initial Surveys of CAH Distinct Part Units (DPUs) Changed to Tier 4 Priority Status 09-49 08/07/2009 2009
Enforcement of Amended Requirements for Certain Hospital and CAH Disclosures To Patients 09-25 02/13/2009 2009
Survey and Certification Issues Related to Hurricane Gustav 08-33 09/02/2008 2008
Federal Minimum Qualification Standards for LTC Registered QIS Surveyors 08-14 03/21/2008 2008
Instructions for Completing Exhibit 286, Hospital/Critical Access Hospital (CAH) Database Worksheet 12-06- Hospitals/CAHs 12/02/2011 2012
Clarification of Hospital Equipment Maintenance Requirements 12-07-Hospital 12/02/2011 2012
Federal Requirements for the Independent Informal Dispute Resolution (Independent IDR) Process for 12-08-NH 12/02/2011 2012
Certificate and Regulatory Multiple Site Exceptions under CLIA 12-09-CLIA 12/02/2011 2012
Updated Guidance on Medication Administration, Hospital Appendix A of the State Operations Manual 12-05-Hospital 11/18/2011 2012
Affordable Care Act and Implications for Certification of Physician-owned Hospitals 12-10-Hospital/CAH 12/09/2011 2012
Prudent Action for the FY 2012 Medicare Survey & Certification (S&C) Budget 12-12-ALL 12/09/2011 2012
Provision of Observation Services in Critical Access Hospitals (CAHs) 08-16 04/04/2008 2008
Transplant Surveys: Guidance for Citing Condition and Standard-Level Deficiencies 08-17 04/04/2008 2008
Compliance With State Fire and Safety Code in Lieu of Life Safety Code 08-34 09/05/2008 2008
Drug or Alcohol Screening/Testing and CLIA Certification 08-35 09/05/2008 2008
Inpatient Prospective Payment System (IPPS) 2009 Final Rule Revisions to EMTALA Regulations 09-26 03/06/2009 2009
Survey and Certification Issues Related to Hurricane Ike 08-36 09/12/2008 2008
Impact of Nursing Shortage on Hospice 08-37 09/19/2008 2008
Clarification of Ambulatory Surgical Center (ASC) Interpretive Guidelines 09-51 08/14/2009 2009
EMTALA Requirements and Options for Hospitals in a Disaster 09-52 08/14/2009 2009
Surveying Facilities That Use Electronic Health Records (EHR) 09-53 08/14/2009 2009
Issuance of Revisions to Interpretive Guidance at F Tag 441, as Part of Appendix PP, SOM 09-54 08/14/2009 2009
Questions Related to State Agency (SA) Records Management Policy for Paper and Electronic Formats 10-22-ALL 07/12/2010 2010
Publication of Proposed Rule Civil Money Penalties for Nursing Homes CMS-2435-P 10-23-NH 07/12/2010 2010
Use of the Name of the Laboratory Director and EIN listed in the CLIA Data System 10-11-CLIA 01/29/2010 2010
COLA Pathology Withdrawal : Transition Procedures under the Clinical Laboratory Improvement Amendmen 10-24-CLIA 07/27/2010 2010
Extension of Long-Term Care Hospital (LTCH) Moratorium 10-25-Hospitals 07/27/2010 2010
42CFR 483.470(i)(2)(i) Evacuation Drills for IMentally Retarded (ICFs/MR) Certified 10-26-LSC 07/27/2010 2010
Advance Copy - Description of Temporary Changes to Appendix P, State Operations Manual (SOM), 10-27-NH 07/30/2010 2010
Clinical Laboratory Improvement Amendments of 1988 (CLIA) 11-08-CLIA 01/13/2011 2011
Changes to the Minimum Data Set Version 3.0 (MDS 3.0) Assessment Modification 11-31-NH 07/01/2011 2011
Frequently Asked Questions (FAQs) Related to the New ESRD Conditions for Coverage 09-56 09/04/2009 2009
Flash Sterilization Clarification - FY 2010 Ambulatory Surgical Center (ASC) Surveys 09-55 09/04/2009 2009
Approval of Deeming Authority of Det Norske Veritas Healthcare (DNVHC) for Critical Access Hospitals 11-09-AO-CAHs 01/14/2011 2011
Revised Hospital Anesthesia Services Interpretive Guidelines - State Operations Manual Appendix 11-10-Hospitals 01/14/2011 2011
Notice - Fifth Opportunity National Background Check Program Funding 12-11-NH 12/09/2011 2012
Use of Federally Imposed Civil Money Penalty (CMP) Funds by States 12-13-NH 12/16/2011 2012
Telemedicine Services in Hospitals and Critical Access Hospitals 11-32- Hospital/CAH 07/15/2011 2011
Updated Interim Guidance Regarding the Temporary Mid-Level Staffing Waiver for RHCs 09-27 03/13/2009 2009
Publication of Proposed Regulations for Gynecologic Cytology Proficiency Testing (PT) under CLIA 09-28 03/13/2009 2009
Advance Copy ESRD Program Interpretive Guidance Version 1.1 09-01 10/03/2008 2009
Restraint/Seclusion Interpretive Guidelines & Updated SOM Appendix A 08-18 04/11/2008 2008
Revised State Operations Manual Appendix V - EMTALA 08-15 03/21/2008 2008
Approval of Deeming Authority of Det Norske Veritas Healthcare, Inc. for Hospitals 09-02 10/03/2008 2009
Enforcement of Section 506, MMA, Acceptance of Medicare-like Rates 09-03 10/03/2008 2009
Adoption of New Fire Safety Requirements for LTC, Mandatory Sprinkler Installation Requirement 09-04 10/03/2008 2009
Obtaining Civil Rights Clearances for Initial Certifications and CHOWs- Please see new update to this memo-S&C:13-46-ALL, dated July 12, 2013. 09-57 09/11/2009 2009
CLIA Update for Electronic Exchange of Laboratory Information 10-12-CLIA 03/01/2010 2010
Advance Copy - Hospice State Operations Manual (SOM) Sections 2080-2089 09-58 09/18/2009 2009
FDA Warning to Nursing Homes Regarding Recalled Food Products Containing Peanuts 09-29 03/27/2009 2009
Survey and Certification Issues Related to North Dakota and Minnesota Flooding 09-30 03/27/2009 2009
Revised CLIA Policy on Quality Control for Commercially Available Microbial Identification Systems 09-06 10/17/2008 2009
Special Focus Facility (SFF) Program Survey Scoring Methodology 09-05 10/10/2008 2009
New Web Feature: Laboratories Demographic Look-Up 09-07 10/17/2008 2009
Accreditation and its Impact on Various Survey and Certification Scenarios 09-08 10/17/2008 2009
Advance Copy - Organ Transplant Program State Operations Manual (SOM) and Survey Protocol 09-09 10/24/2008 2009
Standing Orders in Hospitals Revisions to SandC Memoranda 09-10 10/24/2008 2009
Home Health Survey and Certification Activities Related to Program 12-14-HHA 12/23/2011 2012
Revised Initial Certification Process for Home Health Agencies 12-15-HHA 12/23/2011 2012
Survey and Certification Responsibilities Related to Provider Enrollment Revocations 12-16-ALL 12/23/2011 2012
The Use of Video Cameras in Common Areas in Intermediate Care Facilities for 11-34-ICF/MR 07/29/2011 2011
Revised Home Health Survey Protocols 11-11-HHA 02/11/2011 2011
Issuance of Revisions to Interpretive Guidance at Several Tags, as Part of Appendix PP, SOM 09-31 04/10/2009 2009
Expansion of Moratorium Exception on Classification of Long Term Care Hospitals or Satellites 09-32 04/17/2009 2009
State Survey Agency Treatment of Subpoenas Duces Tecum for Federal and Joint Federal/State Documents 10-01-ALL 10/02/2009 2010
Point of Care Devices and Infection Control in Nursing Homes 10-28-NH 08/27/2010 2010
Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility 11-30-NH 06/17/2011 2011
Hospital and Critical Access Hospital (CAH) Facility Life Safety Code (LSC) Occupancy Classification 11-05-LSC 02/18/2011 2011
H1N1 Flu Vaccinations or Other Emergency Activities 10-02-ALL 10/16/2009 2010
End Stage Renal Disease (ESRD) Program Keeping Informed about Survey 10-30-ESRD 09/10/2010 2010
Advance Notice - Second Opportunity National Background Check Program Funding 10-29-ALL 09/10/2010 2010
Approval of Deeming Authority of the Accreditation Commission for Health Care (ACHC) for Hospices 10-13-AO 04/02/2010 2010
Alert: Food and Drug Administration (FDA) Heparin Recall For All Provider Types 08-19 05/09/2008 2008
Safe Injection Practices in Ambulatory Surgical Centers (ASCs) 08-20 05/16/2008 2008
Updated Brochure Describing the Quality Indicator Survey (QIS) 08-21 05/16/2008 2008
SOM Chapter 5 Update - Release of Person-Identifiable Data Related to Restraint/Seclusion Deaths 09-12 11/07/2008 2009
Impact of Nursing Shortage on Hospice Care 10-31-Hospice 09/17/2010 2010
Release of Report - Freedom from Unnecessary Physical Restraints: Two Decades of National Progress 09-11 11/07/2008 2009
H1N1 Flu State Survey Agency Guidance and Provider Tracking Tools 09-36 05/06/2009 2009
Revisions to State Operations Manual (SOM) Exhibits 08-06 12/07/2007 2008
Survey and Certification Issues Related to Swine Flu Outbreak 09-33 04/28/2009 2009
Release of Form CMS-2567 (Statement of Deficiencies) by State Survey Agencies (SAs) 09-34 04/30/2009 2009
Clinical Laboratory Improvement Amendments (CLIA) -- Impact of A/H1N1 Swine Flu on CLIA Operations 09-35 05/06/2009 2009
Signature Stamps for Home Health Agencies and Hospices 08-22 05/30/2008 2008
SOM Chapter 5/Release of Person-Identifiable Data Related to Restraint/Seclusion Deaths to PA and As 08-23 05/30/2008 2008
Advance Copy - Organ Transplant Program Interpretive Guidelines 08-25 06/13/2008 2008
Moratorium on Classification of Long-Term Care Hospitals 08-26 06/13/2008 2008
Guidance to Surveyors Regarding the STERIS SYSTEM 1 Sterile Processing System (SS1) 10-14-ALL 04/02/2010 2010
Special Focus Facilities (SFF) Procedures 10-32-NH 09/17/2010 2010
Mandate of Section 6121 of the Affordable Care Act for Nurse Aide Training in Nursing Homes 11-35-NH 08/12/2011 2011
Relationship Between Civil Money Penalty Funds Paid by Nursing Homes and the Money Follows the Perso 11-12-NH 03/11/2011 2011
Referring Practitioners Ordering Outpatient Services in Hospitals 12-17-Hospitals 2012-02-17 2012
Hospital Patient Privacy and Medical Record Confidentiality 12-18-Hospitals 2012-03-02 2012
Instructions Concerning Waivers of Specific Requirements of the 2012 Edition of the National Fire 12-21-LSC 2012-03-09 2012
Implementing the Individualized Quality Control Plan (IQCP) for Clinical Laboratory Improvement Amen 12-20-CLIA 2012-03-09 2012
Living Donor Services Occurring in Transplant Programs Other than that of the Organ Recipient: Requirements and Surveyor Guidance 12-19-Transplant 2012-03-09 2012
INFORMATION: Reducing Avoidable Hospitalizations among Nursing Facility Residents; State Survey 12-23-ALL 2012-03-16 2012
Healthcare Associated Infections (HAI) Prevention Program Environmental Scan of State Survey Agency 12-22-NH 2012-03-16 2012
Revisions to Ambulatory Surgical Center (ASC) Patient Rights Regulation 12-24-ASC 2012-03-30 2012
Revisions to the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual and Item Subsets 12-25-NH 2012-03-30 2012
Home Health Survey and Certification Activities Related to Program Safeguards: Deactivation 12-26-HHA 2012-04-06 2012
Utilizing the US Bureau of the Census’ (Census Bureau) American FactFinder Database when making a Rural Area Location Determination 12-27-Hospital/RHC 2012-04-20 2012
Process Change for Histocompatibility Laboratories 12-28-CLIA 2012-05-11 2012
Publication of Two Final Rules “Medicare and Medicaid Program; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction CMS-9070-F” and “Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital Conditions of Participation CMS-3244-F” 12-29-ALL 2012-05-11 2012
Use of Insulin Pens in Health Care Facilities 12-30-ALL 2012-05-18 2012
Environmental Scan of State Survey Agency Training Coordinators and Healthcare Associated Infections (HAI) Coordinators Nursing Home HAI Prevention programs 12-31-HAI 2012-05-18 2012
Patient Safety Initiative Pilot Phase – Revised Draft Surveyor Worksheets 12-32-Hospital 2012-05-18 2012
Approval of the American Association for Accreditation of Ambulatory Surgery Facilities’ (AAAASFs’) Rural Health Clinic (RHC) Accreditation Program 12-33-AO 2012-05-25 2012
Clarification and revisions to Interpretive Guidance at F Tag 492, as Part of Appendix PP, State Operations Manual (SOM) for Long Term Care (LTC) Facilities 12-34-NH 2012-06-01 2012
Safe Use of Single Dose/Single Use Medications to Prevent Healthcare-associated Infections 12-35-ALL 2012-06-15 2012
Revised Hospital Conditions of Participation (CoPs) – Governing 12-36-HOSPITAL 2012-06-15 2012
Redesign Updates to the Nursing Home Compare Website 12-37-NH 2012-06-22 2012
Quality Assurance and Performance Improvement (QAPI) in Nursing Homes- Activities Related to QAPI Implementation 12-38-NH 2012-06-29 2012
2012 Centers for Medicare & Medicaid Services (CMS) Nursing Home Action Plan 12-39-NH 2012-07-06 2012
Notice - Seventh Opportunity National Background Check Program Funding 12-40 - NH 2012-07-13 2012
Pilot Surveys Begin for the Survey & Certification (S&C) Quality Assurance Efficiency & Effectiveness (QAEE) Initiative #1: The End Stage Renal Disease (ESRD) Core Survey Process 12-41-ESRD 2012-07-27 2012
Request to Convey Information: Partnership to Improve Dementia Care in Nursing Homes 12-42-NH 2012-08-24 2012
Impact of Nursing Shortage on Hospice Care 12-43-Hospice 2012-09-14 2012
“Hand in Hand: A Training Series for Nursing Homes,” on Person-Centered Care of Persons with Dementia and Prevention of Abuse 12-44-NH 2012-09-14 2012
Advance Copy of Interim Guidance - Revisions to State Operations Manual (SOM), Appendix P-Traditional Survey Protocol for Long-Term Care (LTC) Facilities and Chapter 9/Exhibits including Survey Forms 672, 802, 802S and 802P 12-45-NH 2012-09-27 2012
F tag 322—Feeding Tubes-Advance Copy 12-46-NH 2012-09-27 2012
F tag 155-- Advance Directives- Advance Copy 12-47- NH 2012-09-27 2012
F tag 309—Quality of Care- Advance Copy 12-48-NH 2012-09-27 2012
The Roll-Out of the New End Stage Renal Disease (ESRD) Core Survey Process 13-01-ESRD 2012-11-02 2013
Nursing Homes - Clarification of Guidance related to Medication Errors and Pharmacy Services 13-02-NH 2012-11-02 2013
Patient Safety Initiative FY 2013 Pilot Phase – Revised Draft Surveyor Worksheets 13-03-Hospital 2012-11-09 2013
Collection of Information from Inpatient Rehabilitation Facilities (IRFs) 13-04-IRF 2012-11-30 2013
Notice - Eighth Opportunity National Background Check Program Funding 13-06 - NH 2012-12-14 2013
Preview of Nursing Home Quality Assurance & Performance Improvement (QAPI) Guide – QAPI at a Glance 13-05-NH 2012-12-14 2013
Release of CLIA Brochure 10, What Do I Need to Do to Assess Personnel Competency? 13-07-CLIA 2012-12-21 2013
Expiration of the Long-Term Care Hospital (LTCH) Moratorium 13-08--Hospitals 2013-01-25 2013
Clarification of Interpretive Guidance at F Tag 441-Laundry and Infection Control 13-09-NH 2013-01-25 2013
Crosswalk Guide to the Organ Procurement and Transplant Network (OPTN) and the Centers for Medicare & Medicaid Services (CMS) Oversight of Organ Transplant Programs 13-10-Transplant 2013-02-01 2013
Intermediate Care Facilities for the Intellectually Disabled (ICF/IID) No Longer Certified Under Time-Limited Agreements 13-11- ICF/IID 2013-02-08 2013
Notice -Ninth Opportunity National Background Check Program Funding 13-12- NH 2013-03-01 2013
Information Only: New Dining Standards of Practice Resources are Available Now 13-13-NH 2013-03-01 2013
Luer Misconnection Adverse Events 13-14-ALL 2013-03-08 2013
Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) 13-15-NH 2013-03-08 2013
F tag 155-- Advance Directives- Revised Advance Copy 13-16-NH 2013-03-08 2013
F tag 322—Naso-Gastric Tubes - Revised Advance Copy 13-17-NH 2013-03-08 2013
Revised Roll-Out of the New End Stage Renal Disease (ESRD) Core Survey Process 13-18-ESRD 2013-03-08 2013
AHRQ Common Formats - Information for Hospitals and State Survey Agencies (SAs) - Comprehensive Patient Safety Reporting Using AHRQ Common Formats 13-19-HOSPITALS 2013-03-15 2013
Guidance for Hospitals, Critical Access Hospitals (CAHs) and Ambulatory Surgical Centers (ASCs) Related to Various Rules Reducing Provider/Supplier Burden 13-20-Acute Care 2013-03-15 2013
Access to Statements of Deficiencies (CMS-2567) on the Web for Skilled Nursing Facilities, Nursing Facilities, Hospitals,& Critical Access Hospitals 13-21-ALL 2013-03-22 2013
FY2013 Sequestration Adjustments for Survey & Certification (S&C) 13-23-ALL 2013-04-05 2013
Life Safety Code (LSC) Short Form Survey for Nursing Homes – Limited Option 13-22-NH 2013-04-05 2013
Report of the National Background Check Program (NBCP) Long-Term Care (LTC) Criminal Convictions Work Group 13-24-NH 2013-04-12 2013
Relative Humidity (RH): Waiver of Life Safety Code (LSC) Anesthetizing Location Requirements; Discussion of Ambulatory Surgical Center (ASC) Operating Room Requirements 13-25-LSC & ASC 2013-04-22 2013
Clarification of the Critical Access Hospital (CAH) Criteria for Rural Location and Mountainous Terrain Distance Standard 13-26-CAH 2013-04-22 2013
Update of State Operations Manual (SOM) Chapter 5, Complaint Investigation 13-27-Deemed Providers/Suppliers & Hospitals 2013-04-22 2013
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) –Nomenclature Change (Qualified Intellectual Disabilities Professional (QIDP) 13-28- ICF/IID-QIDP 2013-05-03 2013
Delayed Publication of Scientific Registry for Transplant Recipients (SRTR) Program Specific Reports (PSR) and Implications for Centers for Medicare & Medicaid Services (CMS) Transplant Program Oversight 13-29-Transplant 2013-05-10 2013
Utilizing the US Bureau of the Census’ (Census Bureau) American FactFinder 2010 Census Data for Rural Area Location Determinations - Hospital Swing Beds & Rural Health Clinics (RHC) 13-30-Hospital/RHC 2013-05-10 2013
Cost Allocations for Surveys of Home Health Agencies (HHAs) 13-31-HHA 2013-05-17 2013
Revision to State Operations Manual (SOM), Hospital Appendix A - Interpretive Guidelines for 42 CFR 482.43, Discharge Planning 13-32- HOSPITAL 2013-05-17 2013
Federally Qualified Health Center (FQHC) Medicare Enrollment Guidance Updated 13-33-FQHC 2013-05-17 2013
Release of Mandatory Surveyor Training Program on Care of Persons with Dementia and Unnecessary Antipsychotic Medication Use – Release of Third Video 13-34-ALL 2013-05-24 2013
Advanced Copy: Dementia Care in Nursing Homes: Clarification to Appendix P State Operations Manual (SOM) and Appendix PP in the SOM for F309 – Quality of Care and F329 – Unnecessary Drugs 13-35-NH 2013-05-24 2013
Advance Copy– Changes for Sub-Task 5E, Medication Pass Observation Protocol for Long Term Care (LTC) Facilities 13-36-NH 2013-06-07 2013
Rollout of Quality Assurance and Performance Improvement (QAPI) Materials for Nursing Homes 13-37-NH 2013-06-07 2013
Critical Access Hospital (CAH) Emergency Services and Telemedicine: Implications for Emergency Services Condition of Participation (CoPs) and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance 13-38-CAH/EMTALA 2013-06-07 2013
Guidance Regarding the Deployment of the Emergency Use Approval (EUA) Bird Flu Test (H7N9) to State Public Health Laboratories (PHLs) by the Centers for Disease Control and Prevention (CDC) 13-39-CLIA 2013-06-14 2013
End Stage Renal Disease (ESRD) Home Dialysis Only Facilities Offering Home Hemodialysis (HHD), Home Peritoneal Dialysis (PD), or Both HHD and PD Modalities 13-40-ESRD 2013-06-21 2013
Notice –Revision to the Ninth Opportunity National Background Check Program Funding 13-41-NH 2013-06-21 2013
Reminder: Access and Visitation Rights in Long Term Care (LTC) Facilities 13-42-NH 2013-06-28 2013
Changes to the Nursing Home Compare Website Data that is Available for Download on the Medicare.gov Website (Effective July 2013) 13-43-NH 2013-06-28 2013
Public Release of the Five-Star Quality Rating System Three-Year Report 13-44-NH 2013-06-28 2013
Provision of Inpatient Psychiatric Services to Individuals Under the Age of 21(Psych Under 21 Benefit) in Out-of-State Psychiatric Residential Treatment Facilities (PRTFs) 13-45-PRTF 2013-07-03 2013
Office for Civil Rights (OCR) Clearance Process– Changes to State Survey Agency Responsibilities in Obtaining Information for Civil Rights Clearances for Initial Certifications and Changes of Ownership (CHOWs) 13-46-ALL 2013-07-12 2013
Compliance with the Life Safety Code (LSC) in End Stage Renal Disease (ESRD) Facilities 13-47-LSC/ESRD 2013-07-12 2013
Organ Procurement Organizations (OPO) Agreements with Hospitals 13-48-OPO 2013-07-26 2013
Surveyor Technical Assistant for Renal Disease (STAR) automated End Stage Renal Disease (ESRD) survey program upgrade release to coordinate with the ESRD Core Survey process roll-out Purpose: 13-49 2013-07-26 2013
Notification of Facility Closure: Revisions to Tags F203 and F204 and Issuance of New Tags F523 and F524 in the State Operations Manual (SOM), Appendix PP 13-50-NH 2013-08-02 2013
Pilot-Test: Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only 13-51-Transplant Programs 2013-08-02 2013
Approval of the Center for Improvement in Healthcare Quality’s (CIHQ) Hospital Accreditation Program 13-52-AO 2013-08-09 2013
Temporary Moratorium on Home Health Agency (HHA) Enrollment-Metropolitan Areas of Miami and Chicago 13-53-HHA 2013-08-09 2013
Enforcement Actions - Installation of Automatic Sprinkler Systems in Nursing Homes - August 13, 2013 Deadline 13-55-LSC 2013-08-16 2013
Individualized Quality Control Plan (IQCP): A New Quality Control (QC) Option 13-54-CLIA 2013-08-16 2013
Minimum Data Set (MDS) 3.0 Discharge Assessments that Have Not Been Completed and/or Submitted 13-56-NH 2013-08-23 2013
Escrow and Independent Informal Dispute Resolution (Independent IDR) Process for Nursing Homes – Applicable to All Civil Money Penalties (CMPs) 13-57-NH 2013-08-30 2013
2000 Edition National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) Waivers 13-58-LSC 2013-08-30 2013
Release of Clinical Laboratory Improvement Amendment’s (CLIA) Brochure #11, CLIA Individualized Quality Control Plan Introduction 13-59-CLIA 2013-08-30 2013
Acquisitions of Providers/Suppliers with Rejection of Automatic Assignment of the Medicare Provider Agreement: Implications for Timing of Surveys and Participation Effective Date 13-60-ALL 2013-09-06 2013
Cardiopulmonary Resuscitation (CPR) in Nursing Homes 14-01-NH 2013-10-18 2014
Contingency Plans – State Survey & Certification Activities in the Event of Federal Government Shutdown 14-02-ALL 2013-10-01 2014
Citations at F Tag 454 – 42 CFR §483.70 Physical Environment, §483.70(a) Life Safety from Fire 14-03-NH/LSC 2013-10-25 2014
Questions + Answers for State Recovery after the Federal Government Shutdown 14-04-ALL 2013-10-25 2014
Use of Direct for the Secure Transmission of Laboratory Test Results 14-05-CLIA 2013-11-08 2014
Emergency Medical Treatment and Labor Act (EMTALA) Requirements & Conflicting Payor Requirements or Collection Practices 14-06-Hospitals /CAHs 2013-12-13 2014
Hospital Equipment Maintenance Requirements 14-07-Hospital 2013-12-20 2014
QAPI Condition-Level Deficiency in Transplant Re-approval, Complaint and Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only 14-08-Transplant Programs 2013-12-20 2014
Publication of NPRM for Emergency Preparedness – Informational Only 14-09-Emergency Preparedness 2014-01-03 2014
Moratoria on Home Health Agency (HHA) Enrollment- Phase 2 - Metropolitan Areas of Fort Lauderdale, Detroit, Dallas and Houston and Extension of Moratoria on Metropolitan Areas of Miami and Chicago 14-10-HHA 2014-02-04 2014
Publication of Final Rule “Clinical Laboratory Improvement Amendments (CLIA) Program and Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule; Patients’ Access to Test Reports” 14-11-CLIA 2014-02-07 2014
Survey and Certification Emergency Preparedness Initiative: S&C Emergency Preparedness Checklist Revision 14-12-ALL 2014-02-28 2014
For Information Only: Public Comments on the Report of the National Background Check Program (NBCP) Long-Term Care Criminal Convictions (LTCCC) Work Group 14-13-NH 2014-03-07 2014
Home Health Agency (HHA) State Operations Manual (SOM) revisions: Appendix B, HHA Enforcement Guidance and revisions to Chapter 2, Certification Process 14-14-HHA 2014-03-14 2014
Requirements for Hospital Medication Administration, Particularly Intravenous (IV) Medications and Post-Operative Care of Patients Receiving IV Opioids 14-15-Hospital 2014-03-14 2014
Interpretive Guidance for the Survey Process of the Organ Procurement Organization (OPO) Conditions for Coverage, published May 31, 2006, in the Federal Register – Interim Final 14-16-OPO 2014-03-14 2014
Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014 14-17-HHA 2014-03-21 2014
Advance Copy: Update of State Operations Manual (SOM) Chapter 7 and Survey Process Timeframe Reminder 14-18-NH 2014-03-28 2014
Interim report on the CMS National Partnership to Improve Dementia Care in Nursing Homes: Q4 2011 – Q1 2014 14-19-NH 2014-04-11 2014
Fiscal Year (FY) 2014 Post Sequester Adjustment for Special Focus Facility (SFF) Nursing Homes 14-20-NH 2014-04-18 2014
Publication of Notice of Proposed Rulemaking (NPRM) for Fire Safety Requirements – Informational Only 14-21- LSC 2014-04-18 2014
Focused Minimum Data Set (MDS) and Dementia Care Surveys 14-22-NH 2014-04-18 2014
Publication of Final Rule CLIA ‘TEST ACT” for Proficiency Testing (PT) Referral - Informational Only 14-23-CLIA 2014-05-02 2014
State Operations Manual (SOM) Chapters 1, 2 & 3 Selected Updates: Medicare Effective Date Determination for Initial Applicants; Survey & Certification Process for Initial Medicare Applicants; Medicaid-only Hospitals; & Deemed Providers/Suppliers 14-24-ALL 2014-05-02 2014
Advance Copy – Single Use Device Reprocessing under Tag F441, Revisions to Interpretive Guidance in Appendix PP, State Operations Manual (SOM) on Infection Control 14-25-NH 2014-05-16 2014
Long-term Care Hospital (LTCH) Moratorium – Preliminary Instructions 14-26- Hospitals 2014-05-09 2014
Hospital Restraint/Seclusion Deaths to be Reported Using the Centers for Medicare and Medicaid Services (CMS) Form CMS-10455, Report of a Hospital Death Associated with Restraint or Seclusion 14-27-Hospital-CAH/DPU 2014-05-09 2014
Publication of Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015 – Nursing Home Civil Monetary Penalties - Informational Only 14-28-NH 2014-05-09 2014
Information for Applications to Extend the Due Date for the Installation of Automatic Sprinkler Systems in Existing Nursing Homes 14-29-LSC 2014-05-16 2014
Grant Solicitation for the Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents 14-30- NH 2014-05-16 2014
Provision of Electronic Health Record (EHR) “Navigators” during Hospital and Critical Access Hospital (CAH) Surveys 14-31-Hospitals/CAHs 2014-05-16 2014
The CMS Mitigating Factors Process for Solid Organ Transplant Programs – Notice of Proposed Rule-Making (NPRM) - Informational Only 14-32-Transplant 2014-05-16 2014
Final Rule - Promoting Program Efficiency, Transparency, and Burden Reduction; Part II - Informational Only 14-33-ALL 2014-05-20 2014
Advance Copy of Revised F371; Interpretive guidance and Procedures for Sanitary Conditions, Preparation of Eggs in Nursing Homes 14-34-NH 2014-05-20 2014
Update of State Operations Manual (SOM) Chapter 5, Triaging Complaints & Referral of Complainants to Accrediting Organizations 14-35-ALL 2014-05-20 2014
Infection Control Breaches Which Warrant Referral to Public Health Authorities 14-36-All 2014-05-30 2014
Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4 14-37-NH 2014-07-03 2014
Rehabilitation Agencies: Fire Alarm Systems, SOM Appendix E Revision - Advance Copy 14-38-OPT 2014-07-03 2014
Approval of The Compliance Team’s (TCT’s) Rural Health Clinic (RHC) Accreditation Program 14-39-AO/RHCs 2014-07-25 2014
Outcome and Assessment Information Set (OASIS)-C1/International Classification of Diseases (ICD)-9 Webinar: September 3, 2014 14-40-HHA 2014-07-25 2014
Critical Access Hospital (CAH) Equipment Maintenance Requirements 14-41-CAH 2014-08-08 2014
Release of Learning Tool on Building Respect for Lesbian, Gay, Bisexual, Transgender (LGBT) Older Adults 14-42-NH 2014-08-22 2014
Completion of Minimum Data Set (MDS) 3.0 Discharge Assessments for Resident Transfers from a Medicare- and/or Medicaid-Certified Bed to a Non-Certified Bed 14-43-NH 2014-08-25 2014
Change in Terminology and Update of Survey and Certification (S&C) Memorandum 09-55 Regarding Immediate Use Steam Sterilization (IUSS) in Surgical Settings 14-44-Hospital/CAH/ASC 2014-08-29 2014
Revised Guidance Related to New & Revised Hospital Governing Body and Medical Staff Regulations 14-45-Hospital 2014-09-15 2014
Categorical Waiver for Power Strips Use in Patient Care Areas Various 14-46-LSC 2014-09-26 2014
Impact of Nursing Shortage on Hospice Care 15-01-Hospice 2014-10-03 2015
Information for Hospitals and Critical Access Hospitals (CAHs) Concerning Possible Ebola Virus Disease 15-02-Hospitals/CAHs 2014-10-10 2015
Implementing the New Moratorium on Establishment of New Long-Term Care Hospitals (LTCH) or New LTCH Satellites, or Increases in LTCH Beds 15-03 Hospitals 2014-10-10 2015
National Background Check Program (NBCP) Grant Award Updates 15-04-ALL 2014-10-24 2015
Tests Subject to Clinical Laboratory Improvement Amendments (CLIA) Edits Downloadable File on the CLIA Internet Page - Informational Only 15-05-CLIA 2014-10-24 2015
Nationwide Expansion of Minimum Data Set (MDS) Focused Survey Background 15-06-NH 2014-10-31 2015
Effect on Microbiology Laboratories Due to the Removal of References to the Clinical Laboratory Standards Institute (CLSI) and to CLSI Documents 15-07-CLIA 2014-10-31 2015
Information for Clinical Laboratories Concerning Possible Ebola Virus Disease 15-08-CLIA 2014-11-07 2015
Rural Health Clinic (RHC) Location Determination Guidance Updated 15-09-RHC 2014-11-14 2015
Emergency Medical Treatment and Labor Act (EMTALA) Requirements and Implications Related to Ebola Virus Disease (Ebola) 15-10-Hospitals 2014-11-24 2015
Directions on the Off-Label/Modified Use of Waived Blood Glucose Monitoring Systems (BGMS) 15-11-CLIA 2014-11-21 2015
Public Release of Three Hospital Surveyor Worksheets 15-12-Hospital 2014-11-26 2015
Clarification of Terms Implicating the Spousal Relationship in Regulations and Guidance for Medicare- and Medicaid-certified Providers and Suppliers. 15-13-ALL 2014-12-12 2015
Guidance Related to New State Operating Manual and Appendix N for Psychiatric Residential Treatment Facilities (PRTF) 15-14-PRTF 2014-12-19 2015
Release of Clinical Laboratory Improvement Amendment’s (CLIA) Brochure #12, “Considerations When Deciding to Develop an IQCP” and Brochure #13, “What is an IQCP?” 15-15-CLIA 2014-12-19 2015
Civil Money Penalty (CMP) Analytic Tool and Submission of CMP Tool Cases 15-16-NH 2014-12-19 2015
Advance Copy –Revisions to State Operations Manual (SOM), Appendix C – Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services (Clinical Laboratory Improvement Amendments (CLIA)) 15-17- CLIA 2015-01-09 2015
Outcome and Assessment Information Set (OASIS) transition to the Automated Submission and Processing System (ASAP) and OASIS Correction policy 15-18-HHA 2015-01-09 2015
Revised State Operations Manual (SOM) Appendix W, Critical Access Hospitals (CAHs) 15-19-CAH 2015-01-16 2015
Advance Copy of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) State Operations Manual (SOM) Appendix J - Interpretive Guidelines and new Exhibit 15-20-ICF/IID 2015-01-16 2015
Use of Invalid End Stage Renal Disease (ESRD) “Temporary” Centers for Medicare and Medicaid Services (CMS) Certification Numbers (CCN) 15-21-ESRD 2015-01-16 2015
Revised Guidance Related to New & Revised Regulations for Hospitals, Ambulatory Surgical Centers (ASCs), Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 15-22-Hospital/ASC/RHC/FQHC 2015-01-30 2015
Use of Audio Surveillance Devices in Common Areas in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 15-23-ICF/IID 2015-01-30 2015
Emergency Medical Treatment and Labor Act (EMTALA) and Ebola Virus Disease (EVD) – Questions and Answers (Q+A) 15-24-Hospitals 2015-02-13 2015
MDS / Staffing Focused Surveys Update 15-25-NH 2015-02-13 2015
Nursing Home Compare “3.0” - Five Star Quality Rating System - Expanded and Strengthened 15-26-NH 2015-02-13 2015
Potential Adverse Impact of Lower Relative Humidity (RH) in Operating Rooms (ORs) 15-27-Hospital, CAH & ASC 2015-02-20 2015
Community Mental Health Center (CMHC) Frequently Asked Questions (FAQs) 15-28-CMHC 2015-02-27 2015
Contacting End Stage Renal Disease (ESRD) Networks for survey related facility information 15-29-ESRD 2015-02-27 2015
Administrative Changes for Two Centers for Medicare & Medicaid Services (CMS) - Approved Accrediting Organizations (AOs) The 15-30-ALL 2015-02-27 2015
2014 Final Report & 2015 Expansion Project – Centers for Medicare & Medicaid Services (CMS) Focused Dementia Care Survey Pilot 15-31-NH 2015-03-27 2015
Alert Related to Outbreaks of Carbapenem-Resistant Enterobacteriaceae (CRE) during gastrointestinal endoscopy, particularly Endoscopic Retrograde Cholangiopancreatography (ERCP) 15-32 Hospitals/CAHs/ASCs 2015-04-03 2015
Clarification of Requirements for Off-Premises Activities and Approval of Extension Locations for Providers of Outpatient Physical Therapy (OPT) and Speech-Language Pathology Services and Off-Premises Activities 15-33-OPT 2015-04-03 2015
Grant Award: Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents 15-34-NH 2015-04-03 2015
Implementation of Section 6106 of the Affordable Care Act - Collection of Staffing Data for Long Term Care Facilities 15-35-NH 2015-04-10 2015
New Instructions for Providers Filing an Appeal with the Departmental Appeals Board (DAB) 15-36-ALL 2015-04-24 2015
Proposed Rule: SNF Medicare FY 2016 Payments, Quality Reporting, Value-Based Purchasing and Staffing Requirements – Informational Only 15-37-NH 2015-05-01 2015
Revised Hospital Radiologic and Nuclear Medicine Services Interpretive Guidelines—State Operations Manual (SOM) Appendix A 15-38-Hospitals 2015-05-15 2015
Release of the Individualized Quality Control Plan (IQCP) Workbook 15-39-CLIA 2015-05-15 2015
Information Only - Review and Status of Nursing Home Survey: Summary of Traditional and Quality Indicator Survey (QIS) Findings and Issues 15-40-NH 2015-05-22 2015
Surveyor Guidance for Approval of Home Dialysis Modalities 15-41-ESRD 2015-06-12 2015
Advanced Copy - Update to Ambulatory Surgical Center (ASC) Infection Control Surveyor Worksheet (ICSW) 15-43-ASC 2015-06-26 2015
Use of Portable Reverse Osmosis (RO) Units and Block Carbon 15-44-ESRD 2015-06-26 2015
Clarification of Critical Access Hospital (CAH) Rural Status, Location and Distance Requirements 15-45-CAH 2015-06-26 2015
Publication of Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; Proposed Rule (CMS-3260-P) – Informational Only 15-46-NHs 2015-07-17 2015
Medication-Related Adverse Events in Nursing Homes 15-47-NH 2015-07-17 2015
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J, Part II - Clarifications to the Interpretive Guidance at Tag W187 for §483.430(d)(3) 15-48-ICF/IID 2015-07-17 2015
Final Rule: SNF Medicare FY 2016 Payments, Quality Reporting, Value-Based Purchasing and Staffing Data Collection Requirements – Informational Only 15-49-NH 2015-08-07 2015
Guidance to State Survey Agencies (SA) Regarding Release of Information and Data to State Medicaid Fraud Control Units (MFCU) 15-42-ALL 2015-06-19 2015
Revised Quality Indicator Survey (QIS) Training Process and Clarification of Trainer Roles and Responsibilities 15-50-NH 2015-08-28 2015
Home Health Agencies (HHAs): Change of Address – Notification of the Medicare Administrative Contractor (MAC) 15-51-HHA 2015-08-28 2015
Home Health Agency (HHA) Survey Protocol Training Item Revised 15-52-HHA 2015-09-11 2015
Revised Hospital Guidance for Pharmaceutical Services and Expanded Guidance Related to Compounding of Medications 16-01-Hospital 2015-10-30 2016
Advanced Notification: Revisions to State Operations Manual (SOM), Appendix C – Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 16-02- CLIA 2015-11-06 2016
Release of Fiscal Year (FY) 2016 End Stage Renal Disease (ESRD) Core Survey Data Worksheet 16-03-ESRD 2015-11-20 2016
Focused Dementia Care Survey Tools 16-04-NH 2015-11-27 2016
Infection Control Pilot Project 16-05-ALL 2015-12-23 2016
Medicare Learning Network (MLN) Infection Control Courses 16-06-ALL 2016-01-22 2016
FY 2015 Report to Congress (RTC): Review of Medicare’s Program Oversight of Accrediting Organizations (AOs) and the Clinical Laboratory Improvement Amendments of 1988 (CLIA) Validation Program 16-07-AO 2016-01-29 2016
Critical Access Hospital (CAH) Recertification Checklist for Evaluation of Compliance with the Location and Distance Requirements 16-08-CAH 2016-02-12 2016
Personnel Policies for Individuals Directing or Performing Non-waived Tests 16-18-CLIA 2016-04-01 2016
Certification Number (CCN) State Codes –State Operations Manual (SOM) Section 2779A Revisions 16-09-ALL 2016-03-11 2016
Advance Copy – Interpretive Guidelines for the Organ Transplant Conditions of Participation (CoPs) at 42 Code of Federal Regulations (CFR) §§ 482.68 through 482.104 16-10-Transplant 2016-03-11 2016
National Downtime of the Quality Improvement and Evaluation System (QIES) 16-12-ALL 2016-03-11 2016
Exit Conferences-Sharing Specific Regulatory References or Tags 16-11-ALL 2016-03-11 2016
Payroll-Based Journal (PBJ) - Implementation of required electronic submission of Staffing Data for Long Term Care (LTC) Facilities 16-13-NH 2016-03-18 2016
Release of 2015 Nursing Home Data Compendium 16-14-NH 2016-03-25 2016
State Operations Manual (SOM) Surveyor Guidance Revisions Related to Psychosocial Harm in Nursing Homes 16-15-NH 2016-03-25 2016
Guidance for the Deployment of the Emergency Use Approval (EUA) Zika Virus Tests 16-16-CLIA 2016-03-25 2016
Affordable Care Act Section 6103: Guidance for State Consumer Oriented Websites- Update to Survey and Certification Letter 11-41-NHs 16-17-NH 2016-03-25 2016
Computed Tomography (CT) Compliance Clarifications under Section 218(a)(1) of the Protecting Access to Medicare Act (PAMA)- Information Only 16-19-ALL 2016-04-08 2016
Policy Clarification on Acceptable Control Materials Used when Quality Control (QC) is Performed in Laboratories 16-20-CLIA 2016-04-08 2016
Updated Guidance to Surveyors on Federal Requirements for Providing Services to Justice Involved Individuals 16-21-ALL 2016-05-03 2016
Notification of Final Rule Published: Adoption of 2012 Life Safety and Health Care Facilities Code 16-22-LSC 2016-05-06 2016
Approval of The Institute for Medical Quality’s (IMQ’s) Ambulatory Surgical Center (ASC) Accreditation Program 16-23-AO/ASCs 2016-05-06 2016
Solid Transplant Programs - Outcome Thresholds - Revised Guidelines 16-24-Hospitals 2016-05-13 2016
DRAFT Long-Term Care Facility (LTCF) Resident Assessment Instrument (RAI) 3.0 User’s Manual, Version 1.14, Release 16-25-NH 2016-05-20 2016
Fiscal Year (FY) 2016 to FY 2017 Nursing Home Action Plan 16-26-NH 2016-05-20 2016
Public Release of Nursing Home Enforcement Information Announcement 16-27-NH 2016-06-03 2016
Update Report on the National Partnership to Improve Dementia Care in Nursing Homes 16-28-NH 2016-06-03 2016
Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 - Life Safety Code (LSC) and 2012 edition of the NFPA 99 - Health Care Facilities Code (HCFC) 16-29-LSC 2016-06-20 2016
Notice of Proposed Rulemaking (NPRM) for Organ Procurement Organizations (OPOs) and Transplant Centers 16-30-OPO/Transplant 2016-07-08 2016
Mandatory Immediate Imposition of Federal Remedies and Assessment Factors Used to Determine the Seriousness of Deficiencies for Nursing Homes 16-31-NH 2016-07-29 2016
Preconfigured Hemodialysis Systems- NxStage System One with Pureflow SL 16-32-ESRD 2016-07-29 2016
Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff 16-33-NH 2016-08-05 2016
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J and Exhibit 355: Removal of Website Links 16-34-ICF/IID 2016-08-12 2016
Revisions to the State Operations Manual (SOM), Appendix I 16-35-LSC 2016-08-19 2016
Extension and Expansion of the Provider Enrollment Home Health Agency (HHA) Moratoria 16-36-HHA 2016-08-26 2016
Office of Civil Rights (OCR) Clearance 16-37-ALL 2016-09-02 2016
Notification of Final Rule Published- Emergency Preparedness 16-38-ALL 2016-09-08 2016
Certification Number (CCN) State Codes –State Operations Manual (SOM) Section 2779A Revisions 16-39-ALL 2016-09-08 2016
Notice of Interim Final Rule (IFR) Adjusting Civil Monetary Penalties (CMPs) 16-40-NH/HHA/CLIA 2016-09-08 2016
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J, Part II - Clarifications to the Interpretive Guidance (IG) at Tag W154 for §483.420(d)(3) 16-41-ICF/IID 2016-09-23 2016
Notification of Final Rule Published- Reform of Requirements for Long-Term Care (LTC) Facilities 16-42-NH 2016-09-30 2016
Impact of Nursing Shortage on Hospice Care 17-01- Hospice 2016-10-21 2017
Save the Date: Training for Phase 1 Implementation of New Nursing Home Regulations 17-03-NH 2016-10-24 2017
Release of the Fiscal Year (FY) 2017 Dialysis Facility Reports (DFR) and End Stage Renal Disease (ESRD) Core Survey Materials 17-02-ESRD 2016-10-21 2017
Transplant Centers: Clinical Experience Requirements 17-04-Transplant 2016-10-28 2017
Information on the Implementation Plans for the Emergency Preparedness Regulation 17-05-ALL 2016-10-28 2017
Fiscal Year (FY) 2015 Minimum Data Set (MDS) Focused Survey Summary 17-06-NH 2016-11-04 2017
Advance Copy - Revisions to State Operations Manual (SOM), Appendix PP-Revised Regulations and Tags 17-07-NH 2016-11-09 2017
Civil Money Penalty (CMP) Reinvestment Resource Web Page 17-08-NH 2016-11-18 2017
Infection Control Pilot: 2017 Update 17-09-ALL 2016-11-18 2017
Critical Access Hospital (CAH) Appendix W Revisions 17-10-CAHs 2016-12-01 2017
Advanced Copy –Revisions to State Operations Manual (SOM), Appendix C – Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services (Clinical Laboratory Improvement Amendments (CLIA)) 17-11- CLIA 2016-12-01 2017
Long-Term Care (LTC) Regulation: Enforcement of Rule Prohibiting Use of Pre-Dispute Binding Arbitration Agreements is Suspended so Long as Court Ordered Injunction Remains in Effect 17-12-NH 2016-12-09 2017
Transplant Centers: Citation for Outcome Requirements 17-13-Transplant 2016-12-16 2017
Clarification of Automatic Fire Sprinkler System Installation Requirements in Attic Spaces in Long-Term Care (LTC) Facilities 17-14-LSC 2016-12-16 2017
Use of the Fire Safety Evaluation System (FSES), National Fire Protection Association (NFPA) 101A, Guide on Alternative Approaches to Life Safety, 2013 Edition by Health Care Occupancies and Board and Care Occupancies 17-15-LSC 2016-12-16 2017
Notice of Interim Final Rule (IFR) Third Party Payment and Information on Implementation Plan 17-16-ESRD 2016-12-16 2017
Recommendations to Providers Regarding Cyber Security 17-17-ALL 2017-01-13 2017
Delayed Implementation of End Stage Renal Disease (ESRD) Interim Final Rule with Comment (IFC) – Third Party Payment 17-18-ESRD 2017-01-13 2017
Revision to State Operations Manual (SOM) Appendix PP 17-19-NH 2017-02-17 2017
Fiscal Year (FY) 2017 Special Focus Facility (SFF) Program Update 17-20-NH 2017-03-02 2017