The Quality, Safety & Oversight Group (QSOG) and Survey & Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2023 MPD reflects this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality, and reduce burden. The MPD structure includes three sections: (1) new program updates since the issuance of the previous FY MPD; (2) standing information that we do not anticipate changing throughout the year; and (3) listing of the priority tier structure for survey & certification activities by provider and supplier type. FY 2023 MPD updates include: • A new section titled Funding and S&C Program Requirements to reflect theimplications of a flatlined budget on the prioritization of Survey Agency (SA) activities. • Information on support for states that have overdue re-certification surveys and pending complaints. • Updates to the hospice program based on the Consolidated Appropriations Act (CAA),2021. • Several actions for long-term care facilities that were postponed due to the COVID-19public health emergency (PHE). • Update on OASIS Education Coordinators (OEC) and OASIS Automation Coordinators(OAC). As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis.