Survey Preparedness

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Skilled nursing centers and nursing facilities are required to follow extensive rules in the Requirements of Participation (ROP) to receive payment under the CMS Medicare or Medicaid programs. These requirements are contained in the Federal Regulations for Nursing Facilities, which also state each center must comply with all applicable Federal, State, and local laws, regulations, and codes with accepted professional standards. The AHCA regulatory team provides members with guidance and resources to help them understand the survey process and implement the requirements.  

Need help locating a specific resource? Download the AHCA Regul​a​tory Resources Guide​, which provides direct links to all available tools to help you prepare for surveys.

 SURVEY TIPS to Maintain Compliance

The AHCA regulatory team is developing survey tips to assist in maintaining compliance with skilled nursing regulations, as well as preparing for surveys. The team will review trends for citations and provide tips for staying in compliance with these regulatory areas.​​​

 

 

CMS Releases Revised Guidance for Federal Monitoring Surveyshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/CMS-Releases-Revised-Guidance-for-Federal-Monitoring-Surveys-.aspxCMS Releases Revised Guidance for Federal Monitoring Surveys1/21/2025 5:00:00 AM​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">On January 17, 2025, the Centers for Medicare and Medicaid Services (CMS) released a revised </span><a href="https://www.cms.gov/files/document/admin-info-25-06-nh.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" style="font-size:11pt;"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Admin Memo: 25-06-NH</span><span data-ccp-charstyle="Hyperlink"> </span></span></a><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">related to guidance for Federal Monitoring Surveys (FMS). According to the memo, FMS are performed each fiscal year to validate the State Survey Agency’s performance. In the Fiscal Year (FY) 2025 FMS memo, CMS notes FMS will only consist of Resource and Support Surveys (FSS) and Health Comparatives. CMS will not conduct any Focused Concern Surveys (FCS) in FY 2025. In addition, CMS reports RSS will be conducted throughout the year. Previously, they were conducted in the first six months of the year. </span><span data-ccp-props="{}" style="font-size:11pt;"> </span><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">CMS also notes that a Health Comparative survey may now follow a standard or complaint survey. Previously they only followed standard surveys. These surveys should be conducted within 60 calendar days of the State Agency’s survey exit.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">CMS did add a type of Emergency Preparedness (EP) and Life Safety Code (LSC) FMS. Previously there were four types, and now there are five. The types of EP/LSC FMS include the following:</span><span data-ccp-props="{}"> </span></div><div><ol role="list" start="1"><li data-leveltext="%1." data-listid="1" data-list-defn-props="{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">An EP/LSC Resource and Support Survey</span><span data-ccp-props="{}"> </span></li></ol></div><div><ol role="list" start="2"><li data-leveltext="%1." data-listid="1" data-list-defn-props="{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">An EP/LSC Comparative</span><span data-ccp-props="{}"> </span></li></ol></div><div><ol role="list" start="3"><li data-leveltext="%1." data-listid="1" data-list-defn-props="{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">An EP/LSC Revisit Resource and Support Survey</span><span data-ccp-props="{}"> </span></li></ol></div><div><ol role="list" start="4"><li data-leveltext="%1." data-listid="1" data-list-defn-props="{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="4" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">An EP/LSC Revisit Comparative</span><span data-ccp-props="{}"> </span></li></ol></div><div><ol role="list" start="5"><li data-leveltext="%1." data-listid="1" data-list-defn-props="{"335552541":0,"335559685":720,"335559991":360,"469769242":[65533,0],"469777803":"left","469777804":"%1.","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="5" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">NEW: An EP/LSC Desk Audit</span><span data-ccp-props="{}"> </span></li></ol></div><div><span data-contrast="auto" lang="EN-US">CMS Reports that the new type of survey, the EP/LSC Desk Audit, is a desk review conducted by a Federal Surveyor after the State Agency has conducted the facility’s recertification survey. The purpose is to monitor the State Agency’s performance.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Please send any questions to </span><a href="mailto:regulatory@ahca.org" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">regulatory@ahca.org</span></span></a><span data-contrast="auto" lang="EN-US">.</span><span data-ccp-props="{}"> </span></div>CMS released a revised Admin Memo: 25-06-NH related to guidance for Federal Monitoring Surveys
New Resource Available Related to Revised LTC Survey Guidancehttps://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Resource-Available-Related-to-Revised-LTC-Survey-Guidance  -.aspxNew Resource Available Related to Revised LTC Survey Guidance1/21/2025 5:00:00 AM​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">On November 18, 2024, the Centers for Medicare and Medicaid Services (CMS) released </span><a href="https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos/policy-memos-states-and-cms-locations/revised-revised-long-term-care-ltc-surveyor-guidance-significant-revisions-enhance-quality-and" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" style="font-size:11pt;"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process</span></span></a><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">.</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;"> The memo included significant changes to guidance in Appendix PP related to several regulatory areas.</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;"> The memo was updated January 16, 2025, to include additional updates to guidance. The changes will be effective and surveyors will begin surveying based on the revised guidance, on </span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">March 24, 2025</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">.</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">  </span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;"> Note: The effective date was delayed from the original memo.</span><span data-ccp-props="{}" style="font-size:11pt;"> </span><div><br><div><span data-contrast="auto" lang="EN-US">Over the next several weeks, AHCA will release Action Briefings related to the guidance updates. A new action briefing regarding </span><a href="/Survey-Regulatory-Legal/MemberOnlyDocs/F-tag%20Action%20Tool_F697%20Pain%20Management.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Pain Management</span></span></a><span data-contrast="auto" lang="EN-US"> has been posted to the </span><a href="/Survey-Regulatory-Legal/Pages/Survey-Preparedness.aspx" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">AHCA Survey Regulatory</span></span></a><span data-contrast="auto" lang="EN-US"> page for review. The action brief includes an outline of significant changes made and action items facilities may take to achieve compliance in these areas. </span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Please email </span><a href="mailto:regulatory@ahca.org" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">regulatory@ahca.org</span></span></a><span data-contrast="auto" lang="EN-US"> with questions.</span><span data-contrast="auto" lang="EN-US"> </span><span data-contrast="auto" lang="EN-US"> </span><span data-ccp-props="{}"> </span></div></div>CMS released Revised LTC Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process.
New Resources Available Related to Revised LTC Survey Guidancehttps://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Resources-Available-Related-to-Revised-LTC-Survey-Guidance-Update.aspxNew Resources Available Related to Revised LTC Survey Guidance1/14/2025 5:00:00 AM​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">On November 18, 2024, the Centers for Medicare and Medicaid Services (CMS) released </span><a href="https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos-states/revised-long-term-care-ltc-surveyor-guidance-significant-revisions-enhance-quality-and-oversight-ltc" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" style="font-size:11pt;"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process</span></span></a><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">.</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​</span><span data-contrast="auto" lang="EN-US" style="font-size:11pt;"> </span><span data-ccp-props="{}" style="font-size:11pt;"> </span><div><br><div><span data-contrast="auto" lang="EN-US">The memo included significant changes to guidance in Appendix PP related to the updated regulatory areas.</span><span data-contrast="auto" lang="EN-US">​</span><span data-contrast="auto" lang="EN-US"> The changes will take effect, and surveyors will begin using the revised guidance, on February 24, 2025.</span><span data-contrast="auto" lang="EN-US">  </span><span data-contrast="auto" lang="EN-US"> </span></div><div><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">Over the next several weeks, AHCA will release Action Briefings related to the guidance updates. Two new action briefings have been posted to the</span><a href="/Survey-Regulatory-Legal/Pages/default.aspx" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink"> </span></span></a><span data-contrast="auto" lang="EN-US"></span><a href="/Survey-Regulatory-Legal/Pages/Survey-Preparedness.aspx" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">AHCA Survey Regulatory page</span></span></a><span data-contrast="auto" lang="EN-US"> for review regarding </span><a href="/Survey-Regulatory-Legal/MemberOnlyDocs/F-tag%20Action%20Tool_F658.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Professional Standards</span></span></a><span data-contrast="auto" lang="EN-US"> and the </span><a href="/Survey-Regulatory-Legal/MemberOnlyDocs/F-tag%20Action%20Tool_F841.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Medical Director</span><span data-ccp-charstyle="Hyperlink">.</span></span></a><span data-contrast="auto" lang="EN-US">  Each briefing includes an outlineof significant changes made, along with action items facilities may take to achieve compliance in these areas. </span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Please email </span><a href="mailto:regulatory@ahca.org" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">regulatory@ahca.org</span></span></a><span data-contrast="auto" lang="EN-US"> with any questions.</span><span data-contrast="auto" lang="EN-US"> </span></div></div>CMS released Revised Long-Term Care LTC Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process.​
Now Online: MDS 3.0 Assessment Deletion Requestion Forms Available in iQIEShttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Now-Online-MDS-3-0-Assessment-Deletion-Requestion-Forms-Available-in-iQIES-.aspxNow Online: MDS 3.0 Assessment Deletion Requestion Forms Available in iQIES1/14/2025 5:00:00 AM<div><div><span data-contrast="auto" lang="EN-US">The MDS 3.0 Manual Individual Correction/Deletion Request form is required under certain situations when a modification or inactivation is not appropriate. Previously, this was a manual process that required facilities to complete a paper form and send it via certified mail to the State Agency.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}">​<br></span></div><div><span data-contrast="auto" lang="EN-US">This form is required to correct the following MDS error types:</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Unit Certification or Licensure Designation (Item A0410) </span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">State-assigned facility submission ID (FAC_ID) or State Code (STATE_CD)  </span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Test record submitted as a production record  </span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="4" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">​</span><span data-contrast="auto" lang="EN-US">Record submitted that was not for OBRA or Medicare Part A purposes (e.g., a 5-day PPS MDS is submitted for a managed care resident) in certain situations (see Chapter 5, Section 5.8 of the RAI Manual v1.19.1)</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US"> This process now may be completed within iQIES online by persons with the following iQIES user roles:</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Provider Security Official</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Assessment Submitter</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Provider Administrator</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="4" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Assessment Coordinator</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="5" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Assessment Viewer</span><span data-ccp-props="{}"> </span></li></ul></div></div><div><span data-contrast="auto" lang="EN-US">Additional documentation from CMS will be released in the near future. We will monitor and provide an update when this occurs. </span></div><div><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">If you have any questions or concerns, please contact the iQIES Service Center by email at </span><a href="mailto:iqies@cms.hhs.gov" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">iqies@cms.hhs.gov</span></span></a><span data-contrast="auto" lang="EN-US"> or by phone at (800) 339-9313. Or to create a new ticket online, track an existing ticket, or recover your HARP password account, please use the </span><a href="https://links-2.govdelivery.com/CL0/https://cmsqualitysupport.servicenowservices.com/ccsq_support_central/1/0101019446d7bbba-1e6f6285-60f0-4b47-87dc-d341c71d5082-000000/lnwXJaKU0OV_it7x5k9X-Aq3j-zDJp662LXi7bgoUVA=387" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">CCSQ Support Central: Self-Service Portal</span></span></a><span data-contrast="auto" lang="EN-US">. </span><span data-ccp-props="{}"> </span></div>Now Online: MDS 3.0 Assessment Deletion Requestion Forms Available in iQIES

 ‭(Hidden)‬ Toolkit

HealthCap Risk Manageme​​nt Services has released the 2022 Elopement ​Prevention & Management Toolkit.

 Focus F-Tags: Guidance

On November 18, 2024, the Centers for Medicare and Medicaid Services (CMS) released Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process.​ The memo included significant changes to guidance in Appendix PP related to the updated regulatory areas.​ The changes will be effective, and surveyors will begin surveying based on the revised guidance, on February 24, 2025.  ​

Please refer to Appendix PP Gu​​idance to Surveyor for Long Ter​m Care Facilities​​​ for the most up to date regulations and guidance.​​ ​

 F-Tag Action Briefs & Much More on ROP

Additional resources and tools to help you navigate the ROP are available on ahcancalED, including F-Tag Action Briefs, which complement the sum​m​a​ries above and highlight implementation strategies and tips​.  

 ‭(Hidden)‬ Blue Quick Links ‭[1]‬

 ‭(Hidden)‬ Blue Quick Links ‭[2]‬

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Phase 3 Interpretive Guidance – Delayed

Phase 3 of the Requirements of Participation (RoP) went into effect on November 28, 2019. However, as the Centers for Medicare & Medicaid Services (CMS) announced in a memo (QSO-20-03-NH) released on November 22, 2019, CMS will not be releasing the interpretive guidance (IG) for Phase 3 until the second ​quarter of 2020.  Read More>>​