SOM - Chapter 3

State Operations Manual: Chapter 3 - Additional Program Activities

 
 Date PostedPublication
10/28/2014 §3000 - Adverse Actions - General 
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7/15/2009 §3001 - Initial Denials Medicare Provider/Supplier Requests 
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10/28/2014 §3005 - Basis for Terminating Provider Participation 
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12/16/2013 §3006 - Denial of Payments in Lieu of Termination of ICFs/IID 
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10/28/2014 §3008 - Services After Termination 
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10/28/2014 §3010 - Termination Procedures - Immediate Jeopardy to Patient Health & Safety (Medicare) 
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10/28/2014 §3012 - Termination Procedures - Substantial Noncompliance; No Immediate Jeopardy (Medicare) 
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10/28/2014 §3014 - RO Termination Action Based on Onsite Survey of Medicare Provider or Supplier (Excluding SNFs) Conducted by RO Staff 
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7/15/2009 §3016 - Intervening Actions That Don't Postpone or Delay Term Timetable 
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7/15/2009 §3018 - Termination - SA Documentation Requirements 
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7/15/2009 §3020 - Additional SA Communications With Providers/Suppliers 
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7/15/2009 §3022 - Notice of Termination (Medicare) 
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12/16/2013 §3024 - RO Termination Processing Sequence 
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10/28/2014 §3026 - Significance Documentary Evidence in Determining Noncompliance 
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7/15/2009 §3028 - Documentation Guide List 
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7/15/2009 §3030 - Provider Agreement Terminations 
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7/15/2009 §3032 - Termination for Violations of §§1866(a)(1)(E), (F), (G), & (H) 
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7/15/2009 §3034 - Public Notice - Involuntary Termination 
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7/15/2009 §3036 - Billing for Public Notice of Termination or Withdrawal 
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7/15/2009 §3038 - Rescinding or Postponing Effective Date of Termination 
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12/16/2013 §3040 - Terminating Medicaid ICF/IID Eligibility 
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7/15/2009 §3042 - Disallowance of FFP to State 
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7/15/2009 §3044 - Terminating Approval for Suppliers 
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7/15/2009 §3046 - Voluntary Terminations 
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7/15/2009 §3047 - Notice to Intermediary or Carrier - Voluntary Termination 
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7/15/2009 §3048 - Notice to Provider or Supplier - Voluntary Termination 
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7/15/2009 §3049 - Completing Certfication and Transmittal 
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7/15/2009 §3050 - Initial Determinations Vs Administrative Actions 
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7/15/2009 §3052 - Nature of Reconsideration Determination - SA Procedures 
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7/15/2009 §3054 - Reconsideration - RO Procedures - Excluding SNFs/NFs 
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12/16/2013 §3058 - Hearing on §1910(b) Cancellation of Medicaid Eligibility 
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12/16/2013 §3060 - Appeals of Adverse Actions for Medicaid Non-State Operated NFs and ICFs/IID 
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7/15/2009 §3100 - Hospitals and Hospital Units Excluded From PPS 
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10/28/2014 §3102 - General Information on IPPS Exclusion 
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7/15/2009 §3104 - Criteria for PPS-Excluded Hospitals 
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7/15/2009 §3106 - Criteria for Psychiatric and Rehabilitation Units 
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7/15/2009 §3108 - SA First-Time Verification Procedures for Hospitals and Units 
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7/15/2009 §3110 - SA Reverification of PPS-Excluded Hospitals and Units 
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7/15/2009 §3112 - RO Procedures for Exclusion from PPS for Hospitals and Units 
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7/15/2009 §3200 - Action Based on Changes in Provider 
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7/15/2009 §3202 - Change in Size or Location of Participating SNF/NF 
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7/15/2009 §3206 - Existing ESRD Facility Relocation, Expanision, or Addition 
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7/15/2009 §3210 - CHOW of Providers and Suppliers 
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7/15/2009 §3220 - Certifications of Additional Services 
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7/15/2009 §3222 - Specific Requirements for Expansion of Services 
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7/15/2009 §3224 - Addition of Sites to an Existing Provider 
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10/28/2014 §3240 - Validation Surveys - General  
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10/28/2014 §3241 - Objective of Validation Surveys 
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10/28/2014 §3242 - Representative Sample Validation Surveys of Deemed Providers/Suppliers 
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10/28/2014 §3243 - Substantial Allegation Validation Surveys of Deemed Providers/Suppliers 
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10/28/2014 §3244 - SA Preparation for Validation Survey 
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10/28/2014 §3246 - Provider/Supplier Authorization for Validation Survey 
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10/28/2014 §3248 - Provider/Supplier Refusal to Permit Validation Survey 
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10/28/2014 §3252 - SA Forwarding Sample Validation Records to RO 
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10/28/2014 §3254 - RO Actions Following Validation Survey 
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10/28/2014 §3256 - RO Provision of Information to Accreditation Organizations 
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10/28/2014 §3257 - Reinstatement to Accreditation Organization Jurisdiction 
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10/28/2014 §3258 - Termination or Other Adverse Accreditation Action for a Deemed Provider or Supplier 
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7/15/2009 §3300 - Confidentiality and Disclosure of Records - Citations and Applicability 
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7/15/2009 §3302 - Federal Freedom of Information Act (FOIA) 
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7/15/2009 §3304 - Multi-Program Information in SA Files 
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7/15/2009 §3305 - Sharing State Licensure Information With Medicare Contractors 
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7/15/2009 §3308 - Information That May Be Disclosed to Public 
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7/15/2009 §3310 - Requests for Information About Nonparticipating Institutions 
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7/15/2009 §3312 - Charges for Information 
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7/15/2009 §3314 - Time Periods for Disclosure Other Than Nursing Homes 
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7/15/2009 §3316 - Information Furnished to Original Source 
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7/15/2009 §3318 - Disclosure of Information To and From Operating Components 
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7/15/2009 §3319 - Monthly Quality Indicator Comparison Reports Policy 
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7/15/2009 §3320 - Necessary Preclearance With RO Before Releasing Confidential Info 
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7/15/2009 §3330 - HHA Toll-Free Hotline and Investigative Unit 
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7/15/2009 §3350 - Subpoena for Program Records 
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7/15/2009 §3352 - Forthwith Subpoena 
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7/15/2009 §3354 - Subpoena for SA Licensure Records 
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7/15/2009 §3356 - Suit Against SA 
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