Transmittals

Revisions to SOM chapters and appendices contained here keep healthcare professionals informed of the most up-to-date changes to the survey process, certification, interpretive guidelines, special procedures, investigative protocols and more.

 
 Date PostedPublication
12/28/2017 Transmittal #176 - Revisions to State Operations Manual Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 
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12/8/2017 Transmittal #174 - Revisions to the State Operations Manual (SOM) Appendix P 
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11/22/2017 Transmittal #173 - Revisions to State Operation Manual, Appendix PP Guidance to Surveyors for Long Term Care Facilities 
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11/20/2017 Transmittal #172 - Revision to State Operations Manual Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 
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9/8/2017 Transmittal #170 - Rescinded, Replaced with Transmittal #172 
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6/30/2017 Transmittal #169 Advance Copy - Revision to Appendix PP for Phase 2, F-Tag Revisions 
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6/8/2017 Transmittal #169 - New to State Operations Manual - Appendix Z, Emergency Preparedness for All Provider and Certified Supplier Types 
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3/8/2017 Transmittal #168 - Revision to State Operations Manual (SOM) Appendix PP - Incorporate Revised Requirements of Participation for Medicare and Medicaid Certified Nursing Facilities.  
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2/9/2017 Transmittal #167 - Revision to State Operations Manual Appendix PP - Incorporate Revised Requirements of Participation for Medicare and Medicaid Certified Nursing Facilities 
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2/3/2017 Transmittal #166 - Revisions to State Operations Manual, Appendix C - Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 
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11/4/2016 Transmittal #164 - Revisions to the State Operations Manual (SOM) Chapter 2 
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9/30/2016 Transmittal #161 - Revisions to State Operations Manual (SOM) Chapter 7 
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9/26/2016 Transmittal #160 - Rescinded (See Transmittal #161) 
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9/9/2016 Transmittal #159 - Revisions to the State Operations Manual, Appendix I - Survey Procedures for Life Safety Code Surveys 
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6/10/2016 Transmittal #157 - Revisions to the State Operations Manual (SOM) - Appendix PP - Guidance to Surveyors for Long Term Care Facilities 
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6/10/2016 Transmittal #156 - Revisions to the State Operations Manual (SOM) - Appendix P - Survey Protocol for Long Term Care Facilities 
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6/10/2016 Transmittal #155 - Revisions to the State Operations Manual (SOM) - Chapter 5 
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6/10/2016 Transmittal #154 - Revisions to the State Operations Manual (SOM) - Chapter 2 
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3/28/2016 Transmittal #153 - Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits 
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3/28/2016 Transmittal #152 - Revisions to the State Operations Manual (SOM) Chapter 2 
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11/24/2015 Transmittal #151 - Revisions to State Operations Manual (SOM), Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 
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11/2/2015 Transmittal #150 - Revisions to State Operations Manual (SOM), Chapter 2, Clarification of Requirements for Off-Premises Activities and Approval of Extension Locations for Providers of Outpatient Physical and Speech-Language Pathology Services 
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10/13/2015 Transmittal #149 - State Operations Manual (SOM) for All Types of Providers and Suppliers Subject to Certification 
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10/13/2015 Transmittal #148 - Revisions and Deletion to the State Operations Manual (SOM) Chapter 9 Exhibits 
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10/8/2015 Transmittal #147 - Revisions to State Operation Manual (SOM), Appendix C - Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 
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9/8/2015 Transmittal #146 - State Operations Manual, Section 2185 - Home Health Agencies, Change of Address to MAC Within 90 Days 
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8/21/2015 Transmittal #145 - Revisions to Medicare State Operations Manual (SOM), Chapter 9 - Exhibits 
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8/4/2015 Transmittal #143 - Revisions to State Operations Manual Chapter 2, The Certification Process and Appendix W, Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals and Swing-Beds in CAHs 
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7/28/2015 Transmittal #142 - Revision to State Operations Manual (SOM): Chapter 9, Exhibit 351  
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7/21/2015 Transmittal #141 - Revisions to the State Operations Manual, Appendix A - Survey Protocol, Regulations and Interpretive Guidance for Hospitals 
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6/3/2015 Transmittal #140 - Revisions to Appendix C - Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 
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4/29/2015 Transmittal #139 - Revisions to the Medicare State Operations Manual (SOM), Chapter 2, Rural Health Clinic Certification 
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4/1/2015 Transmittal #137 - Revisions to State Operations Manual (SOM) Appendices A, G, L, and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers, and Swing Beds 
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3/30/2015 Transmittal #136 - Revisions to State Operations Manual (SOM) Appendices A, G, L, and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers, and Swing Beds 
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2/23/2015 Transmittal #134 - Revisions to State Operations Manual Exhibit 138 EMTALA Physician Review Worksheet 
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2/11/2015 Transmittal #133 - Revisions to the State Operations Manual (SOM) - Appendix PP - Guidance to Surveyors for Long-Term Care Facilities 
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1/19/2015 Transmittal #132 - New Additions to State Operations Manual, Psychiatric Residential Treatment Facilities, Chapter 2 
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1/19/2015 Transmittal #131 - New to State Operations Manual, Appendix N - Psychiatric Residential Treatment Facilities Interpretive Guidance 
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12/12/2014 Transmittal #130 - Revisions to State Operations Manual (SOM), Appendix PP - "Guidance to Surveyors for LTC Facilities" 
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11/28/2014 Transmittal #127 - Revisions to State Operations Manual, Appendix PP 
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11/24/2014 Transmittal #126 Revisions to State Operations Manual (SOM), Chapter 4 - "Program Administration and Fiscal Management" 
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11/3/2014 Transmittal #125 - Revision to State Operations Manual (SOM) 
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10/3/2014 Transmittal #123 - Revisions to State Operations Manual (SOM) Chapters 1, 2 and 3 
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9/26/2014 Transmittal #122 - Revisions to State Operations Manual (SOM), Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 
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9/19/2014 Transmittal #121 - Update to State Operations Manual (SOM), Chapter 3, to Provide Language-Only Changes for Updating ICD-10 
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9/19/2014 Transmittal #120 - Revisions to State Operations Manual (SOM) Chapter 5 
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8/12/2014 Transmittal #119 - Rehabilitation Agencies - Fire Alarm Systems 
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6/13/2014 Transmittal #118 - New Guidance Added to Chapter 7 - Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities (Replaces Transmittal #113) 
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6/9/2014 Transmittal #117 - Revision to Medicare State Operations Manual (SOM), Chapter 9 - Exhibits 
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6/9/2014 Transmittal #116 - Revised State Operations Manual (SOM), Appendix A, Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 
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4/28/2014 Transmittal #114 - New to State Operations Manual (SOM) Chapter 10 - Survey and Enforcement Process for Home Health Agencies 
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4/28/2014 Transmittal #113 - New Guidance Added to Chapter 7 - Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities (Rescinded and Replaced by Transmittal #118) 
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4/21/2014 Transmittal #112 - State Operations Manual (SOM) Chapter 3 Policy Revisions For Organ Procurement Organizations (OPOs) 
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4/21/2014 Transmittal #111 - State Operations Manual (SOM) Chapter 2 Policy Revisions For Organ Procurement Organizations (OPOs) 
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4/21/2014 Transmittal #110 - State Operations Manual (SOM) Appendix W Revisions For Intermediate Care Facilities For Individual Disabilities (ICF/IID) 
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4/21/2014 Transmittal #109 - State Operations Manual (SOM) Appendix T Revisions For Intermediate Care Facilities For Individuals With Intellectual Disabilities (ICF/IID) 
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4/21/2014 Transmittal #108 - State Operations Manual (SOM) Exhibit 185 Revisions For Intermediate Care Facilities For Individuals With Intellectual Disabilities (ICD/IID) 
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4/14/2014 Transmittal #107 - State Operations Manual Appendix PP LTCF Revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 
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4/14/2014 Transmittal #106 - State Operations Manual Appendix P Revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 
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3/31/2014 Transmittal #105 - Revised Appendix A, Interpretive Guidelines for Hospitals, Condition of Participation: Quality Assessment and Performance Improvement 
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3/10/2014 Transmittal #104 - State Operations Manual Appendix M Revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities 
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2/26/2014 Transmittal #103 - Revised State Operations Manual (SOM) Hospital Appendix A 
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2/17/2014 Transmittal #102 - State Operations Manual (SOM) Appendix Q Revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 
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2/17/2014 Transmittal #101 - State Operations Manual (SOM) Appendix I Revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 
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2/3/2014 Transmittal #99 - Revised State Operations Manual Appendices A, I, L, and W  
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