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
3/6/2019 Transmittal #187 - Revision to the State Operations Manual (SOM 100-07), Appendix Q 
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3/5/2019 Transmittal #186 - Revisions to State Operations Manual (SOM) Appendix Z, Emergency Preparedness for All Provider and Certified Supplier Types 
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11/16/2018 Transmittal #185 - Revisions to the State Operations Manual (SOM) Chapter 7 
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10/18/2018 Transmittal #184 - Revisions to State Operations Manual, Chapter 2, Certification Process 
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10/12/2018 Transmittal #183 - Revisions to State Operations Manual Table of Contents, Appendix A, Appendix T, and Appendix W 
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9/28/2018 Transmittal #182 - Revisions to State Operation Manual, Appendix B - Guidance to Surveyors for Home Health Agencies 
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9/21/2018 Transmittal #181 - Revisions to State Operations Manual, Chapter 2, Certification Process (Rescinded and replaced with Transmittal #184) 
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7/5/2018 Transmittal #179 - Revisions to the State Operations Manual Chapter Two for Organ Procurement Organizations 
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4/12/2018 Transmittal #178 - Revisions to State Operations Manual (SOM) Appendix J, Part I - Survey Protocol for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 
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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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