CMS Issues Advanced Copy of Interpretive Guidance for New SNF Requirements for Participation

July 7, 2017

On June 30, 2017, the Centers for Medicare & Medicaid Services issues a Survey and Certification (S&C) memo outlining changes to the Interpretive Guidance of the revised Requirements for Participation (located in Appendix PP of the State Operation Manual). The memo includes:

  • Revised Interpretive Guidance: In September 2016, CMS released revised Requirements for Participation under the Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities rule. CMS is releasing revised Interpretive Guidance to be effective November 28, 2017.
  • Revised F Tags: The revisions to the regulations caused many of the prior regulatory citations to be re-designated. As such, CMS was required to re-number the F-Tags used to identify each regulatory part.
  • Training Resources: CMS is providing several training resources on our website and on an MLN Connect call on July 25, 2017 from 1:30 to 3:00pm EST.
  • Enforcement and Nursing Home Compare Considerations: To address concerns related to the scope and timing of the changes, CMS will be providing limited enforcement remedies for certain Phase 2 provisions and will be holding constant the Nursing Home Compare health inspection rating for one year.

To access the full advanced copy of changes to the Appendix PP of the State Operation Manual, click here.

CMS has also posted a number of helpful documents including a crosswalk the renumbered F-Tags available here.

The Society is currently working to update its popular Synopsis of Federal Regulations in the Nursing Facility. We expect that it will once again be available with updated information by the end of the Summer.