The CMS Survey and Certification Letter: Advance Copy – Revisions to State Operations Manual (SOM), Appendix PP – Revised Regulations and Tags is available for view.
- The Advanced Copy of Appendix PP has been updated to include all of the revised regulatory requirements that were released in the final rule. However, only Phase 1 regulatory text is effective in this version of Appendix PP.
- CMS has included Phase 2 and Phase 3 language, but has distinguished these provisions within Appendix PP, listing their effective dates. The deferral of Phase 2 and Phase 3 regulations notwithstanding, this version of Appendix PP is effective 11/28/16 and must be used for surveys occurring on and after 11/28/16. The current F-Tags have been revised to include the requirements and regulation text as presented in the final rule.
- CMS will be issuing a subsequent version of Appendix PP with updated Interpretive Guidance and a re-ordering of F-Tags at a future date. Interpretive Guidance has not been updated. Interpretive guidance will be revised at a later date.
In addition to the advance copy of Appendix PP, there are two other documents attached to this S and C Letter, to be used to for familiarity with the revisions made to the current F-Tags.
Please also note before printing that the full document is 821 pages.