Tools & Resources

Centers for Medicare & Medicaid Services (CMS) Finalizes New LTC Regulations

On September 28, the Centers for Medicare & Medicaid Services (CMS) issued its final regulations of Part 483 to Title 42 of the Code of Federal Regulations, the Requirements for States and Long-Term Care Facilities. Why is this important and how does it impact CDM, CFPPs? Read below to learn more!

What are the CMS LTC Regulations?

The Centers for Medicare and Medicaid Services (CMS) is the federal agency that is responsible for administering requirements governing long term care. In October, 2016, CMS released a comprehensive update of regulations to reflect advances in theory and practice of service, delivery and safety for LTC residents. 

Why is this important for CDM, CFPPs?

In Section §483.60 Food and Nutrition Services, the following highlights are notable:

  • The CDM, CFPP is now listed as the primary qualification for Director of Food and Nutrition Services in the absence of a full-time dietitian.
  • A representative from the Food and Nutrition Services department must be included on the Interdisciplinary Team (IDT). The CDM, CFPP is the only credential listed in addition to the Registered Dietitian that is qualified to participate as defined by scopes of practice. Read the Scope of Practice.
  • While CMS lists the CDM, CFPP credential as the primary qualification for Director of Food and Nutrition Services, the requirements also acknowledge state requirements for staffing qualifications. Currently, 18 states require the CDM, CFPP to serve as Director of FNS. View the list of states.


CMS Releases State Operating Manual (Appendix PP)

On Friday, June 30th, CMS released information including the revised interpretative guidelines and the revised F-tags. 

Also released was the advance copy of the revisions to the F-tags and the Interpretive Guidance in Appendix PP.

CMS also posted two additional documents that are important to CDM, CFPPs.

Updated List: Federal Regulatory Groups for Long Term Care Facilities (click HERE to view)
Phase 2 Tag Crosswalk – Click HERE to see which F Tag changes are relevant to CDM, CFPPS
    For the full list of F Tag changes, click HERE

Collecting Facts

These tools will provide you with the current states that recognize the CDM, CFPP credential, a map of each state's LTC statistics and ANFP member count, direct links to the House Calendar in the current session, and assistance with locating your members of Congress.

States Recognizing the Credential

The Credential at a Glance

House Calendar - 115th Session

Find Your Representative

Find Your Governor


Making Your Case

These tools will provide you with an effective checklist on message development, meetings, phone calls, how to follow up with your Congressmen's office, mistakes to avoid when requesting a meeting, and much more!

Effective Advocacy Checklist

7 Mistakes to Avoid when Requesting a Meeting

Why Legislation is Needed

Meeting Your Legislator

Top Ten Things Congressional Staff Hate to Hear

Visiting Legislators in Their Home District

Get Involved

The Role of the CDM

Don't Raise an Issue! Tell a Story!

Kellie Alexander, CDM, CFPP