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CMS Releases State Operating Manual (Appendix PP)

Published on Jul 05, 2017

On Friday, June 30th, CMS released information including the revised interpretive guidelines and the revised F-tags.
A memorandum summary includes:

Revised Interpretive Guidance: In September 2016, the Centers for Medicare & Medicaid Services (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. Those new F-Tags are described here.

Training Resources: CMS is providing several training resources on their website and on an MLN Connect call on July 25, 2017 from 1:30 to 3:00pm EST. Visit or call  877-267-2323 for more information.

• 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.

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

For more information regarding the CMS LTC Requirements click HERE.

For questions or comments regarding the CMS release, contact ANFP Professional Development Services at 800-323-1908 or