What are the CMS LTC Regulations?

The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for administering requirements governing long-term care facilities. In October 2016, CMS released a comprehensive update of the regulations to reflect advances in theory and practice of service, delivery, and safety for LTC residents, including a section newly defined as Food and Nutrition Services.

This CMS Final Rule specifies a staggered, three-phased implementation process for the regulatory provisions:

CMS Regulations Timeline


On July 16, 2019, CMS posted a document of PROPOSED changes to the Long-Term Care CoP's Conditions of Participation/Medicare and Medicaid Programs Requirements for Long-Term Care Facilities.

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If you have any questions regarding the CMS regulations, please send them to

ACE Regulations Meet Up Documents