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Division of Quality Assurance: Notifications & Updates |
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Attn: Nursing Home Providers
IMPORTANT NEW INFORMATION: CMS Issues Memo: QSO-22-19-NH – Revised Long-Term Care Surveyor Guidance
On June 29, 2022, CMS issued QSO-22-19-NH (PDF) Revisions to Surveyor Guidance for Phases 2 & 3, Arbitration Agreement Requirements, Investigating Complaints & Facility Reported Incidents, and the Psychosocial Outcome Severity Guide
Memorandum Summary
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Revised Surveyor Guidance: CMS is releasing the following guidance and associated training for nursing home surveyors:
- Phase 2 and 3 Requirements: Clarifications and technical corrections of Phase 2 guidance issued in 2017, and new guidance for Phase 3 requirements which went into effect in November 28, 2019.
- Arbitration Requirements: Guidance on the new requirements which became effective September 16, 2019.
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Effective Date: Surveyors will begin using this guidance to identify noncompliance on October 24, 2022. This will allow for ample time for surveyors and facilities to be trained on this new information.
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Training Resources: Training on guidance for surveyors and providers will be available upon release of this memorandum.
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Complaint and Facility Reported Incidents (FRIs): CMS revised the guidance in Chapter 5 and related exhibits of the State Operations Manual (SOM) to strengthen the oversight of nursing home complaints and FRIs. CMS also revised its guidance for all Medicare-certified provider/supplier types to improve consistency across the State agencies in their communication to complainants.
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Psychosocial Outcome Severity Guide: CMS revised guidance to clarify the reasonable person concept and examples across the different severity levels.
Contact:
For survey process questions, contact CMS at NHSurveyDevelopment@cms.hhs.gov.
For questions on regulations and interpretive guidance, contact CMS at DNH_TriageTeam@cms.hhs.gov.
Previously issued memos:
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