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<generator>Centers for Medicare and Medicaid Services</generator><item><title>Revised: Guidance for Federal Monitoring Surveys (FMS) </title><pubDate>Wed, 15 Jan 2025 21:08:21 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-guidance-federal-monitoring-surveys-fms-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-guidance-federal-monitoring-surveys-fms-0</guid><description><![CDATA[<p>fiscal_year: 2025</p><p>memo_number: Admin Info: 25-06-NH </p><p>posting_date: Fri, 17 Jan 2025 16:00:00 -0500</p><p>summary: Memorandum Summary
• Guidance on Conducting Federal Monitoring Surveys (FMS) – FY2025 Guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS).
• EP/LSC and Health FMS Mandates and Focus Concerns
– Communicates FY2025 mandates of statutorily required number of Long-Term Care FMS for Health and Life Safety Code (LSC)/ Emergency Preparedness.</p><p>title: Revised: Guidance for Federal Monitoring Surveys (FMS) </p>]]></description></item><item><title>Fiscal Year (FY) 2025 Mission &#x26; Priorities document (MPD) – Action </title><pubDate>Mon, 13 Jan 2025 10:51:39 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-mission-priorities-document-mpd-action</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-mission-priorities-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2025</p><p>memo_number: Admin Info: 25-05-All</p><p>posting_date: Mon, 13 Jan 2025 16:00:00 -0500</p><p>summary: Memorandum Summary
The Quality, Safety &#x26; Oversight Group (QSOG) and Survey &#x26; Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2025 MPD reflects this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, and improve quality of care.
The MPD structure includes three sections: (1) new program updates since the issuance of the previous FY MPD; (2) standing information that we do not anticipate changing throughout the year; and (3) listing of the priority tier structure for survey &#x26; certification activities by provider and supplier type.
FY 2025 MPD updates include:
• Information on the Hospice Special Focus Program criteria;
• Revisions to Surveyor Guidance for Home Health Agencies (HHAs);
• Revised Facility Assessment guidance;
• New guidance on the use of Enhanced Barrier Precautions in LTC;
• Updates to Appendix PP/LTC Surveyor Guidance;
• New Surveyor Skills Review assessments for FY 2025;
• Announcement regarding the testing of a risk-based survey process for LTC;
• Revised guidance for ESRD facilities;
• Updates to the Transplant programs and survey process;
• New requirements for CMHCs based on the release of the Hospital Outpatient Perspective Payment System final rule (CMS-17860FC);
• New attestation requirements for PRTFs;
• Revised guidance regarding REH enrollment and conversion and updated FAQs; and
• Updates to the certification transition process
</p><p>title: Fiscal Year (FY) 2025 Mission &#x26; Priorities document (MPD) – Action </p>]]></description></item><item><title>Civil Money Penalty Reinvestment Program (CMPRP) Revisions to the Application Submission Process</title><pubDate>Fri, 20 Dec 2024 01:20:20 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/civil-money-penalty-reinvestment-program-cmprp-revisions-application-submission-process</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/civil-money-penalty-reinvestment-program-cmprp-revisions-application-submission-process</guid><description><![CDATA[<p>fiscal_year: 2025</p><p>memo_number: Admin Info: 25-04-NH</p><p>posting_date: Fri, 20 Dec 2024 16:00:00 -0500</p><p>summary: Memorandum Summary
• Civil Monetary Penalty (CMP) State Plans: In accordance with 42 CFR 488.433(e), States must submit their CMP Reinvestment State Plans to the Central Office CMS CMPRP team by October 31st every year.
• CMPRP Applications: States will send their CMPRP project applications to the CMS CMPRP team.
• Discontinuation of the Communication Technology and Visitation Aid category: CMS will discontinue this category and will no longer accept new applications, effective January 1, 2025.
</p><p>title: Civil Money Penalty Reinvestment Program (CMPRP) Revisions to the Application Submission Process</p>]]></description></item><item><title>Fiscal Year (FY) 2025 State Performance Standards System (SPSS) Guidance</title><pubDate>Tue, 22 Oct 2024 18:00:48 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-state-performance-standards-system-spss-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-state-performance-standards-system-spss-guidance</guid><description><![CDATA[<p>fiscal_year: 2025</p><p>memo_number: Admin-Info-25-03-ALL</p><p>posting_date: Wed, 23 Oct 2024 16:00:00 -0400</p><p>summary: Memorandum Summary
CMS is releasing the Fiscal Year 2025 guidance for the State Performance Standards System (SPSS), the process used to oversee State Survey Agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.</p><p>title: Fiscal Year (FY) 2025 State Performance Standards System (SPSS) Guidance</p>]]></description></item><item><title>ACTS Bulk Intake Import Functionality</title><pubDate>Tue, 08 Oct 2024 11:00:01 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/acts-bulk-intake-import-functionality</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/acts-bulk-intake-import-functionality</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 25-02-ALL</p><p>posting_date: Thu, 10 Oct 2024 01:00:00 -0400</p><p>summary: • To assist State Survey Agencies with the management of their complaint backlog, CMS has coordinated with Alpine Technology Group (ATG) to develop functionality to automatically create intakes and incidents in ACTS through Robotic Processing Assistance (RPA). Step by step instructions are attached and included as part of this memo.
• QTSO Memo 2024-027 - ACTS thin install 12.4.4.6, activates functionality to import multiple intakes/incidents from a CSV file and create those records through Robotic Processing Assistance
• This functionality is open for both State Agencies and CMS locations
• Bulk Intake Import to ACTS functionality: Step by step guidance and excel template attached</p><p>title: ACTS Bulk Intake Import Functionality</p>]]></description></item><item><title>Revised: Training Plan for iQIES Launch in Long-Term Care</title><pubDate>Mon, 07 Oct 2024 10:23:13 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos-states-and-cms-locations/revised-training-plan-iqies-launch-long-term-care</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos-states-and-cms-locations/revised-training-plan-iqies-launch-long-term-care</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 25-01-NH</p><p>posting_date: Tue, 08 Oct 2024 01:00:00 -0400</p><p>summary: REVISIONS TO QSO24-21-NH ORIGINALLY RELEASED ON AUGUST 6, 2024 • CMS is postponing the iQIES Survey &#x26; Certification (S&#x26;C) Nursing Home (NH) release scheduled for February 2025. Therefore, we are postponing the training sessions scheduled for October-December 2024. At this time, we are targeting training sessions for the second quarter of calendar year 2025. CMS will continue to communicate updates with the State Survey Agencies as additional information becomes available.
• The CMS iQIES team is developing a training and support plan to help all State Agency and CMS staff prepare for the launch and transition to the iQIES platform. This memo provides high-level details about the training plan to transition Long-Term Care (LTC) to the iQIES platform.
• The LTCSP training will focus on technical and related procedural changes.</p><p>title: Revised: Training Plan for iQIES Launch in Long-Term Care</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2024 (FY 2024)</title><pubDate>Thu, 26 Sep 2024 10:40:11 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr-0</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-23-CLIA</p><p>posting_date: Thu, 26 Sep 2024 17:00:00 -0400</p><p>summary: Memorandum Summary
• The Centers for Medicare &#x26; Medicaid Services (CMS) is releasing the FY 2024 guidance for the State Agency Performance Review (SAPR).
• CLIA SAPR Review Protocol: The FY 2024 review has been updated from FY 2023. We are updating three documents to improve readability and ease by which SAs may complete the templates: the FY 2024 SAPR Excel Workbook, the FY 2024 Summary Report, and the FY 2024 CLIA SAPR Cover Letter CAP Resp Template.
• Goal: The purpose of the SAPR is to ensure optimal State Agency (SA) performance to improve quality in patient laboratory testing and promote health and safety.
• Review of Other Subject Areas: CMS’s Division of Clinical Laboratory Improvement and Quality (DCLIQ) has the overarching responsibility and authority for SA oversight, which is neither superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2024 Review Criteria may also be reviewed at CMS DCLIQ’s discretion.
</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2024 (FY 2024)</p>]]></description></item><item><title>REVISED: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the SOG Locations</title><pubDate>Fri, 23 Aug 2024 10:47:31 -0400</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/revised-transitioning-certification-functions-changes-ownership-administrative-changes-and-initial</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/revised-transitioning-certification-functions-changes-ownership-administrative-changes-and-initial</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-22-ALL</p><p>posting_date: Fri, 23 Aug 2024 13:00:00 -0400</p><p>summary: Memorandum Summary
• The Centers for Medicare &#x26; Medicaid Services (CMS) has been transitioning certain certification enrollment functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS's Center for Program Integrity (CPI) and its Provider Enrollment Oversight Group (PEOG) and to the Medicare Administrative Contractors (MACs).
• CMS streamlined certain certification work, such as voluntary termination (July 27, 2020), Federally Qualified Health Centers (FQHCs) enrollment (March 22, 2021), and changes of ownership, administrative changes, and initial certification work for Skilled Nursing Facilities (SNFs) (January 3, 2022).
• CMS has also streamlined changes of ownership, administrative changes, and initial certification work for Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), FQHCs, Home Health Agencies (HHA), Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP), and Portable X-Ray (PXR) Providers (May 30, 2022).
• The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated to reflect these changes later. The attached standard operating procedure (SOP) related to changes of ownership (CHOWs), administrative changes, and initial certification enrollment work for the providers and suppliers listed above and the remaining providers/suppliers transitioning, which are:
• Hospitals (including Psychiatric Hospitals and Transplant Programs)
• Hospices
• End Stage Renal Disease (ESRD) Facilities
• CMS is clarifying that the CMS Location continues to be responsible for the survey and certification of all federally designated IHS facilities. Tribal 638-contract facilities retain the ability to go through the state agency or CMS Location for their survey and certification.
• CMS is clarifying initial certification processes for providers/suppliers seeking deemed status via a CMS-approved Accrediting Organization (AO).
</p><p>title: REVISED: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the SOG Locations</p>]]></description></item><item><title>Training Plan for iQIES Launch in Long-Term Care </title><pubDate>Mon, 05 Aug 2024 18:14:33 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/training-plan-iqies-launch-long-term-care-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/training-plan-iqies-launch-long-term-care-0</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-21-NH</p><p>posting_date: Tue, 06 Aug 2024 18:13:14 -0400</p><p>summary: Memorandum Summary
• The iQIES Nursing Home launch is currently scheduled for February 2025. The CMS iQIES team developed a training and support plan to help all State Agency and CMS staff prepare for the launch and transition to the iQIES platform. This memo provides high-level details about the training plan to transition Long-Term Care (LTC) to the iQIES platform.
• The LTCSP training will focus on technical and related procedural changes.
</p><p>title: Training Plan for iQIES Launch in Long-Term Care </p>]]></description></item><item><title>Training Plan for iQIES Launch in Long-Term Care </title><pubDate>Mon, 05 Aug 2024 16:07:05 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/training-plan-iqies-launch-long-term-care</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/training-plan-iqies-launch-long-term-care</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-21-NH</p><p>posting_date: Wed, 07 Aug 2024 01:00:00 -0400</p><p>summary: • The iQIES Nursing Home launch is currently scheduled for February 2025. The CMS iQIES team developed a training and support plan to help all State Agency and CMS staff prepare for the launch and transition to the iQIES platform. This memo provides high-level details about the training plan to transition Long-Term Care (LTC) to the iQIES platform.
• The LTCSP training will focus on technical and related procedural changes.
</p><p>title: Training Plan for iQIES Launch in Long-Term Care </p>]]></description></item><item><title>Fiscal Year 2023 (FY23) State Performance Standards System (SPSS) Findings </title><pubDate>Wed, 31 Jul 2024 13:14:44 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-2023-fy23-state-performance-standards-system-spss-findings</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-2023-fy23-state-performance-standards-system-spss-findings</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-20-ALL</p><p>posting_date: Fri, 02 Aug 2024 01:00:00 -0400</p><p>summary: • Results for CMS SPSS FY23 SPSS Measures that were calculated for FY23 are identified and summarized. For each measure, States received a score of Met, Partially Met, or Not Met. For each “Not Met” score received in FY23, States must develop a corrective action plan to address identified issues. CMS Locations monitor the implementation of corrective action plans to ensure States are making progress to improve performance.</p><p>title: Fiscal Year 2023 (FY23) State Performance Standards System (SPSS) Findings </p>]]></description></item><item><title>REVISED: Fiscal Year (FY) 2024 State Performance Standards System (SPSS) Guidance</title><pubDate>Wed, 31 Jul 2024 12:57:45 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2024-state-performance-standards-system-spss-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2024-state-performance-standards-system-spss-guidance</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-19-ALL</p><p>posting_date: Fri, 02 Aug 2024 01:00:00 -0400</p><p>summary: REVISIONS TO ADMIN INFO-24-02-ALL ORIGINALLY RELEASED ON OCTOBER 1, 2023
• CMS is releasing the Fiscal Year 2024 guidance for the State Performance Standards System (SPSS), the process used to oversee State Survey Agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.</p><p>title: REVISED: Fiscal Year (FY) 2024 State Performance Standards System (SPSS) Guidance</p>]]></description></item><item><title>REVISED: Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Thu, 25 Jul 2024 19:35:53 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-18-CLIA</p><p>posting_date: Fri, 26 Jul 2024 16:00:00 -0400</p><p>summary: REVISIONS TO ADMIN INFO: 24-15-CLIA ORIGINALLY RELEASED ON July 2, 2024
Memorandum Summary
• FY 2025 CLIA Budget Call Letter: Enclosed is a copy of the FY 2025 CLIA Budget Call Letter.
• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.
• State budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) by August 16, 2024.
</p><p>title: REVISED: Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>Psychiatric Residential Treatment Facility (PRTF) Self-Attestation of Compliance with Restraint and Seclusion Standards and Provider Agreement Validation for Certification and Recertification </title><pubDate>Wed, 10 Jul 2024 17:47:55 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/psychiatric-residential-treatment-facility-prtf-self-attestation-compliance-restraint-and-seclusion</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/psychiatric-residential-treatment-facility-prtf-self-attestation-compliance-restraint-and-seclusion</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-17-PRTF</p><p>posting_date: Fri, 12 Jul 2024 16:00:00 -0400</p><p>summary: Memorandum Summary
• PRTFs are required to complete a self-attestation and provider agreement- To obtain compliance with §483.374(a) and §483.374(a)(1)-(2), each certified PRTF must submit an attestation to the State Medicaid Agency (SMA) and have an active provider agreement with the SMA.
• State Survey Agency (SA) PRTF self-attestation validation – In accordance with the State Operations Manual (SOM), SAs are required to validate and input a certified PRTF’s self-attestation into CMS’ survey documentation system at the time of recertification.
• SA PRTF provider agreement validation- CMS is now requiring SAs to validate and input a certified PRTF’s active provider agreement with the SMA into the survey documentation system at the time of a recertification survey.
</p><p>title: Psychiatric Residential Treatment Facility (PRTF) Self-Attestation of Compliance with Restraint and Seclusion Standards and Provider Agreement Validation for Certification and Recertification </p>]]></description></item><item><title>American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Specialist in Cytology (SCT) as an Approved Board Certification for the Clinical Laboratory Improvement Amendments (CLIA) for Individuals Performing Testing in the Subspecialty of</title><pubDate>Mon, 08 Jul 2024 08:22:42 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/american-society-clinical-pathology-ascp-board-certification-boc-specialist-cytology-sct-approved</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/american-society-clinical-pathology-ascp-board-certification-boc-specialist-cytology-sct-approved</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-16-CLIA</p><p>posting_date: Tue, 09 Jul 2024 01:00:00 -0400</p><p>summary: Memorandum Summary
•Approval of New Board Certification for High Complexity Cytotechnologists– TheCenters for Medicare &#x26; Medicaid Services (CMS) is approving the American Society forClinical Pathology (ASCP) Board of Certification (BOC) Specialist in Cytology (SCT)certification as an approved board for individuals to meet the CLIA personnelqualifications at 42 CFR 493.1483</p><p>title: American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Specialist in Cytology (SCT) as an Approved Board Certification for the Clinical Laboratory Improvement Amendments (CLIA) for Individuals Performing Testing in the Subspecialty of Cytology</p>]]></description></item><item><title>Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Mon, 01 Jul 2024 18:12:50 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter-0</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-15-CLIA</p><p>posting_date: Tue, 02 Jul 2024 18:08:26 -0400</p><p>summary: Memorandum Summary
• FY 2025 CLIA Budget Call Letter: Enclosed is a copy of the FY 2025 CLIA Budget Call Letter.
• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.
•State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services(CMS) by August 2, 2024.</p><p>title: Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter </title><pubDate>Fri, 28 Jun 2024 13:00:35 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2025-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info 24-15-CLIA</p><p>posting_date: Tue, 02 Jul 2024 13:00:00 -0400</p><p>summary: Memorandum Summary
• FY 2025 CLIA Budget Call Letter: Enclosed is a copy of the FY 2025 CLIA Budget Call Letter.
• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.
• State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) by August 2, 2024.
</p><p>title: Fiscal Year (FY) 2025 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter </p>]]></description></item><item><title>Revisions to the Review and Approval of Plans of Correction (POCs) and CLIA Allegations of Compliance (AOCs)</title><pubDate>Mon, 03 Jun 2024 18:44:21 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revisions-review-and-approval-plans-correction-pocs-and-clia-allegations-compliance-aocs</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revisions-review-and-approval-plans-correction-pocs-and-clia-allegations-compliance-aocs</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info-24-14-All</p><p>posting_date: Thu, 06 Jun 2024 18:44:08 -0400</p><p>summary: Memorandum Summary
• When noncompliance is cited at a level that requires a mandatory onsite revisit (per existing CMS policy and procedure), CMS and/or the State Survey Agency (the “State”) will obtain a POC/AOC for the cited noncompliance.
• CMS and States should prioritize the revisit survey as the primary means of assessing compliance, rather than reviewing multiple submissions of a POC/AOC for approval.
• If CMS or the State are unable to approve a POC/AOC after two submissions by the facility or lab, they should reach out to the facility or lab to confirm their readiness and intention to request a revisit, which should then be scheduled accordingly.
</p><p>title: Revisions to the Review and Approval of Plans of Correction (POCs) and CLIA Allegations of Compliance (AOCs)</p>]]></description></item><item><title>Reminder of State Survey Agencies’ Responsibility to Oversee Contract Surveyors</title><pubDate>Thu, 04 Apr 2024 21:40:40 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/reminder-state-survey-agencies-responsibility-oversee-contract-surveyors</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/reminder-state-survey-agencies-responsibility-oversee-contract-surveyors</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-13-ALL</p><p>posting_date: Fri, 05 Apr 2024 21:38:40 -0400</p><p>summary: Memorandum Summary
• State Survey Agencies (SAs) are responsible for carrying out the functions outlined in the 1864 Agreement, including survey activities that may be performed by personnel utilized by the SA as contractors.
• SAs should take into account the following considerations, if they elect to use contract surveyors: public trust, conflict of interest, data use agreements, quality assurance, and training.
• CMS holds the SAs responsible for meeting the duties and requirements under the 1864 Agreement, whether the SA uses its own employees or contractors.
</p><p>title: Reminder of State Survey Agencies’ Responsibility to Oversee Contract Surveyors</p>]]></description></item><item><title>Revised: Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Wed, 13 Mar 2024 13:13:49 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-guidance-federal-monitoring-surveys-fms</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-guidance-federal-monitoring-surveys-fms</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-12-NH</p><p>posting_date: Thu, 14 Mar 2024 01:00:00 -0400</p><p>summary: Memorandum Summary
• Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS).
• LSC and Health FMS Mandates and Estimates – Communicates FY2024 mandates and FY2025 estimates of statutorily required number of Long-Term Care FMS for Health and Life Safety Code (LSC)/ Emergency Preparedness.</p><p>title: Revised: Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>2024 Survey Executives Training Institute (SETI)</title><pubDate>Fri, 02 Feb 2024 12:31:15 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-survey-executives-training-institute-seti-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-survey-executives-training-institute-seti-0</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-11-ALL</p><p>posting_date: Sat, 03 Feb 2024 02:00:00 -0500</p><p>summary: Memorandum Summary
• SETI: Wednesday, April 24, through Friday, April 26, 2024, in person.
• SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All CMS Location managers, Associate Regional Administrators (ARAs), and certain key managers should also attend.
• Registration: Registration for the training and hotel is available at:
https://qsep.cms.gov/SETISADOC/home.aspx
. Registration must be completed no later
than March 15, 2024.
• Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations are due no later than March 11, 2024.
• Reimbursement for SETI: Post-event reimbursement information is available here:
https://qsep.cms.gov/SETISADOC/home.aspx
. Reimbursement forms must
be completed no later than May 10, 2024.</p><p>title: 2024 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>2024 Survey Executives Training Institute (SETI)</title><pubDate>Thu, 01 Feb 2024 20:02:50 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-survey-executives-training-institute-seti</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-survey-executives-training-institute-seti</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-11-ALL</p><p>posting_date: Fri, 02 Feb 2024 16:00:01 -0500</p><p>summary: Memorandum Summary
• SETI: Wednesday, April 24, through Friday, April 26, 2024, in person.
• SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All CMS Location managers, Associate Regional Administrators (ARAs), and certain key managers should also attend.
• Registration: Registration for the training and hotel is available at: https://qsep.cms.gov/SETISADOC/home.aspx. Registration must be completed no later than March 15, 2024.
• Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations are due no later than March 11, 2024.
• Reimbursement for SETI: Post-event reimbursement information is available here: https://qsep.cms.gov/SETISADOC/home.aspx. Reimbursement forms must be completed no later than May 10, 2024.
</p><p>title: 2024 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>2024 State Agency Director Orientation Course (SADOC)</title><pubDate>Thu, 01 Feb 2024 19:00:29 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-state-agency-director-orientation-course-sadoc</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/2024-state-agency-director-orientation-course-sadoc</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-10-ALL</p><p>posting_date: Fri, 02 Feb 2024 16:57:20 -0500</p><p>summary: Memorandum Summary
• SADOC: Monday, April 22, and Tuesday, April 23, 2024, in person.
• SADOC Attendance Required: Attendance is mandatory for new State Survey Agency (SA) directors (typically within 6 months of appointment) or those senior SA managers who are potential candidates to be SA directors.
• Registration: Registration for the conference and hotel is available at https://qsep.cms.gov/SETISADOC/home.aspx. Registration must be completed no later than March 15, 2024.
</p><p>title: 2024 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>Onsite/Offsite Follow-up/Revisit Survey Guidance </title><pubDate>Fri, 15 Dec 2023 11:49:14 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/onsite/offsite-follow-up/revisit-survey-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/onsite/offsite-follow-up/revisit-survey-guidance</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-09-CLIA</p><p>posting_date: Mon, 18 Dec 2023 16:29:51 -0500</p><p>summary: Memorandum Summary
• Offsite follow-up/revisit surveys are authorized for the following:
o When no condition-level non-compliance is cited within 12 months of the original survey and for mandatory condition-level deficiencies related to proficiency testing (PT) enrollment, 42 CFR § 493.801, unsuccessful participation in PT, 42 CFR § 493.803, and personnel qualifications in subpart M – Personnel for Nonwaived Testing, 42 CFR §493.1351 through 42 CFR §493.1495.
• Onsite follow-up/revisit surveys are authorized for the following:
o To verify compliance or confirm continuing serious non-compliance.
o Prior to the imposition of principal sanctions when the laboratory does not provide an acceptable credible allegation of compliance (AoC) and for condition-level non-compliance related to personnel responsibilities in subpart M – Personnel for Nonwaived Testing, 42 CFR §493.1351 through 42 CFR §493.1495.
</p><p>title: Onsite/Offsite Follow-up/Revisit Survey Guidance </p>]]></description></item><item><title>SURVEY TEAM COMPOSITION AND WORKLOAD REPORT Form CMS-670 Completion Guidance</title><pubDate>Fri, 15 Dec 2023 10:45:33 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/survey-team-composition-and-workload-report-form-cms-670-completion-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/survey-team-composition-and-workload-report-form-cms-670-completion-guidance</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin-24-08-CLIA </p><p>posting_date: Mon, 18 Dec 2023 16:43:47 -0500</p><p>summary: Memorandum Summary
The Centers for Medicare &#x26; Medicaid Services is providing additional guidance related to the recording of survey hours on Form CMS-670:
• Form CMS-670 hour categories: Guidance is provided on what should and should not be included in each category.
• Survey-specific Form CMS-670: Guidance is provided on how Form CMS-670 hours for follow-up/revisit surveys, specialty/subspecialty addition-only surveys, proficiency testing desk review surveys, complaint surveys, and licensure surveys should be recorded.
</p><p>title: SURVEY TEAM COMPOSITION AND WORKLOAD REPORT Form CMS-670 Completion Guidance</p>]]></description></item><item><title>Fiscal Year (FY) 2024 Mission &#x26; Priorities document (MPD) – Action</title><pubDate>Tue, 12 Dec 2023 17:21:16 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-mission-priorities-document-mpd-action</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-mission-priorities-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info -24-07-All</p><p>posting_date: Wed, 13 Dec 2023 16:00:00 -0500</p><p>summary: Memorandum Summary
The Quality, Safety &#x26; Oversight Group (QSOG) and Survey &#x26; Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2024 MPD reflects this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality, and return to normal operations after the expiration of the COVID-19 Public Health Emergency (PHE).
The MPD structure includes three sections: (1) new program updates since the issuance of the previous FY MPD; (2) standing information that we do not anticipate changing throughout the year; and (3) listing of the priority tier structure for survey &#x26; certification activities by provider and supplier type.
FY 2024 MPD updates include:
• Updates to the Tier assignments for initial certifications;
• Information on the Hospice Special Focus Program requirements and the Hospice Informal Dispute Resolution process;
• Post-PHE COVID-19 guidance, including the resumption of ongoing activities and the addressing of the complaint backlog;
• Revisions to Chapter 5 of the State Operations Manual (SOM);
• Revisions to the End Stage Renal Disease (ESRD) core survey process and the announcement that AOs will begin surveying deemed Tier 2 ESRD facilities in FY 24;
• Updates regarding upcoming changes to Appendix G pertaining to Rural Health Clinics(RHCs) and Federally Qualified Health Centers (FQHCs);
• New Surveyor Skills Review assessments for FY 2024;
• A new section for Rural Emergency Hospitals (REHs);
• Community Mental Health Center (CMHC) technical updates based on the Consolidated Appropriations Act of 2023 (CAA 2023); and
• Information on the utilization of national survey contractors to perform AO validation surveys for acute and continuing care deemed providers in place of State Agency (SA)surveyors.</p><p>title: Fiscal Year (FY) 2024 Mission &#x26; Priorities document (MPD) – Action</p>]]></description></item><item><title>Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Fri, 08 Dec 2023 09:55:52 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/guidance-federal-monitoring-surveys-fms-1</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/guidance-federal-monitoring-surveys-fms-1</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-05-NH</p><p>posting_date: Tue, 21 Nov 2023 02:00:00 -0500</p><p>summary: Memorandum Summary
• Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS).
• LSC and Health FMS Estimates – Communicates estimated FY2024 and FY2025 statutorily required
number of Long-Term Care FMS for Health and Life Safety Code (LSC)/ Emergency Preparedness.</p><p>title: Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Fri, 08 Dec 2023 09:53:03 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/guidance-federal-monitoring-surveys-fms-0</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/guidance-federal-monitoring-surveys-fms-0</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-05-NH</p><p>posting_date: Tue, 21 Nov 2023 02:00:00 -0500</p><p>summary: Memorandum Summary
• Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS).
• LSC and Health FMS Estimates – Communicates estimated FY2024 and FY2025 statutorily required
number of Long-Term Care FMS for Health and Life Safety Code (LSC)/ Emergency Preparedness.</p><p>title: Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>Emergency Medical Treatment and Labor Act (EMTALA) Pre-Survey Reminders and References</title><pubDate>Fri, 17 Nov 2023 20:14:04 -0500</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/emergency-medical-treatment-and-labor-act-emtala-pre-survey-reminders-and-references</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/emergency-medical-treatment-and-labor-act-emtala-pre-survey-reminders-and-references</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info 24-06-EMTALA</p><p>posting_date: Tue, 21 Nov 2023 16:00:00 -0500</p><p>summary: Memorandum Summary
• CMS is committed to ensuring quality and safety in healthcare settings.
• CMS is releasing two Emergency Medical Treatment and Labor Act (EMTALA) pre-survey reminders and references for use by state survey agencies.
• The resources are on the Quality, Safety, &#x26; Education Portal (QSEP).
</p><p>title: Emergency Medical Treatment and Labor Act (EMTALA) Pre-Survey Reminders and References</p>]]></description></item><item><title>Life Safety Code (LSC) Training </title><pubDate>Thu, 26 Oct 2023 15:36:12 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/life-safety-code-lsc-training</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/life-safety-code-lsc-training</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-04-LSC</p><p>posting_date: Tue, 31 Oct 2023 16:00:00 -0400</p><p>summary: Memorandum Summary
• Training Requirement for New LSC Surveyors: Effective October 31, 2023, all new LSC surveyor candidates will not be required to have a National Fire Protection Association (NFPA) Certified Fire Inspector I (CFI-1) prior to attending the CMS Basic Life Safety Code (BLSC) Training.
• Attestation Form: Effective October 31, 2023, a CMS Surveyor Field Experience Attestation Form will be submitted prior to new LSC surveyor candidates surveying independently.
• Advanced LSC Courses: Effective October 31, 2023, CMS surveyors will be required to complete the Advanced LSC courses (Fire Alarm Systems, Sprinkler Systems, and Building Construction Systems) after surveying independently for one year.
</p><p>title: Life Safety Code (LSC) Training </p>]]></description></item><item><title>New Mandatory Quality, Safety, &#x26; Education Portal (QSEP) Training Release: Electronic Code of Federal Regulations (eCFR): Using eCFR to Locate a CFR Citation</title><pubDate>Fri, 06 Oct 2023 16:31:51 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/new-mandatory-quality-safety-education-portal-qsep-training-release-electronic-code-federal</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/new-mandatory-quality-safety-education-portal-qsep-training-release-electronic-code-federal</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 24-03-ALL</p><p>posting_date: Tue, 10 Oct 2023 16:00:00 -0400</p><p>summary: •Newly revised mandatory training, Electronic Code of Federal Regulations (eCFR): Using eCFR to Locate a CFR Citation, was released on July 13, 2023. Surveyors are required to log into QSEP and complete the training in the mandatory section of their training plan.</p><p>title: New Mandatory Quality, Safety, &#x26; Education Portal (QSEP) Training Release: Electronic Code of Federal Regulations (eCFR): Using eCFR to Locate a CFR Citation</p>]]></description></item><item><title>Federal Monitoring Survey (FMS) Additional Guidance </title><pubDate>Thu, 05 Oct 2023 11:05:03 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/federal-monitoring-survey-fms-additional-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/federal-monitoring-survey-fms-additional-guidance</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info 24-01-ALL</p><p>posting_date: Fri, 06 Oct 2023 13:00:00 -0400</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) is providing additional guidance relating to the FMS Process:
• The FMS must focus on the State Agency’s (SA) responsibility for survey quality, and it is the SA’s responsibility to ensure that all surveys are conducted by qualified and competent individuals.
• The SA must not replace the survey team or surveyor once the FMS has been scheduled with the SA unless there is an extenuating circumstance communicated to the CMS Location.
• The FMS is to monitor the SA’s performance, and it is not to recommend personnel or disciplinary action(s) based on the FMS.
</p><p>title: Federal Monitoring Survey (FMS) Additional Guidance </p>]]></description></item><item><title>Fiscal Year (FY) 2024 State Performance Standards System (SPSS) Guidance </title><pubDate>Wed, 04 Oct 2023 08:42:57 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-state-performance-standards-system-spss-guidance</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-state-performance-standards-system-spss-guidance</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info 24-02-ALL</p><p>posting_date: Sat, 07 Oct 2023 01:00:00 -0400</p><p>summary: • CMS is releasing the Fiscal Year 2024 guidance for the State Performance Standards System (SPSS), the process used to oversee State Survey Agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.
</p><p>title: Fiscal Year (FY) 2024 State Performance Standards System (SPSS) Guidance </p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2023 (FY 2023)</title><pubDate>Tue, 26 Sep 2023 12:41:36 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: 23-16-CLIA</p><p>posting_date: Sat, 30 Sep 2023 01:00:00 -0400</p><p>summary: Memorandum Summary
• CLIA SAPR Review Protocol: The FY 2023 review has been updated from FY 2022. We are introducing a new performance indicator in criterion #5 (educational only), a new Criterion #8, Budget (educational only), and requirements for running and monitoring mandatory and quarterly reports beginning in October 2023.
• Goal: To ensure optimal CLIA State Agency (SA) performance with support from the Centers for Medicare &#x26; Medicaid Services (CMS) Branch Locations, as necessary.
• Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations. The SA “Performance Thresholds for Written Corrective Action Plan,” “Quantified Performance Results” and “Written Corrective Action Plan” results will be reported on the Summary Report. The review year in FY 2023 is October 1, 2022, through September 30, 2023.
• Review of Other Subject Areas: CMS Branch Locations have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2023 Review Criteria may also be reviewed at the CMS Branch Location’s discretion.
• Due Date: Draft CLIA SAPR Summary Reports, Worksheets and Cover Letters are due to the applicable Operations Branch Manager by Friday, March 1, 2024.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2023 (FY 2023)</p>]]></description></item><item><title>Annual Surveyor Skill Review (SSR) Competency Assessment Completion Requirements</title><pubDate>Thu, 07 Sep 2023 12:18:57 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/annual-surveyor-skill-review-ssr-competency-assessment-completion-requirements</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/annual-surveyor-skill-review-ssr-competency-assessment-completion-requirements</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-15-ALL</p><p>posting_date: Sat, 09 Sep 2023 01:00:00 -0400</p><p>summary: The SSR measures the competency and knowledge surveyors need for consistent and
effective survey processes.
• Surveyors eligible for the SSR competency will be automatically enrolled for the assessment
every year on October 1ˢᵗ.
• Every year, beginning October 1st and through September 30th of the following year, eligible
surveyors must complete their assigned SSR with a passing score of 85% or higher.
• Surveyors must log into the Quality, Safety, and Education Portal (QSEP) to make sure their
primary survey type is the provider type they most often surveyed in the
previous calendar year (January – December).
</p><p>title: Annual Surveyor Skill Review (SSR) Competency Assessment Completion Requirements</p>]]></description></item><item><title>Resuming Validation of Accrediting Organization Surveys</title><pubDate>Tue, 05 Sep 2023 16:18:15 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/resuming-validation-accrediting-organization-surveys</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/resuming-validation-accrediting-organization-surveys</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-14-NLTC</p><p>posting_date: Wed, 06 Sep 2023 16:00:00 -0400</p><p>summary: Memorandum Summary
• Validation of Accrediting Organization (AO) Surveys - Validation survey activity will resume in Fiscal Year (FY) 2024.
• Validation Survey Approach and Methodology: Validation surveys will be performed by national survey contractor(s) and utilize the direct observation methodology piloted in 2018-2019.
• CMS has created a Standard Operating Procedure (SOP) for use by the national contractor(s) and will update the State Operations Manual (SOM) to reflect the direct observation validation survey (DOVS) process and guidance at a future date.
</p><p>title: Resuming Validation of Accrediting Organization Surveys</p>]]></description></item><item><title>Fiscal Year (FY) 2024 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Mon, 21 Aug 2023 10:20:18 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-fy-2024-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-13-CLIA</p><p>posting_date: Mon, 21 Aug 2023 14:00:00 -0400</p><p>summary: Memorandum Summary
• FY 2024 CLIA Budget Call Letter: Enclosed is a copy of the FY 2024 CLIA Budget Call Letter.
• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.
• State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Baltimore Office by September 21, 2023.
</p><p>title: Fiscal Year (FY) 2024 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>REVISED: Fiscal Year (FY) 2023 State Per(SPSS) Guidance Performance Standards System</title><pubDate>Thu, 10 Aug 2023 07:18:59 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2023-state-perspss-guidance-performance-standards-system</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/revised-fiscal-year-fy-2023-state-perspss-guidance-performance-standards-system</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-12-ALL</p><p>posting_date: Sat, 12 Aug 2023 01:00:00 -0400</p><p>summary: REVISIONS TO ADMIN INFO: 22-08-ALL ORIGINALLY RELEASED ON SEPTEMBER 20, 2022. • CMS is releasing revisions to the process used to oversee State Survey Agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.</p><p>title: REVISED: Fiscal Year (FY) 2023 State Per(SPSS) Guidance Performance Standards System</p>]]></description></item><item><title>Fiscal Year 2022 (FY22) State Performance Standards System (SPSS) Findings</title><pubDate>Tue, 18 Jul 2023 15:47:56 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-2022-fy22-state-performance-standards-system-spss-findings</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/fiscal-year-2022-fy22-state-performance-standards-system-spss-findings</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-10-ALL</p><p>posting_date: Fri, 21 Jul 2023 01:00:00 -0400</p><p>summary: Memorandum Summary
• Results for Fiscal Year 2022 State Performance Standards System (SPSS)measures are reported and summarized.</p><p>title: Fiscal Year 2022 (FY22) State Performance Standards System (SPSS) Findings</p>]]></description></item><item><title>American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Diplomate in Medical Laboratory Immunology (DMLI) Approved Board Certification for the Clinical Laboratory Improvement Amendments (CLIA) High Complexity Laboratory Director</title><pubDate>Tue, 18 Jul 2023 15:31:29 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/american-society-clinical-pathology-ascp-board-certification-boc-diplomate-medical-laboratory</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/american-society-clinical-pathology-ascp-board-certification-boc-diplomate-medical-laboratory</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info: 23-11-CLIA</p><p>posting_date: Tue, 25 Jul 2023 01:00:00 -0400</p><p>summary: Memorandum Summary
• Approval of New Board Certification for High Complexity Laboratory Directors – The Centers for Medicare &#x26; Medicaid Services (CMS) is approving the American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Diplomate in Medical Laboratory Immunology (DMLI) certification.
• Discontinuation of the American Board of Medical Laboratory Immunology (ABMLI) Certification Exam – The American Society for Microbiology (ASM) ABMLI is no longer accepting exam applications; however, it will continue to recertify its Diplomates.
</p><p>title: American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Diplomate in Medical Laboratory Immunology (DMLI) Approved Board Certification for the Clinical Laboratory Improvement Amendments (CLIA) High Complexity Laboratory Director</p>]]></description></item><item><title>Release of Laboratory Director and Owner Names and Their Taxpayer Identification Numbers </title><pubDate>Mon, 03 Jul 2023 13:53:06 -0400</pubDate><link>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/release-laboratory-director-and-owner-names-and-their-taxpayer-identification-numbers</link><guid>https://www.cms.gov//medicare/health-safety-standards/quality-safety-oversight-general-information/administrative-information-memos-states-and-regions/release-laboratory-director-and-owner-names-and-their-taxpayer-identification-numbers</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin-Info-23-09-CLIA</p><p>posting_date: Thu, 06 Jul 2023 21:00:00 -0400</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) is providing additional guidance related to the release of Laboratory Director and Owner Names and Their Taxpayer Identification Numbers:
• Laboratory Director and owner names on federal CLIA survey documents may be released without redaction, i.e., Form CMS-116, CLIA Application for Certification, and signature(s) on Form CMS-2567.
• Taxpayer Identification Numbers must be redacted.
</p><p>title: Release of Laboratory Director and Owner Names and Their Taxpayer Identification Numbers </p>]]></description></item><item><title>Implementation Notification for Final Rule CMS-3355-F, Clinical Laboratory Improvement Amendments of 1988 (CLIA) Proficiency Testing - Analytes and Acceptable Performance Final Rule </title><pubDate>Wed, 26 Apr 2023 14:53:14 -0400</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/implementation-notification-final-rule-cms-3355-f-clinical-laboratory-improvement-amendments-1988</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/implementation-notification-final-rule-cms-3355-f-clinical-laboratory-improvement-amendments-1988</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info-23-07-CLIA</p><p>posting_date: Wed, 03 May 2023 16:00:00 -0400</p><p>summary: • This Admin Info memo clarifies that the Proficiency Testing Final Rule (CMS-3355-F) requirements effective July 11, 2024 will be implemented on January 1, 2025. • The implementation date applies to regulations at §§ 493.2 and 493.801 through 493.959. </p><p>title: Implementation Notification for Final Rule CMS-3355-F, Clinical Laboratory Improvement Amendments of 1988 (CLIA) Proficiency Testing - Analytes and Acceptable Performance Final Rule </p>]]></description></item><item><title>Revised Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Fri, 07 Apr 2023 14:23:16 -0400</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/revised-guidance-federal-monitoring-surveys-fms</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/revised-guidance-federal-monitoring-surveys-fms</guid><description><![CDATA[<p>memo_number: Admin Info: 22-09-ALL Revised April 7, 2023</p><p>posting_date: Fri, 07 Apr 2023 16:00:00 -0400</p><p>summary: Memorandum Summary: Provide guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS) in FY 2022 and FY 2023. • Provide the rationale for moving to a two-year cycle for Focus Concern identification. • Communicate FY22 and FY23 Mandated</p><p>title: Revised Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>2023 Survey Executives Training Institute (SETI)</title><pubDate>Wed, 04 Jan 2023 13:11:22 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/2023-survey-executives-training-institute-seti</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/2023-survey-executives-training-institute-seti</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: 23-04-ALL</p><p>posting_date: Thu, 05 Jan 2023 02:00:00 -0500</p><p>summary: SETI: Wednesday, April 26, through Friday, April 28, 2023, in person. • SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All Centers for Medicare &#x26; Medicaid Services (CMS) Location, Division Directors, and certain key staff should attend. • Registration: Registration for the training and hotel is available at: https://qsep.cms.gov/SETISADOC/home.aspx. Registration must be completed no later than March 17, 2023. • Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations are due no later than February 24, 2023. • Reimbursement for SETI: Post-event reimbursement information is available here: https://qsep.cms.gov/SETISADOC/home.aspx. Reimbursement forms must be completed no later than May 12, 2023.</p><p>title: 2023 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>2023 State Agency Director Orientation Course (SADOC)</title><pubDate>Wed, 04 Jan 2023 13:10:01 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/2023-state-agency-director-orientation-course-sadoc</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/2023-state-agency-director-orientation-course-sadoc</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: 23-03-All</p><p>posting_date: Thu, 05 Jan 2023 02:00:00 -0500</p><p>summary: SADOC: Monday, April 24, and Tuesday, April 25, 2023, in person. • SADOC Attendance Required: Attendance is mandatory for new State Survey Agency (SA) directors (typically within 6 months of appointment) or those senior SA managers who are potential candidates to be SA directors. • Registration: Registration for the conference and hotel is available at https://qsep.cms.gov/SETISADOC/home.aspx . Registration must be completed no later than March 17, 2023. • Reimbursement for SADOC: Post-event reimbursement information is available here: https://qsep.cms.gov/SETISADOC/home.aspx . Reimbursement forms must be completed no later than May 12, 2023. SADOC</p><p>title: 2023 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>Procedural Guidance for Clinical Laboratory Improvement Amendments (CLIA) Form CMS-116 Changes that Require a New Form CMS-116 or Written Notification (UPDATED)</title><pubDate>Wed, 04 Jan 2023 11:05:47 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/procedural-guidance-clinical-laboratory-improvement-amendments-clia-form-cms-116-changes-require-new</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/procedural-guidance-clinical-laboratory-improvement-amendments-clia-form-cms-116-changes-require-new</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info 23-05-CLIA</p><p>posting_date: Sat, 04 Feb 2023 02:00:00 -0500</p><p>summary: This memorandum summarizes what laboratory changes require a new Form CMS-116 to be completed, and when written notification of a change is sufficient. • Form CMS-116s must be retained for at least seven years. • We are also including some updated instructions for Certificate Type Changes. CMS has updated the guidance in Admin Info: 09-09-CLIA to include email addresses and deleted the guidance for potential fraudulent Form CMS-116 applications. The fraudulent Form CMS-116 information is outdated.</p><p>title: Procedural Guidance for Clinical Laboratory Improvement Amendments (CLIA) Form CMS-116 Changes that Require a New Form CMS-116 or Written Notification (UPDATED)</p>]]></description></item><item><title>State Operations Manual Chapter 5- Implementation Dates for Revised Guidance </title><pubDate>Wed, 04 Jan 2023 11:05:20 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/state-operations-manual-chapter-5-implementation-dates-revised-guidance</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative/state-operations-manual-chapter-5-implementation-dates-revised-guidance</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info -23-06-NH</p><p>posting_date: Sat, 11 Feb 2023 02:00:00 -0500</p><p>summary: Implementation Dates for the Revised Chapter 5 – CMS expects the state survey agencies(SAs) to implement the revised timeframes for investigating nursing home complaints andfacility reported incidents no later than October 1, 2023. State survey agencies are expectedto enter all specified data by October 1, 2024.</p><p>title: State Operations Manual Chapter 5- Implementation Dates for Revised Guidance </p>]]></description></item><item><title>Guidance for Accrediting Organizations related to Survey Activities for Existing Medicare-Participating Providers</title><pubDate>Thu, 03 Nov 2022 15:24:49 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-accrediting-organizations-related-survey-activities-existing-medicare-participating</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-accrediting-organizations-related-survey-activities-existing-medicare-participating</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info 23-02-AOs</p><p>posting_date: Tue, 08 Nov 2022 02:00:00 -0500</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) has been transitioning certain certification enrollment administrative functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS’s Center for Program Integrity (CPI) and its Provider Enrollment Oversight Group (PEOG) and to the Medicare Administrative Contractors (MACs). • As a result of these transition activities, we have determined that some existing processes, which only apply to those AO programs that have been granted deeming authority by CMS, would also benefit from being aligned with the transition and streamlining. • CMS is providing updated guidance and procedures related to: o Initial AO Surveys for existing Medicare-certified providers and suppliers o Removal or Withdrawal of Deeming Status o Copying the State Agency (SA) on reaccreditation surveys • The guidance within this memorandum supersedes any previous instructions provided to the AOs in the AO Resource Manual.</p><p>title: Guidance for Accrediting Organizations related to Survey Activities for Existing Medicare-Participating Providers</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2022 (FY 2022)</title><pubDate>Thu, 13 Oct 2022 13:20:44 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr-0</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr-0</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 23-01-CLIA</p><p>posting_date: Thu, 13 Oct 2022 16:00:00 -0400</p><p>summary: • CLIA SAPR Review Protocol: The FY 2022 review remains the same from FY2021. • Goal: CLIA State Agency (SA) optimal performance, with support from the Centers for Medicare &#x26; Medicaid Services (CMS) Locations, as necessary. • Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations. The SA “Performance Thresholds for Written Corrective Action Plan”, “Quantified Performance Results” or “Written Corrective Action Plan” results will be reported on the Summary Report. The review year in FY 2022 is October 1, 2021 through September 30, 2022. • Review of Other Subject Areas: CMS Locations have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2022 Review Criteria may also be reviewed at the CMS Location’s discretion. • Due Date: Draft CLIA SAPR Summary Reports, Worksheets and Cover Letters are due to the applicable Operations Branch Manager by Friday, March 3, 2023.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2022 (FY 2022)</p>]]></description></item><item><title>Fiscal Year (FY) 2023 Mission &#x26; Priorities document (MPD) – Action</title><pubDate>Wed, 28 Sep 2022 11:01:07 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-mission-priorities-document-mpd-action</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-mission-priorities-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 22-10-All</p><p>posting_date: Thu, 29 Sep 2022 01:00:00 -0400</p><p>summary: The Quality, Safety &#x26; Oversight Group (QSOG) and Survey &#x26; Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2023 MPD reflects this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality, and reduce burden. The MPD structure includes three sections: (1) new program updates since the issuance of the previous FY MPD; (2) standing information that we do not anticipate changing throughout the year; and (3) listing of the priority tier structure for survey &#x26; certification activities by provider and supplier type. FY 2023 MPD updates include: • A new section titled Funding and S&#x26;C Program Requirements to reflect theimplications of a flatlined budget on the prioritization of Survey Agency (SA) activities. • Information on support for states that have overdue re-certification surveys and pending complaints. • Updates to the hospice program based on the Consolidated Appropriations Act (CAA),2021. • Several actions for long-term care facilities that were postponed due to the COVID-19public health emergency (PHE). • Update on OASIS Education Coordinators (OEC) and OASIS Automation Coordinators(OAC). As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis.</p><p>title: Fiscal Year (FY) 2023 Mission &#x26; Priorities document (MPD) – Action</p>]]></description></item><item><title>Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Wed, 21 Sep 2022 12:38:31 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-federal-monitoring-surveys-fms-0</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-federal-monitoring-surveys-fms-0</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info-22-09-All</p><p>posting_date: Wed, 21 Sep 2022 16:37:25 -0400</p><p>summary: • Provide guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS) in FY2022 and FY2023. • Provide the rationale for moving to a two-year cycle for Focus Concern identification. • Communicate FY22 Mandated number of Long-Term Care FMS for Health and Life Safety Code (LSC) </p><p>title: Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance </title><pubDate>Tue, 20 Sep 2022 12:42:05 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-state-performance-standards-system-spss-guidance</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-state-performance-standards-system-spss-guidance</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info-22-08-ALL</p><p>posting_date: Tue, 20 Sep 2022 16:38:47 -0400</p><p>summary: Memorandum Summary • CMS is releasing revisions to the process used to oversee State Survey Agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans. </p><p>title: Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance </p>]]></description></item><item><title>EXPIRED: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the SOG Locations</title><pubDate>Mon, 16 May 2022 13:35:31 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial-1</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial-1</guid><description><![CDATA[<p>fiscal_year: 2024</p><p>memo_number: Admin Info: 22-02-ALL (EXPIRED)</p><p>posting_date: Wed, 11 Sep 2024 01:00:00 -0400</p><p>summary: EXPIRED AS OF AUGUST 23. 2024 FOR CURRENT GUIDANCE, REFER TO ADMIN INFO-24-22-ALL: TRANSITIONING CERTIFICATION FUNCTIONS FOR CHANGESOF OWNERSHIP, ADMINISTRATIVE CHANGES, AND INITIAL ENROLLMENT PERFORMED BY THE SOG LOCATIONS
MEMORANDUM SUMMARY
The Centers for Medicare &#x26; Medicaid Services (CMS) has been transitioning certain certification enrollment functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS's Center for Program Integrity (CPI) and its Provider Enrollment Oversight Group (PEOG) and to the Medicare Administrative Contractors (MACs). • CMS has already streamlined certain certification work, such as voluntary termination (July 27, 2020), Federally Qualified Health Centers (FQHCs) enrollment (March 22, 2021), and changes of ownership, administrative changes, and initial certification work for Skilled Nursing Facilities (SNFs) (January 3, 2022). • CMS has also streamlined changes of ownership, administrative changes, and initial certification work for Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), FQHCs, Home Health Agencies (HHA), Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP), and Portable X-Ray (PXR) Providers (May 30, 2022). • The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated to reflect these changes later. • The attached standard operating procedure (SOP) related to changes of ownership (CHOWs), administrative changes, and initial certification enrollment work for the providers and suppliers listed above and the remaining providers/suppliers transitioning, which are: • Hospitals (including Psychiatric Hospitals and Transplant Programs) • Hospices • End Stage Renal Disease (ESRD) Facilities • CMS has also clarified the main SOP for all impacted providers/suppliers and added guidance for Accrediting Organizations (AOs). The revisions are reflected in red italics.</p><p>title: EXPIRED: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the SOG Locations</p>]]></description></item><item><title>Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the CMS Survey and Operations Group</title><pubDate>Mon, 16 May 2022 13:08:56 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial-0</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial-0</guid><description><![CDATA[<p>memo_number: Admin Info 22-02-ALL REVISED 05.19.2022</p><p>posting_date: Thu, 19 May 2022 16:00:00 -0400</p><p>summary: Memorandum Summary • The Centers for Medicare &#x26; Medicaid Services (CMS) will be transitioning certain certification enrollment functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS’ Center for Program Integrity (CPI) Provider Enrollment Oversight Group (PEOG) and the Medicare Administrative Contractors (MACs). • CMS has already streamlined certain certification work, such as voluntary termination (July 27, 2020), Federally Qualified Health Centers (FQHCs) enrollment (March 22, 2021), and changes of ownership, administrative changes and initial certification work for Skilled Nursing Facilities (SNFs) (January 3, 2022). • The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated accordingly to reflect these changes at a later time. • The attached standard operating procedure (SOP) related to changes of ownership (CHOWs), administrative changes, and initial certification enrollment work and guidance (Addendum) for the following providers and suppliers: • Ambulatory Surgical Centers (ASCs), • Community Mental Health Centers (CMHCs); • Comprehensive Outpatient Rehabilitation Facilities (CORFs); • Federally Qualified Health Centers (FQHCs); • Home Health Agencies (HHA), • Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) and, • Portable X-Ray (PXR) Providers. • CMS has also provided additional clarifications to the main SOP for all providers/suppliers impacted. The revisions are reflected in red italics.</p><p>title: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the CMS Survey and Operations Group</p>]]></description></item><item><title>Fiscal Year (FY) 2022 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Thu, 02 Dec 2021 20:59:51 -0500</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info 22-01-CLIA </p><p>posting_date: Fri, 03 Dec 2021 16:00:00 -0500</p><p>summary: • FY 2022 CLIA Budget Call Letter: Enclosed is a copy of the FY 2022 CLIA Budget Call Letter. • State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call. • State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Baltimore Office by January 3, 2022.</p><p>title: Fiscal Year (FY) 2022 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>Fiscal Year (FY) 2020 State Performance Standards System (SPSS) Findings, FY 2021 SPSS Guidance, and FY 2019 Results</title><pubDate>Tue, 14 Sep 2021 17:20:59 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2020-state-performance-standards-system-spss-findings-fy-2021-spss-guidance-and-fy</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2020-state-performance-standards-system-spss-findings-fy-2021-spss-guidance-and-fy</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: Admin Info Letter: 21-08-ALL</p><p>posting_date: Wed, 15 Sep 2021 16:00:00 -0400</p><p>summary: • CMS SPSS FY 2020 Measures that were calculated for FY 2020 are identified and summarized; these were not scored. FY 2019 results are reported in a separate attachment. • CMS Measures for SPSS FY 2021 that will be used to oversee state survey agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans are provided.</p><p>title: Fiscal Year (FY) 2020 State Performance Standards System (SPSS) Findings, FY 2021 SPSS Guidance, and FY 2019 Results</p>]]></description></item><item><title>Guidance for Federal Monitoring Surveys (FMS)</title><pubDate>Tue, 11 May 2021 07:45:35 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-federal-monitoring-surveys-fms</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/guidance-federal-monitoring-surveys-fms</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-07-ALL</p><p>posting_date: Sat, 04 Sep 2021 01:00:00 -0400</p><p>summary: To provide guidance on how the CMS Location staff will conduct Federal Monitoring Surveys(FMS) in FY2021.</p><p>title: Guidance for Federal Monitoring Surveys (FMS)</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2021 (FY 2021) </title><pubDate>Tue, 11 May 2021 07:45:24 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/issuance-clinical-laboratory-improvement-amendments-1988-clia-state-agency-performance-review-sapr</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-09-CLIA</p><p>posting_date: Fri, 01 Oct 2021 01:00:00 -0400</p><p>summary: CLIA SAPR Review Protocol: The FY 2021 review is continuing the restructured, more streamlined, SAPR process introduced in FY 2019. • Goal: CLIA State Agency (SA) optimal performance, with support from the Centers for Medicare &#x26; Medicaid Services (CMS) Branch Locations, as necessary. • Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations. The SA “Performance Thresholds for Written Corrective Action Plan”, “Quantified Performance Results” or “Written Corrective Action Plan” results will be reported on the Summary Report. The review year in FY 2021 is October 1, 2020 through September 30, 2021. • Review of Other Subject Areas: CMS Branch Locations have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2021 Review Criteria may also be reviewed at the CMS Branch Location’s discretion. • Due Date: Draft CLIA SAPR Summary Reports, Worksheets and Cover Letters are due to the applicable Branch Manager by Friday, March 4, 2022.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) State Agency Performance Review (SAPR)—Fiscal Year 2021 (FY 2021) </p>]]></description></item><item><title>Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the CMS Survey and Operations Group </title><pubDate>Tue, 11 May 2021 07:45:17 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-functions-changes-ownership-administrative-changes-and-initial</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 22-02-ALL</p><p>posting_date: Fri, 24 Dec 2021 02:00:00 -0500</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) will be transitioning certaincertification enrollment functions performed by the CMS SOG Locations (formerlyCMS Regional Offices) to CMS’ Center for Program Integrity (CPI) ProviderEnrollment Oversight Group (PEOG) and the Medicare Administrative Contractors(MACs). •CMS has already streamlined certain certification work, such as voluntary termination(July 27, 2020) and Federally Qualified Health Centers (FQHCs) enrollment (March 22,2021). •The State Operations Manual (SOM) and Program Integrity Manual (PIM) will beupdated accordingly to reflect these changes at a later time. •The attached standard operating procedure (SOP) related to changes of ownership(CHOWs), administrative changes, and initial certification enrollment work is attachedand CMS will implement these processes in calendar year (CY) 2022, commencing with Skilled Nursing Facilities (SNFs).</p><p>title: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the CMS Survey and Operations Group </p>]]></description></item><item><title>Fiscal Year (FY) 2022 Mission &#x26; Priorities document (MPD) – Action</title><pubDate>Tue, 11 May 2021 07:45:08 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-mission-priorities-document-mpd-action</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-mission-priorities-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info 22-03-ALL</p><p>posting_date: Sat, 29 Jan 2022 02:00:00 -0500</p><p>summary: The Quality, Safety &#x26; Oversight Group (QSOG) and Survey &#x26; Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2022 MPD reflects this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality, and reduce burden. FY 2022 MPD updates include: • Updated MPD structure to include three new sections to the document: (1) new program updates since the issuance of the previous FY MPD; (2) standing information that we do not anticipate changing throughout the year; (3) listing of the priority tier structure for survey &#x26; certification activities by provider and supplier type. • Updates to the hospice program based on the Consolidated Appropriations Act (CAA), 2021. • Several actions for long-term care facilities that were postponed due to the COVID-19 public health emergency (PHE). • New guidance for the backlog of End-Stage Renal Disease (ESRD) facilities surveys. As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis.</p><p>title: Fiscal Year (FY) 2022 Mission &#x26; Priorities document (MPD) – Action</p>]]></description></item><item><title>2022 State Agency Director Orientation Course (SADOC)</title><pubDate>Tue, 11 May 2021 07:45:01 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2022-state-agency-director-orientation-course-sadoc</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2022-state-agency-director-orientation-course-sadoc</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 22-04-ALL</p><p>posting_date: Sat, 05 Feb 2022 02:00:00 -0500</p><p>summary: SADOC: Monday, March 28, and Tuesday, March 29, 2022, virtually. • SADOC Attendance Required: Attendance is mandatory for new State Survey Agency(SA) Directors (typically within 6 months of appointment) or those senior SA Managerswho are potential candidates to be SA Directors. • Registration: Registration is available here:https://qsep.cms.gov/SETISADOC/home.aspx. • Registration must be completed no later than February 18, 2022.</p><p>title: 2022 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>2022 Survey Executives Training Institute (SETI)</title><pubDate>Tue, 11 May 2021 07:44:55 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2022-survey-executives-training-institute-seti</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2022-survey-executives-training-institute-seti</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 22-05-ALL</p><p>posting_date: Sat, 05 Feb 2022 02:00:00 -0500</p><p>summary: SETI: Wednesday, March 30, through Friday, April 1, 2022, virtually. •SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All Centers for Medicare &#x26; Medicaid Services (CMS) Location Associate Regional Administrators (ARAs) and certain key managers should also attend. •Registration: Registration for the training is available here:https://qsep.cms.gov/SETISADOC/home.aspx.•Registration must be completed no later than February 18, 2022.•Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations are due no later than Friday, February 18, 2022.</p><p>title: 2022 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>Fiscal Year (FY) 2022 State Performance Standards System (SPSS) Guidance</title><pubDate>Tue, 11 May 2021 07:44:49 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-state-performance-standards-system-spss-guidance</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2022-state-performance-standards-system-spss-guidance</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info: 22-06-ALL</p><p>posting_date: Fri, 11 Mar 2022 02:00:00 -0500</p><p>summary: CMS is releasing revisions to the process used to oversee State Survey Agency performance forensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.</p><p>title: Fiscal Year (FY) 2022 State Performance Standards System (SPSS) Guidance</p>]]></description></item><item><title>Fiscal Year (FY) 2023 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter </title><pubDate>Tue, 11 May 2021 07:44:42 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2023-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2022</p><p>memo_number: Admin Info 22-07-CLIA</p><p>posting_date: Wed, 17 Aug 2022 01:00:00 -0400</p><p>summary: FY 2023 CLIA Budget Call Letter: Enclosed is a copy of the FY 2023 CLIA Budget Call Letter. • State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call. • State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Baltimore Office by September 16, 2022.</p><p>title: Fiscal Year (FY) 2023 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter </p>]]></description></item><item><title>2022 Surveyor Skills Review (SSR) Assessments</title><pubDate>Tue, 11 May 2021 07:44:34 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-10</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-10</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: Admin Info-23-08-ALL</p><p>posting_date: Wed, 21 Jun 2023 01:00:00 -0400</p><p>summary: • SSRs: Eligible surveyors are required to log into the Quality, Safety, and Education Portal (QSEP), before September 30, to complete their annual SSR Assessment, and successfully pass with a score of 85% or higher.
• Regional Training Administrators (RTAs) and State Training Coordinators (STCs) are requested to remind surveyors to complete their SSRs as soon as possible.</p><p>title: 2022 Surveyor Skills Review (SSR) Assessments</p>]]></description></item><item><title>Admin memo</title><pubDate>Tue, 11 May 2021 07:44:25 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-9</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-9</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:41:05 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-8</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-8</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:59 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-7</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-7</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:52 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-6</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-6</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:45 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-5</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-5</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:34 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-4</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-4</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:23 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-3</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-3</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:16 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-2</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-2</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:08 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-1</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-1</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:40:00 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-0</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-0</guid><description><![CDATA[]]></description></item><item><title>Admin Memo</title><pubDate>Tue, 11 May 2021 07:39:52 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo</guid><description><![CDATA[]]></description></item><item><title>2021 Survey Executives Training Institute (SETI)</title><pubDate>Tue, 02 Feb 2021 07:07:28 -0500</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2021-survey-executives-training-institute-seti</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2021-survey-executives-training-institute-seti</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-05-ALL</p><p>posting_date: Thu, 04 Feb 2021 02:00:00 -0500</p><p>summary: SETI: Wednesday, May 19 through Friday, May 21, 2021, virtually. • SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All Centers for Medicare &#x26; Medicaid Services (CMS) Regional Office (RO), Associate Regional Administrators (ARAs), and certain key managers should also attend. • Registration: Registration for the training is available here: https://qsep.cms.gov/SETISADOC/home.aspx. • Registration must be completed no later than April 30, 2021. • Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations are due no later than February 19, 2021.</p><p>title: 2021 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>2021 State Agency Director Orientation Course (SADOC)</title><pubDate>Tue, 02 Feb 2021 07:04:35 -0500</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2021-state-agency-director-orientation-course-sadoc</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/2021-state-agency-director-orientation-course-sadoc</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-04-ALL</p><p>posting_date: Thu, 04 Feb 2021 02:00:00 -0500</p><p>summary: • SADOC: Monday, May 17 and Tuesday, May 18, 2021, virtually. • SADOC Attendance Required: Attendance is mandatory for new State Survey Agency (SA) Directors (typically within 6 months of appointment) or those senior SA Managers who are potential candidates to be SA Directors. • Registration: Registration is available here: https://qsep.cms.gov/SETISADOC/home.aspx. • Registration must be completed no later than April 30, 2021.</p><p>title: 2021 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>Mission &#x26; Priority document (MPD) – Action Memorandum Summary The Quality, Safety</title><pubDate>Wed, 23 Dec 2020 09:32:01 -0500</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/mission-priority-document-mpd-action-memorandum-summary-quality-safety</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/mission-priority-document-mpd-action-memorandum-summary-quality-safety</guid><description><![CDATA[<p>summary: The Quality, Safety &#x26; Oversight Group (QSOG) and Survey Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2021 MPD was updated to reflect this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality and reduce burden. FY 2021 MPD updates include: 􀁸Information regarding ongoing survey and certification priorities during the Coronavirus disease 2019 (COVID-19) public health emergency (PHE) 􀁸Updates based on guidance released in FY 2020 􀁸Based on the re-organization in November 2019, the MPD was updated to reflect the change in designation from CMS Regional Offices to CMS Locations 􀁸Contact information for each of the survey &#x26; certification areas 􀁸Inclusion of the clinical laboratory program As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis. </p><p>title: Mission &#x26; Priority document (MPD) – Action Memorandum Summary The Quality, Safety</p>]]></description></item><item><title>Fiscal Year 2021 CARES Act Information</title><pubDate>Wed, 23 Dec 2020 08:34:52 -0500</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2021-cares-act-information</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2021-cares-act-information</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-02-ALL</p><p>posting_date: Thu, 24 Dec 2020 02:00:00 -0500</p><p>summary: CARES Act Funding: Congress appropriated no less than $100 million in supplemental funds to offset the costs associated with COVID-19 survey activities. This memorandum provides guidance to State Survey Agencies and Centers for Medicare &#x26; Medicaid Services (CMS) personnel in requesting, executing and reporting the supplemental funding. • Medicare Budget, Execution and Reporting: Per DHHS guidance, COVID-19 funding and expenditures must be separately tracked, executed and reported. CMS intends to implement these functions in a manner similar to existing to the MDS and HHA reporting process. Cost sharing will continue according to existing State practice. • Medicaid Budget, Execution and Reporting: COVID-19 expenditures will continue to be tracked and reported separately; however, funding will continue to be provided via traditional means in accordance with Medicaid rules. Cost sharing will continue according to existing State practice.</p><p>title: Fiscal Year 2021 CARES Act Information</p>]]></description></item><item><title>Transitioning Certification Enrollment Functions Performed by the CMS Locations ***Revised to include additional guidance related to the processing of voluntary terminations based on temporary closures***</title><pubDate>Thu, 15 Oct 2020 09:58:36 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-enrollment-functions-performed-cms-locations-revised-include-additional</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-enrollment-functions-performed-cms-locations-revised-include-additional</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: 20-08-ALL REVISED</p><p>posting_date: Tue, 08 Nov 2022 02:00:00 -0500</p><p>summary: • The Centers for Medicare &#x26; Medicaid Services (CMS) will be transitioning certain certification enrollment functions performed by the CMS locations (formerly CMS Regional Offices) to CMS’ Center for Program Integrity (CPI) Provider Enrollment Oversight Group (PEOG) and the Medicare Administrative Contractors (MACs). • The first phase of enrollment certification work to transition is voluntary terminations. • Education and outreach will be provided to stakeholders regarding the transition of work and the communication processes. • The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated accordingly to reflect these changes. • The implementation date for the voluntary termination transition occurred on July 27, 2020. • CMS is revising existing guidance to include the CMS Location responsibilities in assisting the SAs in determinations of temporary closures.</p><p>title: Transitioning Certification Enrollment Functions Performed by the CMS Locations ***Revised to include additional guidance related to the processing of voluntary terminations based on temporary closures***</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 State Agency Performance Review —Fiscal Year 2020 (FY 2020)</title><pubDate>Tue, 13 Oct 2020 16:59:50 -0400</pubDate><link>https://www.cms.gov//provider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information-memos/issuance-clinical-laboratory-improvement-amendments-1988-state-agency-performance-review-fiscal-year-0</link><guid>https://www.cms.gov//provider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information-memos/issuance-clinical-laboratory-improvement-amendments-1988-state-agency-performance-review-fiscal-year-0</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-01-CLIA</p><p>posting_date: Tue, 13 Oct 2020 17:43:59 -0400</p><p>summary: • CLIA SAPR Review Protocol: The FY 2020 review is continuing the restructured, more streamlined, SAPR process introduced in FY 2019. • Goal: CLIA State Agency (SA) optimal performance, with support from the Centers for Medicare &#x26; Medicaid Services (CMS) Branch Locations, as necessary. • Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations. The SA “Performance Thresholds for Written Corrective Action Plan”, “Quantified Performance Results” or “Written Corrective Action Plan” results will be reported on the Summary Report. Due to the Public Health Emergency (PHE) and resulting prioritization of surveys starting March, 27, 2020, the review year has been shortened in FY 2020 to October 1, 2019 through March 1, 2020. • Review of Other Subject Areas: CMS Branch Locations have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2020 Review Criteria may also be reviewed at the CMS Branch Location’s discretion. • Due Date: Draft CLIA SAPR Summary Reports, Worksheets and Cover Letters are due to the applicable Branch Manager by March 5, 2021.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) / State Agency Performance Review (SAPR)—Fiscal Year 2020 (FY 2020)</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 State Agency Performance Review —Fiscal Year 2020 (FY 2020)</title><pubDate>Tue, 13 Oct 2020 16:58:21 -0400</pubDate><link>https://www.cms.gov//provider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information-memos/issuance-clinical-laboratory-improvement-amendments-1988-state-agency-performance-review-fiscal-year</link><guid>https://www.cms.gov//provider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information-memos/issuance-clinical-laboratory-improvement-amendments-1988-state-agency-performance-review-fiscal-year</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-01-CLIA</p><p>posting_date: Tue, 13 Oct 2020 17:43:59 -0400</p><p>summary: • CLIA SAPR Review Protocol: The FY 2020 review is continuing the restructured, more streamlined, SAPR process introduced in FY 2019. • Goal: CLIA State Agency (SA) optimal performance, with support from the Centers for Medicare &#x26; Medicaid Services (CMS) Branch Locations, as necessary. • Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations. The SA “Performance Thresholds for Written Corrective Action Plan”, “Quantified Performance Results” or “Written Corrective Action Plan” results will be reported on the Summary Report. Due to the Public Health Emergency (PHE) and resulting prioritization of surveys starting March, 27, 2020, the review year has been shortened in FY 2020 to October 1, 2019 through March 1, 2020. • Review of Other Subject Areas: CMS Branch Locations have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR. Subject areas not specifically addressed by the FY 2020 Review Criteria may also be reviewed at the CMS Branch Location’s discretion. • Due Date: Draft CLIA SAPR Summary Reports, Worksheets and Cover Letters are due to the applicable Branch Manager by March 5, 2021.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA) / State Agency Performance Review (SAPR)—Fiscal Year 2020 (FY 2020)</p>]]></description></item><item><title>Fiscal Year (FY) 2021 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Fri, 25 Sep 2020 06:32:35 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2021-clinical-laboratory-improvement-amendments-clia-budget-call-letter</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2021-clinical-laboratory-improvement-amendments-clia-budget-call-letter</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-09-CLIA</p><p>posting_date: Sat, 26 Sep 2020 01:00:00 -0400</p><p>summary: • FY 2021 CLIA Budget Call Letter: Enclosed is a copy of the FY 2021 CLIA Budget Call Letter. • State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call. • State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Baltimore Office by October 2, 2020</p><p>title: Fiscal Year (FY) 2021 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>Transitioning Federally Qualified Health Center (FQHC) Certification Enrollment Performed by the CMS Survey and Operations Group (SOG)</title><pubDate>Thu, 30 Jul 2020 15:59:19 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-federally-qualified-health-center-fqhc-certification-enrollment-performed-cms-survey</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-federally-qualified-health-center-fqhc-certification-enrollment-performed-cms-survey</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: 21-06-ALL </p><p>posting_date: Thu, 11 Feb 2021 04:00:00 -0500</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) will be transitioning certain certification enrollment functions performed by the CMS Locations (formerly CMS Regional Offices) to CMS’ Center for Program Integrity (CPI) Provider Enrollment Oversight Group (PEOG) and the Medicare Administrative Contractors (MACs). • The first transition of certification enrollment work commenced with voluntary terminations. • The next transition of certification enrollment work is Federally Qualified Health Centers (FQHCs) on March 15, 2021. • The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated accordingly to reflect these changes. • Attached is a standard operating procedure for the processing of FQHC certification enrollment work.</p><p>title: Transitioning Federally Qualified Health Center (FQHC) Certification Enrollment Performed by the CMS Survey and Operations Group (SOG)</p>]]></description></item><item><title>Fiscal Year (FY) 2021 Mission &#x26; Priority document (MPD) – Action</title><pubDate>Tue, 12 May 2020 08:54:51 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2021-mission-priority-document-mpd-action</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-fy-2021-mission-priority-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2021</p><p>memo_number: Admin 21-03-ALL</p><p>posting_date: Sat, 09 Jan 2021 02:00:00 -0500</p><p>summary: The Quality, Safety &#x26; Oversight Group (QSOG) and Survey Operations Group (SOG) remain dedicated to ensuring the health and safety of all Americans. The FY 2021 MPD was updated to reflect this dedication, along with our ongoing commitment to strengthen oversight, enhance enforcement, increase transparency, improve quality and reduce burden. FY 2021 MPD updates include: • Joint issuance of the MPD by both QSOG &#x26; SOG • Information regarding ongoing survey and certification priorities during the Coronavirus disease 2019 (COVID-19) public health emergency (PHE) • Updates based on guidance released in FY 2020 • Based on the re-organization in November 2019, the MPD was updated to reflect the change in designation from CMS Regional Offices to CMS Locations • Contact information for each of the survey &#x26; certification areas As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis.</p><p>title: Fiscal Year (FY) 2021 Mission &#x26; Priority document (MPD) – Action</p>]]></description></item><item><title>Admin memo. four</title><pubDate>Tue, 12 May 2020 08:53:41 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-four</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-four</guid><description><![CDATA[]]></description></item><item><title>Admin memo. three</title><pubDate>Tue, 12 May 2020 08:51:37 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-three</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/admin-memo-three</guid><description><![CDATA[]]></description></item><item><title>Transitioning Certification Enrollment Functions Performed by the CMS Locations </title><pubDate>Tue, 12 May 2020 08:50:32 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-enrollment-functions-performed-cms-locations</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/transitioning-certification-enrollment-functions-performed-cms-locations</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-08-ALL</p><p>posting_date: Sat, 25 Jul 2020 01:00:00 -0400</p><p>summary: • The Centers for Medicare &#x26; Medicaid Services (CMS) will be transitioning certain certification enrollment functions performed by the CMS locations (formerly CMS Regional Offices) to CMS’ Center for Program Integrity (CPI) Provider Enrollment Oversight Group (PEOG) and the Medicare Administrative Contractors (MACs). • The first phase of enrollment certification work to transition is voluntary terminations. • Education and outreach will be provided to stakeholders regarding the transition of work and the communication processes. • The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated accordingly to reflect these changes. • The implementation date for the voluntary termination transition is July 27, 2020.</p><p>title: Transitioning Certification Enrollment Functions Performed by the CMS Locations </p>]]></description></item><item><title>Fiscal Year 2020 CARES Act Information REVISED</title><pubDate>Tue, 12 May 2020 08:49:21 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2020-cares-act-information-revised</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2020-cares-act-information-revised</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-07-ALL REVISED</p><p>posting_date: Sat, 20 Jun 2020 01:00:00 -0400</p><p>summary: • CARES Act Funding: Congress appropriated no less than $100 million in supplemental funds to be available for necessary costs associated with COVID-19-related survey and certification activities. This memorandum provides guidance to State Survey Agencies and Centers for Medicare &#x26; Medicaid Services (CMS) personnel on requesting, executing and reporting the supplemental funding. • Medicare Budget, Execution and Reporting: Per DHHS guidance, COVID-19 funding and expenditures must be tracked, executed and reported separately. CMS intends to implement these functions in a manner similar to the existing MDS and Home Health Agency (HHA) reporting process. Cost sharing will continue according to existing State practice. • Medicaid Budget, Execution and Reporting: COVID-19-related expenditures will be tracked and reported separately; however, funding will continue to be provided via traditional means in accordance with Medicaid rules. Cost sharing will continue according to existing State practice.</p><p>title: Fiscal Year 2020 CARES Act Information REVISED</p>]]></description></item><item><title>Fiscal Year 2020 CARES Act Information</title><pubDate>Thu, 30 Apr 2020 13:48:39 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2020-cares-act-information</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/fiscal-year-2020-cares-act-information</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-07-ALL</p><p>posting_date: Fri, 01 May 2020 01:00:00 -0400</p><p>summary: •CARES Act Funding: Congress appropriated no less than $100 million in supplemental funds to offset the costs associated with COVID-19 survey activities.This memorandum provides guidance to State Survey Agencies and Centers for Medicare &#x26; Medicaid Services (CMS) personnel in requesting, executing and reporting the supplemental funding. •Medicare Budget, Execution and Reporting: Per DHHS guidance, COVID-19 funding and expenditures must be tracked, executed and reported separately. CMSintends to implement these functions in a manner similar to existing IMPACT Acthospice funding. Cost sharing will continue according to existing State practice. •Medicaid Budget, Execution and Reporting: COVID-19 expenditures will betracked and reported separately; however, funding will continue to be provided viatraditional means in accordance with Medicaid rules. Cost sharing will continue according to existing State practice.</p><p>title: Fiscal Year 2020 CARES Act Information</p>]]></description></item><item><title>CMS SARS-CoV-2 Laboratory Testing Comparison</title><pubDate>Wed, 29 Apr 2020 15:38:50 -0400</pubDate><link>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/cms-sars-cov-2-laboratory-testing-comparison</link><guid>https://www.cms.gov//medicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative-information/cms-sars-cov-2-laboratory-testing-comparison</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-06-CLIA</p><p>posting_date: Thu, 21 May 2020 22:00:00 -0400</p><p>summary: CMS is committed to taking critical steps to ensure America’s clinical laboratories can respond to the threat of the 2019 Novel Coronavirus (COVID-19) and other respiratory illnesses to ensure patient health and safety. • Laboratories need a Clinical Laboratory Improvement Amendments (CLIA) certificate to perform severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing. Under CLIA, laboratories are prohibited from testing human specimens for the purpose of diagnosis, prevention, treatment, or health assessment without a valid CLIA certificate. This also applies to facilities not typically considered to be laboratories that are performing SARS-CoV-2 testing. • This guidance is a part of the Centers for Medicare &#x26; Medicaid Services (CMS) effort to clarify: o The types of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and whether the tests are being offered under an Emergency Use A20-Xuthorization (EUA) issued by FDA or as described in FDA’s COVID-19 Test Guidance o The CLIA certifications under which each test can be performed o An explanation of requirements under each testing scenario o Updated information for Medicare beneficiaries on testing services and coverage.</p><p>title: CMS SARS-CoV-2 Laboratory Testing Comparison</p>]]></description></item><item><title>Informational Notice: Forthcoming Integration of the Psychiatric Hospital Program into the Hospital Program and State Operations Manual (SOM) Changes</title><pubDate>Mon, 13 Jan 2020 11:04:35 -0500</pubDate><link>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/informational-notice-forthcoming-integration-psychiatric-hospital-program-hospital-program-and-state</link><guid>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/informational-notice-forthcoming-integration-psychiatric-hospital-program-hospital-program-and-state</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-05-Hospital/Psych</p><p>posting_date: Mon, 13 Jan 2020 13:13:20 -0500</p><p>summary: To improve the identification of quality issues, the Centers for Medicare &#x26; MedicaidServices (CMS) is in the process of integrating the psychiatric hospital programsurvey into the hospital program survey: Currently the hospital and psychiatrichospital programs are reviewed separately for compliance with the Conditions ofParticipation. Our intent is to ensure psychiatric hospital services are evaluated in thecontext of the overall hospital program to better identify systemic quality issues. •Update and relocation of the Interpretive Guidelines for Psychiatric Hospitals: Theinterpretive guidelines in SOM Appendix AA for the special psychiatric Conditions ofParticipation (CoPs) will be updated and relocated in the interpretive guidance forHospitals in Appendix A. Appendix AA will be deleted. •Develop training to provide the necessary competencies for all State Survey Agencysurveyors to evaluate compliance with the psychiatric hospital CoPs: CMS isdeveloping training to assist surveyors in identifying compliance with the specialpsychiatric hospital CoPs. Currently, the SA surveys the hospital requirements in all non-deemed psychiatric hospitals as well as during validation and complaint surveys ofdeemed psychiatric hospitals. Once the psychiatric program is moved to the hospitalprogram, the hospital survey team will assess compliance with all requirements. Allinterpretive guidelines and survey procedures will be located in Appendix A.</p><p>title: Informational Notice: Forthcoming Integration of the Psychiatric Hospital Program into the Hospital Program and State Operations Manual (SOM) Changes</p>]]></description></item><item><title>Clinical Laboratory Improvement Amendments (CLIA) Provider-performed Microscopy Project 2020 (Pilot)</title><pubDate>Mon, 16 Dec 2019 11:00:57 -0500</pubDate><link>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/clinical-laboratory-improvement-amendments-clia-provider-performed-microscopy-project-2020-pilot</link><guid>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/clinical-laboratory-improvement-amendments-clia-provider-performed-microscopy-project-2020-pilot</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-04-CLIA</p><p>posting_date: Mon, 16 Dec 2019 13:00:00 -0500</p><p>summary:  The Centers for Medicare &#x26; Medicaid Services (CMS) is preparing the Regional Offices (RO) and State Agencies (SA) for the upcoming Provider-performed Microscopy (PPM) project and this memorandum includes information on the following:  State Selection Process: One State Agency was randomly selected from each of the 10 CMS Regions.  Survey Process: Each participating State Agency will survey 2% of the laboratories with a PPM certificate in their state during FY2020.  PPM Project 2020 Surveyor Tool: This surveyor tool will help focus the surveyor on the appropriate CLIA regulations to consider when inspecting laboratories with a PPM certificate.  Surveyor training for participating State Agencies (SA): Training for SA staff is tentatively scheduled for Wednesday, December 4th from 1-3pm EST, provided by CO staff (via Webinar).</p><p>title: Clinical Laboratory Improvement Amendments (CLIA) Provider-performed Microscopy Project 2020 (Pilot)</p>]]></description></item><item><title>Fiscal Year (FY) 2020 Mission &#x26; Priority document (MPD) – Action</title><pubDate>Wed, 11 Dec 2019 11:39:37 -0500</pubDate><link>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/fiscal-year-fy-2020-mission-priority-document-mpd-action</link><guid>https://www.cms.gov//httpswwwcmsgovmedicareprovider-enrollment-and-certificationsurveycertificationgeninfoadministrative/fiscal-year-fy-2020-mission-priority-document-mpd-action</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-03-ALL</p><p>posting_date: Wed, 11 Dec 2019 13:00:00 -0500</p><p>summary: FY 2020 MPD: Based on our commitment to increased transparency, innovation and strengthening oversight, we continue to: 1. Provide updates to the MPD on a public facing website https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/ SurveyCertificationGenInfo/QSOG-Mission-and-Priority-Information.html 2. Update the download section of the above site to reflect ongoing initiatives and priorities of Survey &#x26; Certification work. As priorities may change throughout the year, we aim to have the MPD be a living and continuous document which can be updated on a timely basis.</p><p>title: Fiscal Year (FY) 2020 Mission &#x26; Priority document (MPD) – Action</p>]]></description></item><item><title>Fiscal Year (FY) 2020 State Performance Standards System (SPSS) Guidance</title><pubDate>Mon, 04 Nov 2019 02:48:25 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-20-02-all</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-20-02-all</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-02-ALL</p><p>posting_date: Thu, 17 Oct 2019 12:00:00 -0400</p><p>summary: CMS is releasing revisions to the process used to oversee state survey agency performance for ensuring Medicare/Medicaid certified providers and suppliers are compliant with federal requirements to improve and protect the health and safety of Americans.</p><p>title: Fiscal Year (FY) 2020 State Performance Standards System (SPSS) Guidance</p>]]></description></item><item><title>Release of Fiscal Year (FY) 2018 State Performance Standards System (SPSS)Results</title><pubDate>Mon, 04 Nov 2019 02:48:24 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-20-01-all</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-20-01-all</guid><description><![CDATA[<p>fiscal_year: 2020</p><p>memo_number: 20-01-ALL</p><p>posting_date: Thu, 17 Oct 2019 12:00:00 -0400</p><p>summary: SPSS Results: The Centers for Medicare &#x26; Medicaid Services (CMS) is releasing the SPSS results for FY2018. These results include three years of performance evaluationsbased on 18 measures from FY2016 to FY2018.</p><p>title: Release of Fiscal Year (FY) 2018 State Performance Standards System (SPSS)Results</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA)
State Agency Performance Review (SAPR)-Fiscal Year 2019 (FY 2019)</title><pubDate>Mon, 04 Nov 2019 02:48:22 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-19-10-clia</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo-19-10-clia</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-10-CLIA</p><p>posting_date: Mon, 30 Sep 2019 12:00:00 -0400</p><p>summary: • CLIA SAPR Review Protocol: The FY 2019 review introduces a restructured, more
streamlined, SAPR process.
• Goal: CLIA State Agency (SA) optimal performance, with support from the Centers
for Medicare &#x26; Medicaid Services (CMS) Regional Offices (ROs), as necessary.
• Summary Report for Each CLIA SA: The aim of each report is a balanced picture of
the CLIA SA’s operations. The CLIA SAPR review for FY 2019 is educational due
to the new process; therefore, no SA “Performance Thresholds for Written
Corrective Action Plan”, “Quantified Performance Results” or “Written
Corrective Action Plan” results will be reported on the Summary Report.
• Review of Other Subject Areas: CMS ROs have the overarching responsibility and
authority for SA oversight, which is not superseded nor limited by the CLIA SAPR.
Subject areas not specifically addressed by the FY 2019 Review Criteria may also be
reviewed at the RO’s discretion.
• Due Date: Draft CLIA SAPR Summary Reports, Worksheets, Cover Letters and RO
Review Tools are due in Central Office (CO) by March 6, 2020.</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA)
State Agency Performance Review (SAPR)—Fiscal Year 2019 (FY 2019)</p>]]></description></item><item><title>Fiscal Year (FY) 2020 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Mon, 04 Nov 2019 02:48:11 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-09</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-09</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-09-CLIA</p><p>posting_date: Thu, 15 Aug 2019 12:00:00 -0400</p><p>summary: • FY 2020 CLIA Budget Call Letter: Enclosed is a copy of the FY 2020 CLIA Budget Call Letter.• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.• State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Central Office (CO) by September 27, 2019.</p><p>title: Fiscal Year (FY) 2020 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>FINAL Fiscal Year (FY) 2019 State Hospice IMPACT Allocations for Survey &#x26; Certification</title><pubDate>Mon, 04 Nov 2019 02:47:11 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-08</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-08</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-08-ALL</p><p>posting_date: Fri, 08 Feb 2019 12:00:00 -0500</p><p>summary: • State Allocations: Attachment 1 contains FY2019 Hospice IMPACT allocation figures for each State.
• Review Process for SA Requested Amounts: The Centers for Medicare &#x26; Medicaid Services (CMS) Central Office and Regional Offices (RO) reviewed each State’s budget individually, examining workloads, spending patterns, performance, and particular budgetary needs.
• Hospice IMPACT Funds: Congress separately appropriated additional funds dedicated to increasing the frequency of recertification surveys for hospices. Accordingly, these funds must be tracked and accounted for separately.</p><p>title: FINAL Fiscal Year (FY) 2019 State Hospice IMPACT Allocations for Survey &#x26; Certification</p>]]></description></item><item><title>EXPIRED: Home Health Agency (HHA) Frequently Asked Questions (FAQs)</title><pubDate>Mon, 04 Nov 2019 02:47:06 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-07</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-07</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: Admin Info 19-07-HHA (EXPIRED)</p><p>posting_date: Wed, 23 Jan 2019 12:00:00 -0500</p><p>summary: EXPIRATION DATE 3/15/24. • The Centers for Medicare &#x26; Medicaid Services is providing a list of FAQs for the Home Health Agency (HHA) Conditions of Participation (CoPs) that became effective on January 13, 2018. Each question includes a response to further clarify the Medicare requirements.
• The attached FAQ document will be posted on the Centers for Medicare &#x26; Medicaid Services (CMS) website to provide clarifications on the requirements of the HHA CoPs.</p><p>title: EXPIRED: Home Health Agency (HHA) Frequently Asked Questions (FAQs)</p>]]></description></item><item><title>Release of Fiscal Year (FY) 2019 End Stage Renal Disease (ESRD) Core Survey Data Worksheet, Notice of Quarterly Dialysis Facility Report (DFR) Updates and Revisions to the Tier 2 Outcomes List Methodology</title><pubDate>Mon, 04 Nov 2019 02:47:05 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-06</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-06</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-06-ESRD</p><p>posting_date: Tue, 22 Jan 2019 12:00:00 -0500</p><p>summary: • Release of FY 2019 ESRD Core Survey Data Worksheet: The ESRD Core Survey Data Worksheet is updated annually to reflect clinical indicators, outcome goals, and outcome thresholds based on current national data. The Worksheet is used as a surveyor tool while conducting an on-site dialysis facility survey. The worksheet has been updated to reflect current national thresholds for the data elements used to evaluate a facility’s performance. The updates align with information contained in the FY 2019 DFR.
• Notice of Quarterly DFR updates: Select measures of the DFR will be updated on a quarterly basis as of December 2018. The comprehensive DFR will continue to be updated annually along with three quarterly updates throughout the FY. Surveyors should review the most recent DFR to appropriately evaluate current data elements included in the ESRD Core Survey.
• Revisions to FY 2019 Tier 2 Outcomes List Methodology: The FY 2019 Tier 2 Outcomes List has been revised to identify the top 5% of ESRD facilities with poor clinical outcomes across four defined clinical measures. States are expected to survey all facilities on the outcomes list from their State. The annual process for releasing and reviewing the Outcomes List will remain the same.</p><p>title: Release of Fiscal Year (FY) 2019 End Stage Renal Disease (ESRD) Core Survey Data Worksheet, Notice of Quarterly Dialysis Facility Report (DFR) Updates and Revisions to the Tier 2 Outcomes List Methodology</p>]]></description></item><item><title>Release of Updated Principles of Documentation (POD) Guidance and CLIA POD Learning Activity (LA) Online Training Available on the Quality, Safety &#x26; Education Portal (QSEP) On-Demand (24/7, 365 days/year)</title><pubDate>Mon, 04 Nov 2019 02:47:05 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-05</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-05</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-05-CLIA</p><p>posting_date: Tue, 22 Jan 2019 12:00:00 -0500</p><p>summary: • Release of Updated Principles of Documentation (POD): The Centers for Medicare &#x26; Medicaid Services (CMS) is releasing updated POD Guidance with Appendices and CLIA POD LA Online Training Available on the Quality, Safety &#x26; Education Portal (QSEP) On-Demand (24/7, 365 days/year) for CLIA surveyors.• The online POD LA-CLIA course is designed to provide an opportunity for all surveyors to apply and practice the knowledge acquired in the CLIA Surveyor Basic Training POD course.• All State and Regional Office (RO) CLIA surveyors will be required to complete the course. New surveyors (those with less than two years’ experience) will be required to complete within three months of being approved to survey independently. Experienced surveyors have up to six months from the go-live date, to complete the course.• The new CLIA POD Learning Activity online training is now available on the Quality, Safety &#x26; Education Portal (QSEP). The goal of the training is to improve the ability of survey staff to properly apply the POD in the documentation of findings. It reviews the proper use of grammar, punctuation, voice, and plain language consistent with the POD.• How to Self-Enroll: Learners may self-register and self-launch the training on the Quality, Safety &#x26; Education Portal (QSEP) at https://qsep.cms.gov. The training is available on demand so that learners may access the training at their convenience. It is available 24 hours a day, 7 days a week, 365 days a year.</p><p>title: Release of Updated Principles of Documentation (POD) Guidance and CLIA POD Learning Activity (LA) Online Training Available on the Quality, Safety &#x26; Education Portal (QSEP) On-Demand (24/7, 365 days/year)</p>]]></description></item><item><title>2019 Survey Executives Training Institute (SETI)</title><pubDate>Mon, 04 Nov 2019 02:47:04 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-03</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-03</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-03-ALL</p><p>posting_date: Thu, 10 Jan 2019 12:00:00 -0500</p><p>summary: SETI: Wednesday, May 15 through Friday, May 17, 2019 at the Hilton, Baltimore, MD.
•
SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All Centers for Medicare &#x26; Medicaid Services (CMS) Regional Office (RO), Associate Regional Administrators (ARAs), and certain key managers should also attend. Travel expenses for the two designated State staff are 100 percent federally funded.
• Registration: Registration for the training and hotel is available here: http://surveyor-trainingcontent2.s3.amazonaws.com/data/2019SADOCSETI/index.html. Registration must be completed no later than April 1, 2019.
• Award Nominations: CMS will continue with the Quality, Safety &#x26; Oversight Achievement Awards, which are given to State individuals or teams that merit special acknowledgment in support of the mission to ensure quality and safety of all Americans. Nominations due no later than April 1, 2019.
• Reimbursement for SETI: Post-event reimbursement information is available here http://surveyor-trainingcontent2.s3.amazonaws.com/data/2019SADOCSETI/SETI/reimbursement.html.
Reimbursement forms must be completed no later than June 17, 2019.</p><p>title: 2019 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>2019 State Agency Director Orientation Course (SADOC)</title><pubDate>Mon, 04 Nov 2019 02:47:00 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-02</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-02</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-02-ALL</p><p>posting_date: Thu, 10 Jan 2019 12:00:00 -0500</p><p>summary: SADOC: Monday, May 13 and Tuesday, May 14, 2019 at the Hilton, Baltimore, MD.
• SADOC Attendance Required: Attendance is mandatory for new State Survey Agency (SA) Directors (typically within six months of appointment) or those senior SA Managers who are potential candidates to be SA Directors.
• Registration: Registration (both training and hotel) is available here: http://surveyor-training-content2.s3.amazonaws.com/data/2019SADOCSETI/index.html.
Registration must be completed no later than April 1, 2019</p><p>title: 2019 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>Clinical Laboratory Improvement Amendments (CLIA) Federal Monitoring Survey (FMS) and Assessment (FMSA) Process- ACTION</title><pubDate>Mon, 04 Nov 2019 02:47:00 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfoletter-18-04</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfoletter-18-04</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-04-CLIA</p><p>posting_date: Mon, 14 Jan 2019 12:00:00 -0500</p><p>summary: • The Centers for Medicare &#x26; Medicaid Services (CMS) is providing highlights from the updated CLIA Federal Monitoring Survey and FMS Assessment Process and includes information on the following:
• New CLIA FMS and FMS Assessment Process Standard Operating Procedure (SOP)
• State Agency FMS Responsibilities
• Updated fillable forms for the FMS Assessment Worksheet, Cover Letter &#x26; Summary Report
• CLIA Training Database
• Evaluation of the FMS Assessment Worksheets and Summary Reports
</p><p>title: Clinical Laboratory Improvement Amendments (CLIA) Federal Monitoring Survey (FMS) and Assessment (FMSA) Process– ACTION</p>]]></description></item><item><title>Fiscal Year (FY) 2019 State Performance Standards System (SPSS) Guidance</title><pubDate>Mon, 04 Nov 2019 02:46:52 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-22</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-22</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-22-ALL</p><p>posting_date: Tue, 11 Dec 2018 12:00:00 -0500</p><p>summary: SPSS Framework: The three dimensions of frequency, quality, and enforcement continue to serve as the Centers for Medicare &#x26; Medicaid Services’ (CMS) framework to organize and measure the performance of State Survey Agencies.</p><p>title: Fiscal Year (FY) 2019 State Performance Standards System (SPSS) Guidance</p>]]></description></item><item><title>Fiscal Year (FY) 2019 Mission &#x26; Priority document (MPD) – Action</title><pubDate>Mon, 04 Nov 2019 02:46:25 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-01</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-19-01</guid><description><![CDATA[<p>fiscal_year: 2019</p><p>memo_number: 19-01-ALL</p><p>posting_date: Thu, 04 Oct 2018 12:00:00 -0400</p><p>summary: FY 2019 MPD: In an effort for increased transparency and human-centered design, the Centers for Medicare &#x26; Medicaid Services (CMS) Quality, Safety &#x26; Oversight Group has redesigned the MPD. The new MPD features:• A dedicated website available under the links located under the left for the MPD at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/index.html.• Reduction of the previous MPD size to allow for QSOG to better relay new FY 19 initiatives and continuing efforts from the previous years.• Deletion of duplicative information as seen in previous years.• Easier access to specific provider and supplier information.The new MPD also allows for continuous updates to the website in lieu of multiple releases of revisions.</p><p>title: Fiscal Year (FY) 2019 Mission &#x26; Priority document (MPD) – Action</p>]]></description></item><item><title>Fiscal Year (FY) 2019 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</title><pubDate>Mon, 04 Nov 2019 02:46:23 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-21</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-21</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-21-CLIA</p><p>posting_date: Mon, 01 Oct 2018 12:00:00 -0400</p><p>summary: FY 2019 CLIA Budget Call Letter: Enclosed is a copy of the FY 2019 CLIA Budget Call Letter.
• State staffing targets are determined based on the workload required to survey each State's laboratory population. State budgets should reflect the cost to perform the workload shown in this budget call.
• State Budget submittals are due to the Centers for Medicare &#x26; Medicaid Services (CMS) Central Office (CO) by October 5, 2018.</p><p>title: Fiscal Year (FY) 2019 Clinical Laboratory Improvement Amendments (CLIA) Budget Call Letter</p>]]></description></item><item><title>EXPIRED: Release of Laboratory Director (LD) and Tax Information Numbers (TIN) and Information Contained in the ASPEN Complaint/Incidents Tracking System (ACTS)</title><pubDate>Mon, 04 Nov 2019 02:46:23 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-19</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-19</guid><description><![CDATA[<p>fiscal_year: 2023</p><p>memo_number: 18-19-CLIA (EXPIRED)</p><p>posting_date: Wed, 12 Jul 2023 20:00:00 -0400</p><p>summary: EXPIRED MEMO INFORMATION:
EXPIRATION DATE: JULY 06, 2023
EXPIRATION INFORMATION: REFER TO QSO-23-09-CLIA: RELEASE OF LABORATORY DIRECTOR AND OWNER NAMES AND THEIR TAXPAYER IDENTIFICATION NUMBERS FOR CURRENT GUIDANCE.
The Centers for Medicare &#x26; Medicaid Services (CMS) is providing additional guidance related to release of LD and TIN information as well as information contained in the ASPEN/ACTS system:
• All requests for personally identifiable information (PII) related to any LD or laboratory owner, including the individual’s TIN or any other PII, must be directed to the CMS Freedom of Information Act (FOIA) Office, which will determine if the information may be disclosed.
• ACTS is considered a System of Records (SOR), and as such, information related to the intake and complainant contained in ACTS may not generally be released.</p><p>title: EXPIRED: Release of Laboratory Director (LD) and Tax Information Numbers (TIN) and Information Contained in the ASPEN Complaint/Incidents Tracking System (ACTS)</p>]]></description></item><item><title>Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA)
State Agency Performance Review (SAPR)-Fiscal Year 2018 (FY2018)
</title><pubDate>Mon, 04 Nov 2019 02:46:21 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-20</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-20</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-20-CLIA</p><p>posting_date: Fri, 28 Sep 2018 12:00:00 -0400</p><p>summary: • CLIA SAPR Review Protocol: The FY 2018 review is limited to eight criteria.
• Summary Report for Each CLIA SA: The aim of each report is a balanced picture of the CLIA SA’s operations, including activities the SA performs well, area(s) where improvement may be needed, noteworthy accomplishments, and any special circumstances affecting performance.
• Review of Other Subject Areas: CMS ROs have the overarching responsibility and authority for SA oversight, which is not superseded nor limited by the CLIA SAPR.
Subject areas not specifically addressed by the FY 2018 Review Criteria may also be
reviewed at the RO’s discretion.
• Review of CLIA SAPR Criterion 4: The RO Review Tool has been updated based on RO reviewer feedback (See Attachment #1).
• Review of CLIA SAPR Criterion 10: The RO Review Tool for Criterion 10, POD Principle 3 is utilized again this year, with slight modification, based on RO reviewer feedback. (See Attachment #1).
• Due Date: Draft CLIA SAPR Summary Reports, Worksheets, Cover Letters and RO Review Tools are due in Central Office (CO) by March 8, 2019.
</p><p>title: Issuance of Clinical Laboratory Improvement Amendments of 1988 (CLIA)
State Agency Performance Review (SAPR)—Fiscal Year 2018 (FY2018)
</p>]]></description></item><item><title>Validation Survey Attestation Procedures for Fiscal Year (FY) 2018 </title><pubDate>Mon, 04 Nov 2019 02:46:15 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo18-18-deemed</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admininfo18-18-deemed</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-18-Deemed Providers/Suppliers</p><p>posting_date: Fri, 31 Aug 2018 12:00:00 -0400</p><p>summary: • Validation Survey Attestation Process: The Centers for Medicare &#x26; Medicaid Services (CMS) will employ an attestation process for FY 2018 to Reporting and Supplemental Budget Allocations to ensure that State Survey Agencies (SAs) are paid for hospital, Psychiatric Hospital, Home Health Agency (HHA), Hospice and Ambulatory Surgical Center (ASC) supplemental validation surveys conducted in FY 2018.
• Timeframes for Attestation: SAs must submit an attestation to their CMS Regional Office (RO) no later than September 14, 2018 indicating, for each provider/supplier type, the number of supplemental validation surveys assigned that have not yet been reported to CMS as completed as of August 21, 2018, but for which the SA guarantees that it has already or will complete the on-site portion of the survey on or before September 30, 2018. Other standard validation survey requirements must also be met
</p><p>title: Validation Survey Attestation Procedures for Fiscal Year (FY) 2018 </p>]]></description></item><item><title>Civil Money Penalty (CMP) Reinvestment State Plans</title><pubDate>Mon, 04 Nov 2019 02:46:10 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-16</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-16</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-16-NH</p><p>posting_date: Mon, 27 Aug 2018 12:00:00 -0400</p><p>summary: CMP State Plans: In accordance with 42 CFR 488.433(e), States must submit their CMPReinvestment State Plans to their Centers for Medicare &#x26; Medicaid Services (CMS) RegionalOffice (RO) by October 31, 2018, and on an annual basis thereafter.
•CMS Regional Offices (RO): Will have the assistance of the Civil Money PenaltyReinvestment Program (CMPRP) contractor to review CMP Reinvestment State Plans in asimilar method to their review of CMP projects submitted by States.
•CMP Reinvestment Resource Webpage: Will provide resources for States to refer to whensubmitting their CMP State Plans to their CMS RO.</p><p>title: Civil Money Penalty (CMP) Reinvestment State Plans</p>]]></description></item><item><title>End-Stage Renal Disease (ESRD) Revision to Survey Protocol: Patient Sample Selection</title><pubDate>Mon, 04 Nov 2019 02:46:10 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-17</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-17</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-17-ESRD</p><p>posting_date: Mon, 27 Aug 2018 12:00:00 -0400</p><p>summary: •Patient Sample Selection: The ESRD Core Survey Protocol includes instructions to surveyors on the selection of the patient sample for review during the on-site ESRD survey process.
•Revision to Sample Selection: The Centers for Medicare &#x26; Medicaid Services(CMS) is revising the protocol methodology for selection of the ESRD survey patient sample and expands the sample to include patients receiving dialysis services in Long-Term Care (LTC) facilities. The revisions have been included in the ESRD Basic Core Survey Training on the Integrated Surveyor Training Website (ISTW).</p><p>title: End-Stage Renal Disease (ESRD) Revision to Survey Protocol: Patient Sample Selection</p>]]></description></item><item><title>Initial Surveys of End Stage Renal Disease (ESRD) Facilities</title><pubDate>Mon, 04 Nov 2019 02:46:07 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-15</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-15</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-15-ESRD</p><p>posting_date: Fri, 10 Aug 2018 12:00:00 -0400</p><p>summary: *** Revised to update Form CMS-855A timeline submission for initial Medicare certification***
• Initial surveys for ESRD Facilities: Beginning August 8, 2018, initial Medicare certification surveys of ESRD facilities must be initiated within 90 days after the Medicare Administrative Contractor (MAC) determines the prospective provider’s form CMS-855 to be complete and the prospective provider’s enrollment status indicates approval is awaiting results of a pending survey.
• Workload Adjustments: The Centers for Medicare &#x26; Medicaid Services (CMS) is making several revisions to its current survey and certification policies to assist State Survey Agencies (SAs) to accommodate anticipated increases in workload associated with this new requirement including: 1) revising the process for review and approval of requests for relocations, expansion of services, and addition of stations requests from existing ESRD facilities; and 2) revising the methodology for the ESRD Tier 2 Outcomes List in the Mission and Priority Document (MPD).
</p><p>title: Initial Surveys of End Stage Renal Disease (ESRD) Facilities</p>]]></description></item><item><title>Home Health Agency (HHA) - Outcome and Assessment Information Set (OASIS) Education Coordinator and OASIS Automation Coordinator Funding and Support</title><pubDate>Mon, 04 Nov 2019 02:45:55 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-14</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-14</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-14-HHA</p><p>posting_date: Fri, 06 Jul 2018 12:00:00 -0400</p><p>summary: • OASIS Education Coordinators (OECs): Each State Survey Agency (SA) designates an employee as its OEC. These coordinators provide training and support to home health providers on the OASIS data set administration.
• OASIS Automation Coordinators (OACs): Each SA designates an employee as its OAC. These coordinators provide support to home health agencies on OASIS data entry.
• Funding: The funding for these positions is included in the annual SA survey and certification budget.
• Technical Support: The Division of Chronic and Post-Acute Care (DCPAC) has assumed responsibility for technical support to OECs. The Division of Quality Systems for Assessments and Surveys (DQSAS) will provide technical support to the OASIS OACs.
</p><p>title: Home Health Agency (HHA) – Outcome and Assessment Information Set (OASIS) Education Coordinator and OASIS Automation Coordinator Funding and Support</p>]]></description></item><item><title>FINAL Fiscal Year (FY) 2018 State Medicare Allocations for Survey &#x26; Certification</title><pubDate>Mon, 04 Nov 2019 02:45:46 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-12</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-12</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-12-ALL</p><p>posting_date: Fri, 08 Jun 2018 12:00:00 -0400</p><p>summary: • State, with details for increases allocated pursuant to the State by State review, and additional columns to track supplementary allocations for targeted surveys, validation surveys, and other factors.
• Review Process for Amounts: The Centers for Medicare &#x26; Medicaid Services (CMS) Regional Offices reviewed each State’s budget individually, examining workloads, spending patterns, performance, and particular budgetary needs.
• Hospice Funds: Congress appropriated additional funds dedicated to increasing the frequency of recertification surveys for hospices. These funds must be tracked and accounted for separately.
• Non-Delivery Deductions: A few States have non-delivery deductions, and a few States have a portion of their budgets identified as benchmarked and subject to an improvement plan due to performance issues.</p><p>title: FINAL Fiscal Year (FY) 2018 State Medicare Allocations for Survey &#x26; Certification</p>]]></description></item><item><title>Release of FY2017 State Performance Standards System (SPSS) Results</title><pubDate>Mon, 04 Nov 2019 02:45:45 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-13</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-13</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-13-ALL</p><p>posting_date: Fri, 08 Jun 2018 12:00:00 -0400</p><p>summary: SPSS Results: The Centers for Medicare &#x26; Medicaid Services (CMS) is releasing the SPSS results for FY2017. These results include three years of performance evaluations based on 18 measures from FY2015 to FY2017.</p><p>title: Release of FY2017 State Performance Standards System (SPSS) Results</p>]]></description></item><item><title>Nursing Homes: Comparative Surveys of State Survey Agencies (SAs) for the Long Term Care Survey Process (LTCSP)</title><pubDate>Mon, 04 Nov 2019 02:44:58 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-11</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-11</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-11-NH</p><p>posting_date: Fri, 16 Mar 2018 12:00:00 -0400</p><p>summary: • State Performance Standards – Until further notice, a comparative survey conducted on a LTCSP will be excluded in scoring for the State Performance Standards.
• Federal Monitoring Survey (FMS) Requirement – Comparative surveys conducted as a LTCSP will count toward meeting the FMS survey requirement.
</p><p>title: Nursing Homes: Comparative Surveys of State Survey Agencies (SAs) for the Long Term Care Survey Process (LTCSP)</p>]]></description></item><item><title>Upcoming Online Training</title><pubDate>Mon, 04 Nov 2019 02:44:49 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-10</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-10</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-10-ALL</p><p>posting_date: Fri, 16 Feb 2018 12:00:00 -0500</p><p>summary: • The Quality, Safety &#x26; Education Division (QSED) (formerly Training Division) of the Quality, Safety &#x26; Oversight Group (QSOG) is making several courses available on the Quality, Safety &#x26; Education Portal (QSEP).• Learners may self-register and self-launch the courses on the QSEP at https://qsep.cms.gov. Training is available on demand, so that learners may access training at their convenience. Training is available 24 hours a day, 7 days a week, 365 days a year.</p><p>title: Upcoming Online Training</p>]]></description></item><item><title>Revised Federal Oversight Support Survey (FOSS) Process National Pilot</title><pubDate>Mon, 04 Nov 2019 02:44:33 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-06</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-06</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-06-NH</p><p>posting_date: Tue, 26 Dec 2017 12:00:00 -0500</p><p>summary: The Centers for Medicare &#x26; Medicaid Services (CMS) will be piloting a two phase Federal Oversight Support Survey (FOSS) process beginning in January of 2018. This pilot will replace the FOSS process used for traditional surveys and the Federal Oversight of Quality Indicator Survey (FOQIS) process used for Quality Indicator Survey (QIS), and includes the following:
• The revised FOSS process will focus on specific areas of concern. For purposes of the national pilot, the areas of focus will be Abuse and Neglect, Admission/Transfer/ Discharge, and Dementia Care services.
• The Phase 1 Resource and Support Surveys (RSS) will be conducted between January 1 and April 30 of 2018. The Phase 2, Focused Comparative surveys will begin May 1, 2018, and conclude on September 30th, 2018.
• The new process will be used for all Federal Oversight Support Surveys required in the current scope memo. The full-comparative process remains unchanged.</p><p>title: Revised Federal Oversight Support Survey (FOSS) Process National Pilot</p>]]></description></item><item><title>2018 State Agency Director Orientation Course (SADOC)</title><pubDate>Mon, 04 Nov 2019 02:44:30 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-08</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-08</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-08-ALL</p><p>posting_date: Tue, 09 Jan 2018 12:00:00 -0500</p><p>summary: • SADOC: Monday, April 16 and Tuesday, April 17, 2018 at the Hilton, Baltimore, MD.
• SADOC Attendance Required: Attendance is mandatory for new State Survey Agency (SA) Directors (typically within six months of appointment) or those senior SA Managers who are potential candidates to be SA Directors.
</p><p>title: 2018 State Agency Director Orientation Course (SADOC)</p>]]></description></item><item><title>2018 Survey Executives Training Institute (SETI)</title><pubDate>Mon, 04 Nov 2019 02:44:30 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-09</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-09</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-09-ALL</p><p>posting_date: Tue, 09 Jan 2018 12:00:00 -0500</p><p>summary: • SETI: Wednesday, April 18 through Friday, April 20, 2018 at the Hilton, Baltimore, MD.
• SETI Attendance Required: Attendance is mandatory for the State Survey Agency (SA) Director and one other manager. All Centers for Medicare &#x26; Medicaid Services (CMS) Regional Office (RO), Associate Regional Administrators (ARA), and certain key managers should also attend.
• Award Nominations: This year, CMS will continue with the Quality, Safety &#x26; Oversight (formerly S &#x26; C) Achievement Awards, which are given to State individuals or teams that merit special acknowledgement in support of the mission to ensure quality and safety of all Americans. CMS is requesting your nominations for these Awards by March 16, 2018.</p><p>title: 2018 Survey Executives Training Institute (SETI)</p>]]></description></item><item><title>State Surveyor Infection Control Educational Opportunity</title><pubDate>Mon, 04 Nov 2019 02:44:30 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-07</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-07</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-07-ALL</p><p>posting_date: Fri, 05 Jan 2018 12:00:00 -0500</p><p>summary: • Educational Opportunity: The Centers for Medicare &#x26; Medicaid Services (CMS) will provide funding for selected State surveyors to attend the Association for Professionals in Infection Control (APIC) Annual Educational Conference or Ambulatory Surgical Center (ASC) Intensive Course.
• Nominations: State Agencies (SA) may nominate surveyors to attend the APIC Annual Conference from June 13 to June 15, 2018 in Minneapolis, MN, or the APIC ASC Intensive course from August 20 to August 23, 2018 in Washington State.
• Funding will cover travel, lodging, per diem, and registration costs.
</p><p>title: State Surveyor Infection Control Educational Opportunity</p>]]></description></item><item><title>FINAL Fiscal Year (FY) 2018 State Hospice IMPACT Allocations for Survey &#x26; Certification </title><pubDate>Mon, 04 Nov 2019 02:44:26 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-05</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-05</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-05-ALL</p><p>posting_date: Tue, 26 Dec 2017 12:00:00 -0500</p><p>summary: • State Allocations: Attachment 1 contains FY2018 Hospice IMPACT allocation figures for each State.
• Review Process for SA Requested Amounts: The Centers for Medicare &#x26; Medicaid Services (CMS) Regional Offices (RO) reviewed each State’s budget individually, examining workloads, spending patterns, performance, and particular budgetary needs.
• Hospice IMPACT Funds: Congress appropriated these additional funds dedicated to increasing the frequency of recertification surveys for hospices. These funds must be tracked and accounted for separately.</p><p>title: FINAL Fiscal Year (FY) 2018 State Hospice IMPACT Allocations for Survey &#x26; Certification </p>]]></description></item><item><title>Release of Fiscal Year (FY) 2018 End Stage Renal Disease (ESRD) Core Survey Data Worksheet</title><pubDate>Mon, 04 Nov 2019 02:44:15 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-03</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-03</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-03-ESRD</p><p>posting_date: Fri, 17 Nov 2017 12:00:00 -0500</p><p>summary: • ESRD Core Survey Data Worksheet: The ESRD Core Survey Data Worksheet is updated annually to reflect clinical indicators, outcome goals, and outcome thresholds based on current national data. The Worksheet is used as a surveyor tool while conducting an on-site dialysis facility survey.
• Worksheet Revision: The instructions for the completion of Section II of the Worksheet, Clinical Outcomes Thresholds Table, are revised to no longer require that ESRD staff complete this portion of the Worksheet. Surveyors will complete this section of the Worksheet according to the data contained in the most recent Dialysis Facility Report (DRF) for the ESRD facility being surveyed, and will use these data to inform the survey process.
</p><p>title: Release of Fiscal Year (FY) 2018 End Stage Renal Disease (ESRD) Core Survey Data Worksheet</p>]]></description></item><item><title>Survey and Certification Group - Training Division Requests Nominations for the New Training Advisory Work Group</title><pubDate>Mon, 04 Nov 2019 02:44:13 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-04</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-04</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-04-ALL</p><p>posting_date: Fri, 17 Nov 2017 12:00:00 -0500</p><p>summary: • Nominations: The Centers for Medicare &#x26; Medicaid Services (CMS) Survey and Certification Group (SCG) Training Division is requesting nominations for the new Survey and Certification Group Training Division Advisory Focus Group by Tuesday January 30, 2018.</p><p>title: Survey and Certification Group - Training Division Requests Nominations for the New Training Advisory Work Group</p>]]></description></item><item><title>FY 2018 Mission &#x26; Priority document (MPD) - Action</title><pubDate>Mon, 04 Nov 2019 02:43:57 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-01</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-01</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-01-ALL</p><p>posting_date: Tue, 17 Oct 2017 12:00:00 -0400</p><p>summary: FY 2018 MPD: Enclosed is the final FY 2018 MPD. The final document is improved as a result of the feedback from AHFSA and the Regional Offices. Due to the separate IMPACT funding available, we are requesting each State’s FY 2018 Hospice funding requests by November 17, 2017.
Revisions:
Appendix 1- Nursing Home Tier 4 to Tier 3 Status (in main document)
Additional Attachment includes: Revisions to Appendix 1- Community Mental Health Centers (CMHCs) Tier 1 to Tier 3 Status and End Stage Renal Disease (ESRD) Tiers 1-4 Status
Additional Attachment 2: Revisions to Appendix 1- End Stage Renal Disease (ESRD) Tiers 2-3 Status</p><p>title: FY 2018 Mission &#x26; Priority document (MPD) – Action</p>]]></description></item><item><title>Fiscal Year (FY) 2018 State Performance Standards System (SPSS) Guidance</title><pubDate>Mon, 04 Nov 2019 02:43:55 -0500</pubDate><link>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-02</link><guid>https://www.cms.gov//medicare/provider-enrollment-and-certification/surveycertificationgeninfo/administrative-information-memos-to-the-states-and-regions-items/admin-info-letter-18-02</guid><description><![CDATA[<p>fiscal_year: 2018</p><p>memo_number: 18-02-ALL</p><p>posting_date: Tue, 17 Oct 2017 12:00:00 -0400</p><p>summary: • SPSS Framework: The three dimensions of frequency, quality, and enforcement continue to serve as the Centers for Medicare &#x26; Medicaid Services’ (CMS) framework to organize and measure the value associated with the survey process overall.
• FY 2018 Changes: With the implementation of the new survey process, CMS made revisions to the Conduct of Nursing Home Health Survey Reports; Frequency of Nursing Home Surveys; Timeliness and Quality of Complaint and Incident Investigations.</p><p>title: Fiscal Year (FY) 2018 State Performance Standards System (SPSS) Guidance</p>]]></description></item></channel></rss>
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