This memorandum to the State Survey Agency Directors includes:

  • Advanced Copy of Interpretive Guidelines: The Centers for Medicare & Medicaid Services (CMS) is releasing a new Appendix Z of the State Operations Manual (SOM) which contains the interpretive guidelines and survey procedures for the Emergency Preparedness Final Rule.
  • Affects all 17 providers and suppliers: Appendix Z applies to all 17 providers and suppliers included in the Final Rule.