Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®
CMS has posted an updated Chapter 2 – The Certification Process to the State Operations Manual. This Chapter is dated July 6, 2018. The previous chapter carried a revision date of November 4, 2016.
The 11/2016 version of this chapter was 458 pages in length; the 6/2018 version is 461 pages.
Areas where changes are identified by CMS (in red ink) include:
- Organ Procurement Organizations (page 18)
- Effective Date of Medicare Provider Agreement or Approval for Suppliers (pages 43 and 44)
- Hospice Regulations and Non-Medicare Patients (page 83)
- Verification Criteria (CAH) (page 252)
- Application of the more than 15-mile drive standard, based on secondary roads (CAH – resource reference) (page 259)
- Criteria for Extension Location Approval (Rehab Agency) (page 303)
- All Health and Safety Standards Are Not Met on the Day of the Survey (page 414)
- Opening the Donation Service Area (DSA) for Competition from other OPOs (pages 422 – 424)
Chapter 2 covers many types of providers including:
- Hospitals
- Hospices
- Intermediate Care Facilities
- Home Health Agencies
- Ambulatory Surgical Centers
- Rural Health Clinics
- Community Mental Health Centers
- Critical Access Hospitals
- End Stage Renal Disease Facilities
- Outpatient P.T. and Speech Pathology Services
- Comprehensive Outpatient Rehabilitation Facilities
- Suppliers of Portable X-Ray Services
- Organ Procurement Organizations
- Federally Qualified Health Centers
- Psychiatric Residential Treatment Facilities
It also addresses specific items including:
- Spell of Illness Certifications
- Screening Mammography
- Life Safety Code
- Utilization Review
- Survey Process
