Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
CMS posted updates to the LTCSP on October 4, 2022.

The direct link to each of these files/folders:
- Revision History for LTC Survey Process Documents and Files Updated 10/04/2022 (PDF)
- Survey Resources with Staff Vaccine Documents 10/04/2022 (ZIP)
- Appendix PP State Operations Manual (Revised 10/04/2022) (PDF)
Note that the link to the Appendix PP is for the September 30, 2022 version which addresses Qualified Dietary Staff (F801), specifically Food Service Director and Physical Environment. This version of Appendix PP is NOT the Requirements of Participation (RoP) Phase 2 and 3 changes. Those changes are in the Advance Copy – Appendix PPposted on June 29, 2022 and are effective October 24, 2022. The FINAL version of that Appendix PP will be posted on or after October 24, 2022.
On September 30, 2022, CMS posted Transmittal R207SOMA:

This 4-page transmittal explains what’s in the Appendix PP posted on that same date. The updates are clearly identified in red ink and include the excerpts below:


