Cms manual System



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Department of Health &
CMS Manual System
Human Services (DHHS)
Pub. 100-07 State Operations
Centers for Medicare &
Medicaid Services (CMS)
Provider Certification
Transmittal- ADVANCE COPY
Date: XXXX
SUBJECT: Revisions to the State Operations manual (SOM 100-07) Chapter 7
I. SUMMARY OF CHANGES Revisions to the State Operations manual (SOM 100-07)
Chapter 7 – To provide revisions in sections 7304 through 7304.3, 7306, 7308.3, 7313.2,
7400.5, and 7400.5.1 regarding policies related to Immediate Imposition of Federal Remedies previously referred to as Opportunity or No Opportunity to Correct. Sections 7304.2.1 and
7304.2.2 have been deleted and incorporated into other sections noted above.


New/revised material - effective date upon issuance
R chapter 7/7400.1/
Use of federal remedies in immediate jeopardy (ij) citations -
Directed in-service training
Directed plan of correction
Denial of payment for all new medicare and medicaid admissions (dpna) –
State monitoring
Termination of provider agreement -
For immediate jeopardy
Office (ro)
When immediate jeopardy
Exists (rev.)
Immediate imposition of federal remedies
Facilities (nfs)


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