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Regulatory & Clinical

An Ever-Present Regulatory & Clinical Resource

In the ever-changing environment of regulatory and clinical affairs, you deserve an ever-present regulatory and clinical resource. IHCA/INCAL can help.

Get RoP 3 Ready!

The Requirements Have Changed. CMS has issued QSO-22-NH, which includes new and updated surveyor guidance for the following areas:

  • Phase 2 and 3 Requirements: Clarifications and technical corrections of Phase 2 guidance issued in 2017; and new guidance for Phase 3 requirements, which became effective November 28, 2019.
  • Arbitration Requirements: Guidance on the new requirements, which became effective September 16, 2019.
  • Complaint and Facility Reported Incidents (FRIs): CMS revised the guidance in Chapter 5 and related exhibits of the State Operations Manual (SOM) to strengthen the oversight of nursing home complaints and FRIs. CMS also revised its guidance for all Medicare-certified provider/supplier types to improve consistency across the State agencies in their communication to complainants.
  • Psychosocial Outcome Severity Guide: CMS revised guidance to clarify the reasonable person concept and examples across the different severity levels.

Please Note: Surveyors will begin using this guidance to identify non-compliance on October 24, 2022. Phase 3 of The Long Term Care Survey manual includes all the updates from the Centers for Medicare and Medicaid Services’ (CMS) three-phase implementation.

pre-order phase 3