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Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4

Guidance for: This memorandum to state survey agency directors discusses revisions to the State Operations Manual's (SOM) Appendix PP and Chapter 4. It specifies the basis for such revisions and includes the update appendix and chapter.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 01, 2020

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.