Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Revisions to the State Operations Manual (SOM) Appendix B – Home Health Agencies

The Centers for Medicare & Medicaid Services (CMS) is releasing interpretive guidelines and updates to Appendix B of the SOM because of several final rules which amended the Home Health Agency (HHA) Conditions of Participation (CoPs). We made conforming revisions to the regulatory tags and interpretive guidelines. We are also combining the HHA survey protocol and interpretive guidelines into one document, updating Level 1 tags and making clarifications and technical corrections to other guidance areas based on stakeholder feedback.

Download the Guidance Document


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

Issue Date: April 11, 2024

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.