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Revisions to State Operations Manual (SOM) Appendix A-Hospitals

This Transmittal includes a revision to the interpretive guidance in SOM Appendix A 42 CFR 482.51(b)(2) to provide an emphasis on patient informed consent prior to performing sensitive examinations and examinations performed by students for teaching purposes. This transmittal is a follow-up to a memo QSO 24-10 released April 1, 2024.

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

Issue Date: April 19, 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.