CMS Summary of COVID-19 Waivers as of 4/9

On April 9, 2020 CMS published a document on COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers, summarizing relief during the current emergency from normal requirements, with the intention to allow healthcare facilities to focus more attention on treating COVID-19 patients.  Waivers for dialysis facilities are summarized on pp.17-19, and include adjustments to regulations for water quality testing, fire inspections, patient assessments, plan of care, rounds, home visits, special purpose facilities, PCT certification, transferability of professional credentials, dialysis in nursing homes, and many other details.  Find the document at https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMDA0MTAuMjAwMTg1NTEiLCJ1cmwiOiJodHRwczovL3d3dy5jbXMuZ292L2ZpbGVzL2RvY3VtZW50L3N1bW1hcnktY292aWQtMTktZW1lcmdlbmN5LWRlY2xhcmF0aW9uLXdhaXZlcnMucGRmIn0.NmtjnP-P1fvfNYld0nlhqMouY3FZb10Xx7Aull2AIwA/br/77281657281-l.

>2/21 Revised CMS State Operations Manual

CMS has published revisions to the State Operations Manual, including Appendix H – ESRD Facilities, Appendix X – Organ Transplant Program, and Appendix Z – Emergency Preparedness.  Find the revised Manual, which is effective as of February 21, 2020, at https://www.cms.gov/files/document/r200soma.pdf.  The 700-page manual lacks page numbers or other indications of which appendix you’re reading, but online PDF readers provide page counts in the upper left-hand corner, or at the top of the screen.  Changes include:

  • pp. 175ff: Appendix H – ESRD Facilities.  Guidance to Surveyors in Appendix H is extensively revised throughout, including updates to the regulatory text based on requirements set forth in the 2008 Conditions for Coverage and revisions based on recent Federal Fire Safety Requirements.
  • pp. 614ff: Appendix X – Organ Transplant Programs.  Revisions include Survey Protocol Tasks, and occasional other revisions scattered throughout.
  • pp. 657ff: Appendix Z – Emergency Preparedness.   Major revisions are included throughout.