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.