CMS Releases Updates to State Operations Manual (SOM) Appendix A - Guidance for Surveyors, Hospitals

Published: 09/08/2025

Sources:
  • Centers for Medicare and Medicaid Services
Relevant To:
  • Critical Access Hospitals,
  • Hospitals

The Centers for Medicare & Medicaid Services (CMS) has released revisions to Appendix A of the State Operations Manual (SOM) for Hospitals to include new interpretive guidelines and survey processes, reflecting updates to the Hospital Conditions of Participation (CoPs) from rules released in 2019 and 2020. According to CMS, the publication of this guidance was delayed due to COVID-19 public health priorities.

The revised SOM is designed to support surveyors but is also a valuable resource for

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