NOTE: In the past, the CMS Dallas Regional Office frequently transmitted federal S&C letters from Baltimore to the states through "Regional Survey and Certification (RS&C)" letters. Today, states have online access to federal S&C letters at http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html. Online access is quicker and reduces redundancy. The CMS Dallas Regional Office will continue to issue RS&C letters when a subject needs further clarification. For questions about a federal S&C letter, please contact the Regulatory Services Policy Unit in state office, at (512) 438-2179.
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|05-16 PDF||Needs Assessment Survey -- Identification and Documentation of Abuse and Neglect||Memo PDF||2/10/2005|
|05-15 PDF||Renewal of the American Association for Accreditation of Ambulatory Surgery Facilities, Inc.'s Deeming Authority for Ambulatory Surgical Centers (S&C 05-15)||N/A||1/13/2005|
|05-14 PDF||Electronic Signature Guidance - Clarification
Note: This memorandum replaces S&C-04-46
|05-13 PDF||Improving Enforcement via the Special Focus Facility Program for Nursing Homes||Memo PDF||12/16/2004|
|05-12 PDF||Response to Referrals from Public Entities Alleging Noncompliance with Federal Nursing Home Requirements||N/A||12/16/2004|
|05-11 PDF||State Survey Agency (SA) Responsibilities in Enforcing the Gynecologic Cytology Proficiency Testing (PT) Requirements under the Clinical Laboratory Improvement Amendments of 1988 (CLIA)||N/A||12/16/2004|
|05-10 PDF||Federal Requirements for the Informal Dispute Resolution (IDR) Process for Nursing Homes||N/A||12/16/2004|
|05-09 PDF||Clarification of Nursing Home Reporting Requirements for Alleged Violations of Mistreatment, Neglect, and Abuse, Including Injuries of Unknown Source, and Misappropriation of Resident Property||Memo PDF||12/16/2004|
|05-08 PDF||Clarification of Survey Agency Responsibilities in Obtaining Information For Civil Rights Clearances For Initial Certifications And Changes of Ownership (CHOW)||Memo PDF||11/12/2004|
|05-07 PDF||Home Health Agency (HHA) Drop Sites||N/A||11/12/2004|
|05-06 PDF||Application of the Home Health Agency (HHA) Conditions of Participation (CoPs) to Patients Receiving Chore Services Exclusively||N/A||11/12/2004|
|05-05 PDF||Aide Registry Requirements - ACTION FOR IMPROVEMENT||N/A||11/12/2004|
|05-04 PDF||Centers for Medicare & Medicaid Services (CMS) Requirements for Hospital Medical Staff Privileging||N/A||11/12/2004|
|05-03 PDF||FY 2005 State Performance Review Protocol Guidance||N/A||10/14/2004|
|05-02 PDF||Impact of Nursing Shortage on Hospice Care||N/A||10/14/2004|
|05-01 PDF||Guidance on Working with Quality Improvement Organizations
Note: Attachment (Zipped Excel Format)
|04-46 PDF||Electronic Signature Guidance
Note: This letter has been replaced by S&C 05-14, is provided to you for informational purposes.
|04-45 PDF||HHAs: Clarification Comprehensive Assessment On Pediatric And Maternity Patients and Personal Care||N/A||9/09/2004|
|04-44 PDF||Availability and Implementation of the Pharmaceutical and Herbal Products Database||N/A||9/09/2004|
|04-43 rev. PDF||Final Adjustment in Implementation Date -- October 1, 2004 National Transition Date for the Automated Survey Processing Environment (ASPEN) Enforcement Manager (AEM) for Nursing Homes.
Note: contact memo contains the attachments from the original SC 04-43.
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