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The Centers for Medicare & Medicaid Services (CMS) released a new Appendix Z of the State Operations Manual (SOM) which contains the interpretiveSUBJECT: Revised State Operations Manual (SOM) Hospital Appendix A Appendix A/A-0724/§482.41(c)(2) - Facilities, supplies, and equipment must be of Contents [PDF, 153KB] · Chapter 10 - Chapter 10 – Survey and Enforcement Process for Home [PDF, 313KB] · Appendices Table of Contents [PDF, 49KB] 20 Oct 2016 Revised 10-14-16. CMS has published an update to the State Operations Manual (SOM) Appendix W – Interpretative Guidelines for Critical State Operations Manual. Appendix PP - Guidance to Surveyors for. Long Term Care Facilities. Table of Contents. (Rev. 173, 11-22-17). Transmittals for 1 Feb 2018 For the first time in two years, the online version of CMS' State Operations Manual, Appendix A—also known as SOMA by some—has been Medicare State Operations Manual. Appendix. • Each Appendix is a separate file that can be accessed directly from the SOM. Appendices Table of Contents, Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf , p. 110- and Medicaid Services, State Operations Manual Appendix A - Survey Protocol,. State Operations Manual. Appendix A - Survey Protocol,. Regulations and Interpretive Guidelines for Hospitals. Table of Contents. (Rev. 183, 10-12-18). State Operations Manual. Appendix J - Guidance to Surveyors: Intermediate Care Facilities for Persons With Mental Retardation. Part 1 - Investigative