State Operations Manual Appendix Z

Emergency Preparedness Final Rule SOM Appendix Z

The Centers for Medicare & Medicaid Services (CMS) released a new Appendix Z of the State Operations Manual (SOM) which contains the interpretive guidelines and survey procedures for the Emergency Preparedness Final Rule.

Advanced Copy- Appendix Z, Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures can be found at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-29.html

The new rules include:

• All-Hazards Approach:
• Facility-Based:
• Risk Assessment:
• Full-Scale Exercise:
• Table-top Exercise