State Operations Manual Appendix L - Guidance to Surveyors: Ambulatory Surgical Services - (Rev. 1, 05-21-04) functions and operations in a common space during concurrent or overlapping hours of Medicare. Where a State has no applicable licensure requirements, or where ambulatory Medicaid . Medicaid Operations Manual ; Medicaid Services Manual ; Medicaid State Plan ; Nevada Check Up . Nevada Check Up Manual ; Nevada Check Up State Plan (Title XXI) Last Edited: 2/1/2018 Request ADA document remediation for individuals using assistive technology devices. The Centers for Medicare & Medicaid Services (CMS) updated its State Operations Manual (SOM) Hospital Interpretive Guidelines to reflect recent amendments to the Governing Body and Medical Staff Conditions of Participation. CMS has released the updates to Appendix PP of the State Operations Manual that incorporate the revisions that were made to regulatory language published October 6, 2016. A few weeks ago, the Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight Group (QSO) issued a Memo to State Survey Agencies titled "Emergency Preparedness Programs - Updates to Appendix Z of the State Operations Manual (SOM)". Appendix Z is the interpretive guideline for surveyors of all healthcare types in implementing the emergency preparedness Conditions of State Operations Manual Complaint Procedures, Chapter 5 of the SOM, also have seen some revisions. Chapter 15, Section 60.4.1, from the Medicare Benefit Policy Manual. 30, 2016. Centers for Medicare and Medicaid Services State Operations Manual Appendix J Survey Procedures and Interpretive Guidelines For Intermediate Care Facilities for Persons with Mental Retardation (Sections 483.430(a) W159 thru 483.430(b)(5)(x) W180) _____ Class Description: This simulation interactively shows you the basics of navigating in the CMS State Operations Manual (SOM). Prerequisites: None. For information about the availability of auxiliary aids and serv