State Operations Manual (Pub. 100-07), Ch. 10 § 10008.2
Imposition of a Directed Plan of Correction
10008.2 - Imposition of a Directed Plan of Correction
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
Whether the facility has standard-level or condition-level deficiencies, an HHA or hospice
program must submit an acceptable plan of correction to CMS. If the HHA or hospice
program is unable to develop an acceptable plan of correction, CMS may impose a DPOC
for condition level deficiencies. CMS must provide written notification of the intent to impose a
DPOC sanction/remedy.
Notice of intent to impose a DPOC must be given at least 15 calendar days before the effective
date of the enforcement action in non-IJ situations and at least 2 calendar days before the
effective date in IJ situations. The date the DPOC is imposed, that is, the date the
sanction/remedy becomes effective, does not mean that all corrections must be completed by
that date.