State Operations Manual (Pub. 100-07), Ch. 2 § 2834
Other Applicable SOM Sections
2834 – Other Applicable SOM Sections
(Rev. 132; Issued: 01-16-15, Effective: 01-16-15, Implementation: 01-16-15)
The following procedures already established in various Chapters within this manual serve
as a basis for direction for the SA.
• SOM §3010: Termination Procedures – Immediate and Serious Threat to
Patient Health and Safety (23 Calendar Days).
• SOM §3012: Termination Procedures – Noncompliance with one or more
CoPs or Conditions for Coverage and Cited Deficiencies Limit Capacity of
Provider/Supplier to Furnish Adequate Level or Quality of Care (90 Calendar
Days).
• SOM §3060: Appeals of Adverse Actions for Medicaid Non-State operated
NFs (Non-State Operated) and ICF/IIDs (Not Applicable to Federal
Termination of Medicaid Facilities)
• SOM §5200 Investigation of Complaints Against Other than Accredited
Providers and Suppliers. Although on its face this section applies to non-
accredited providers and suppliers, we believe this section is better suited for
PRTFS.
• Appendix Q – Guidelines for Determining Immediate Jeopardy – “these
guidelines apply to all certified Medicare/Medicaid entities…and to all types of
surveys and investigations…”
• SOM §4009 Federal Surveyors Qualification Standards