Home Health Xpeditor

Home Health SOM - Home Health Xpeditor Mobile App (Home Health Federal Regulations App)
provides easy and affordable offline access on your Android Phone and Tablet to the latest
edition of the Home Health Agency (HHA) State Operations Manual (SOM) revisions: Appendix
B, HHA Enforcement Guidance and Revisions to Chapter 2, Certification Process.
Version 1.0
- Newest version of the Home Health Agency (HHA) State Operations Manual (SOM) as
amended (May 20, 2014)
- Appendix B – Guidance to Surveyors: Home Health Agencies – Recent establishment
of survey and enforcement regulations as well as changes to other HHA policies have
necessitated revisions to previously published survey guidance.
- HHA Survey and Enforcement regulations: The final rule on available alternative
sanctions for HHAs with condition-level deficiencies was published in 2012. Among other
things, this rule allows for the imposition of civil money penalties (CMP), directed inservice
training, directed plan of correction, suspension of payment, and temporary
management. The Centers for Medicare & Medicaid Services (CMS) has developed a new
SOM chapter 9 to guide State Agencies (SAs) and Regional Offices (ROs) on imposing
these sanctions, as well as on the procedures regarding an informal dispute resolution
process (IDR). Office of Strategic Operation and Regulatory Affairs (OSORA) has
determined that the Chapter 9 designation is already in use. This chapter has been
renumbered as Chapter 10.
-SOM, Chapter 2, Certification, Sections 2180-2202.19 – Survey protocols, HHA
enforcement regulations, changes to Outcome and Assessment Information Set (OASIS)
data transmission and other policy changes have resulted in the need to update the HHA
sections of Chapter 2.