Transmittal No. 4 Revises
State Operations Manual Appendix J
PDF Version
of BQA 99-008 (PDF, 12 KB)
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Date: March 3, 1999 DSL-BQA Memo 99-008
To: Facilities for the Developmentally Disabled FDD 04
From: Judy Fryback, Director, Bureau of Quality Assurance
The Health Care Financing Administration (HCFA) has revised
Appendix J of the State Operations
Manual
(exit DHFS)
that specifies the
survey process for ICF/MRs. The revisions are documented in the attached Transmittal No.4
dated November 1998, effective December 15, 1998. Transmittal No 4 replaces select pages
of Transmittal 278 of November 1995. Revision specifics are listed on the cover page and
redlined in the text.
Generally, the revisions are as follows:
-
Adds three additional fundamental W tags under the Active Treatment Condition of
Participation (refer to Transmittal 227).
-
W120 The facility must assure that outside services meet the needs of each
client.
-
W448 The facility must investigate all problems with evacuation drills,
including accidents.
-
W449 The facility must take corrective action.
-
Revises the number of required interviews in facilities with more than 50 clients.
-
facilities 51-100, interview 5 not 7 clients
-
facilities 101-500, interview 50% of sample not 10
(max of 15).
-
Clarifies the sample selection for follow up surveys.
-
Clarifies who can be included in the count for the required number of interviews
completed.
The revisions are highlighted by vertical lines in the margins in the attachment [not
included here]. HCFA has not provided added interpretation. The Bureau of Quality
Assurance is currently following Appendix J as revised.
If you have any questions regarding this information, please contact Jean Kollasch at
(608) 267-0466, or write to the above address.
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