Accreditation Resource Services Newsletter
September 2020

ARS Regulatory Alerts

CIHQ-ARS notifies member organizations of any new or modified accreditation standard, or CMS COP for acute care hospitals. Each alert summarizes the standard / regulation, likely impact to members, and recommends compliance strategies. Whenever possible, alerts are limited to one-page in length so that they can be quickly read and disseminated.

New Regulatory Alert

Alert Date
August, 27 2020
Alert Subject
CMS Updates Requirements for COVID-19 Lab Result Reporting
Alert Applicability
Acute Care Ambulatory Care Behavioral Health
Critical Access Home Health / Hospice Laboratory
Long Term Care Other: __________  
Alert Background
In a letter to State Agencies dated 8/25/20, CMS announced an interim final rule updating laboratory reporting requirements for COVID-19 testing.
The interim final rule states: “During the Public Health Emergency, as defined in § 400.200 of this chapter, each laboratory that performs a test that is intended to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (hereinafter referred to as a “SARS-CoV-2 test”) must report SARS-CoV-2 test results to the Secretary in such form and manner, and at such timing and frequency, as the Secretary may prescribe.”
Discussion & Recommendations
To view the discussion & recommendations ARS Organization Members can download this alert in its entirety when logged-in/connected to the ARS Members section. All alerts are archived in the member’s only section of our web site for future access and reference.
Not an ARS Member Organization?
» Find out how to Enroll and enjoy these as well as other benefits from ARS!

New Regulatory Alert

Alert Date
August, 19 2020
Alert Subject
CMS Issues Guidance on Resuming Survey Activities
Alert Applicability
Acute Care Ambulatory Care Behavioral Health
Critical Access Home Health / Hospice Laboratory
Long Term Care Other: __________  
Alert Background
In a letter to State Agencies (SA’) dated 8/17/20, CMS announced revised guidance for performing on-site survey activities. In June 2020, CMS issued survey re-prioritization guidance to transition States to more routine oversight and survey activities. Specifically, once a State had entered Phase 3 of its reopening, SA’ were authorized to expand beyond the current survey prioritization (Immediate Jeopardy, Focused Infection Control, and Initial Certification surveys) to perform the following surveys (for all provider and supplier types):
  • Complaint investigations that are triaged as Non-Immediate Jeopardy-High1
  • Revisit surveys of any facility with removed Immediate Jeopardy (but still out of compliance);
  • Special Focus Facility and Special Focus Facility Candidate recertification surveys; and
  • Nursing home and Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) recertification surveys in facilities where it has been over 15 months since the last standard survey.
The revised guidance expands the resumption of on-site survey activities for:
  • Revisit surveys for past non-compliance that do not otherwise qualify for a desk review;
  • Complaint surveys triaged as non-IJ level or higher that have not been completed;
  • Special Purpose Renal Dialysis Facilities (SPRDFs);
  • Initial surveys of new providers;
  • Past-due recertification surveys with a statutorily required survey interval; and
  • Past-due recertification surveys without a statutorily required survey interval.
Discussion & Recommendations
To view the discussion & recommendations ARS Organization Members can download this alert in its entirety when logged-in/connected to the ARS Members section. All alerts are archived in the member’s only section of our web site for future access and reference.
Not an ARS Member Organization?
» Find out how to Enroll and enjoy these as well as other benefits from ARS!