Transmittal No. 4 Revises
State Operations Manual Appendix J
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
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
W448 The facility must investigate all problems with evacuation drills,
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
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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