Alert detail
CMS Transmittal R247SOMA: Revisions to the State Operations Manual (SOM) Appendix W – Critical Access Hospitals (CHAs…
Policy ID: CMS-T-R247SOMASpecialty: Inpatient (IPPS)Added: 9/19/2026Effective: September 18, 2026transmittal
What changed
SOM Appendix W CAH survey guidelines revised; review CoP compliance.
Who’s affected: Inpatient (IPPS) billing teams · Effective: September 18, 2026
Primary source: View the official CMS/MAC document ↗
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