In April 2015, CMS published the ICF/IID Appendix J – Interpretive Guidelines (IGs) to clarify the intent of the Conditions of Participation (CoPs) for ICF/IID and incorporate current standards of practice. This change was the first comprehensive update to the IG in nineteen years. Less than 10% of the interpretation for the regulatory W-tags remained the same. It is critical to update your resource materials to stay current for ICF/IID surveys.
As part of the change, the Compliance Principles, probes and procedures were removed from the IGs and placed into a separate Exhibit (Exhibit 355) behind the IGs. To fully interpret the regulations it is now necessary to refer to two separate sections of the regulations. CMS published a further update on August 14, 2015.
H&W has incorporated the Exhibit 355 section with the IGs (including the most recent update) so that the guidance, probes and procedures for each regulation, are now found on a single page. This resource is available for purchase and download here.
We hope this information is helpful. If you have questions, please contact the INARF office.