CMS Instruction Manual 2025

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The CMS Online Manual System is used by CMS program components, partners, contractors, and State Survey Agencies to administer CMS programs. It offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives.
The State Operations Manual (SOM for long-term care) contains the primary survey and certification rules and guidance from the Centers for Medicare and Medicaid Services Internet-Only Manual System for LTC providers.
If you receive a settlement, judgment, award, or other payment related to this claim and Medicare determines that it has made conditional payments that must be repaid, you will get a demand letter.
Navigate to . On the CMS Enterprise Portal page, select the New User Registration link. Select your Application (MARx Medicare Advantage Prescription Drug System) Agree to Terms and Conditions. Click the Next button. Provide the information requested on the Register Your Information page.
The State Operations Manual (SOM) is a federal document, issued by CMS, containing survey and certification rules and guidance. The SOM includes 10 chapters covering a range of topics such as skilled nursing facilities (nursing homes), laboratories, and home health.
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