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CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-07 State Operations Provider Certification Centers for Medicare & Medicaid Services (CMS) Transmittal: 204 Date: April 16, 2021 SUBJECT: Revisions to the State Operations Manual (SOM) Appendix Z - Emergency Preparedness I. SUMMARY OF CHANGES: This Transmittal includes revisions based on recent federal regulation changes via (CMS 3346 F) and is a follow up to memo QSO 20-07 released on December 20, 2019. In addition to updates on the interpretive guidelines, this update also provides additional guidance on emerging infectious diseases. We are making changes to Appendix Z to reflect lessons learned and additional guidance related to pandemic preparedness as a result of the COVID-19 public health emergency. NEW/REVISED MATERIAL - EFFECTIVE DATE: April 16, 2021 IMPLEMENTATION DATE: April 16, 2021 The revision date and transmittal number apply to the red italicized material only.

man-made disasters, and coordinate with Federal, state, tribal, regional and local ... particular hazards (e.g. is PPE required to evacuate during a biological threat); and should also include documentation on who would initiate the emergency preparedness response. Facilities must address each type of hazard within the emergency

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