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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 75 Date: December 2, 2011 SUBJECT: Revised Appendix A, Interpretive Guidelines for Hospitals, and Appendix W, Interpretive Guidelines for Critical Access Hospitals (CAHs) I. SUMMARY OF CHANGES: Clarification is provided for existing hospital regulations 42 CFR (a) and (b), and new 42 CFR (h), concerning hospital patients rights, including advance directives and visitation rights. Clarification is provided for existing CAH regulations at 42 CFR (a), concerning compliance with Federal laws and regulations, including regulations governing advance directives and required patient disclosures.

Recurring Update Notification . Revisions to Appendix A . Hospital Interpretive Guidelines . A-0117 (Rev.75, Issued: 12-02-11, Effective: 12-02-11, Implementation: 12-02-11) ... consistent with the guidance related to Title VI of the Civil Rights Act of 1964 issued by the ... domestic partner (whether or not formally established and including a ...

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