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CMS Manual System

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.

policies to the designated representative. The explicit designation of a representative takes precedence over any non-designated relationship and continues throughout the patient’s inpatient stay or outpatient visit, unless the patient ceases to be incapacitated and expressly withdraws the designation, either orally or in writing.

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