Updates to the Condition of Participation (CoP) Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report Acute Respiratory Illnesses

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Title
Updates to the Condition of Participation (CoP) Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report Acute Respiratory Illnesses
Memo #
QSO-25-05-Hospitals/CAHs
Posting Date
2024-10-22
Fiscal Year
2025
Title
Memorandum Summary

• CMS is committed to taking critical steps to ensure America’s healthcare facilities have appropriate insight related to evolving infection prevention and control needs.
• CMS has released new regulatory requirements for all hospitals and critical access hospitals (CAHs) at 42 C.F.R. §§482.42(e) and 485.640(d), respectively, to report information in accordance with a frequency and standardized format, as specified by the Secretary.
• Failure to report the specified data related to COVID-19, influenza, and respiratory syncytial virus (RSV), including confirmed infections of respiratory illnesses among hospitalized patients, hospital bed census and capacity (both overall and by hospital setting and population group [adult or pediatric]), and limited patient demographic information, including age, may lead to the termination of a hospital’s participation from the Medicare and Medicaid programs.