Emergency Preparedness- Updates to Appendix Z of the State Operations Manual (SOM)

To: Administrators and Directors,

The Centers for Medicare and Medicaid Services (CMS)) has made revisions, effective immediately, to Appendix Z of the State Operations Manual (SOM), which is the Interpretive Guidance for Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers. These are not changing any requirements, but just adding some clarifications. You can view or download the revised Appendix Z at: https://drive.google.com/file/d/1yEoPpmWUOGHXAoeE3lgKnCEON_RN_W9I/view?usp=sharing 

Changes are highlighted in red italics.

The main revisions include: 

– (Definitions) CMS is adding “emerging infectious diseases” or “EIDs” to the current definition of all-hazards approach, after determining that is critical for facilities to include planning for infectious diseases within their emergency preparedness programs. Examples of EIDs include Influenza, Ebola Virus, Zika and others.

– (Tag E-0004)It added EIDs to the list of hazards that facilities should include as their conduct their risk assessments. 

– (Tags E-0015 and E-0042) Alternate Source Power and Emergency Power Standby Systems, clarifies that facilities should use the most appropriate energy source or electrical system based on their facility’s risk assessment and as required by existing regulations or state requirements. Whatever alternate source is selected must meet local and state laws, manufacturer requirements and Life Safety Code requirements. If a facility chooses a portable and mobile generator (rather than permanent generator), then the LSC provisions, e.g. generator testing/maintenance/etc under NFPA guidelines would not apply, except for NFPA 70-National Electrical Code. 

These updates are NOT related to the proposed rule changes published in the Federal Register September 20, 2018, related to reducing the regulatory burden on facilities in meeting the emergency preparedness requirements. We still await guidance on the outcome of that proposed rule. 

If you have questions regarding the emergency preparedness rule, please contact SCGEmergencyPrep@cms.hhs.gov or Melanie Roth at CDPHE, Melanie.Roth-Lawson@state.co.us

HHA IDR Committee Meeting

To: HHA providers


The HHA IDR Committee will meet 1/22/19 at 10:00 a.m. at the Department. The public is welcome to observe or listen to the committee discussion by calling 1.712.770-8066 and entering conference code 666158. Information on the location of the meeting will be available at the security desk in building A.

Elaine Sabyan

1294 Meeting and Chapter 2 Rule Revision Stakeholder Meeting

To: all Health Facilities


Meetings are open to the public.

When: Feb. 7, 2019 from 10:30 a.m. – 12:45 p.m. (1294 meeting will be from 10:30 a.m.-11 a.m. and Chapter 2 from 11 a.m. to 12:45 a.m.)

Where: Colorado Department of Public Health and Environment
4300 Cherry Creek Dr. South
Denver, CO 80246
Conference room C1E
(visitors, please check in at the front desk in building A, doors near the flag pole) 

UPDATED Audio line: 669-900-6833, conference code: 882 201 285 
UPDATED Webinar: Zoom meeting (https://zoom.us/j/882201285

To view the 1294 meeting agenda go to:

To view the Chapter 2 meeting agenda go to:

Meeting documents, schedules and archived agendas are available on the department website : 

To sign up to receive email communications regarding Chapter 2 go to:

For further info:

Email crystal.cortes@state.co.us