CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

CMS revised the State Performance Standards (SPSS) Guidance via Admin Info: 23-12-ALL dated August 11, 2023.

Every year, CMS conducts a formal assessment of each State Survey Agencies’ performance relative to measures included in the SPSS program. CMS works with the State Survey Agencies to strengthen oversight so that the care provided in nursing homes and other acute and continuing care providers and suppliers is of the highest quality. The FY 2023 SPSS guidance has been revised to include updates to the scoring approach and additional technical detail.

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents. The three domains of the SPSS for the 2023 fiscal year include:

            • Survey and Intake Process

            • Survey and Intake Quality

            • Noncompliance Resolution

On behalf of CMS, we truly appreciate all the endless efforts to improve the health, safety and dignity of all Medicare and Medicaid enrollees.

For questions or concerns relating to this memorandum, please contact the SPSS team at SPSS_Team@cms.hhs.gov.

Effective Date: Immediately. Please communicate to all appropriate staff within 30 days.

Resources to Improve Quality of Care: Check out CMS’s new Quality in Focus interactive video series. The series of 10–15-minute videos are tailored to provider types and aim to reduce the deficiencies most commonly cited during the CMS survey process, like infection control and accident prevention. Reducing these common deficiencies increases the quality of care for people with Medicare and Medicaid.

Learn to:

            • Understand surveyor evaluation criteria

            • Recognize deficiencies

            • Incorporate solutions into your facility’s standards of care

See the Quality, Safety, & Education Portal Training Catalog, and select Quality in Focus.

Here’s the TOC for this 43-page document:

You’ll note that there are several references to these Medicare/Medicaid providers throughout the Administrative Memorandum:

  • community mental health centers
  • comprehensive outpatient rehabilitation facilities
  • end-stage renal disease facilities
  • hospitals (all types)
  • intermediate care facilities for individuals with intellectual disabilities
  • nursing homes
  • outpatient physical therapy/speech language pathology providers
  • psychiatric residential treatment facilities and
  • rural health clinics

There’s a lot of important information in this Administrative Memorandum.  Please review and share it with your team and colleagues.

For a recent reference, check out Admin Info: 23-10-ALL posted July 20, 2023.

Every year, the Centers for Medicare & Medicaid Services (CMS) conducts an assessment of each State Agency’s (SA’s) performance relative to measures included in the State Performance Standards System (SPSS) program. Through this program and other oversight activities, CMS works with the SAs to ensure that the care provided across provider and supplier settings to patients and residents is of the highest quality.