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Brooklyn, New York - The Brooklyn Hospital Center. Family Physician. Rochester, New York - University of Rochester Medical Center.State Operations Manual. Appendix PP - Guidance to Surveyors for. Long Term Care Facilities. Table of Contents. (Rev. 173, 11-22-17). The Centers for Medicare and Medicaid Services (CMS) has issued Survey and Certification letter S&C 17-19, updating the State Operations Manual (SOM) to The Centers for Medicare and Medicaid Services (CMS) has issued the revised State Operations Manual for Long-Term Care Facilities Appendix PP Guidance. Annual Reporting. New York State and the Office of the Medicaid Inspector General have several compliance measures that our members must meet each year. Read Back to Internet-Only Manuals (IOMs). Notice: CMS is currently undergoing scheduled email 100-07. Publication #. 100-07. Title. State Operations Manual The State Operations Manual (SOM for long-term care) contains the primary survey and certification rules and guidance from the Centers for Medicare and CORE Operations Manual for Designated Providers government partners to help members prevent and manage chronic health conditions and recover.