In a February 26, 2025 letter to the Center for Medicare and Medicaid Services (CMS), LeadingAge requested a delay in implementation of Appendix PP Surveyor Guidance for Long-Term Care Facilities.

CMS released significant revisions to the guidance in November 2024 with an effective date of February 2025. A January 2025 update pushed the effective date back to March 24, 2025; however, the Trump administration’s pause on external communications from CMS and other federal health agencies has prevented it from holding any public forums or communications to review changes, answer questions, or provide clarification.

LeadingAge is advocating that the effective date of the guidance be delayed until after the communications pause is lifted for a period of time that is equal to the amount of time lost due to the pause. Read the letter here.